Q&A
Dear Ekaterina! The administration of GUZ "LOPTS" thanks you for the high appreciation of our work. Gratitude will definitely be brought to the medical staff. And come to us again!
Dear Julia!
Of course, at the Lipetsk Regional Perinatal Center, we fully comply with all the WHO recommendations listed by you. If the birth is through the natural birth canal, the child immediately lays out on the mother's stomach. After the umbilical cord pulsation stops (about 3 minutes), it is cut and the child is transferred to a neonatologist on a special heated table, where an examination, processing of the umbilical cord residue, anthropometry is carried out. Then the child returns to the mother again - applying to the breast, skin-to-skin contact, etc. In our obstetric hospital, breastfeeding is also actively promoted, so of course we do not finish feeding newborns with a mixture without indications.
Dear Ekaterina! Actually, by order, it is necessary. After all, hospitalization is planned, not emergency. If (God forbid!) the test will be positive - all the ways lead to us anyway (we are engaged in delivery at the NCVI), but at the same time with treatment and isolation.
Dear Ekaterina! According to your description, you have no high risk factors for perinatal complications. And that's good, of course. Accordingly, you can give birth with a favorable outcome in the GUZ "LGRD" ("on Dad's"). Compliance with the routing of pregnant women and women in labor corresponds to the goal of reducing the frequency of obstetric complications, this was not invented by us. If you still come to us at the LOPC in the active phase of childbirth, we have no right to refuse you, because in this case, the transportation of a woman in labor is again fraught with complications. If at the very beginning of childbirth, or during the discharge of waters without labor, you will be transported to the LGRD. If you do not agree with this approach for some reason of your own, come to the administration of our organization for a consultation, we will consider the issue individually, we will offer paid services.
Dear Alina!
1. You can. But. If you arrive in the active phase of childbirth, we will not be able to refuse you. Otherwise, we can transfer them to the LGRD in accordance with the order on routing pregnant women and women in labor. If you want guarantees, please contact us in advance, we will consider the issue individually: sometimes the perinatal risk group is not quite correctly determined in a women's consultation, or by connecting paid service services.
2. The test is prepared for at least 6 hours, and PCR tests are sent only in the morning at 08:30, on Sunday they are not sent at all. Therefore, no, only in advance, in other laboratories.
3. You can just change into clean HB clothes and a change of shoes. And a bathrobe, a hat, shoe covers - we can provide.
Dear Maria!
On our website in the section "Patients" - "Partner childbirth" there is all the information. Vaccination against NCVI protects against the severe course of the disease, but not always from infection. Therefore, a 3-day-old PCR test is still needed.
"Even if he feels well at the same time" - if your husband feels "not well" at the time of delivery, then we will not let him into the delivery room in any case, regardless of any tests.
Dear Julia!
Childbirth at 41 weeks or more is associated with a large number of complications. Therefore, if childbirth does not begin at 40.5 weeks, it is necessary to consult (if you want to come to us, come to the reception department of GUZ "LOPTS" from 08.00 to 15.00). "To agree on a COP" is the wrong approach. We proceed from a specific obstetric situation and, depending on the identified data, we coordinate further management tactics with the pregnant woman. There are indications for a caesarean section, so this option will be offered. If there are no indications, we will offer another option. In any case, no operation (except perhaps plastic) is done without indications.
Dear Eva! First, you need to consult a therapist, be examined for COVID-19. This infection is most severe in pregnant women, there are complications. Next, follow the therapist's recommendations for treatment. If it is not possible to be cured before delivery, and you will be admitted to the maternity hospital with the presence of catarrhal phenomena, we will examine you on COVID-19 upon admission, and until the result is obtained, the child will be separated from you.
Dear Alyona!
Of course, you will be admitted to the maternity hospital without a QR code about vaccination. But you still think again, because vaccination is necessary not for us, but for you:
- 1. Since 06/25.21, pregnancy has been excluded from the list of contraindications for vaccination "Sputnik V". To date, there is no evidence of a negative impact of vaccination on the course of pregnancy and perinatal outcomes. The CDC International Registry, which contains most of the data on those vaccinated against NCVI during pregnancy, already numbered more than 114 thousand pregnant women for the period of May 2021. At the same time, it has now been proven that the incidence of COVID-19 in pregnant women is higher than the average in the population. Numerous studies indicate unfavorable pregnancy outcomes in patients with COVID-19.
- 2. According to the Methodological Recommendations of the Ministry of Health of the Russian Federation "Organization of medical care for pregnant women, women in labor, maternity and newborns with a new coronavirus infection COVID-19" - vaccination against NCVI is an important link in the prevention of maternal morbidity and mortality.
- 3. In the Lipetsk region, an active campaign is being carried out to vaccinate pregnant women against NCVI, vaccination is recommended for all pregnant women from 12 weeks or more. Temporary medical withdrawals from vaccination are given only until this period is reached. As of 11/26/21, more than 21.5% of pregnant women registered at the dispensary in the Lipetsk region have already been vaccinated against NCVI.
Dear Ekaterina!
We accept a planned cesarean section from 8:00. It may come a little later, but keep in mind that there are a lot of operations, you may have to wait. Scheduled operations are performed from 9:00 to 15:30, but exactly on the same day.