Q&A

Dear Irina!
Indeed, in connection with the pandemic of a new coronavirus infection, all women in labor with SARS and/or suspected NCVI give birth in the boxed maternity hospitals of the State Medical Institution "LOPTS". In such cases, the woman in labor is tested for NCVI at admission . Before receiving the test result (the result comes within a day), the newborn is separated from the mother. Further, depending on the result of the analysis and clinical symptoms, the question of the possibility of a joint stay of the mother and child is decided, i.e. individually in each specific case.

Dear Anna Yurievna!
The routing list is issued in the women's consultation for each pregnant woman with a gestation period of about 36 weeks in order to clearly determine the obstetric hospital where this pregnant woman will have to give birth. It is formed depending on the presence or absence of certain perinatal risk factors. Usually, the routing list does not resolve the issue of the need for prenatal hospitalization.This issue is resolved in a different way: the doctor of the women's consultation, depending on the availability of indications, agrees on the need and the specific date of hospitalization with the appropriate hospital. After approval, the doctor of the women's consultation draws up a separate referral, and the pregnant woman arrives for hospitalization on a specific day. Therefore, check with your doctor of the women's consultation: whether you are shown hospitalization at 39 weeks, whether a specific date has been agreed with the hospital, whether a referral has been issued. If all these requirements are met , we will hospitalize you on the appointed date. Otherwise, come with the beginning of labor activity.

Dear Anna!
This issue is discussed before the operation and depends on the wishes of a particular patient. Most often, a pregnant woman lies down on the operating table completely naked (this also ensures sterility and convenience of manipulations, etc.). Usually this does not cause complaints, since: the operating room strictly maintains a temperature regime of more than 24-25 degrees, the operating table with a heated mattress, all infusion solutions are introduced after preheating to 38 degrees in a special device. But if there are individual requests for putting on a sterile shirt - we also fulfill them.

Dear Marina!
You need to consult an obstetrician-gynecologist at your place of residence. The place of dispensary observation of pregnant women is determined by the local obstetrician-gynecologist.

Dear Anastasia!
If for some reason you can't take the original SNILS with you when you arrive, then a copy will do.

Dear Vera,
Mitral valve prolapse of the first degree is not in itself an indication for delivery by caesarean section. At the same time, each specific situation should be individually considered by an appropriate specialist of a narrow profile - in this case, a cardiologist.

Dear Alina!
The referral to the maternity hospital of a particular level ("routing of pregnant women and women in labor") is issued not just like that, but on the basis of the assignment of a particular pregnant woman to a certain group of perinatal risk. Accordingly, it is desirable to observe this distribution.
At the same time, if you go to the obstetric hospital of GUZ "LOPTS" with the development of labor activity - we will accept you and provide the necessary assistance in full.

Dear Zinaida!
If your partner specifically has a positive decision regarding his presence at the birth, then he is in the delivery room during the first and second periods of labor. The partner's stay in the maternity hospital before the start of labor or in the postpartum ward is not allowed.

Dear Olga!
In accordance with the Clinical Protocol of the State Medical Institution "LOPC ""Caesarean section": a combination of a large fetus and a narrow pelvis (any degree of narrowing) - is an indication for delivery by caesarean section.

Dear Tatiana!
1. We practice vertical childbirth, although not very often. Of course, you need to discuss it with your doctor at the time of admission, as well as any other wishes you may have.
2. Vaseline oil is sometimes used for the primary toilet of a newborn. There are no other options for use in the clinical recommendations of the WHO and the Ministry of Health of the Russian Federation. There is no need to take it with you, we use a sterile one.
3.There is no possibility to make an examination for her husband on COVID-19 in the GUZ "LOPTS". We do not need an" express test " to solve the issue of partner births. You need the result of a PCR examination for COVID-19 that is 3 days old or less-in any laboratory (you can do it in any private center).
4. 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.