What should be avoided during pregnancy. What to give up during pregnancy? No exchange card

Pregnancy is not a disease, but still some eating habits or habits that are an integral part of normal life require correction during pregnancy. Smoking is harmful in general, very limited, and in our country obstetricians and gynecologists are generally against any doses of wine. But there are other restrictions that the expectant mother should be aware of. Don't worry, it's all temporary

Sunbathe

Direct Sun rays dangerous for all people, and especially for pregnant women. Don't "reward" your child with an extra dose of radiation and ultraviolet radiation. Of course, you won’t be able to sit at home all the time, and you don’t need to, but at least follow the basic rules:

Wear sunscreen, spray, or lotion with an SPF of at least 50.
Go to the beach in the morning or in the evening, do not be in the sun between 11 and 16 hours.
Do not swim in the pond if the water is below 23 degrees.

Go to the supermarket

Well, this, of course, is an inflection, you can go to the supermarket - you can choose products, make shopping lists, stare around. But the basket or cart is on the husband. You might think: “Come on, if I bring heavy packages home, nothing will happen.”

You may or may not be right - 50/50. Are you ready to take that risk? The thing is that lifting weights (over 3-4 kg) in the first trimester can provoke a miscarriage, and in the third - cause premature birth.

Keep this in mind if you have an older child. Of course, it’s hard to resist and not raise an older baby, but you have to put up with it so as not to risk your pregnancy.

Take care of pets

If you have pets, you should have them examined by a veterinarian when you become pregnant. After all, our pets can be dangerous for a still fragile fetus.

Cats often carry toxoplasmosis. This infection is transmitted through the coat, but is most often found in the pet's feces. Therefore, cleaning the cat tray is no longer your concern. After all, toxoplasmosis is very dangerous, especially in the first trimester - it can cause pathologies in the development of the fetus and even death.

In addition, both cats and dogs are often breeding grounds for helminths. Therefore, after each contact with them, be sure to wash your hands. Do not think that if you have a hamster or a parrot, then you are safe. Birds often carry chlamydia, salmonellosis and. By the way, it is also unsafe to come into contact with the sawdust that fills the cage.

Pregnancy is not a disease, but still some eating habits or habits that are an integral part of normal life require correction during pregnancy. Smoking is generally harmful, alcohol during pregnancy is very limited, and in our country obstetricians and gynecologists are generally against any doses of wine. But there are other restrictions that the expectant mother should be aware of.

Don't worry - it's all temporary! Letidor will tell you what dangers to avoid and why it is better not to risk your health for nine months.

Chees Feta

You should not get carried away with this product. Unpasteurized cheese can cause diseases such as listeriosis. This is a natural focal infectious disease of humans and animals that affects the central nervous system, the organs of fertilization and sometimes proceeds without symptoms. Listeriosis can cause miscarriage.

In fact, eating any unpasteurized dairy food can harm both the expectant mother and the fetus.

Liver

On the one hand, the liver is recommended to eat with a lack of iron. But on the other hand, the liver is a source of vitamin A, which in large quantities is not safe for both a pregnant woman and a child. Its excess can cause birth defects in a child. That is, the main thing is not to abuse it.

Better yet, get retinol from plant sources.

Marine fish are an excellent source of omega-3 fatty acids and nutrients necessary for mother and fetus. But again, you should not eat more than 300 g of fish or seafood per week. Fish, such as mackerel and swordfish, contain a lot of and can negatively affect the development nervous system child.

Give preference to salmon species of fish - it is believed that they have more low level contain mercury and are safer to eat.

And no raw fish!

raw eggs

Poorly cooked meat

Bloody meat may contain bacteria - Toxoplasma and Listeria, which are dangerous and can affect the development of the fetus. Make sure you eat well-done meat, which is called well-done in restaurants.

Perhaps for some, such a steak loses its palatability, but it’s not worth risking the health of the unborn child, especially since very soon your favorite food will be available again.

Skin care and hair care

You need to be careful when choosing hair care products during pregnancy. Expectant mothers are advised to avoid the use of chemical products as they can cause allergies, rashes and other such complications. Chemicals can even cross the placenta and harm the development of the fetus. Therefore, it is better to choose natural cosmetics.

Hair products intended for coloring, perming, bleaching and straightening contain chemicals. The amount of exposure to these chemicals and the frequency of their use can affect pregnant women.

It makes sense to avoid any such hair treatments during the first trimester of pregnancy.

Most often, it is the smell that gives Negative influence for well-being future mother. If a pregnant woman works in a beauty salon, then she can be advised to limit her work with chemical compounds. In addition, you need to ensure that the room is well ventilated, it is possible to take frequent breaks and, of course, use gloves.

Medications at your discretion

A pregnant woman can have many ailments - headaches, nausea and back pain - throughout the entire period. But you should not take any commonly available medicines without consulting a doctor. Some of these drugs will contain compounds that are harmful to the mother and fetus.

In addition, there are drugs that are generally strictly prohibited during the first eight weeks of pregnancy, while the brain, heart and lungs of the unborn child are being formed.

Household chemicals

In everyday life, a woman has to deal with many substances that can adversely affect her health. Anything a pregnant woman breathes or touches can enter the bloodstream and affect the fetus.

Here are some chemical products you need to be especially careful with:

cleaning- stain removers chemicals oven and aerosol dispensers;

Painting- strongly smelling paints, oil paints, turpentine, varnish;

Garden– insecticides, fertilizers and weed control agents;

home renovation- Repairs that use paint containing lead are dangerous.

Avoid using any of the chemicals listed above, or at least keep the area well ventilated.

Pets

In general, pets are not a threat to pregnant women, but precautions do not hurt.

Let's start from dogs: they pose little to no risk. The main problem is that small dogs can jump over your belly while you are sitting or lying down. It may be dangerous. The easiest way is to forbid the dog from doing it.

Concerning cats, That the main problem- toxoplasmosis. This is an infection that is transmitted through cat feces. Just check the animal at the veterinary clinic and, just in case, entrust the cleaning of the tray to another family member.

Reptiles and amphibians is the risk of Salmonella infection through faeces.

Moreover, the risk of infection of the child is high even after childbirth, as his immune system is still developing.

The safest way is to give up any reptiles or amphibians until the child is five years old.

Birds can also transmit infections such as campylobacteriosis (a disease caused by infection with the bacterium Campylobacter), chlamydia, and salmonellosis. Make sure that a pregnant woman does not come into contact with dust and sawdust, which is often used for flooring in cages and the smallest particles of which can enter with the inhaled air. In addition, you need to clean the bird cage regularly and always wash your hands after interacting with birds.

Household

It is very important to try to avoid any housework, especially in the last two trimesters of pregnancy, because strong chemical substances can cause nausea and general poor health in the expectant mother.

weight lifting

Avoid lifting heavy bags as this can cause miscarriage in the first trimester and preterm labor in the third trimester.

Amusement park

Ride rides can be the riskiest thing you can do while pregnant.

Strong changes in height and a sharp decrease can provoke premature birth.

It is impossible to offend a pregnant woman with a refusal! So claims popular belief! And the reason lies in the fact that a pregnant woman can be offended by any negative act of a stranger and even her own person. And this will entail negative emotions, tears and unrest. Although they will not be strong, they can affect the development of the fetus.

Because resentment at this moment will cause a woman to release stress hormones and adrenaline. During pregnancy, the expectant mother has a hormonal imbalance, so refusal for her will be a personal tragedy. This will lead her to frustration, depression. The health of the pregnant woman and her unborn child will deteriorate. This was believed from ancient times, the pregnant woman was protected from any adversity. It used to be said that a person who offends her will have lice in her head or mice in the house.

Not only can she not be upset, but also very happy too. Positive emotions also entail an increase in adrenaline and a violation hormonal background. For the child, as well as for the mother, it is harmful. If this happens at the beginning of pregnancy, then unrest can be a reason for the development of defects in the child. Vascular and cardiac insufficiency may appear. His nervous system will suffer.

A miscarriage may even happen against this background. If unrest and stress occur in the second half of pregnancy, the child may be born nervous, excitable, irritable. She will cry long and loud. Subsequently, he may have headaches from nothing, there will be no sleep, dizziness will appear. Stress hormones, appearing in the amniotic fluid, displace oxygen from it. This is very harmful! Hypoxia occurs - lack of oxygen. What affects the brain cells of the baby. For these reasons alone, doctors advise pregnant women to lead a quiet life without any emotions.

In order not to experience surprises, you can foresee your schedule in advance. Plan your daily routine so that there is time for all procedures. Walking, relaxing, sleeping, reading. All literature and television programs should be only with positive emotions. And bring joy, peace, faith that everything will be fine! Communication with emotional people or unwanted people should be avoided. But life is life! You can't run from all situations. The pregnant woman herself must understand why she may become unwell, and protect herself from negative situations. You need to control yourself, as the doctors say. Then everything will be fine!

What according to the signs of pregnant women is impossible:

sit on the threshold in the room. According to beliefs, the threshold is the border to the transition to other worlds;
step over animals. Often this applies to cats. It is believed that if a woman steps over it, then the child will have subcutaneous hair on her back. He will not let him sleep, the skin on his back will be rough in the future;
cut hair;
sewing, needlework, knitting. Otherwise, the baby will be wrapped around the umbilical cord at birth.

All these "impossible" pregnant had to perform. It was believed that if she violated the prohibitions, then the child would be born capricious. But is it?

Nature is so arranged that a pregnant woman undergoes a change in the whole organism in order to create ideal conditions for the development of the fetus in the womb. Therefore, the way of life of the expectant mother must change along with changes in the body. Therefore, everything that is impossible during pregnancy, especially in the very early stages, must be excluded from Everyday life, namely: all bad habits, unhealthy diet, too active lifestyle, excessive stress on the body, contact with toxic substances. If the expectant mother tolerates pregnancy well, then you should not radically change your lifestyle, you should only minimize the occurrence of traumatic situations.

Sports and pregnancy

Many expectant mothers who lead an active lifestyle do not stop doing their favorite sport even when pregnancy occurs. This is usually motivated by the fact that the health of a woman and the normal development of the fetus largely depend on physical activity. But many sports can pose a direct threat to both the smooth flow of pregnancy and the development of the child.

Let's talk about unsafe sports during pregnancy.

Cycling or simply cycling leads to constant shaking while moving, which contributes to nausea and dizziness. Sudden sharp braking can contribute to the appearance of adrenaline in the blood, and with a frequent release of adrenaline into the blood, mental abnormalities may occur in the fetus. The consequences can be even worse in the event of a fall from a bicycle, up to a miscarriage.
Skates and skis are generally contraindicated for a pregnant woman, since the consequences of an unsuccessful fall in most cases end in a miscarriage.
There are many contraindicated exercises in shaping, in particular, jumps, sharp bends and turns. Such exercises are not allowed even in early pregnancy.
Tennis is a very active game, during which all the muscles of the body are tensed, jumps are made, sharp hand movements are performed.

This is enough to understand why it is impossible to engage in such sports during pregnancy. In order to stay active during pregnancy, it is necessary to engage in exercises that promote the health of the mother without the likelihood of injury or negative consequences.

Some of the activities that are helpful during pregnancy include:

Swimming;
Yoga, with the exception of taking postures that are dangerous for the fetus;
Gymnastics for pregnant women, which is performed in slow motion and is aimed at stretching the muscles, which prepares well for childbirth.

Housework

Every woman performs daily homework, not noticing what load is placed on the body. But when expecting a baby, you need to be attentive to various stresses, hard work and know what you can’t do at home during pregnancy. Indeed, in addition to overwork, there can be more deplorable consequences.

What to give up and why:

Any repair work. First of all, toxic substances have a negative effect on the body. Decoration Materials. In some cases, they can lead to intoxication of a woman and a child. The second is a large load on the spine, which is already subjected to constant stress during pregnancy due to the redistribution of the weight of the mother and child.
Any lifting of weights - from the mass purchase of products for the future must be abandoned. After all, even lifting a large pot of water can provoke a miscarriage in the first weeks or premature birth in late term due to uterine contractions caused by wall tension abdominal cavity.
Bent over work puts more stress on the abdominal muscles. For example, washing floors or vacuuming is necessary with a straight back without bending over. Therefore, it is better to purchase a special mop, preferably with a double spin.
Sedentary work contributes to a large load on the lower back, as well as on the cervical and thoracic regions. To avoid this, you need to sit with a straight back, putting a pillow under your lower back, your elbows should be placed on the armrests. Every hour you need to take a break, during which you need to move a little.
Standing work, such as while cooking, can contribute to leg swelling and varicose veins. To reduce the load on the legs, it is worth putting a small chair next to it, on which you need to put your legs in turn, evenly distributing the center of gravity.
It is undesirable to use household chemicals, it is better to switch to non-toxic natural ingredients, such as baking soda, salt and dry mustard, they will clean up no worse, and they do not have harmful components. That is why it is impossible during pregnancy to do some housework, physically loading the body.

Food during pregnancy

You can’t eat for two, contrary to the numerous advice that you need to eat a lot during pregnancy. Big weight, dialed before childbirth, will complicate their successful resolution. Therefore, you should know that it is impossible to eat a lot of flour and sweet during pregnancy. Do not confuse such concepts as a lot of food and a lot of healthy food. After all, the body does not need a lot of food, but a lot of vitamins, and these are completely different things. An increase in the volume of food leads to an excessive load on the stomach, there is heaviness, nausea, heartburn, then, as a result, an overloaded intestine and constipation. In the end, all this leads to obesity (not to be confused with normal weight gain), indigestion and metabolism.

You can not ignore the ban on products that contribute to early toxicosis. The list of forbidden foods includes smoked products, any fried and fatty foods. You should also refuse any carbonated drinks with a high content of carbon dioxide and everything that can be called sweet, that is, from jam pies to cake

More attention should be paid to the quality and freshness of food, because food poisoning can not positively affect the course of pregnancy.

Precautions

In order to avoid all possible negative consequences, it is necessary to carefully monitor what is impossible during pregnancy. Watch your body, do not expose it to excessive stress in the process of doing homework. If there is a threat of miscarriage, it is necessary to abandon any slightest load until the condition of the fetus stabilizes.

Eating healthy foods will keep your body stable even during pregnancy. Follow the diet, choose proper diet, because only short snacks and junk food can already worsen your condition and harm the developing fetus.

We are all used to the idea that a pregnant woman needs special treatment. And this is true - that magical state, when a little man lives and develops inside, is a very important time for a future mother.

Unfortunately, it is often in the antenatal clinic that a woman preparing to become a mother is faced with a violation of her rights by doctors.

What can be done in such a situation? You can protect yourself, and sometimes all you need to do is to know your rights.

And the purpose of this article is to make a pregnant woman stronger, and not to call for a fight with doctors. Fortunately, there are many worthy specialists among doctors.

Compulsory health insurance policy

To begin with, it should be noted that according to Art. 17 Fundamentals of Legislation Russian Federation on the protection of the health of citizens of July 22, 1993 N 5487-1:

“The state provides citizens with health protection regardless of gender, race, nationality, language, social origin, official position, place of residence, attitude to religion, beliefs, membership in public associations, as well as other circumstances.”

From the above, we can conclude that a pregnant woman who has a compulsory medical insurance policy can use the services of any antenatal clinic in our country, regardless of place of residence and registration.

That is, if you wish, you can register for pregnancy in any city on the territory of the Russian Federation, where it is convenient for a woman. The only important thing is where you actually live at the time of pregnancy and childbirth.

To obtain the compulsory medical insurance policy itself, it is enough to be a citizen of the Russian Federation. A working woman can get a policy at the place of work (it doesn’t matter if it is a private company or a government agency), and a non-working woman can get it at her place of residence.

The name and location of the insurance company can be found in the administration of the municipality, in the branch of the CHI fund and in the medical institution.

Foundation - Art. 2 of the Law of the Russian Federation of June 28, 1991 N 1499-I "On medical insurance of citizens in the Russian Federation"

Registration of a pregnant woman in a antenatal clinic

According to the official opinion of the health system, all pregnant women are subject to the supervision of an obstetrician-gynecologist, starting from the first appearance about pregnancy.

Schemes of dynamic monitoring of pregnant women and puerperas ( ) : “All pregnant women are subject to dynamic observation, starting from the first appearance about pregnancy, and puerperas.”

A woman can register at any stage of pregnancy. Just a few factors to keep in mind:

Firstly, women registered in the early stages of pregnancy (up to twelve weeks) are paid an additional lump-sum allowance. According to Art. 10 federal law dated May 19, 1995 N 81-FZ "On state benefits to citizens with children" it is now a little over 300 rubles.

Secondly, if you plan to give birth in your chosen maternity hospital, you will need to use the services of an antenatal clinic to obtain an exchange card. So - to have time to pass a series of tests before childbirth.

Exchange card and conditions for obtaining it

An exchange card is a medical document, which contains both the features of the course of your pregnancy and information about the examinations passed.

The antenatal clinic doctors will probably invite you for regular appointments according to the instructions:

Schemes of dynamic monitoring of pregnant women and puerperas (in tv. by order of the Ministry of Health of the Russian Federation of February 10, 2003 N 50) :

“In the physiological course of pregnancy, a practically healthy woman is recommended to re-visit an obstetrician-gynecologist with the results of tests and doctors' conclusions 7-10 days after the first visit, and then once a month for up to 28 weeks. pregnancy; after 28 weeks pregnancy - 2 times a month. The frequency of observation by an obstetrician-gynecologist can be set up to 6-8 times (up to 12 weeks, 16 weeks, 20 weeks, 28 weeks, 32-33 weeks, 36-37 weeks) subject to regular monitoring by a specially trained midwife. If somatic or obstetric pathology is detected, the frequency of visits to the obstetrician-gynecologist increases.

However, if you feel well, and visits to the antenatal clinic do not bring harmony to your life, you have the right to refuse regular visits to the gynecologist. If you have made such a decision, the doctor must respect it and politely explain to you the possible consequences for your health.

Intimidation, raising your voice, insults and threats to refuse to issue an exchange card are unacceptable for a doctor. If something like this happens, you can immediately go to a conversation with the head of the antenatal clinic. If you didn’t find understanding there either, you can find out the contacts of the higher health authorities in your city in the consultation itself, where you can report the incident.

At the same time, in order to receive an exchange card, you need to pass a series of tests at least once and visit a doctor at least twice - for an initial examination and obtaining referrals for tests and for the results of the tests to be entered by the doctor into the exchange card and issued to you.

Instructions for organizing the work of the antenatal clinic ( approved by order of the Ministry of Health of the Russian Federation of February 10, 2003 N 50) tells us that “... the doctor of the antenatal clinic issues an “Exchange card of the maternity hospital, maternity ward of the hospital” to the pregnant woman in the 22-23rd week.

I would like to note that this document does not contain any conditions under which you may be denied a card.

Thus, if you want to get an exchange card, you need to have time to pass a number of tests by the specified date or a little later - the main thing is to be in time before the birth.

In a antenatal clinic, as a rule, a pregnant woman is offered to undergo a standard set of examinations. The ability to do everything necessary tests and procedures for obtaining an exchange card and the right to give birth in a regular maternity hospital are provided to you for FREE. Everything additional is the reinsurance of the doctor and the possibility of receiving material rewards from paid laboratories, where he advises to apply.

Usually ( in accordance with the Order of the Ministry of Health of the Russian Federation of February 10, 2003 N 50 "On the improvement of obstetric and gynecological care in outpatient clinics") these are: regular examinations by a gynecologist, 3-fold ultrasound examination at the terms of 10-14, 20-24, and 32-34 weeks, examinations by a general practitioner, ophthalmologist, otolaryngologist and dentist, and a number of tests, a list of which can be found in the consultation itself.

If you want to get by with a minimum of obstetric care during pregnancy and are practically healthy, then the main tests with which the doctor can determine the absence of infectious diseases are: clinical blood test, urinalysis, smear, HIV tests, RW, hepatitis tests B and C. A health certificate from a general practitioner is also required. And all this should be timed to approximately the 22nd week of pregnancy.

So, on the basis of the above, the doctor in the consultation will be able to conclude that your state of health does not pose a threat to others, after which he will be obliged to issue you an exchange card that allows you to give birth in any maternity hospital in your locality.

No exchange card

Without an exchange card, you can give birth at home or in the infectious diseases department of a maternity hospital - the so-called. observational department. It differs from the usual one in that sanitary measures are strictly observed in it, and visits are completely prohibited.

“Instructions for the admission and transfer of pregnant women, women in childbirth and puerperas to the observational department of an obstetric hospital.

1. Pregnant women and women in labor who have:

1.1. feverish state (body temperature of 37.6 degrees C and above without clinically significant other symptoms),

1.2. long waterless period amniotic fluid 12 hours or more before admission to the hospital),

1.3. infectious diseases, including:

inflammatory diseases kidneys and urinary tract (pyelonephritis, cystitis, asymptomatic bacturiuria - 10 CFU / ml of urine or more)
inflammatory diseases of other localization (chronic bronchitis in the acute stage, pneumonia, otitis media, etc.)
acute respiratory diseases (flu, tonsillitis, etc.)
skin diseases of infectious etiology
infectious processes of the birth canal (colpitis, cervicitis, warts)
infections with high risk intrauterine and / or intranatal infection of the fetus and a high epidemiological risk of infection of medical personnel (HIV infection, syphilis, viral hepatitis B, C, D, gonorrhea)
infections with a high risk of intrauterine and / or intranatal infection of the fetus and a lower epidemiological risk for medical personnel (toxoplasmosis, listeriosis, cytomegaly, genital herpes, etc.)
tuberculosis (closed form of any localization in the absence of a specialized hospital). Pregnant women with an open form of tuberculosis are hospitalized in specialized maternity hospitals (departments), in the absence of such
in the boxes or isolation rooms of the observational department with subsequent transfer after delivery to the TB dispensary.

1.4. intrauterine fetal death

1.5. for termination of pregnancy for medical and social reasons in the second trimester of pregnancy,

1.6. malignant neoplasms,

1.7. fetal anomalies detected during pregnancy (in the absence of a specialized hospital),

1.8. puerperas in case of childbirth outside a medical institution (within 24 hours after childbirth),

1.9. unexamined and in the absence of medical documentation.

Focusing on the provisions of this document, you will be able to draw a conclusion yourself when the doctor's warning about the ban on giving birth in a conventional maternity hospital is true.

If the doctor makes any prescriptions for you - drugs or procedures (whether it be no-shpa or ultrasound), he is obliged to explain in detail to you their positive and bad influence, and you can make a decision - how to agree with the opinion of the doctor, and consult with another specialist or refuse the procedure / medication.

When communicating with healthcare professionals, it is best to be guided by Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens of July 22, 1993 N 5487-1:

According from Art. The 30 Essentials for Seeking and Getting Care including on:

respectful and humane attitude on the part of medical and service personnel;

the choice of a doctor, taking into account his consent, as well as the choice of a medical institution in accordance with the contracts of compulsory and voluntary medical insurance;

holding, at his request, a consultation and consultations of other specialists;

admission to him of a lawyer or other legal representative to protect his rights (that is, you can come to any maternity hospital with your husband or girlfriend if you stock up on this knowledge of your rights and a power of attorney).

The same document confirms that in case of violation of the patient's rights, he can file a complaint directly with the head or other official of the medical institution in which he receives medical care, with the relevant professional medical associations or with the court.

Art. 32 and 33 of the Fundamentals say that for any medical intervention, the patient must give his consent after informing him in detail by the doctor. Or refuse such intervention.

And if you refuse medical intervention, the possible consequences should be explained to you in a form that is accessible to you. Refusal of medical intervention indicating possible consequences Recorded in medical records and signed by you and the healthcare professional.

Right to information

According to Art. 31 Basics any woman in a antenatal clinic or a maternity hospital, as well as in another medical and preventive institution, has the right to read her medical record, look at records of examinations, ask the doctor questions about her condition, prescribed drugs, diagnosis and prognosis, test results, etc., and receive detailed and clear answers.

The information she needs should be provided by the attending physician, the head of the department of the medical institution or other specialists directly involved in the examination and treatment.

At the same time, all explanations must be made in a form accessible to the patient, namely, so that it is you who understands, whether it is the doctor's handwriting in the prescription or strange numbers as a result of the analysis. And you do not have to explain to doctors why you need this information. It's about you - and that's enough.

It also happens that for various reasons you do not want to receive some information related to your health from medical personnel. So, if you want to remain in the dark about the possible adverse consequences, according to the doctor, of your refusal to be sent to the hospital for preservation, for example, or from vaccinations and taking vitamins, you can simply inform the doctor about this. Please note that in accordance with Art. 31 Basics information relating to the state of health cannot be provided to a citizen against his will.

The same article specifies that, upon your request, you must be provided with certified copies of medical records reflecting your state of health.

It is also important to remember that your health information is completely confidential, even when it comes to the health of an unborn baby.

Art. 61. Basics reads:

“Information about the fact of applying for medical assistance, the state of health of a citizen, the diagnosis of his disease and other information obtained during his examination and treatment constitute a medical secret.”

Thus, any information about you that became known in the antenatal clinic when you applied for pregnancy, whether it be knowledge of a hereditary disease or the intention to give birth at home, should remain undisclosed.

With the consent of the patient, it is allowed to transfer information constituting a medical secret to other citizens, including officials, in the interests of the examination and treatment of the patient, to carry out scientific research, publications in the scientific literature, the use of this information in the educational process and for other purposes.

Therefore, whether you do, for example, an ultrasound scan or a recommended paid analysis, is your own business. This is not dangerous either for your neighbors or for women in labor in an ordinary maternity hospital. And the doctor still has an obligation to treat you and your choice with respect, while maintaining medical secrecy.

Citizenship - you choose

Medicine is a service industry.

Our state defines itself as a social ( Art. 7 Constitutions). Therefore, a significant portion of your taxes goes to fund health care. In this connection, every citizen of our country has the right to permanent medical care provided for by the contract of compulsory medical insurance. This very agreement provides for quite a lot - and you have paid for everything in advance, including the courtesy of the medical staff. So, your job is to choose what you need from medicine and what you don't. It's like in a store - health care offers you services that you can either use or refuse them.

Motherhood and childhood are under the protection of the state - this is especially emphasized by the Constitution (Article 38).

A pregnant woman is no longer responsible only for herself, but also for her baby, who has not yet been born.

Therefore, it is worth remembering:

Your legal right is to decide where and under what conditions your child will be born, whether your husband will be present, etc.

It is up to you to choose - whether to agree to go to the hospital for preservation, take prescribed courses of medications, do ultrasound at any stage of pregnancy, etc.

Only you give consent or refuse any medical manipulations, hospitalization, examinations and analyzes both in the antenatal clinic and in the maternity hospital.

The choice is yours, and I wish you good luck in defending your rights!