Women's consultation is a medical institution in which a number of specialists provide outpatient medical care. Currently, Moscow has a network of state budgetary institutions, as well as centers that are attached to outpatient clinics and maternity hospitals. As an alternative to such complexes, there is a commercial orientation of the centers.
Work organization
In large cities, the best consultation on performance indicators is basic and, in addition to the standard list of tasks, performs the functions of an obstetric and gynecological center.
Women's consultation is a complex in which work is arranged on a territorial-precinct basis. One obstetric site is equivalent to two therapeutic ones, and it is served by an obstetrician and an obstetrician-gynecologist. The norm of workload per specialist is 4.75 visits per hour.
Due to the principle of policiness, the doctor can constantly communicate with the therapeutic department and other specialists. This helps the timely registration of pregnant women and, if necessary, with various pathologies, joint dispensary monitoring.
A successful delivery largely depends on the timely admission to the antenatal clinic, registration, completeness and regularity of examination and observation of the expectant mother.
Tasks
That is the goal of these institutions:
- Providing quality obstetric and gynecological support to the population.
- The implementation of preventive measures that are aimed at preventing pregnancy pathologies, as well as the timely detection of gynecological diseases.
- Assisting women in providing social and legal protection in accordance with the law.
- Implementation of the practice of modern methods of diagnosis, prevention and treatment of pregnant women, as well as gynecological patients.
- Introduction of the current methods and forms of outpatient obstetric and gynecological support.
Structure
Women's consultation is an institution in which there is its own scheme of classrooms and complexes:
- registry;
- room for obstetrician-gynecologists to receive women in labor and pregnant women, as well as gynecological patients;
- treatment room;
- handling room;
- laboratory;
- an abortion room for short periods;
- rooms where vascular surgeons, therapists, consultants and psychologists take in.
Pros and cons of state consultation
Such institutions, in comparison with private ones, have a number of advantages:
- close to home;
- is free;
- you can get any necessary documents, provided that there are observed at least 12 consecutive weeks;
- the doctor issues a referral to hospitalization in the maternity hospital, and if necessary, free consultation with a narrow focus doctor (nephrologist, urologist, cardiologist) will be provided.
Despite all the positive aspects, there are also disadvantages:
- permanent lines;
- bureaucracy - starting from attaching to a consultation and ending with examinations of specialists who do not work in this institution, then a woman in labor can be sent to the other end of the city;
- lack of confidence in the professionalism of working doctors;
- in fact, very rarely you can choose a doctor yourself;
- sometimes, there is rough treatment of patients;
- you will have to forget about new equipment and comfortable conditions.
The main positive factor in pregnancy management in antenatal clinics is that it is all free. Of course, if there is no extra money, then there is nothing to choose from.
Required documents
Women's consultation is a center in which the expectant mother receives the necessary papers for pregnancy:
- Certificate of the fact of pregnancy. It may be needed in the registry office as a basis for expediting the registration of marriage or at work.
- Certificate of registration issued in the initial 12 weeks of pregnancy. It gives the woman a privilege to receive a one-time allowance from the state in the amount of 412 rubles.
- An exchange card is the main document that can be obtained at your site in the antenatal clinic, all the distinctive features of the course of pregnancy and the examinations are indicated there. Serves as a liaison between the hospital and a medical consultant. If there is no such booklet, then the woman is considered unexplored.
- The birth certificate is the leading document to enter the hospital for free. It is required to pay for the birth process at public expense. If it was lost, then it cannot be restored. In the case of planning a paid birth, it is not needed.
- Leaflet of temporary disability by childbirth and pregnancy. In other words, this is a sick leave. It may be needed in the early stages, if put on preservation, and after the advent of 30 weeks, a sick leave for 140 days will be issued. If the pregnancy is multiple, then the duration of the newsletter is longer, it can be obtained from 28 weeks to 194 days.
When to register?
According to legislation, it is better to be registered at the 12th week of pregnancy.
At this point, the woman fills out all the necessary documents and receives recommendations for further visits and analyzes. The doctor must be issued an exchange card, which is the main document of the woman in labor. If a woman chooses a private consultation for herself, then you need to ask if the clinic can provide all the necessary documents, if not, then a parallel examination is required.
Pregnant Watch
The main goal of the antenatal clinic is the medical examination of expectant mothers. At 12 weeks, the girl becomes registered, after which she is observed by her obstetrician-gynecologist until the birth itself.
After laboratory and clinical examination, the predisposition of each pregnant woman to different risk groups is determined. For a numerical evaluation of the daunting factors, it is required to use the scale “Assessment of perinatal risk factors in points” (order No. 430).
Gynecological support
Often, when visiting a antenatal clinic in women in labor, doctors diagnose gynecological diseases.
After that, the patient is given the “outpatient medical record”. If there are indications for clinical examination, start a "control card dispensary observation."
Exchange card
This is a document that is issued to be registered in the antenatal clinic. There will be indicated the specifics of the course of pregnancy and the examinations passed. Without such papers, you can only give birth at home or in the infectious area of the maternity hospital, it differs from the usual one in more stringent sanitary conditions, and visits are generally prohibited.
To get an exchange card, you need to pass all the tests at least once and visit the doctor several times. Then, at the initial consultation and after receiving a referral for examination, a woman is issued such a document.
Doctors, of course, will call for a systematic reception, which, with normal pregnancy, takes place once a month for up to 28 weeks, and after that it is required to appear once every few weeks.
However, if a woman in labor feels good, and various trips do not bring harmony to life, then a woman has the right to refuse regular visits to a gynecologist. If such a conclusion was made, then the doctor must treat him with understanding and politely tell the possible consequences for the child and mother.
Leading women's clinics in Moscow
There are about 100 institutions in the city, and most of them are considered true “Women's Health Centers”, as they solve not only medical, diagnostic and advisory tasks, but also provide their patients with additional services to improve beauty and women's health, create psychological comfort and social adaptation.
Each consultation works on the principle of territory. Obstetrician-gynecologists are familiar with the contingent of patients that are observed in them. Expectant mothers registered are entitled to a full examination, as well as observation and treatment in the postpartum period.
You can sign up for a antenatal clinic depending on the address of your residence or personal preferences, the main complexes are located at such addresses.
1. The center at City Polyclinic No. 113, located on Kuusinen Street, 6 / 6v. This formation is included in the structure of the clinic and is housed, along with typical units, in a separate five-story building, built just for him in 1980.
2. The medical facility at City Polyclinic No. 157 can be found at 16 / 26–2 M. Raskova Street. It was founded in 1968 after a decision was made by the executive committee of deputies of the Moscow City Council. This facility is designed for 200 visits per shift and provides a wide range of services.
3. Women's consultation at the hospital No. 164 is located at 13/3 Dmitrovskoye Shosse. This organization is part of the structure of the building and is located in its main four-story building, which was built in the 60s according to a typical design.
4. Consultation No. 4 is located on 4th Novomikhaylovsky Avenue, 63. This institution is headed by the honored doctor Nadezhda Aleksandrovna Lukina, it was built to receive residents of the Koptevo district and partly the Golovinsky city of Moscow.
5. Women's consultation number 5 is located at Stepan Suprun, 3/5. This center was organized in 1976, by order of the Moscow City Council, and today it is actively performing its functions. Works specifically for residents of Moscow in this area.
Moscow is a very large city, and this is literally a small part of the centers that can be visited in it.
Reviews
Women's consultation is an institution in which specialists work who help to solve many questions on health problems. According to customers, such centers can operate both on a free (state) and on a paid (private) basis. Each woman has the right to choose a suitable center for herself. There are many pluses and minuses of such institutions, in government centers you need to wait a lot of lines and there is no new equipment that can not always withstand, especially pregnant women. Reviews of the antenatal clinic assure that in paid organizations these shortcomings have been eliminated, but a considerable amount of money will have to be paid for the reception.
According to the employees of the centers, the consultation is selected depending on the address at which the woman is registered. Since it is very convenient for medical care. Indeed, in particular in the later stages, a woman in labor does not want to travel around the city for long distances.