Joint stay in the hospital: pros and cons. On the benefits of staying with a child in a maternity hospital

In recent years, in Russian maternity hospitals, there are more and more wards of joint residence for mothers and children. And if earlier separation was the norm, now the situation is changing to the opposite.

When the child is separated, after childbirth, the child is in the children's ward with other babies, where the staff of the maternity hospital takes care of him:, swaddled, sometimes supplemented with water or supplemented with a mixture. There is a feeding schedule - usually every three hours, plus a long break from 12am to 6am. For feeding, babies are brought to the ward, where their mothers lie. Mothers live in a common room for several people.

When staying together, the baby is with his mother around the clock. The ward is usually designed for no more than two or three pairs of mother-baby. For babies in the ward, there are special cradles on wheels and changing tables. The main responsibility for caring for the baby from day one lies with the mother. At the same time, usually even with a joint stay, it is possible to leave the baby for a while in the children's department: for a couple of hours after giving birth, or at the time when the woman giving birth will undergo procedures. In addition, the staff of the maternity hospital must provide qualified advice to mothers regarding baby care and breastfeeding.

The options for joint and separate stay in the hospital have their pros and cons.

Benefits of staying together Contact with the baby from the first hours

Some psychologists acknowledge the existence of such a phenomenon as. In simple terms, this term means that the person whom the child sees and feels in the first hours of his life remains forever imprinted in his memory, and it is with this person that the child develops a deep psychological connection. But even if you do not believe in such theories, you can imagine what the baby feels in the womb: he is warm and comfortable, he hears her heartbeat and a familiar voice. The fact that babies inside a mother already perceive sounds and react to light has been proven experimentally. Therefore, when a baby is born, he is surrounded by a huge unfamiliar world, and it is so important for him to continue to hear his mother's voice and feel her tender touch.

And the mother herself, who for nine months is accustomed to constantly feeling the presence of the baby and who has been waiting for a meeting with him for so long, usually wants him to be always there: she wants to look at him, kiss him and hold him in her arms.

Control and confidence

Fear and anxiety are common among young mothers. And when the baby is in the children's ward, anxiety for him can increase. Who is crying there? Is my child good? Would they do something wrong with it? All these questions disappear by themselves when the child is next to his mother.

Lactation

Perhaps the most serious and medically justified argument “for” staying together is a successful establishment. WHO conducts a great deal of scientific research and, on the basis of it, sets norms and creates policies and standards in the field of health. According to WHO research, breastfeeding protects the baby from infections of the gastrointestinal tract and respiratory tract, and also reduces the risk of asthma, allergies and diabetes. For the mother's body, breastfeeding is also beneficial: it is the prevention of cancer and osteoporosis. To successfully establish breastfeeding, WHO recommends placing the baby to the breast for the first 30 minutes of life, then feeding on demand, not on a schedule, and excluding additional drinks or formula - unless it is necessary for medical reasons. All these conditions can be met only when the mother and child stay together after childbirth. For more information on the WHO recommendations for healthy eating in young children, download the brochure from the official website.

Women Health

In addition to the psychological effect, being together with the baby is physiologically more natural for a woman in the postpartum period. Frequent latching of the baby to the breast contributes to the contraction of the uterus, more active outflow and, therefore, the soonest recovery after childbirth.

Baby Care Basics

Often, after a separate stay in the hospital, when they get home, young mothers are in confusion and confusion. Indeed, in the maternity hospital, everything was done by the nurses of the children's department: they changed diapers, and washed the baby, and changed him. In the wards of joint residence, all this is done by mothers, while they always have the opportunity to ask for help and advice from the experienced staff of the maternity hospital, and by the time of discharge they are already easily managed with all these simple procedures.

Benefits of separation: the mother's condition after childbirth

All women experience childbirth differently. Someone gives birth for several hours, and someone - more than a day. Someone is good, but someone does not sleep for several nights by the time the baby is born. Someone jumps out of bed and walks easily after a couple of hours, while someone cannot get up for a few more days. Moreover, it happens that the postpartum state does not depend either on the physical form of the woman, or on the course of pregnancy or childbirth, so it is quite difficult to predict it. Therefore, many women prefer to play it safe and take a "respite" for a couple of days at the hospital to rest and sleep.

Special cases

In special cases, such as difficult childbirth, the mother is simply physically unable to care for the baby at first. Then you cannot do without the help of the children's department. It also happens that the baby ends up in intensive care or an intensive care unit, which also excludes his joint stay with his mother. It should be remembered that, if doctors do not mind, it is also advisable to give premature babies to breastfeeding for feeding, since it is mother's milk that contributes to their early recovery and development.

It took me a long time to choose the place where I would give birth. My heart prompted me to choose a hospital where I could be with my child. As it turned out later, it was not difficult at all. On the contrary, calm and good. These 5 days alone with your child will forever remain in your memory!

But let's start in order. At the very beginning, I thought about myself. The fact that it may be difficult for me in childbirth, I will get tired, I will have all the pain. How do I take care of the child in this state? No, joint stay - refuse! Not once, at that moment, did I have a thought: how will the child feel?

7 months have passed. The baby lived in my tummy. I was waiting for him with impatience, wanted to see, kiss all my fingers. I knew a lot more about childbirth, I was no longer so afraid of them.

Then the thought of being together with the baby came to me again. This time I thought about the child. After all, he had never been alone. He experiences no less stress during childbirth. Who can calm him down if not mom?

Reviews

I began to collect information, reviews, impressions. I realized that all the mothers were happy with their choice. And those who were in the ward with children, and those who are without them. After all, each pursues its own goals. Someone is afraid for their well-being, someone for not being able to cope, and someone is afraid for their child.

I decided to stay at the maternity hospital with a joint stay.

My story

I gave birth early in the morning. There was no strength at all. The eyes closed by themselves. While I was lying on ice for 2 hours, my husband was with the child. The kid wanted to cry, but dad took him in his arms, brought him to me. I talked to him and our baby calmed down. So he quietly fell asleep. The doctors took him away - I had to go through all the procedures, and the baby too. They promised to return it soon.

As soon as I was placed in the ward, I immediately fell asleep. It seemed to me that I would sleep forever, but it turned out that I slept for only two hours. For some reason, the nurse worried about me. She asked to be escorted to the toilet by the arms. I do not know why.

Did I need a son at that time? I did not know. I loved him madly, really wanted to see him. I was just afraid not to hold him because of the trembling in my body. No one was going to carry it to me.

I fell asleep again and woke up only in the evening. Nobody carried my son to me. I must have looked very weak. I began to ask the nurse about where my baby is. She only answered that in the children's room.

Children's room

It turns out that there is one in maternity hospitals with a joint stay. And if mom is not feeling well, she is very tired or she needs to run for tests, the child can be brought there. If the mother wants, she can leave the child there for the entire 5 days of stay in the hospital. The children are fed there with formula every 3 hours.

Despite the fact that I had seams and it was impossible to sit on my butt, the desire to see the child and shake him on the arms was stronger. I went to the nursery. She knocked on the door, and in response - silence. Hey !? Where is everyone ?!

Opened the door - no one. How so ?! Children lie and cry. And this cry tore the mother's heart to shreds. Poor lonely crumbs each lie in his own box and ... they call their mother, ask for warmth, kindness and affection. This is an unhysterical cry, namely some kind of begging or even begging.


And there is no one around, although there should be a children's nurse and not even one. Which, in theory, was supposed to not let me go to the children. You never know what I have in mind and what I am sick with. I didn’t scour the blocks with children, fearing that the nurse would come in and scold me. I didn’t have much strength and didn’t want to waste it on useless swearing. I went out the door with a heavy heart, propped up the wall and decided that I would not leave without a child.

If I knew that I would have to wait more than 20 minutes ... We were called in for seams. Nothing to do - go. Then again for the child. Finally, there is a nurse. But she never gave me a son, she said that he would soon have some kind of analysis, after which she would immediately bring it to me. I reassured myself that it was necessary. The baby was brought to me two hours later.

Long-awaited meeting

I opened my son's face, and he is afraid. He twitches his eyes straight, as if he would be hit. Cries so pitifully. I hug him, kiss him, shake him. He calms down instantly and looks at me, as if afraid to be alone again. I tell him that from now on he will be with me. I will be there and will not give it to anyone. Sonny falls asleep for several hours.

I look at him and I want to cry - how good he is. I can't imagine how you can be with a child for only half an hour, and then send it back to the nursery. I would look at mine forever. And these very pitiful first tears. I would give anything to not have them.

Night falls and I cry myself. From happiness, from the experience, from the fact that my miracle lies nearby and sniffs sweetly.

Joint stay

I am very glad that we were together and have never regretted it. Every day I sent my dad a dozen photos, calmly choosing the angles. If I had to go somewhere for tests or treatment of stitches, I fed the child and, when he was full, he fell asleep. I walked away without any problems for a few minutes.

If the child was tested or had to go for a daily examination, I took my son and we walked together. I waited for him at the door and immediately, crying, took him back. Soothed. Who else will do this?

When we get together for the second, without any doubt, the maternity hospital will be only with a joint stay!

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In Soviet times, there was no choice problem. They gave birth like everyone else and looked after children like everyone else. Now, fortunately, you can choose a maternity hospital that meets all the expectations of a future mother about quality medical care. One of the important selection criteria is the joint or separate finding of the child with the mother immediately after birth. There are pros and cons to both options. What kind? More on this below.

How does this happen?

When a baby is born, in almost any modern maternity hospital, the first thing to do is to apply it to the mother's breast for several minutes. Then the newly-minted mother is given a rest from 2 to 4 hours. Further - the baby remains in the children's ward and meets with the mother only during feedings. Or - goes straight to her caring, but sometimes not yet experienced hands. It depends on the way mothers and babies stay in a particular hospital. It can be split or shared.

In the first case, the woman who has given birth is sent to the ward, where 2 to 6 mothers are with her. There she comes to her senses and after 2-4 hours, in accordance with the feeding schedule in the maternity hospital, they bring her a baby for the "first date". Half an hour or an hour, then the nurse collects neat little bags and takes them to the children's ward. If the maternity hospital is small and there is a short distance between the departments, then mothers hear babies crying in the children's ward when they are undergoing medical or hygiene procedures. Many children already at this age have such a special voice that their mother, through a few walls, recognizes him in the general choir.

If in the maternity hospital, the joint finding of the mother and the baby is practiced, the child is brought to the mother's ward 4 hours after birth. Provided that the birth was normal and the mother does not need additional medical assistance. And from that moment on - everything by herself. Shared rooms are usually designed for no more than three mothers and, accordingly, three children. The nurse comes to clean the umbilical wounds of the babies and rinse their eyes. In some cases, when a mother leaves for medical procedures or goes to relatives (if allowed in the hospital), she can leave the baby with the nurses in the children's ward. In good maternity hospitals with attentive staff, you can get answers to all your questions from the doctor and nurses. But in an ordinary average institution, you sometimes have to run around to answer every question (and a newly-made mom has a lot of them).

Separated finding: rest or worry?

There are advantages here and are connected, first of all, with the convenience for the mother. She has the opportunity to relax, recover from childbirth, sleep. Every 6 hours the nurse brings the child and leaves for a maximum of one hour. That is, in total, no more than 6 hours - so much time the baby spends with his mother. The rest of the time, the kids are sleeping. Or nurses give them procedures. Mom can only guess: "How is the baby, is he crying, are they hurting him?"

Sometimes finding separate is the only option. It depends on the condition of the woman in labor.

Does the system work like clockwork?

The system of separate stay of mother and baby has long been practiced in maternity hospitals. Doctors and nurses are on a roll. There is a daily routine: feeding, changing clothes, taking blood, vaccinations. Mom does not need to worry that the vaccine is prescribed, and the baby is sleeping. If the maternity hospital has been practicing such a system for decades, all staff are used to it and there are almost no failures.

Therefore, if I choose between a good maternity hospital with a separate stay and a so-so maternity hospital, but with a joint one, I would choose the former. And now I'll explain why.

Unfortunately, in some maternity hospitals with a joint stay, having rebuilt the form, they forget about the content. Mommies rushing down the corridor and catching the nurse with the question: "What to do?" in the newly-born "joint" maternity hospitals are not uncommon. Explain, show - nurses do not always have enough time for this. Another commonplace flaw is lunch for mothers. Do not have time to come up for dinner in time - you will be left without him. And this is for a nursing mother “not to eat well”.

If you decide that co-location is what you need, choose a maternity hospital where such a system has long been worked out, and not introduced just yesterday (or last year).

Joint stay: advantages

Recently, the joint finding of a mother and a baby in a maternity hospital has become more and more popular. Fortunately, despite the difficulties mentioned above, in many maternity hospitals the system has taken root and works well. Here are the opportunities she gives to a young mother and a newborn:

• Communication with the closest person. The baby is surrounded by mother's care from the first hours. In fact, he doesn't need anything else. He is calm and serene.
• Baby care skills. There is almost always an opportunity, if not immediately, to ask a childcare nurse or pediatrician a question about childcare. Such mothers come home already prepared and their relatives are surprised: "How cleverly you cope with the baby, as if you have been doing this all your life!"
• Mom is calm that the child receives only breast milk or a strictly defined, and not some unknown food. "How is he there without me, isn't he crying?" - these questions, when found separately, also add anxiety. Here, everything is under control.
• Being together in the first hours is useful for establishing breastfeeding. The baby is always with the mother and can get breasts whenever he wants. Milk arrives faster and in the right quantities. The need to supplement with the mixture disappears almost immediately.
• Frequent breastfeeding during the first days after childbirth is also beneficial for women's health. When the baby is breastfeeding, the uterus contracts more actively, returning to its normal state. This means that the process of recovery of the body after childbirth is faster.

I had the experience of both joint and separate being with the child in the hospital. With the eldest son - an ordinary maternity hospital with separate stay, with the middle one - the same maternity hospital, but in a joint ward, with the younger - a maternity hospital specializing in finding a mother and baby together. I felt all the pros and cons of each option in full. The conclusion I can draw is this: of course, it's better together. When the baby is around 24 hours a day, even mothers of first-borns turn into caring and skillful parents before our eyes. As for the need to get enough sleep, then in the first week after childbirth it is quite possible, even being close to the baby, since he sleeps a lot himself.

Of course, everything is individual. It is not always possible to choose the option of staying in the hospital: with the child or separately. In this case, do not be upset, because the maternity hospital is only a few days. At home, in a relaxed atmosphere, you can relax and make up for everything that, in your opinion, you and your baby lacked in a medical facility.

Maternity hospital №1
St. Vilisa Latsisa, 4, SZAO. Tel. for information - 495-1101

Non-specialized, no commercial department.
The number of seats is 225.
Over the 13 years of the maternity hospital's existence, more than 30 thousand births have been taken here, of which 162 are twins and 4 triplets.
Now, on average, they take 6-7 deliveries per day.
Perinatal mortality is 0.4%.
The maternity hospital was opened on March 11, 1988. The head physician TG Baulina considered it very important that the maternity hospital from the first days was convenient both for women in labor and for staff. Even at the design stage, she visited several maternity hospitals built on a similar project. Having made independent conclusions about all their pros and cons, she insisted on making changes to the layout of the maternity hospital at the design stage.
Visits to maternity wards are not practiced. Women use cellular communications, their own radios and televisions if they wish. Books, as in most maternity hospitals, are allowed to bring and transfer only new ones - to avoid the spread of infection. Each ward has a shower and a toilet. There is a laundry at the maternity hospital - linen, towels, shirts, etc. change every day. Antenatal and postnatal visits are prohibited.

Before giving birth. Works at the maternity hospital gynecological department for 25 places , which makes it possible to carry out all gynecological operations. There is an office ultrasound diagnostics ... Free consultative examination of women is carried out (Tuesday and Thursday, from 13-00 to 14-00). The maternity hospital has physiotherapy department. The prenatal department (pathology department) has a prenatal diagnosis room. Preparation of pregnant women for childbirth is underway. The antenatal wards are for 4 and 2 persons.

Childbirth. The generally accepted obstetric equipment of the maternity unit is up to date. Maternity doctors prefer natural childbirth. Even women who give birth for the first time after 40 years of age give birth on their own, if there are no special contraindications for that. With multiple pregnancies, they also try not to resort to surgical intervention. The share of caesarean section is about 10% of all deliveries in the hospital. Surgical intervention is carried out only for medical reasons (at the request of a woman, a cesarean section is not performed), especially if this is the first birth. Medical indications are, in particular, extragenital diseases in which natural childbirth is contraindicated: tumors, diseases associated with the organs of vision and hearing, injuries of the spine, pelvis, head. In such cases, a woman is given a caesarean section, regardless of what kind of childbirth she is taking. If, during the first birth, a cesarean section was necessary to save the fetus, while the postoperative period was favorable, then the next (second, third, etc.) births are carried out as far as possible without surgery, i.e. in the maternity hospital they give birth with scars on the uterus. If necessary (for medical reasons), labor is stimulated and anesthetized. Women are informed about the methods and drugs used. The placenta, if there are appropriate medical indications, goes for histological examination, in other cases - for the production of cosmetic products.
With the mutual desire of the spouses, the presence of the husbands at childbirth is allowed (this was adopted from the moment the hospital was opened). Mothers and other relatives of women in labor are not allowed to attend the birth. Childbirth takes place in monitored boxes; the staff - even when not directly in the box - constantly sees what is happening with the woman in labor.
It is practiced early - immediately after childbirth - latching the baby to the breast.

After childbirth. The final decision on staying in the same ward with her baby is made by the mother herself (if both the obstetrician and the pediatrician believe that such a stay will not harm either the mother or the child). Postpartum wards are designed for 2-3 people on average. If the children are with their mothers, there are no more than 2 puerperas in the ward, and up to 4 people in wards without children. If the mother lies with the baby, free breastfeeding is recommended (“on demand”). In the case of the separation of the mother and the newborn, feeding is carried out according to the regimen determined by the pediatrician (as a rule, 6-7 meals a day). Doctors recommend expressing after breastfeeding. If the mother does not have enough milk, the baby is supplemented with milk formulas. Free swaddling is recommended. The hospital uses disposable diapers.
After childbirth, obstetricians and pediatricians give instructions on the correct nutrition of a nursing mother, correct and rational child care, and give individual recommendations.
Maternity hospital doctors do not mind the use of feminine sanitary pads.
In case of natural (without surgical intervention) uncomplicated childbirth, the mother and child spend 5 days in the postpartum department. If childbirth was complicated (including after cesarean section) - about 10 days.

At the hospital there is equipped with incubators, modern breathing apparatus, cardiac monitors. Often, newborns weighing up to 1 kg have to be nursed. There were cases of nursing children weighing 400 and 700 g.

Maternity hospital №5
St. Starting, 3, North-Eastern Administrative District. Tel. for information - 474-8547

The maternity hospital is not specialized.
The number of seats is 220.
There is a self-supporting department. Cost of services of a self-supporting department - 13,500 rubles.
Perinatal mortality - 0.5%

The maternity hospital was opened in October 1983. The rooms are designed for 2-4 people, each room has a shower and toilet.
The programs are received daily. Meetings with relatives are allowed only in the self-supporting department. The cost of the services of the self-supporting department includes prenatal hospitalization (up to three days), childbirth (if necessary and optional - with anesthesia; the presence of a husband and / or relatives is possible) and maintenance for five days of the postpartum period in a separate ward. In the event of any complications and the need for an additional stay in the hospital, the surcharge is not made.

Before giving birth... At the maternity hospital there is Women's consultation located in the building of the maternity hospital. She has been working since 1987. Monitoring during pregnancy in this residential complex is possible on the basis of voluntary health insurance.
In the antenatal department, the wards are designed for 2-4 people, a refrigerator is on the floor. You can use your own laundry.

Childbirth. The maternity ward has 14 delivery boxes, an intensive care unit and one children's box - it is used as an intensive care unit. Each woman gives birth in a separate box.
Labor induction, caesarean section and pain relief are used for medical reasons. The percentage of caesarean section is 10-11%.
During the first stage of childbirth, a woman behaves freely - she is allowed to walk, sit, lie as she wants. At the request of the woman and / or for medical reasons, both drug (all types) and non-drug (acupressure) pain relief of childbirth are performed. Immediately after giving birth, the baby is placed on the mother's belly and applied to the breast.
In the self-supporting department, the presence of a husband at childbirth is possible.

After childbirth... The maternity hospital has two postnatal departments with 85 beds, of which 85% are designed for the joint stay of mother and child. Wards for 2-3 people, in the self-supporting department - for one mother and child. If the delivery went well, the mother and baby are immediately placed together. In the event that, due to the condition of the mother or child, additional observation or treatment is required, the child is transferred to the mother at the end of the necessary procedures.
When a mother is with her child, a free feeding regimen is recommended.
Supplementation with mixtures is carried out strictly according to indications.
Stay in the postpartum department for uncomplicated natural childbirth - 4 days. With a caesarean section, the discharge is made at
10 days.

The maternity hospital has neonatal intensive care unit for 3 places. Mothers are allowed to come to the department, communicate with the child. If possible, the baby is fed expressed breast milk.

Maternity ward at City Clinical Hospital No. 7
Kolomensky proezd, 4, South Administrative District. Tel. for inquiries - 118-6244

The maternity hospital is not specialized, there is a self-supporting department, the cost of paid childbirth is 16.5 thousand rubles, with a cesarean section - 19-20 thousand rubles.
Number of seats - 190.
On average, 3000-3400 are accepted per year
childbirth.
Perinatal mortality is 0.35%.

The maternity hospital opened on March 16, 1978. It is the base of the Department of Obstetrics and Gynecology of the Moscow Medical Academy. IM Sechenov and the Russian Academy of Postgraduate Education.
The rooms are designed for 2-4 people, each room has a shower and toilet. It is allowed to use your own linen and personal belongings in the maternity hospital.

Before giving birth. The prenatal department (pathology department) is designed for 60 places. Examination, treatment and preparation for childbirth of pregnant women with toxicosis, arterial hypertension, diseases of the kidneys and other internal organs are performed. There are two and four-bed rooms. Shower, toilet, refrigerator in the ward.
Works at the maternity hospital consultative and diagnostic center, in which:
outpatient examination of pregnant women (including those with a pathological course of pregnancy, with extragenital pathology) and gynecological patients, including laboratory tests, specialist consultations, ultrasound examination at any time of pregnancy, cardiac monitoring of the fetus after 32 weeks of pregnancy, ultrasound examination of gynecological patients;
reception of the population on family planning, including selection of contraceptives is carried out;
preparation of pregnant women for childbirth is carried out according to the method of NI Anokhina, which makes it possible to reduce the frequency of complicated pregnancies and childbirth, as well as perinatal infectious and allergic diseases.

Works at the maternity hospital medical Center providing paid services:
full outpatient examination, observation and treatment of pregnant women and gynecological patients;
individual psychoprophylactic preparation for childbirth at the "School of Motherhood".

Childbirth. All women give birth in separate boxes. Cardiac monitoring is used. The presence of the husband at childbirth is possible, provided that he undergoes a medical examination. Caesarean section, labor stimulation, pain relief are carried out only for medical reasons. Immediately after giving birth, the baby is applied to the breast.

After childbirth. The postpartum department is designed for 100 beds. This includes
branch "Mother and Child";
department of temporary separate stay;
separation of mother and child.

After natural uncomplicated childbirth, the mother and child are in a two-bed ward; in the case of a paid birth, the mother and child are placed in a single ward. Maternity doctors recommend on-demand feeding. After a cesarean section or complicated childbirth, as well as if the child's condition requires special examination or treatment, mothers lie separately from their children in 4-bed wards. There is a refrigerator in the paid wards. It is allowed to use sanitary napkins. The programs are received daily, meetings with relatives are possible with paid births. Children lie in jugs, each ward has a changing table, diapers are given out at the hospital, disposable diapers brought from home are allowed. Discharge from the hospital after uncomplicated childbirth is made on 4-5 days.

Works in the hospital department of children's intensive care, equipped with all the necessary equipment for providing first aid to newborns. If necessary, children from the hospital's intensive care unit are transferred to the children's department of the City Clinical Hospital No. 7, where there are two intensive care units.
Unfortunately, the administration of the maternity hospital did not allow taking pictures of the wards and departments maternity hospital, referring to the lack of permission of the Moscow Health Committee of the photojournalist, so readers will have to limit themselves to a verbal description.

Maternity hospital №17
St. 800th anniversary of Moscow, 22, bldg. 2, CAO. Tel. for information - 906-0148

The maternity hospital is not specialized, it works in the system of both compulsory and voluntary health insurance. Through an insurance company that issues voluntary health insurance policies, women are accepted from 36 weeks of pregnancy. The cost of childbirth is approximately 18 thousand rubles.
The total number of places is 170, of which the department working in the voluntary health insurance system accounts for about 10%.
On average 16-20 deliveries are accepted per day.
Perinatal mortality is 0.24%.

The maternity hospital opened in December 1993. It is fully loaded all year round.

An Orthodox chapel in the name of the Fedorov Icon of the Mother of God has been opened in the building of the maternity hospital. Every Wednesday at 3 o'clock in the afternoon, a prayer service for a successful birth is performed. After the prayer service for those who wish - confession, and on Thursday at 8 o'clock in the morning - communion. In the chapel, you can buy or borrow to read literature on preparation for church sacraments, as well as books on pedagogy, psychology, etc. during your stay in the hospital.

Each ward of the hospital has a shower and toilet. The wards are equipped with internal telephones. It is allowed to use mobile communication.

Before giving birth. At the maternity hospital there is department of prenatal diagnostics. In the antenatal and pathology departments, women are housed in blocks of two double wards. Shower and toilet are in the block. The maternity hospital doctors are against a pregnant woman lying alone in the ward. All specialists are called for advice as needed.

Childbirth. If labor activity proceeds normally, a woman in the first stage of labor can behave as it is more convenient for her: lying, sitting, walking ... 90% of women receive anesthesia. Various methods of pain relief are used, incl. epidural anesthesia. The woman in labor is made aware of the fact of the use of anesthesia and what kind of means are used. Contrary to the wishes of the woman, anesthesia is naturally not used. Doctors provide the woman in labor with complete information about the course of labor and the condition of the child. At any time, a woman can consult a doctor for advice. Caesarean section is not done at the request of a woman - only for medical reasons. The share of caesarean section is 18% of the total number of delivered deliveries. Labor is stimulated for medical reasons.
During childbirth, in addition to obstetricians and an anesthesiologist who directly take part in childbirth, there is a pediatrician and a neonatologist-resuscitator. All issues related to the child's condition are resolved directly in the delivery room.
The placenta is given for processing.
The child is applied to the breast immediately after birth (if the condition of the mother and child allows).
The chief physician of the maternity hospital considers it useful to be present at the birth not only of the husband, but also of the woman's relatives: he believes that this disciplines both the woman in labor and, no less important, the medical staff. The only condition: persons present at childbirth must undergo an examination (complete blood count, urine analysis, fluorography, etc.).
Mobile phones are turned off in the rodblock. In other departments of the maternity hospital, their use, as already mentioned, is permitted.

After childbirth. If the condition of the mother and child allows, after giving birth, the woman is in the ward with the child. Mothers and children are in blocks of two wards, each for one mother and child. Postpartum women without children are in blocks of two single or double wards. Paid postpartum wards are usually single, with a TV and refrigerator. Women are allowed to use sanitary napkins. Disposable diapers are used for children.
In the absence of complications, the average time of stay of a mother with a child in the hospital after childbirth is 4 days. In the self-supporting department, visits are allowed, in the free one - depending on the doctor's decision.
Maternity hospital doctors recommend breastfeeding "on demand", if the condition of the mother and the newborn allows.
Department of children's intensive care. Designed for 6 places, equipped with special equipment for providing emergency care to newborns. The department employs qualified doctors, neonatologists and resuscitators.

Maternity hospital №26
St. Sosnovaya, 11, SZAO. Tel. for information - 190-5280

The maternity hospital is not specialized.
On average, 2,000 deliveries are made per year.
There is a self-supporting department. The cost of services of a self-supporting department is 12,000 rubles, for a caesarean section - 16,000 rubles.
The total number of places in non-profit and self-supporting branches is 185.

The maternity hospital is 42 years old. For a long time it was the only one maternity hospital in the SZAO. Accordingly, the entire load fell on him. Now the burden on the hospital is much less. If the woman's condition matches the possibilities maternity hospital (i.e. a woman has no somatic pathologies), then she can give birth in it, regardless of where she lives.

Before giving birth. The maternity hospital has antenatal clinic as one of the branches. At the same time, the maternity hospital does not have an attached regional antenatal clinic. The status of a self-supporting department in the maternity hospital has diagnostic center with prenatal diagnostic capabilities.
The wards in the antenatal department are designed for 5-6 people, in the pathology department - for 2-6 people. 2 bathrooms (shower, toilet and bidet) are located on the floor. (There are more bathrooms in the self-supporting department.) In the pathology department, in the warm season (from about April to October), patients are allowed to take walks.
When entering childbirth, women are not advised to wear their own underwear.

Childbirth. Anesthesia (including epidural anesthesia) is carried out regardless of the nature of the payment. The most common indications for epidural anesthesia are toxicosis, pathology of labor. They try to do pain relief to everyone - naturally, not against the woman's desire. During childbirth, monitoring of the condition of the fetus and the woman in labor is carried out. The woman in labor receives complete information about the course of labor and the condition of the child.
Labor induction is used for medical reasons.
The caesarean section is 14%.
After crossing the umbilical cord, the baby is handed to the mother. If a woman wants, the baby is immediately applied to the breast.
There is self-supporting department: all paid deliveries are made through an insurance company - an agreement is drawn up in which the maternity hospital undertakes to fulfill the medical part. The price includes childbirth (if necessary and optional - with anesthesia; presence of a husband and / or relatives is possible), additional services of the postpartum period and maintenance in the postpartum period: 4 days for natural childbirth and 10 days for cesarean section (visits to relatives after childbirth are allowed ). In case of paid childbirth, an indication for epidural anesthesia, among others, may be a reduced pain threshold. The self-supporting department is located in a separate room with a separate entrance. There is a possibility of prenatal preparation and, if necessary, hospitalization in the pathology department.

After childbirth. There is a branch "Mother and Child", where mothers lie with their babies. The wards are designed for 1-2 mothers. Shower and toilet on the floor. After a cesarean section, mothers first lie separately from the child, but on the 5th day, as a rule, they are happy to go to the “Mother and Child” department.
Doctors maternity hospital recommend expressing milk after feeding. With insufficient lactation, children are supplemented with milk formulas. The composition of the mixture depends on the age, weight, and whether or not the child has intestinal problems.
Swaddling is practiced freely, disposable diapers are used. In the postnatal ward, women are allowed to wear sanitary napkins and their own linen.
Stay in the postpartum department for uncomplicated natural childbirth - 4 days.
With a cesarean section, the discharge is made on the 10th day.
The maternity hospital has neonatal intensive care unit for 3 places, equipped with incubators and mechanical ventilation devices. The department is not specialized, it is possible to provide children with any necessary first aid, with the exception of surgical. Children spend several days in the department, then they are transferred to the appropriate medical institutions. Children in need of emergency surgical care are urgently taken to places where such assistance can be provided.

Maternity ward at hospital No. 70
(Spaso-Perovsky hospital of Peace and Mercy)
Federated Ave., 17, bldg. 10, HLW. Tel. for inquiries - 303-9754

The maternity hospital is not specialized, there is no self-supporting department.
The number of seats is 120.
Over the past year, 2,000 deliveries were made.
Perinatal mortality is 0.58%.

The maternity hospital is 30 years old. In July last year, it opened after a major overhaul.

Before giving birth. On the basis of hospital No. 70 Women's consultation ... Since 1996 it has been operating District Center for Family Planning and Reproduction of the Eastern Administrative District of Moscow - Women's Health Center (CZH). Reception is carried out by doctors of the advisory department of the Center (obstetrician-gynecologist, sexologist, pediatrician, homeopath). The Center provides general obstetric and gynecological appointments, consultations on family planning, contraception, pregnant women, diagnosis and treatment of female and male infertility. Residents of the Eastern District consult here for free. All tests and ultrasound can be done at the Center. Educational department is a preparation course for childbirth. Classes are conducted in four groups: short pregnancy (up to 25 weeks), long pregnancy (over 25 weeks), courses in parent-child relations, a short course on massage of newborns. The cost of the main course (long periods of pregnancy) is 700 rubles. for 8 lessons. Instructors - 2 obstetricians and 2 pediatricians - completed special training courses in the USA.
In the departments of pathology (for 30 and 40 places) maternity hospital large (22 sq. m.) double rooms. One shower for two rooms. Linen is changed daily.

Childbirth. Women who are not registered in Moscow are accepted on the basis of voluntary health insurance. Muscovites give birth for free. The presence of the husband during childbirth is possible if the husband and wife have been trained in preparation for childbirth.
Delivery rooms are personal, equipped with modern equipment. Stimulation of labor is carried out only for medical reasons, doctors of the maternity hospital are not supporters of medical intervention in the process of natural childbirth. Anesthesia (including epidural anesthesia) is performed at the request of the woman.
If desired, the postpartum woman can collect the placenta. Otherwise, it is sent to a laboratory for research and then burned.
Immediately after birth, the baby is applied to the breast, then he spends 2 hours with the mother. Further, depending on the woman's desire, the child is taken to the children's department or placed in the same ward with the mother.

After childbirth. The wards of the postpartum department are the same as in the pathology department. Linen is changed daily. Husband visits are allowed.
There is a department at the maternity hospital children's resuscitation for 6 beds, with everything you need, incl. qualified personnel.

Until the beginning of the 1920s, all women in childbirth were with newborns. In obstetric departments, women were accommodated only in the wards of a joint stay of a newborn child with a mother, or, in other words, rooming-in. Later, as a result of systematization in the field of obstetrics and partly after the appearance of breast milk substitutes, health departments in many countries decided that it would be better if children and mothers were separated in maternity hospitals and communicate only during feedings. Relatives could see the newborn and the mother only when they were discharged from the maternity hospital.

But each idea has its supporters and opponents. Speaking about the positive aspects of the rooming-in system, it is worth noting the following:

Firstly, the chambers of joint residence are designed for continuation of mother-child contact, which begins during pregnancy and after childbirth, should not be interrupted.

Secondly, when staying together mom gets to know her child faster and better and his needs.

Thirdly, mothers of first-borns learn to swaddle, wash and dress their babies faster. Mother fear disappearsthat she will not cope with her duties as a mother. Indeed, in the maternity hospital you can always turn to the medical staff for help. Therefore, in women who choose to stay with a child, the likelihood of postpartum depression decreases, since according to recent data, not only hormonal changes in a woman's body are responsible for the state of postpartum depression, but also a feeling of fear, she will not cope with the child.

Fourth, children smile more often and cry less, because they subconsciously feel that mom is near and there is no need to worry.

Fifth, when staying together mom is studying to recognize when the baby is hungry, to latch the baby to the breast on demand, which contributes to the production of the amount of milk that the baby needs. This in turn also gives the baby a sense of love and peace.

It is also important that often in departments with a joint stay for relatives, admission is free and relatives from the first hours can see the baby, participate in the process of feeding, bathing, swaddling.

Opponents of being together with a baby believe that a woman after childbirth, tired both physically and spiritually, herself requires rest, attention and care. She is not able to fully care for the baby for at least several days. This is especially true for women after difficult and operative childbirth.

A survey among expectant mothers shows that the idea of \u200b\u200bstaying with a baby is supported by 85% of women who have undergone special training for childbirth, know the principles of caring for a baby and are insisted on breastfeeding. Among women who have not undergone special training for childbirth, only a quarter would like to be with the baby after giving birth.

Apparently, it is currently optimal for our country that the rooming-in system is free. What does this mean? A woman should not be forced to stay with a child; she must regulate the process of communication with him herself. It is good if the mother in the maternity hospital has the opportunity at any time to send the baby to the children's ward under the supervision of the nurse's nurse.

Therefore, choosing a maternity hospital, the expectant mother needs to clarify:

• Presence of chambers for joint stay of mother and child,
• Conditions for the child's stay in the children's department,
• Does the maternity hospital hold classes for mothers about the care and feeding of the baby,
• Can a mother count on the practical help of the medical staff of the maternity hospital when she is in the “Mother and Child” wards,
• Is there an opportunity for relatives to visit the postnatal department and help a young mother.

So, the choice is largely up to the mother. If you have not yet made a decision on this matter, consult with your loved ones, discuss the problem with "experienced" friends, start attending a childbirth preparation school. Weigh the pros and cons again. Sooner or later, you will make a decision. And, most likely, it will be the only true one, because only you know what is best for you and your baby.

Belina Valentina Ivanovna