Q&A

Dear Irina!
Currently, in the Lipetsk region, there are restrictions on visits to hospitalized patients by relatives in connection with the current epidemiological situation for a new coronavirus infection. At the same time, in the GUZ "LOPTS" it is possible to conduct partner births if the partner complies with the following rules:
1. At the time of delivery, there should be no signs of ARVI (fever, catarrhal phenomena, etc.).)
2. The result of lung fluorography on the hands, less than 1 year old
3. The result of the PCR examination for COVID-19 on the hands (preferably less than 4 days ago)
4. Availability of disposable clothing and clean replacement shoes
Finally, the issue of allowing a partner to give birth is decided by the responsible doctor on duty at the maternity hospital at the time of admission of the patient. Moreover, the situation on the NKVI is constantly changing.

Dear Ksenia!
We can see from your description some small problems (there are no hemodynamic disorders, but there is a lack of water). But we are extremely unclear in general about your approach: with the result of an ultrasound of the fetus, you should contact your doctor in a women's consultation, and not try to be treated on the Internet.

Dear Maria!
Indeed, in the situation you described, it would be desirable to go for a consultation in the obstetric hospital where you are scheduled to give birth. In this case, an inspection is carried out, if necessary - additional examination. Whether you are hospitalized or not-it will be clear from the results of the examination. But it is better to take things with you, it is not difficult.

Dear Maria!
The symptoms you describe coincide with the so-called harbingers of childbirth. All these signs indicate the imminent onset of labor, but are extremely inaccurate (labor can begin on this day and in 2 weeks, and someone has no harbingers at all). It is necessary to be ready for the beginning of labor. Go to the hospital-not yet. It is necessary to go to the hospital in the presence of contractions or the discharge of amniotic fluid.
On the other hand, it is still not worth reaching 41 weeks (in the period of 41 weeks or more-there are more complications). In the period of about 40.5 weeks, it is better to contact the maternity hospital for at least an examination. Especially if the 3rd birth is coming.

Dear Maria!
It is very difficult to answer your question without knowing the diagnosis and obstetric situation. Depending on many factors, there may be both hospitalization before delivery, and hospitalization for examination with subsequent discharge home. Upon admission, you will be answered all your questions.

Dear Valeria!
We strongly recommend that all our patients use exclusively breast-feeding. This is really important for the health of the newborn. And for the mother, this is the prevention of many complications both in the postpartum period and in the future. Any problems with lactation, the shape of the nipples, etc. - can be solved. But, of course, this is exclusively the right to choose a maternity hospital, no one is going to force anyone. If the patient categorically refuses to breastfeed, then, after a preliminary explanation of the consequences, this is documented in the medical documentation signed by the patient, and then the newborn receives a milk formula.

Dear Roxanne, Pharmacy tests that determine the presence of pregnancy are designed only for home use. On the one hand, the accuracy of these tests, when used correctly, reaches 97-99%. On the other hand, there are false-positive and false-negative results due to both violation of the rules of use and objective factors. When a patient applies to a medical organization, the doctor may accept the patient's words about the results of the pharmacy test only as additional information. The doctor, of course, has no right to base his diagnosis on the results of such tests: the diagnosis is justified only by those methods of examination that are performed by certified specialists, in appropriate conditions and with the help of technical means regulated by current regulations. Therefore, obstetricians and gynecologists do not exactly distrust pharmacy tests, but they necessarily double-check their results with other, more accurate methods.

Dear Ekaterina! After extraction, the baby is examined by a neonatologist, the primary treatment of the newborn is performed, then it is applied to the breast in the operating room. Next, the newborn is taken to the neonatal unit while the mother is in the intensive care unit. The maternity patient is in the intensive care unit for 6-20 hours, depending on the condition. If, for example, the operation took place in the morning, and in the evening the maternity ward has not yet been transferred to the postpartum ward, then in the evening the newborn is once again brought to the mother and applied to the breast. If the mother has already been transferred to the postpartum department , we combine it with the child in the ward.

Dear Ksenia! The corresponding order of the health department on the schedule of preventive closure of obstetric hospitals in 2021 is still being prepared. Preliminary: from June 21, the GUZ "LGRD" is closed for three weeks, from July 26, the GUZ "LOPTS"is closed for three weeks.

Dear Elena! The choice of an obstetric hospital is made not so much on the basis of the address of the place of residence, but on the basis of the assignment of a particular pregnancy to a particular group of perinatal risk. This issue is resolved in your women's consultation, finally - at 36 weeks. Of course, you have every right to come to us in advance for a consultation. Also, in any emergency situation, assistance will be provided in full. But first of all, you should follow all the recommendations of your women's consultation.