My godson turned 21 this year - and this was the first birth , which I took from my friends, girlfriends. And now, when I look at this young man, I do not believe! I seem to be looking at myself - I am completely preserved, and the child is already 21 years old! And I remember it like yesterday - how I came to this birth, how I supported her, how everything was.

There are a lot of women now giving birth again. Now there are many women who give birth for the third time, fourth, fifth, seventh. This year we had a patient who had her tenth birth.

There are not so many young people, the average age of a woman giving birth now is - about 27-33 years old . Twenty years ago it was about 21-25. Why later began to give birth? Probably, someone in the foreground is a career, a material component. First, people get on their feet and when they already understand that they can give a child a full life, education, development, then they already get married and think about having children.

For some women, such as those from Eastern countries, the husband does not allow a caesarean section , and she has all the indications for a caesarean section. Now you yourself know that all these court cases, and a step aside, they can immediately come and punish. We therefore have strict clinical protocols and recommendations, which we not only adhere to, but must strictly follow. And when "I want - I don't want" - there is simply no such thing. We must persuade the patient, for this there are consultations with the involvement of specialists - both anesthesiologists and neonatologists - we explain to the patient what's what.

Hospitals dissuade patients from having abortions, because a woman should have a really conscious understanding that she wants this, doctor says

Photo: Alexander Oshchepkov / NGS

Share

Unfortunately, there are moments that do not always depend on the doctor . Anatomy, physiology... The patient has certain problems, diseases that complicate the course of pregnancy, the course of the postpartum, postoperative period. When something does not happen the way you would like, it is clear that the doctor is blamed for everything. As for various points - court cases and everything else - of course, I didn’t want to talk about it, but they also happen in the work, both dentists and obstetricians-gynecologists have these complaints. And we are among all categories of doctors in the first place. After all, we are responsible for at least two lives - and even for three. nine0009

There are situations when a patient comes to the maternity hospital with a full-term pregnancy, but the fetus has already died . We also give birth, but instead of this feeling of joy, tears of maternal joy, you feel such a feeling of pain, regret. Because sometimes you can’t even name the reason why it happened. Each such case is tragic. And as a leader, I have to report and talk about such situations not only with my mother, but also with the father [of the child] and with the parents of this woman. It is very difficult. nine0010

Before, I won't lie, I used to come - and when I was talking, my eyes were filled with tears, I was not even embarrassed of them, because I could not cope with myself. Lately, I've been trying to control myself.

From abortions? Answering . There are certain rules by which we work. A psychologist's consultation must necessarily take place, and after a certain time, if the decision remains justified for her, only then does the patient come for a medical abortion. Not like it used to be, an abortion at will. Now we're really trying to talk to patients. By the way, lately abandoned children are much less - 2-3 per year. And before it was about 10.

Time to some extent breaks our ambitions, and we become “for the patient”. And we really do everything for the patient. Of course, for myself too, because the satisfaction from what has been done is worth all the energy costs, emotional [costs] and nerves, tears. Because you meet families, and grandmother sometimes says: “Petya, look, this aunt accepted you!”

Sargis Khachatryan, obstetrician-gynecologist of the obstetric department of the Novosibirsk Regional Hospital, experience 10 years:

Pregnant women do not hesitate to go to childbirth to male doctors, Sargis Khachatryan dispelled the stereotype

Photo: Alexander Oshchepkov / NGS

it is truly a miracle of the birth of a child, a person. And the first childbirth that I did myself was my second rebirth, because it's stressful! Everything went well, and I saw what a responsible and difficult job it was. Of course, those who constantly say that this is a miracle - I will not be surprised that they are cunning: now we are in such conditions that we have to treat this as work. A person gets used to good things very quickly. But when you go on vacation or the maternity hospital closes for a while, you realize that you really need her (work. - Approx. ed. ) is missing. There is a dependency, yes.

Male obstetrician-gynecologists are much less than female. If I were sitting in the antenatal clinic, the queue to my office would be much shorter than that of other women. But we are in a hospital, and at first, when I earned my seniority and a name, they had no choice, since I was the only doctor on duty. And since this is a surgical profession, I think that women love men more, because men have been surgeons for longer from generation to generation. I do not underestimate the merits of female surgeons and female obstetrician-gynecologists, but I have not had a single case when a patient would say: "I want to have a female doctor." nine0009

Home birth - it's really trendy now . But I do not know who introduced this fashion and why. In all civilized countries, if there is a home birth, then next to the house there is a trailer on duty, I don’t know, a truck with a set of drugs and tools, if you suddenly need emergency assistance, then this assistance will be provided. And just to give birth at home, without informing anyone, I believe that this is wrong and a sane person will never be exposed to such a risk. nine0009

Now diseases do not know the age of , and [we give birth] to really young girls who have serious diseases - both asthma and heart defects, you can list a lot . .. Our maternity hospital is so specific that we have always given birth to different patients, regardless of age. The main thing is the pathology, the reason why she ends up in a third-level hospital.

He works with a difficult category of women in labor - they usually have serious illnesses

Photo: Alexander Oshchepkov / NGS

Share

But if you look at all women, then indeed the average age of a primiparous woman - has grown and is about 29-30 years old . I think that this, if taken in a global sense, these are not some separate things that they talk about -

women want self-sufficiency, they want to work and they want independence from men. I think that there should be such a policy in the country that women give birth - women should give birth to children. nine0010

When there are good conditions, when a man has enough money to support his family, I think that women will calmly stay at home and take care of [children]. It worries me, I can talk about it for hours.

With a short pregnancy, I rarely worked . But at the very beginning, at first, I worked in the Iskitim hospital. There were two cases where I talked patients out of having an abortion. They (the reasons for the abortion. - Ed. ) were related to the financial support of the family and simply the lack of support from other family members. (Ed.: What is your general attitude towards abortion?) Negative. Only under strict conditions. This is connected both with their own worldview and with the situation in the country, including demographics. I believe that we are all part of society, and we must do what is best for the country and for the survival of the people. nine0009

When there is some kind of complication, given what kind of profession we have and what kind of supervision it is, what kind of surveillance it is on the part of the investigating authorities, on your part - the media, then we walk on the edge of a knife.

And a step to the left, a step to the right from some generally accepted rules , from how ordinary people are used to perceive our work, when they see that something is wrong, then doctors automatically become enemies. This is the first. And the second side is a personal feeling of failure, when there is some kind of complication. It is necessary to translate this demotivation into the concept that you just need to work on yourself. There are no complications for those who do not work. And the one who works - he will always have some problems and shortcomings, you need to be able to overcome this. And in the morning shave, drink coffee and go to work. Do it the right way. nine0009

I think that I had 3.5 thousand births somewhere. Now I presented the number of children - I felt bad! In fact, it is a very pleasant feeling when patients somewhere on the street, in a park, in a shopping center meet you, smile, say hello, show the baby. It's really very nice.

Irina Kokhan, head of the maternity department of the city perinatal center, obstetrician-gynecologist, almost 30 years of experience:

Irina Kokhan had to give birth even on the train

Photo: Alexander Oshchepkov / NGS

Share

Become an obstetrician? It was a dream from childhood , because my father is a military doctor, and from childhood I went on duty with him, to the operating room. And my dream came true.

All births are to some extent scary for us , because we are always worried, worried about their outcome - both for mother and child. I remember, of course, despite the fact that many years have passed, the first birth. There was surprise and excitement, and delight from the fact that you helped - and now a person was born. nine0009

There was even a case when I had to give birth on the train [it happened in 1992-1993] with a woman I didn't know. It was very scary when you were left alone in such a situation. Because here, within the walls of the institution, everyone is a friendly team, everyone is nearby, who can help, all the equipment, equipment. Everything is calm, you feel support. But everything went well, the girl was born. The grandmother of this girl wrote a letter addressed to [chief physician Pozdnyakov] Ivan Mikhailovich with words of gratitude. nine0009

It seems to me that every woman should experience the feeling of motherhood because these feelings are incomparable. Of course, due to some circumstances, not everyone succeeds [to get pregnant], we perceive this with sadness and sadness.

In recent years, the number of age-related primiparous has been increasing due to various reasons. Life circumstances make you first pursue a career, then think about family, about children. Someone has health problems. High technologies allow women at the age of 40-43 to come for the first time. Age does not matter in order to become a mother - everyone, probably, has different goals in life, and each one suits individually ... Old women got these children like golden children, they went through suffering and therefore are more consciously fit than those who at the age of 17-18, not yet realizing what is happening to them, they become mothers. nine0009

Lately it has somehow become less, and earlier there were a lot of abandoned children . Social services work with these women, psychologists, because how can you refuse a small miracle? Most often, this is a financial situation, a social position that does not allow [to leave a child]. (Ed.: Do you also have a negative attitude towards abortions?)

We are people of the profession who stand at the origins of life, therefore abortions [we do not welcome].

No matter how much we want, there are unpleasant situations , fortunately for us - rarely. Outwardly, of course, we try not to show it, but after all these cases, patients remain in our hearts, and we worry, as a human being, we always feel sorry for women, we understand how hard it is for her when some adverse outcomes happen. But this is work, and, unfortunately, such situations happen in our work, often not connected with us, with our actions, but nevertheless they exist. For example, when a woman is carrying a pregnancy, and at full term, her child dies in utero... Of course, this is a tragedy for everyone, and we are humanly sorry. We sympathize, empathize, support. nine0009

Our work cannot become a routine because each time there are new faces and new situations that we have to deal with. Each new birth, each loud cry - it always pleases, we always perceive it with excitement. After all, man was born.

Earlier, the NHS recorded monologues of women who help the terminally ill every day, — they told about loneliness, disgust and happiness to work not for money. nine0178