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Birth plan

Soon you will have to make a detailed delivery plan together with your doctor.

Unfortunately, the expectant mother may not always participate in the planning of childbirth. As a rule, in most clinics, the obstetrician-gynecologist makes the sole decision, and all objections and suggestions are rarely taken into account.

However, when choosing the clinic where your baby will be born and the doctor who will help him to be born, you are, of course, already planning your ideal birth. In our deep conviction, in order for the birth to go the way you want, even with the adjustments and adjustments that life can make, first of all we need to hear the expectant mother and her wishes.

What do we mean by a birth plan and how it happens, – says the head of the EMC Perinatal Center, Prof. Natalia Kahn.

What should be in the delivery plan?

The first thing the doctor evaluates is the possibility of having a child through the natural birth canal. The size of the fetus, its location, pelvic features, and whether there are any burdened factors in the form of somatic or obstetric pathology are taken into account. For us, the most important thing is the health of the mother and her unborn baby, even minimal risks must be taken into account. If a woman in labor has strict indications for a planned cesarean section, the doctor will discuss in detail all the risks that may arise if she chooses a different method, and will tell you why an operative delivery is required. For example, with the full placenta previa the doctor adds measures to the plan to prevent possible risks.

In most cases, we are talking about childbirth through the natural birth canal or a planned cesarean section. Then we provide all the possibilities for the fantasy of future parents: whether they want to be together in the delivery room, whether the lights need to be dimmed, what kind of music should be played, perhaps a woman wants to call her doula to give birth or ease contractions in the water, whether her husband will be present in the operating room and will be the first to receive the baby.

When drawing up a birth plan, the doctor and the patient discuss the possibility of stimulating labor,the use of anesthesia, anesthesia after cesarean, the possibility of themselves cross the umbilical cord and more.

birthing plan

When is the optimal time for making a birth plan?

As a rule, at 36 weeks, so that the obstetrician-gynecologist has the most complete clinical picture based on the history of pregnancy and the collected examination data.

What should I do if everything doesn't go according to plan?

Of course, it can be. For example, during EP, situations may arise that cannot always be predicted in advance: acute fetal hypoxia, discoordination of labor, etc. In this case, the delivery plan may change. In EMS, in such situations, the delivery room turns into an operating room in a few seconds with all the equipment necessary for the operation, but at the same time, all the wishes of the woman, which can be realized during the operative delivery, will be taken into account.

We do everything to ensure that childbirth is as calm and safe as possible for a woman. Therefore, when making a birth plan, we always take into account any wishes of a woman, if they do not contradict the safety of the mother and baby.

You will feel safe and secure with us.

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Questions and answers

Рancreatic cancer
My wife of 64 years was diagnosed with pancreatic cancer in the autumn of 2014. Stage 4 was concluded. Surgery is impossible. There is a massive thrombosis. Three biopsies were carried out. A benign tumor was revealed. She lost a lot of weight. An episode of severe pain took place about one month ago. Currently, a
significant problem is the ascites, swollen legs; food is poorly digested, general discomfort. What can you recommend? Is it necessary to remove the fluid and what might be the consequences?
...more
The picture you described is consisted with the concept of "metastatic ascites". Laparocentesis is appropriate as a therapeutic and diagnostic approach. Given the negative cytology, it is likely that the patient has a neoplastic disease of the colon, ovaries or stomach. Our experts will hold a consultation on the
same day and perform the procedure to verify the diagnosis and consider the possibilities of palliative treatment.
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Pavel Koposov
07 September 2016
Break iafter the last course of chemotherapy
Why a break is necessary after the last course of chemotherapy?
In cases where chemotherapy is not enough effective, some cells of the tumor does not die as a result of exposure and only slow down their biological processes temporarily, so they do not accumulate diagnostic radiopharmaceutical that can lead to a false negative result. After 2-3 weeks, tumor cells return to their
normal state and can be seen at the PET/CT scan. Thus, the break after the last course of chemotherapy should be done in order to obtain reliable results of the quality of treatment.
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Radiation therapy for prostate cancer
What to expect during radiation therapy for prostate cancer?
The procedure of external radiotherapy is similar to conventional x-ray examination. Radiation is invisible, has no smell and gives no sensations, side effects do not appear until 2nd or 3rd week of treatment. Radiotherapy for prostate cancer is a local treatment; therefore, you may experience some side effects
only in those parts of the body that are exposed.
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Can we go to your center in the following case: the patient born in 1955. Diagnosis: chronic nonspecific spondylitis T7-T9. A state after interbody fusion T7-T9 with autologous bone. Brown-Sequard's syndrome. Right thoracotomy with interbody fusion using autotransplantation (resected rib) was done in 2010, no bone
block formed during the postoperative period. Transpedicular fixation T 5-6-10-11 was also done in November 2010. There was a primary healing on the wound as a result of treatment. He was able to sit and stand as well as stay in upright position up to 2-3 hours. At the moment, mobility is restored, able to walk and sit. But pain is still present. Can we expect further surgical treatment and rehabilitation at your center?
...more
In this case surgical care rendered fully, but it is hard to say more without images. If pain is still present, it is necessary to look for the cause of this, but it may be in the early postoperative period. You can contact us for a consultation to clarify the nature of the disease.
MRI or CT scan
Please tell me what kind of examination is better in case of head injury - an MRI or CT scan. I have hit my head in June this year, and now I feel a discomfort at the site of the injury sometimes (there in no acute pain)?
CT has advantages in the visualization of bone structures. MRI is better for soft structures imaging, including the brain substance. According to the description, the intracranial structures damage is unlikely. Why CT or MRI? An ultrasound of soft tissues in the area of injury is also applicable. The pain in the
scull can also be associated with vessel, for example, cranial arteritis, or lymphadenitis, or muscle/enthesis, and then you might need certain blood tests. And maybe these tests are not required. I would recommend you to see the doctor and let him assess the case; he will take a decision concerning following examination as a result of consultation.
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