Description

Preparation for pregnancy

Before planning pregnancy, take care of your health in advance for 3-6 months. In case of unplanned pregnancy, without a prior examination of the spouses, at the initial examination can be detected chronic diseases and genetic defects. This can negatively affect the pregnancy and fetal development.

The Professor Yutskovskaya’s Clinic developed its own program of preparation for pregnancy on the basis of the orders and recommendations of Ministry of Health Care of RF. It includes assessment of health of both spouses based on clinical examination and various tests.

Preparation for pregnancy includes:

  • Assessment of reproductive (hormonal) systems of the spouses and elimination of the revealed violations before pregnancy (hyperandrogenism, genital infantilism, chronic endometritis, cervical insufficiency), detection of malformations of the uterus and ovaries;
  • Elimination of chronic diseases of the cardiovascular system, kidneys, gastrointestinal tract, endocrine glands, blood coagulation, etc.
  • In case of violation of spermatogenesis of the spouse – consultation and treatment at the urologist-andrologist
  • Genetic consultation to prevent the development of malformations  at fetus
  • Exception of persistent infection, viral and bacterial infection (if the infection is detected, the spouses must pass mandatory control tests)

After the discussion of the results of the tests, a couple starts preparing for pregnancy. Both spouses should take multivitamin complexes with folic acid (at least 400 mcg per day). Preparation for pregnancy should begin at least three months before conception. In addition, both spouses should give up smoking, drugs and excessive alcohol consumption. These substances adversely affect the process of fertilization and pregnancy and have negative effect on the health of an unborn child. There is no need to take any medications (without doctor’s advice), because they can have a negative effect on fertilization.  Stop using oral contraceptives for 2-3 months prior to pregnancy.

In case of absence of antibodies to rubella virus, swipe vaccination against this disease, because infection with rubella during early pregnancy often leads to severe physical handicaps and deformities in the fetus.

Moreover, a balanced diet is essential. The products should contain sufficient amount of carbohydrates, proteins, fats, minerals and vitamins. Maintain good physical shape is easier with regular exercise, brisk walking and swimming.

Management of pregnancy

Favorable course of pregnancy is directly related to preparing for pregnancy and high quality of medical supervision for the condition of mother and child. The Professor Yutskovskaya’s Clinic offers an individual program of pregnancy based on the orders and recommendations of the Ministry of Health Care of RF.

Development of the procedure

The program on the management of pregnancy in Professor Yutskovskaya’s Clinic can start with 5-6th week, when it is possible to record the heartbeat of the unborn baby using ultrasound. During this period, the patient signs a contract, receives the necessary information and meets with the obstetrician-gynecologist. The doctor makes up an individual program of examination and supervision, to create conditions for favorable course of pregnancy and childbirth preparation. Timely examination of a woman can help identify and prevent complications during the pregnancy.

   The program includes:

  • Consultation of the obstetrician-gynecologist, private lessons "School of Pregnant Women"
  • Consultations of specialists (therapist, cardiologist, endocrinologist, ophthalmologist, otolaryngologist, dentist, proctologist, mammologist, psychologist, etc.)
  • Regular monitoring of necessary tests, testing of hemostasis (blood clotting)
  • Survey on flora, STI, cytological examination
  • The prenatal screening (to prevent fetal malformations) in I, II and III trimesters of pregnancy
  • Testing and counseling , if necessary, in the leading clinics of Moscow
  • Registration of prenatal record
  • Postnatal care, advice on breastfeeding and contraception during lactation
  • A complete list of services
  • Collection of medical history, examination, ultrasound
  • Laboratory examination
  • ECG
  • RW, HIV, hepatitis B,C
  • Biochemical analysis of blood
  • Clinical analysis of blood
  • BA+RCMP D-dimer
  • Prisca 2
  • Blood group, RH factor
  • The titer of RH antibodies
  • Hormones number 3
  • A blood test for toxoplasmosis
  • A blood test for cytomegalovirus
  • A blood test for antibodies to herpes and chlamydia
  • DNA-diagnostics of sexual infections
  • Smear on flora
  • General analysis of urine
  • Expert advice
  • Therapist
  • Ophthalmologist
  • Dentist
  • ENT
  • Geneticist
  • Endocrinologist
  • Nephrologist, psychotherapist, neurologist, cardiologist with ultrasound (if needed)
  • Gynecologist from 20 to 36 weeks of pregnancy (10 visits)
  • Gynecologist from 36 to 40 week of pregnancy (4 visits)
  • RW, HIV, hepatitis B again after the 30th  week of pregnancy
  • Biochemical analysis of blood, 10 parameters
  • Clinical analysis of blood, 5 times
  • BA + RCMP, 2 times
  • DNA diagnostics of sexual infections
  • Smear on flora, 2 times
  • General analysis of urine 7 times
  • Obstetric ultrasound, 4 times
  • Obstetric ultrasound, 3-dimensional (23-28 weeks)
  • Doppler examination, 2 times
  • Cardiotocography, 3 times
  • Persistent connection with your doctor-gynecologist throughout the pregnancy
  • The selection of maternity hospitals and obstetrician-gynecologist (optional)

The cost of the contract for management of pregnancy will depend on the weeks of treatment, difficulty of pregnancy, the required number of tests and consultations.

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Specialists

Артур Суренович
Арутюнян

Врач акушер-гинеколог, врач УЗИ-диагностики, гинеколог-эндокринолог. Опыт работы более 20 лет.

Лилия Наилевна
Фаррахова

Кандидат медицинских наук, врач акушер-гинеколог, врач ультразвуковой диагностики. Опыт работы более 12 лет.

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