Q&A

Good afternoon! Tell me, please, registered in Lipetsk on the 19th microdistrict, but the flock is registered in Dankov, because I do not live in Lipetsk, can I give birth in the Perinatal center of Lipetsk (i.e. you?)

Dear Ekaterina!
In case of self-referral during childbirth to any obstetric hospital, hospitalization is carried out regardless of whether the pregnant woman has a referral.

What does the baby need for discharge?

Dear Anastasia!
You can choose the list of things to check out at your discretion, according to the time of year!

Good time of day! If I have a referral to another hospital, how can I get to your hospital? Now the second birth. The first ones were with you 1.5 years ago, I really wanted to give birth again in your maternity hospital.

Dear Vera,
In case of self-referral during childbirth to any obstetric hospital, hospitalization is carried out regardless of whether the pregnant woman has a referral.

Hello. Does Dr. Drygina V. V. take part in your LOPC?

Drygina Valentina Vladimirovna-Head of the obstetric department No. 2. Outpatient admission to the GUZ "LOPTS does not lead.

Hello. I have a few questions. 1. tell me, at what outcome, in addition to caesarean, they give a sick leave for 16 days (extended)? Do they give it out when there is a rupture of the promkzhnost and episiotomy? Can the doctor refuse this? 2. Tell me, partner childbirth is now completely prohibited and is it true that a woman in labor is wearing a mask during childbirth?

Dear Tatiana!
1. According to the Instructions of the Ministry of Health of the Russian Federation of April 23, 1997 N 01-97 "On the procedure for granting postpartum leave in complicated childbirth", to complicated childbirth, in which, in accordance with the Federal Law of 24.11.96 N 131-FZ " On Amendments and additions toThe Labor Code of the Russian Federation", postpartum leave is granted for a period of eighty-six (for the birth of two or more children – one hundred and ten) calendar days after delivery, include:
a) multiple births;
b) childbirth that was accompanied or immediately preceded by severe nephropathy, preeclampsia, eclampsia;
c) delivery accompanied by the following obstetric operations: cesarean section and other glandular sections during delivery, classical or combined rotation of the fetus on the leg, application of obstetric forceps, fetal extraction using a vacuum extractor, fruit-destroying operations, manual separation of the afterbirth, manual or instrumental examination of the uterine cavity;
d) childbirth, accompanied by significant blood loss, which caused secondary anemia;
e) childbirth, accompanied by a rupture of the cervix of the III degree, a rupture of the perineum of the III degree, a divergence of the pubic joint;
f) childbirth complicated by postpartum diseases: endometritis, thrombophlebitis, inflammation of the pelvic peritoneum and fiber, sepsis, purulent mastitis;
g) childbirth in women suffering from heart and vascular diseases – all forms of multi - valvular heart defects, all forms of congenital heart defects, regardless of the degree of hemodynamic disorders, rheumatism and all forms of rheumatic heart defects, accompanied during pregnancy by the activity of the rheumatic process, circulatory insufficiency, pulmonary hypertension, cardiac arrhythmias, thromboembolic complications during pregnancy or in the anamnesis, with atrio – or cardiomegaly, condition after heart surgery, hypertension (Iia – Iib-III art.), cardiomyopathy;
h) childbirth in women suffering from other extragenital diseases: chronic lung diseases accompanied by pulmonary-heart failure or amyloidosis of the internal organs, diseases of the genitourinary system accompanied by hypertension, acute or chronic renal failure, diseases of the single kidney and polycystic kidney disease, diseases of the blood and hematopoietic organs – hypoplastic and hemolytic anemia, acute and chronic leukemia, lymphogranulomatosis, Werlhof's disease and others capillarotoxicosis, diffuse connective tissue diseases – systemic lupus erythematosus and systemic scleroderma, myasthenia gravis, active forms of tuberculosis of any localization, diseases of the endocrine system of severe and moderate severity (diffuse or nodular toxic goiter, hypothyroidism, non - and diabetes mellitus, etc.), parenchymal hepatitis with severe liver dysfunction, viral hepatitis suffered during pregnancy, HIV-infected and AIDS patients.
For other diseases not listed in this list, in which childbirth poses a threat to the life or health of the woman in labor and the maternity hospital, the issue of extending the postpartum leave is decided by the commission in the institution where the birth occurred (the attending physician, the head of the department (institution), a doctor-specialist in the profile of the disease);
i) premature birth and delivery of an immature fetus, regardless of the period of pregnancy, if the maternity hospital was discharged with a live child. The immaturity of the fetus is determined by the commission by the corresponding act with an entry in the history of the development of the newborn;
k) childbirth in women after in vitro fertilization and embryo transfer into the uterine cavity (IVF and PE).
2. According to the Resolution of the Chief State Sanitary Doctor of the Russian Federation of 02.03.2020. No. 5 "On additional measures to reduce the risks of importation and spread of a new coronavirus infection (2019-nCoV), as well as the Order of the Health Department of the Lipetsk Region of 06.03.2020 No. 293 "On additional measures to reduce the risks of importation and spread of a new coronavirus infection in the territory of the Lipetsk region", issued on its basis, indicates the termination of admission of visitors to hospitals in the region. That is, partner births are not possible until the period of cancellation of restrictive measures.
Personal protective equipment (including medical masks) is used by the staff of obstetric hospitals in 100% of cases. Wearing a mask (respirator) is recommended for women in labor if they have signs of SARS or a confirmed new coronavirus infection.

Hello. Do you have the services of a photographer for the discharge in your LOPC ? Can I find out the cost, if such services are provided?

Dear Victoria!
In the GUZ "LOPTS" provides services of a photographer. The cost of the service can be found by calling 84742 31 45 89

Hello, we are planning to conceive a child, we really want a girl. Tell me if there is at least one sure way to conceive a child of this sex, for example, to donate blood before conception, or two or three days before ovulation sexual rest?

Dear Ulyana!
Unfortunately, there is no sure way to determine the sex of the unborn child at the planning stage.

Good evening. Did I understand correctly that there is no need to collect a separate bag for the baby in the maternity ward ? And is the list of components for a bag in the maternity hospital relevant to my mother ? Thanks!

Dear Victoria!
The information on the site on the list of things in the maternity hospital is relevant.

Hello, are there any restrictions on the discharge of a mother with a child due to the pandemic , if any, what, and where can I get acquainted with them? Thanks.

Hello Sergey!
Due to the difficult epidemiological situation, when a newborn is discharged from the maternity hospital with its mother, restrictions apply to the relatives of the mother and the newborn - their presence at the solemn discharge is not allowed. There are no other restrictions.

How is the first screening during pregnancy and how do you need to prepare for it?

Hello Olga!
Modern obstetrics and gynecology widely use perinatal screening of pregnant women. This is really important for identifying and early diagnosing possible problems: developmental pathologies, genetic and chromosomal abnormalities of the fetus.
Purpose of the study
Screening promotes early diagnosis of developmental abnormalities and chromosomal abnormalities, but does not immediately make an accurate diagnosis.

Moreover, there are also false positive results caused by various factors. The results can be distorted:

Diabetes mellitus, especially-uncompensated.
Overweight or underweight.
Conducting conception using in vitro fertilization (IVF) technology.
Multiple pregnancy.
Unsatisfactory psychological state of the pregnant woman.
Pre-screening amniocentesis.
Hormone therapy.
If the initial studies show deviations from the norm, this does not mean that the child is unwell. This is probably a signal of some risk of pathologies.

The first screening is prescribed in the period from 10 to 13 weeks of pregnancy, the best option is 11-12 weeks, in order to minimize the possible error in calculating the timing and get an adequate result. The examination is recommended for all pregnant women. It includes:
Ultrasound examination. It is carried out by the abdominal method through the surface of the abdomen or transvaginally, using a special sensor.
Biochemical screening is a laboratory biochemical blood test. A sample of venous blood with a volume of approximately 10 milliliters is taken.
The first ultrasound screening determines a more accurate conception period based on the signs of fetal maturity, the place in the uterus where the fetal egg is attached, the size and viability of the placenta, determines multiple pregnancies, and fetal parameters.

The organs and systems formed by this time have their own indicators and characteristics of normal development. Subject to measurement:

The characteristic of the length is the coccygeal-parietal size of the baby (KTR).
The dimensions of the nose bone are viewed and measured.
The collar area, its thickness is of diagnostic interest.
Compare the hemispheres of the brain, their symmetry, location and volume.
Biochemical screening is an integral part of the complex of the first study. After receiving the results of the ultrasound, a venous blood sample is collected from the woman for the following tests:

The first hormone produced during pregnancy (HCG-chorionic gonadotropin). An increase or decrease in gonadotropin levels is an important clinical sign. The indicators of its concentration in an individual woman are compared with the reference ones, which are tied to the terms of the week.
On plasma protein A (RARP-A), a protein produced by the placenta.
The results of the tests and the indicators of the norm are necessarily considered in relation to the deadline. Deviation from the standard norm can be a diagnostic sign only in combination with the interpretation of ultrasound.

Preparatory activities
How to prepare for the first screening during pregnancy? A visit to a women's consultation is usually made by appointment with specialists. The preparation is not difficult, but it requires a responsible approach:

The day before the examination, adhere to a diet that excludes fatty foods and meat, do not use allergenic products-oranges, tangerines, honey, seafood, chocolate products.
Refrain from sexual contact.
It is advisable to conduct the first screening on the same day and in the same medical institution.
Weigh yourself before the examination, the body weight is indicated in the card.
Perform hygienic procedures.
The morning examination is carried out on an empty stomach, a small consumption of still water is allowed.
If screening is performed during the day or in the evening, refrain from eating 4 hours before the procedure.
With the abdominal ultrasound method, the doctor will warn you about this, take with you still water to fill the bladder, 0.5 liters is enough for half an hour before the procedure.
First, an ultrasound is performed, and the second stage is already blood collection.
The results will be processed, the doctor will set a day and familiarize you with the answers. The calculation of the results of the first screening is carried out according to the scheme, by comparing with the norms and calculating the degree of risks.

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