Q&A

Hello! I would like to express my gratitude to all the staff of the department of pathology of pregnant women and the department of pathology of newborns! Real professionals in their field! Please tell me how to contact your photographer? Thanks

Dear Irina,
The administration of GUZ "LOPTS" sincerely thanks you for the high appreciation of our work!
You can contact our photographer through the help desk (4742) 30 70 44.

Hello, can I come to you on my own for a consultation, the 39th week has gone, (there is a scar on the uterus, gestational cax.diabetes, goiter of the 2nd degree), the last ultrasound showed an umbilical cord around the neck and the presence of signs of fetal hypoxia. The doctor in the residential complex gave a referral, said to go with the beginning of labor activity to the shopping center. I'm just worried about the baby, the first birth was an EX. I gave birth at my place of residence, in Yelets, this time to you. Thank you very much in advance!!!

Good afternoon, Elena! You can come for a face-to-face consultation with all the documents in the GUZ "LOPTS" on September 07, 2021 at 11: 00 a.m. to the reception department of the new building to the head of the obstetric and diagnostic center Istamova Anastasia Lvovna.
If you have any questions, you can call (4742) 31 45 96 or (4742) 31 49 89
Sincerely, the administration of GUZ "LOPTS"

Hello, please tell me if there is a referral from a doctor to the pathology department, while I would like to be in a single room of increased comfort .Who can I discuss this issue with

Dear Victoria,
You can discuss this issue at admission or on the eve (on a weekday) with the head of the pathology department.

Hello!please tell me, I have a scheduled cop scheduled for September 7,can I find out information about which doctor will do the cop ?

Dear Kristina, The plan of surgical interventions is drawn up on the eve, i.e. in your case - 06.09.21. You will be able to find out information about the attending physician upon admission.

Good afternoon, please tell me if it is possible to go to you for a fee due to the threat of miscarriage, a short cervix, at the obstetric term of 19-20 weeks

Dear Elena, Service services in the department of pregnancy pathology of the State Medical Institution "LOPTS" (including single and double rooms of superior comfort) are available for any diagnosis. Contact the reception department of the State Medical Institution "LOPTS", call the head of the pathology department.

Hello! Tell me how to do the right thing in my situation. The term is 37 weeks and 2 days. I was assigned to a high-risk group due to complex myopic astigmatism, mixed-type VSD, rare supraventricular extrasystole, grade 1 PMK and Rhesus negative (1 g of blood in me, 2+ in my husband). The local and regional ophthalmologists concluded that I was shown a caesarean section by sight. The birth will be the first. The doctor in the residential complex did not say what they would do in the end: ep or cs. The routing sheet states that prenatal hospitalization is required in agreement with the Medical Center. To my questions about further tactics, she told me to call an ambulance and go to the PC if the water starts to leak or something similar happens. I don't understand what to do and what to prepare for. I would not like it if I go already with signs of the beginning of labor. Do I need to come to the PC with the documents and consult with some doctor or how does this all happen? Thank you in advance for the answer!

Dear Inna!
Determining the tactics of labor management in pregnant women with ophthalmological pathology is not the easiest task for both optometrists and obstetricians. Very often, optometrists are reinsured and recommend a cesarean section at the slightest pathology of the retina of the eye. All over the world, as well as in our Federal centers, with SEVERE retinal pathology, women give birth through the natural birth canal, since in this situation it is enough to WEAKEN the labor period, and not to EXCLUDE it. An obstetrician-gynecologist, having received a woman in labor with a similar conclusion from an ophthalmologist, focuses not only on the recommendations of a narrow specialist, but also on the obstetric situation. Because the prognosis for the duration of these births and the probability of complications for the woman and the fetus depends on many factors. In some situations, we choose the tactics of conducting childbirth through natural routes, in others-cesarean section. As for the EX (you probably understand by this abbreviation cesarean at the beginning of labor) - then there is absolutely no need to be afraid of this. Especially at the first birth (the first period lasts at least 6 hours) - this is quite a safe option. Moreover, when carrying out a cesarean section after the beginning of labor, the newborn is born more adapted and with a lower probability of complications.
In any case, we suggest that you come to us for a consultation in the emergency department at 39 weeks of pregnancy. After the inspection, we will jointly determine the further tactics of conducting. If the birth begins before this time , it's okay, the doctor on duty will have enough time to weigh all the pros and cons and choose the most favorable option for your health.
You can contact the reception department of GUZ "LOPTS" or the deputy chief doctor for OMR Shchegolkov Mikhail Evgenievich, 31-45-97

Hello, I am shown prenatal hospitalization at 39 weeks, due to a scar on the uterus from the first birth, the pdr is on September 12, when can I come?

Dear Victoria,
The reason for the indications for prenatal hospitalization is not clear from your appeal. Usually, with such a diagnosis, we do not conduct prenatal training. A typical tactic in pregnant women with a scar on the uterus (if a planned cesarean section is not indicated) is routine examinations at 39 and 40 weeks, CTG 1 time a week. That is, in these terms, you should come to our reception department for an examination, further tactics will be clear after the examination. If the PD is on September 12, then 39 weeks - around September 05.

Hello! Please tell me, the first birth was CEN, the second I also hoped would be PKS , but there are no contraindications, the scar is also. Can I refuse the EP. And make a planned Cs? What is needed for this? I will give birth at your place

Dear Yulia,
If we understood you correctly, " CEN "is an emergency caesarean section," PKS "is a planned caesarean section, and" ER " is a natural birth. About 80 women with a scar on the uterus give birth every year in the GUZ "LOPTS" - with an absolutely safe outcome. This is about 10% of the total group of women with a scar on the uterus. That is, 90% are still operated on for one reason or another. If we are giving birth through the natural birth canal of a woman in labor with a scar on the uterus, then in this particular case we are confident for a successful outcome of childbirth: no one will risk it. If you are not completely sure of the correctness of the definition of the tactics of your doctor's women's consultation-contact us for a face-to-face consultation (for example, to the deputy head of the doctor Mikhail Shchegolkov, 31-45-97). We will consider all the indications and contraindications and help you overcome your fears.

How long can an unborn child stay in the intensive care unit? And is it possible to discharge him from the intensive care unit home or will the child be transferred to a children's hospital?

Dear Andrey,
The indicator of the average duration of stay of newborns in the department of intensive care and intensive care of newborns of the State Medical Institution "LOPC" for 2020 was 13.3 days. The maximum duration of stay of a premature newborn in the ORITN according to current regulations is 90 days. In fact, the duration of treatment depends on the detected pathology and the degree of prematurity, each case is individual.
Home discharge from the ORITN is not carried out. When the condition is stabilized and the course of treatment is completed, the newborn is transferred either to the department of pathology of newborns of the State Medical Institution "LOPC", or to a similar department of the State Medical Institution"ODB".

Good afternoon, on what day after the operation, a caesarean section is prescribed at your perinatal center?

Dear Daria!
After the cesarean section operation, four full days should pass. During this period, the mother and child have time to pass the necessary additional examination, observation and adapt to new conditions - and then they are discharged. This is provided that there are no complications, of course.

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