Q&A

Hello, is it possible to write a refusal from breastfeeding in your maternity hospital? The birth will be the second, the first daughter did not feed, because she did not take the breast, I have retracted nipples from birth. I don't see any point in torturing myself or the child this time. Pdr July 10. Thanks

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.

Tell me what they sell pregnancy tests for, if gynecologists do not believe them?

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.

Good afternoon, where is the child after COP, while the mother is in the intensive care unit

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.

Good afternoon! Tell me, please, is it still unknown the schedule of washing maternity hospitals for the summer?

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.

Good afternoon. I live in the city of Mud, I want to give birth to you, do I need to come to you beforehand ?

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.

Good afternoon, in the routing list of the institution it is written GUZ LGRD, if I want to give birth to you, do I need to come in advance for registration of any documents?

Dear Olga! The determination of the obstetric hospital for delivery is finally carried out in the women's consultation at 36 weeks. The corresponding entry is made in the "Routing List". The choice is made on the basis of taking into account the totality of risk factors for a particular pregnancy and this is an important detail in preventing complications of pregnancy and childbirth. We do not doubt the competence of the doctor of the maternity clinic that monitors you for pregnancy and do not recommend ignoring his recommendations. If you come to our obstetric hospital in the active phase of labor, we will certainly accept you and provide all the necessary assistance. But it is wrong to reissue the routing list in advance for the above reasons (we work according to the same regulations as any women's consultation in the Lipetsk region).

Hello. Now 37 weeks of pregnancy, the pdr is on June 14, on June 11, the gynecologist sends to the LOPC for a consultation( since it is at high risk), at this point there will be 39 weeks of pregnancy, is it necessary to go to the hospital or will they let you go to the hospital until the contractions?

Dear Darina!
A high risk of perinatal complications does not imply mandatory hospitalization before delivery. It all depends on the specific risk factors and obstetric situation. According to your description-on June 11, there will be a consultation in the GUZ "LOPTS". Based on the results of the consultation, you will be told whether there is a need for a hospital stay or not, and will be given certain recommendations.

Hello! Very soon we will have to remove the obstetric pessary. Tell me, please, do I need to take things with me, will there be hospitalization or is it done in one day? Thanks

Dear Victoria!
In most cases, after the removal of the obstetric pessary, hospitalization is not required. At the same time, a doctor's examination after the manipulation may reveal any other indications for inpatient treatment. Therefore, taking things with you for hospitalization just in case is quite a reasonable action.

Hello, we were discharged on 23.05.21 g, and it was very insulting that everyone in the discharge room was given gifts, and I did not have anything from the word at all. Do you have any specific rules?

Dear Marina!
The campaign for the delivery of small gifts to ALL those who are discharged from our obstetric hospital is conducted by us together with the" School of Mothers "of the First Moscow State Medical University named after I. M. Sechenov of the Ministry of Health of the Russian Federation. As a rule, these are booklets and items of care for the newborn. Apparently there was some mistake, and you were not given this present immediately, sorry. But we have already contacted you and handed you the gift that is due to you. If you still have any questions, you can contact the chief doctor's office to the deputy for organizational work Shchegolkov M. E.

Hello, I am at high risk for health, I will give birth to you, now according to the ultrasound of the pubic joint, the discrepancy is 9.6 mm, what is the probability of cs or ep?

Dear Daria! The divergence of the pubic joint of 9.6 mm is small. However, more precisely, the indications for cesarean section are determined at the consultation of a traumatologist or at admission to the hospital (based on the severity of clinical symptoms: soreness in the womb, gait disorder, inability to lift a straight leg from a supine position, etc.). It may also turn out that when you go into labor, your doctor will decide in favor of a cesarean section on the basis of completely different indications. Of course, we can explain something in more detail during the face-to-face consultation. Therefore, if you have any questions, please contact the reception department of the GUZ "LOPTS", you will be consulted.

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