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Detecting and Dating a Pregnancy - Women's Health Issues

HEALTHY LIVING

By

Raul Artal-Mittelmark

, MD, Saint Louis University School of Medicine

Medically Reviewed May 2021 | Modified Sep 2022

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Pregnancy begins when an egg is fertilized by a sperm. For about 9 months, a pregnant woman’s body provides a protective, nourishing environment in which the fertilized egg can develop into a fetus. Pregnancy ends at delivery, when a baby is born.

If a menstrual period is a week or more late in a woman who usually has regular menstrual periods, she may be pregnant. Sometimes a woman may guess she is pregnant because she has typical symptoms. They include the following:

• Enlarged and tender breasts

• Nausea with occasional vomiting

• A need to urinate frequently

• Unusual fatigue

• Changes in appetite

When a menstrual period is late, a woman may use a home pregnancy test to determine whether she is pregnant. Home pregnancy tests detect human chorionic gonadotropin (hCG) in urine. Human chorionic gonadotropin is a hormone produced by the placenta early in pregnancy.

Results of home pregnancy tests are accurate about 97% of the time. If results are negative but the woman still suspects she is pregnant, she should repeat the home pregnancy test a few days later. The first test may have been done too early (before the next menstrual period is expected to start). If results are positive, the woman should contact her doctor, who may do another pregnancy test to confirm the results.

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Doctors test a sample of urine or sometimes blood from the woman to determine whether she is pregnant. These tests are more than 99% accurate.

One of these tests, called an enzyme-linked immunosorbent assay (ELISA), can quickly and easily detect even a low level of human chorionic gonadotropin in urine. Some tests can detect the very low level that is present several days after fertilization (before a menstrual period is missed). Results may be available in about half an hour.

During the first 60 days of a normal pregnancy with one fetus, the level of human chorionic gonadotropin in the blood approximately doubles about every 2 days. These levels can be measured during the pregnancy to determine whether the pregnancy is progressing normally.

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Pregnancies are conventionally dated in weeks, starting from the first day of the last menstrual period.

After pregnancy is confirmed, the woman’s doctor asks her when her last menstrual period was. The doctor calculates the approximate date of delivery by counting back 3 calendar months from the first day of the last menstrual period and adding 1 year and 7 days. For example, if the last menstrual period was January 1, the doctor counts back 3 months to October 1, then adds 1 year and 7 days. The calculated due date is October 8 the next year. Only 10% or fewer of pregnant women give birth on the calculated date, but 50% give birth within 1 week, and almost 90% give birth within 2 weeks (before or after the date). Delivery between 2 weeks before and 2 weeks after the calculated date is considered normal.

The ovaries usually release an egg (called ovulation) about 2 weeks after a woman’s menstrual period starts, and fertilization Fertilization A baby goes through several stages of development, beginning as a fertilized egg. The egg develops into a blastocyst, an embryo, then a fetus. During each normal menstrual cycle, one egg (ovum)... read more usually occurs shortly after ovulation. Consequently, the embryo is about 2 weeks younger than the number of weeks traditionally assigned to the pregnancy. In other words, a woman who is 4 weeks pregnant is carrying a 2-week-old embryo. If a woman’s periods are irregular, the actual difference may be more or less than 2 weeks.

Pregnancy lasts an average of 266 days (38 weeks) from the date of fertilization (conception) or 280 days (40 weeks) from the first day of the last menstrual period if the woman has regular 28-day periods. Pregnancy is divided into three 3-month periods, based on the date of the last menstrual period:

• 1st trimester: 0 to 12 weeks of pregnancy

• 2nd trimester: 13 to 24 weeks

• 3rd trimester: 25 weeks to delivery

The most accurate way to determine when a baby is due is ultrasonography Ultrasonography Ideally, a couple who is thinking of having a baby should see a doctor or other health care practitioner to discuss whether pregnancy is advisable. Usually, pregnancy is very safe. However,... read more , particularly if it is done during the first 12 weeks.

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According to the American College of Obstetricians and Gynecologists, a cycle length of 21-35 days is within the normal range. If your average cycle is below 21 days or above 35 days, we can’t calculate your estimated ovulation date because you may not be ovulating regularly. Speak to your health care provider for more information.

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Medically reviewed by

Dr. Jennifer Boyle

Obstetrician and gynecologist, Massachusetts General Hospital, Massachusetts, US

Whether you’re trying for a baby or not, the time between thinking you might be pregnant and knowing for sure (aka the two-week wait) can be stressful. No one likes living in uncertainty. You might not have even missed a period yet before thinking that you might be expecting. So, how soon can you take a pregnancy test? 

Understanding when to take a pregnancy test to get an accurate result can be a little bit of a waiting game. Guidelines suggest that you should wait until the first day that you’ve missed a period before you go out and buy a test. However, some early at-home pregnancy tests may be able to detect pregnancy earlier.

Here, Dr. Tiffanny Jones, reproductive endocrinologist and infertility specialist, explains the differences between early and normal pregnancy tests, what human chorionic gonadotropin (hCG) is (and why it’s so important), and when you can take a pregnancy test. 

Remember that pregnancy test calculators can help you learn more about what to look out for when taking a test and when you might want to take one. They are for informational purposes only. They cannot and should not be used to confirm a pregnancy. If you suspect that you might be pregnant, you should reach out to your health care provider who will be able to give you a more accurate result.

If you’ve ever looked at the pregnancy tests available at the store, you’ll likely have noticed that there are lots to choose from. It can be easy to feel overwhelmed. However, generally, pregnancy tests can be split into early pregnancy tests and standard pregnancy tests. 

Standard pregnancy tests are urine tests that can detect human chorionic gonadotropin (hCG — a hormone that your body releases in early pregnancy). This is the first indication that you might be pregnant. 

It’s recommended that you wait until the first day of your missed period or at least 21 days after you’ve had unprotected sex before you take one. Waiting might feel impossible, but this allows your body to produce high enough levels of hCG to be detected by the test so that your result is more likely to be accurate. 

Early pregnancy tests are more sensitive to hCG. They may be able to give you a positive result before you’ve missed your period.  

“Early pregnancy tests are urine tests that can detect very low levels of urinary pregnancy levels [more on this below], some as early as five days before a missed period,” says Dr. Jones. 

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Let’s be real: Accuracy and reliability are probably the most important factors on your mind when it comes to a pregnancy test. Nobody wants to receive an inaccurate result.

When used correctly (if you follow the instructions on the box), standard pregnancy tests are advertised as being incredibly accurate, around 99%. However, the earlier you take a pregnancy test, the harder it is to detect hCG. While you can take a standard pregnancy test on the first day that you miss your period, it’s generally recommended that you wait at least a week for more accurate results and to prevent a false negative (where the test gives you a negative result when you are in fact pregnant).

Studies have reported that tests taken on the first day that you miss your period can be considered to have 90% sensitivity at detecting hCG. This rises to 97% if you wait one week after you’ve missed your period. 

While early pregnancy tests can be really useful if you’ve had an issue with your birth control, if you’ve been trying to conceive for a long time, or taking medication that may be damaging to a pregnancy, it’s important to note that they are considered to be less accurate. This is because your hCG levels are low at the very beginning of pregnancy, and the test may not be able to pick them up. This could lead to a false result. It’s rare for a test to give you a positive result when you’re not pregnant, but you may receive a negative result when you are pregnant if the test can’t detect the hCG in your pee. 

Your hCG levels rise throughout your first trimester. This is why the later you take a test, the more accurate it is.

The key to knowing when to take a pregnancy test lies in when hCG might start showing up on tests. Your body starts to produce hCG in your blood and pee once the embryo (fertilized egg) attaches to your uterine wall. This can happen between six days and two weeks after the egg is fertilized (conception). HCG is considered to be one of the earliest indicators of pregnancy. 

Generally, your hCG levels will double every 48 hours in your first trimester, peaking at around 10 weeks. After that point, they’ll level off. However, hCG levels can differ from person to person, and Dr. Jones explains that detection of hCG levels can vary in very early pregnancy depending on when you take a test.  

“[The detection of] hCG levels can be negative in early pregnancy if they are tested too early,” she says. “This can be due to the level of detection of the test (if the test you take isn’t sensitive enough) or if [you take a test] too close to the time of ovulation. ” This is because your body hasn’t produced enough hCG yet. 

If you do a pregnancy test that comes back positive, your health care provider may also give you a blood test to check your hCG levels.

“The best time to check is after a missed period,” says Dr. Jones. As we now know, that’s due to the fact that your hCG levels will be high enough at that point for a standard test to pick up on them. But that two-week wait can be frustrating. Try to be kind to yourself during this waiting period. It can be difficult to ignore every twinge or flutter, but speak to loved ones if you’re worried and try to find things that relax and distract you until you can take a test. 

This is the golden time to take a pregnancy test. You can take a standard pregnancy test starting from the first day of your missed period. If it comes back positive, you can then reach out to your health care provider who will guide you on what to do next.

Ovulation describes the process in your cycle when your ovaries release an egg. There’s usually a 24-hour window when your egg may then be fertilized by sperm if you have unprotected sex. 

Knowing when you’re ovulating and when your fertile window is (the time in your cycle when you’re most likely to become pregnant) can help you understand any changes throughout your menstrual cycle. 

You should wait at least two weeks after you’ve ovulated before taking a pregnancy test. This is because it can take between 6 and 14 days for an embryo to implant in your uterine wall and for hCG to begin being produced.

If you’ve had sex without using birth control, then you may be curious to know when you can take a pregnancy test. The general guidelines apply here. If you track your period and have a regular cycle (you can track this using an app like Flo), then you can take a standard pregnancy test on the first day of your missed period. If you wait a week after your missed period, it’s worth knowing that you may get a more accurate result.  

If your cycle is irregular (this can be due to hormonal imbalances or stress, among other things), or you’re not sure when your period is due, then it’s recommended that you wait at least 14 days to take a pregnancy test after sex. 

If you don’t want to have a baby and have had unprotected sex, you can use emergency contraception within three to five days after having sex. 

While breastfeeding can impact your hormones, giving you a surge of the love hormone oxytocin, it doesn’t impact the outcome of pregnancy tests. Your body only produces hCG if you’re pregnant.

Missing a period is probably the clearest indicator in your mind that you may be expecting, but this can be a little bit tough to tell if you’ve recently had a baby, as your period may not have returned after you gave birth.

If you’re breastfeeding after giving birth, it can take between 9 and 18 months for your cycle to become regular again. This is totally normal, as your hormones change during breastfeeding, which can suppress ovulation. This means your chances of getting pregnant while you breastfeed are lower, but it’s not impossible. You may still ovulate within the first six months of giving birth, meaning you could get pregnant. And studies have highlighted that two-thirds of women ovulate before they have a vaginal bleed during the postpartum period. 

So, if you’re breastfeeding, having sex without using birth control, and think there’s a possibility you might be pregnant, you should take a standard pregnancy test on the first day of a missed period or two weeks after having unprotected sex. It’s important to note that your hCG levels will return to zero within 7 to 60 days after giving birth, so if you do a pregnancy test during this period of time, it may pick up on the hCG from your previous pregnancy.  

If you think you’re pregnant but don’t have the sign that your period is late to rely on, then you should reach out to your health care provider. Outline any symptoms you’ve had and explain when you last had unprotected sex. They should be able to help determine whether or not you’re expecting again.

Miscarriage can be an intensely emotional and painful time. It’s also a time of immense physical change. It can take between four and six weeks for your hCG levels to drop following a miscarriage, and this can vary depending on how far along you were. 

Your health care provider may carry out a pregnancy test in the weeks following your miscarriage to confirm that all your hormones have returned to pre-pregnancy levels. If the test comes back positive, it could mean a number of things. Your health care provider will help you get it figured out.

Many health care providers recommend waiting until you have your next normal period before trying again for pregnancy. This will help make sure your body fully heals. Ask your provider what their recommendation is.

However, the American College of Obstetricians and Gynecologists explains that getting pregnant as soon as two weeks after having a miscarriage is possible if you’ve had unprotected sex. If this is the case, the hCG detected in the pregnancy test could indicate a new pregnancy. 

In this situation, rather than doing a pregnancy test at home, Dr. Jones suggests, “a blood test would be best.” Your health care provider will look at your hCG levels and may then repeat this test 48 hours later. 

“[Your hCG levels] rising by at least 35% can mean there is a new pregnancy. If they decrease, it can mean it is from the miscarriage,” Dr. Jones adds.

As we’ve seen, taking a standard pregnancy test can be a little bit of a waiting game. However, you’ll have the reassurance of knowing that they’re more accurate than early tests, so it could be worth the wait.   

If you think that you may be pregnant or you’re trying to conceive, you might decide the wait is too long and consider taking an early pregnancy test. The good news is that you can take a specially designed early pregnancy test five days before you expect your period. If you’re not exactly sure when that is, you can track your cycle using an app like Flo to work out when to take one. 

If the test comes back positive, reach out to your health care provider and follow it up with a standard pregnancy test either on the first day of your missed period or 21 days after you’ve had unprotected sex. 

So, you think you might be pregnant and have gone out and bought a test. Now it’s time to actually do it. 

Both early and normal pregnancy urine tests can vary slightly depending on the brand you buy. However, they all detect hCG and, if you follow the instructions, can be really accurate. 

Once you’re ready to take a test: 

• Read all the instructions included in the pack. Wash your hands and make sure you’re taking your test in a clean environment. 
• Remove the pregnancy test from its wrapper. You will either need to pee directly onto the test or pee into a clean container or cup and then place the absorbent end of the test stick in the cup. Your test box will explain what you need to do. 
• Once you’ve soaked the absorbent end of the stick in pee, place it on a flat surface, facing upward (make sure you can see the little results box).
• You will then need to wait for your results to show. This can take between 1 and 10 minutes. Different brands of pregnancy tests have different reaction times. This is the amount of time it will take to see a result. Make sure you read the instructions carefully. 
• Different brands present positive and negative tests differently, so it’s really important to read the box to understand your results. 

If your pregnancy test comes back positive, then you should reach out to your health care provider who will advise you on what to do next.  

References

Betz, Danielle, and Kathleen Fane. “Human Chorionic Gonadotropin.” StatPearls, StatPearls Publishing, 2021.

Calik-Ksepka, Anna, et al. “Lactational Amenorrhea: Neuroendocrine Pathways Controlling Fertility and Bone Turnover.” International Journal of Molecular Sciences, vol. 23, no. 3, Jan. 2022, https://doi.org/10.3390/ijms23031633.

Campbell, O. M., and R. H. Gray. “Characteristics and Determinants of Postpartum Ovarian Function in Women in the United States.” American Journal of Obstetrics and Gynecology, vol. 169, no. 1, July 1993, pp. 55–60.

“Pregnancy.” U.S. Food and Drug Administration, www.fda.gov/medical-devices/home-use-tests/pregnancy. Accessed 27 Sep. 2022.

Chauhan, Gaurav, and Prasanna Tadi. “Physiology, Postpartum Changes.” StatPearls, StatPearls Publishing, 2021.

“Early Pregnancy Loss.” The American College of Obstetricians and Gynecologists, www.acog.org/womens-health/faqs/early-pregnancy-loss?utm_source=redirect&utm_medium=web&utm_campaign=otn. Accessed 27 Sep. 2022.

Gnoth, C., and S. Johnson. “Strips of Hope: Accuracy of Home Pregnancy Tests and New Developments.” Geburtshilfe und Frauenheilkunde, vol. 74, no. 7, July 2014, pp. 661–69.

Makrigiannakis, Antonis, et al. “The Role of hCG in Implantation: A Mini-Review of Molecular and Clinical Evidence.” International Journal of Molecular Sciences, vol. 18, no. 6, June 2017, https://doi.org/10.3390/ijms18061305.

“Menstruation.” La Leche League International, 23 Jan. 2018, www.llli.org/breastfeeding-info/menstruation/.

“Miscarriage: Diagnosis.” NHS, www.nhs.uk/conditions/miscarriage/diagnosis/. Accessed 27 Sep. 2022.

“Pregnancy Tests.” Cleveland Clinic, my.clevelandclinic.org/health/articles/9703-pregnancy-tests. Accessed 27 Sep. 2022.

Johnson, Sarah R., et al. “Accuracy of a Home-Based Device for Giving an Early Estimate of Pregnancy Duration Compared with Reference Methods.” Fertility and Sterility, vol. 100, no. 6, Dec. 2013, pp. 1635–41.

“The Physiological Basis of Breastfeeding.” Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals, World Health Organization, 2009.

“Use of Fertility Awareness (NFP) after Early Pregnancy Loss.” Fertility Appreciation Collaborative to Teach the Science, 16 Dec. 2017, www.factsaboutfertility.org/use-of-fertility-awareness-nfp-after-early-pregnancy-loss/.

“Doing a Pregnancy Test.” NHS, www.nhs.uk/pregnancy/trying-for-a-baby/doing-a-pregnancy-test/. Accessed 27 Sep. 2022.

“Emergency Contraception (Morning After Pill, IUD).” NHS, 19 July 2022, www.nhs.uk/conditions/contraception/emergency-contraception/.

Wilcox, A. J., et al. “Natural Limits of Pregnancy Testing in Relation to the Expected Menstrual Period.” The Journal of the American Medical Association, vol. 286, no. 14, Oct. 2001, pp. 1759–61.

Updated December 01 2022

Series Pregnancy Test watch online for free all series in a row in good HD 1080 / 720 quality

Obstetrician-gynecologist Natalya Bakhmetyeva talks to the patient Nefedova lying under a dropper: the dynamics worsened, let's discuss the options, I called the urologist. Nefedova: if he removes my second kidney, it will make some sense. Bakhmetyeva: it's risky to wait, I suggest delivery at 31 weeks. Nefedova refuses: Kolmogorov said that I could hold out for another 3-4 weeks, I want to give birth to a healthy child. I knew what I was getting into - the only kidney, chronic pyelonephritis. I decided everything - I want to convey. Did Kolmogorov guide you from the very beginning of your pregnancy? Yes, I chose the best doctor. When he sent me to you, he said that I could decide for myself if there were options. And they are.

Bakhmetyeva unsuccessfully tries to get through to Kolmogorov. Bakhmetyeva approaches the head physician of the clinic, Ilya Yakovlevich, and says that Nefedov needs to be operated on urgently. What about Kolmogorov? Not available. The head physician says that with such urgency, Bakhmetyeva, instead of pulling him, could take the initiative into her own hands. At this moment, Bakhmeteva is summoned to Nefedova. The patient has stopped breathing. The resuscitator does her intubation and chest compressions. Nefedova is taken to the operating room. But, despite all the efforts of Bakhmetyeva and her colleagues, the patient dies on the operating table. The child is saved.

Bakhmetyeva drives up to the RAMS building. She leaves Kolmogorov a message on the answering machine: come down, I'm downstairs. But then she sees Kolmogorov leaving the building. Bakhmetyeva tells him: if you are interested, Yuri Alekseevich, then Nefedova Nadezhda Grigorievna died during the operation. Kolmogorov told her that at 46 years old with one kidney, you can give birth to a hero and a genius on the 40th week. Yura, I called you a hundred times... Kolmogorov says: stop acting like a quivering student, it's time for you to make your own decisions, it's time to grow up. Understand! Leaving Natalya, Kolmogorov heads to his wife, who meets him near the car. She asks her husband: who is this? My student. Kolmogorov kisses his wife, they get into the car and drive away.

Bakhmetyeva submits a letter of resignation of her own free will. Ilya Yakovlevich: you're not to blame, don't punish yourself. Losing a patient on the operating table is always a tragedy, but it happens. Bakhmetyeva: don't comfort me, just sign the application, I won't change my mind. Ilya Yakovlevich: But you understand that without Kolmogorov's blessing they won't let you into any shop in Moscow now. Bakhmeteva: fortunately, there are shops not only in Moscow. Having signed the application, Ilya Yakovlevich reports: a couple of weeks ago, an old acquaintance, the head doctor of a clinic in a northern city, called me, he was looking for the head of the observation - young, promising.

Late in the evening, Bakhmetyeva is loading things into the trunk of her car. Kolmogorov arrives: Natasha, what's going on? Why do you need to drop everything at once - a clinic, a dissertation? Running away in the middle of the night, not answering my calls - what kind of kindergarten? Bakhmetyeva: Don't you understand? The man is dead. Kolmogorov: Yes, sometimes patients die. So what? Analyzed, saddened - we go further. Bakhmetyeva: Here I am going. Kolmogorov: to whom and what are you proving? What can you do without me? You lived with me for ten years. Yura, to live is when under one roof. So you wanted a simple philistine happiness? I know too little about him to want. But I know exactly what I don't want anymore. Thinking you have a man when you don't. Telling yourself that working around the clock and seeing you once a week is okay. Thanks for reminding me how old I am. I'm going to grow up and find out what I want.

Bakhmetyeva arrives in St. Petersburg.

Obstetrician-gynecologist Alla V. Kashina sleeps in her office after celebrating her anniversary with her colleagues the day before. Kashina is 50 years old. She is awakened by a phone call: another patient has been brought to the clinic. Kashina puts himself in order and goes to the emergency department. She asks: what do we have here? The waters broke forty hours ago. Kashina examines the patient, commands: a gurney! In her operblock, quickly! The husband of the woman in labor remains in the ward, he is dressed in a Hare Krishna outfit, reciting mantras.

Bakhmetyeva drives up to the clinic building where she will now work. The security guard refuses to let her into the parking lot. He refers to the instructions: your car is not on the list, I don't know you, no one warned me about you, you don't have a pass either. Bakhmetyeva says she can call the head physician. The guard declares that he has his own superiors, to whom he submits. Bakhmetyeva leaves her passport as a pledge so that they let her through.

Midwife Evgenia Efimovna Mishina, known by her colleagues as Misha, is trying to hear the heartbeat of a Hare Krishna patient's fetus using a wooden tube. A young obstetrician-gynecologist is interested in: what is there, Misha? If I can't hear it with my ear, then it doesn't exist. Kashina enters the operative block, reports: the head physician is unavailable. Mishina turns to Kashina: the fetus is dead, it is necessary to do a fruit-destroying one. Leave her uterus, fool, because the first child does not need to be the last. Irritated Kashina pulls the midwife: Evgenia Efimovna, mind your own business. The offended Mishina departs. Appears anesthesiologist Alexander Anatolyevich Dontsov: well, what do we have here? Kashin: supravaginal amputation, due to prolonged anhydrous. Dontsov sighs: it means that her fate is to be childless. Kashina: I would like children, I would not give birth at home.

In the corridor, intern Pavel Samoryadov fills in the case history of a newly admitted patient. Misha is standing nearby, she grumbles: why immediately shred the table and the uterus? Previously, a dead fetus was pulled out through a certain place, and the uterus was left in place. Bakhmetyeva comes up, says hello, looks into the medical history, is horrified and runs to the operating room. Mishina: what was that now? Paul: I don't understand.

Kashina lifts the scalpel over the patient's abdomen. Bakhmetyeva bursts into the operating room, she throws the surgical instruments prepared for the operation onto the floor. Kashina is indignant: why are outsiders in the operating block? Call security! Bakhmetyeva introduces herself, says that from today she is the head of the observation department. Then she commands: the patient to the delivery room, quickly!

Mishina helps Bakhmetyeva remove the dead fetus. Pavel faints during this procedure. Dontsov brings the intern to his senses and puts him out into the corridor.

After a successful operation, Bakhmetyeva tells Pavel to leave his sensitivity for dates in the operating room - this is an unaffordable luxury. Bakhmetyeva is called by the head physician. When she leaves, Pavel asks Dontsov: who was right - Bakhmetyev or Kashin? He says: Kashina did what she was supposed to, but Bakhmetyeva swung at more. So you are for Bakhmeteva? No, I'm for mine. Kashina and I gave birth to half a division of children together, and I never liked doctors with God's syndrome.

Kashina reprimands the head physician of the clinic, Oleg Evgenievich Samoryadov (Pasha's father): well, you gave me a present for my anniversary. Couldn't you have at least warned me ahead of time? Samoryadov: Bakhmetyeva acted boldly and professionally, and she kept the uterus, which you wanted to cut into pieces, so as not to risk it. Yeah, and now the temperature will rise, and the uterus will still have to be removed, but only a septic one. You're screwing up! Go to work and don't disturb her. I will follow.

Bakhmetyeva enters the office. Kashina, pursing her lips, is removed. Samoryadov congratulates the new head of the observatory on her military entry into office. Just keep in mind for the future: such decisions are made by the council. Bakhmetiev: which still needs to be collected, and the risk of infectious complications increases. Samoryadov: I have no doubt that you are a good doctor, but what kind of head you will be is still unknown. You need to be able to build relationships with subordinates.

After the round, Bakhmetyev scolds Pavel. Why did you blurt out the patient about placental abruption? If the next time something seems to you, be patient until the corridor, take pity on the patient. Have you read her medical history? She had eight miscarriages! She has never made it past 30 weeks. Then Bakhmetyeva switches to Sechenov: I asked you to do an ultrasound, where is it? Sechenov is silent. Bakhmeteva leaves. Pavel: Does she even know how to talk normally? Sechenov: I'm worried about something else. I brought her cards half an hour before the round. How did she manage to study everything about 12 patients? I feel, Pasha, our free life is over. Kashina will be remembered later as a good king.

IVF specialist Ruslan Bazanov enters the clinic building. Head nurse Dina Rafailovna shares with him the latest gossip about the new head of the observation. Having learned her last name, Bazanov drops a cup of coffee from his hands.

A patient comes to see Bazanov, who has been trying to get pregnant for 15 years. She underwent IVF 25 times, but to no avail. Bazanov assures that there are still chances of success. He sees no reason to refuse a woman who so wants to become a mother.

At lunchtime, Bakhmetyeva is relaxing on a bench in the clinic's yard. A Hare Krishna approaches her: why didn't you save my child? Because you marinated your wife at home for two days. The Krishnaite is crying: do you also think that only obscurantists give birth at home? But after all, you can’t tear the child from the mother when he was born, the umbilical cord must not be cut, and the placenta must be buried. We wanted children so much. My wife couldn't get pregnant for two years. Then we went to India, and a miracle happened. Why didn't you save the child?

Neonatologist Andrei Lazarev enters the yard. He turns to the Hare Krishna: what is your name? Andrew. Listen, namesake, is your beloved woman still alive? Yes. This is the main thing. She can still give birth - also not bad. Let's go to her now, you will say that you love her. Lazarev leads the Krishnaite away.

Bakhmetyeva sees Bazanov getting out of the car that has driven up to the clinic. She recognizes her classmate, sneaks up behind him, closes her eyes with her hands: Ruslanchik-Bazanchik, a sunny boy. Bakhmetiev! Natalya hangs on Ruslan's neck. He says you haven't changed at all. And you grew up and became even more beautiful, aren't you ashamed? Bakhmetyeva asks: where is the buffet? I haven't seen food in days. Bazanov: buffet is not food. And you are still the same snob. A long-legged brown-haired woman in a medical gown comes out of the clinic building, greets Bazanov, and passes by. Bakhmetyeva: Is that sister Nicole Kidman? Bazanov: he is lying that he is the head of the laboratory. This is Olga Olshanskaya, a great clever girl. In love? But not in me. Bazanchik, well, can there really be someone who is not in love with you? You seem to be hungry, let's go eat.

Lazarev comes to the laboratory and asks Olshanskaya to do one analysis. Olshanskaya asks Lazarev about Bakhmeteva. He says that he saw her briefly, but already on the first occasion it is clear that she is a maximalist, it is difficult with such people. Olshanskaya: see you on Friday? Lazarev: I have children on Friday. On Saturday? Olshanskaya: I don't know. I have a sports club, a massage, then a meeting with a childhood friend. If, of course, you squeeze in... Lazarev kisses Olshanskaya: I'm compact.

In the dining room, Bazanov and Bakhmetyeva ask each other what has happened in the seven years they have not seen each other. Bakhmetyeva answers questions about her personal life and reasons for leaving Moscow evasively. Her phone rings. There was an accident, eight cars. A pregnant woman is among the victims.

At the emergency department, Pavel and Sechenov are waiting for the arrival of a patient injured in an accident. Suitable couple. A pregnant woman says that her five-year-old daughter kicked her in the stomach last night: it hurts very badly. Sechenov instructs Pavel to do an ultrasound. Kashina, walking towards him, says that Pavel should start the inspection, she will come later.

A patient is brought in after an accident, she is 40 weeks pregnant, has a hip injury and is bleeding. Kashina believes that the placenta has exfoliated. Bakhmetyeva gives her an order: take her to the operating unit, first a caesarean section, then a hip, call a traumatologist. Pavel approaches Kashina: what to do with the woman whom her daughter kicked in the stomach? Oh, I totally forgot. What is an ultrasound? I did, nothing is visible, but it seems that something is wrong. She complains of pain. Bakhmetyeva decides to deal with the patient. On examination, the woman grimaces in sharp pain. Is that a caesarean scar? Yes. Were there other surgeries? Myoma was cut out.

Bakhmetyeva and Pavel drive the patient to the operating room. Near it is another gurney with a woman after the accident. Bakhmetyeva asks Kashina: why haven't they started yet? All the anesthesiologists are in surgery now, in an accident. Mishina: will be in 20 minutes, if they don't lie. Bakhmetyeva: we urgently need an operating room, her condition is critical. Kashina: We can't do two caesareans at the same time, the patient has a lot of blood loss. Bakhmeteva: yours can wait, she has a lot of damage, but the child is out of danger, and here we can lose both.

Bakhmetyeva believes that her patient had a uterine rupture. She performs a C-section on her under local anesthesia. As a result, both the child and the woman in labor remain alive. Mishina is delighted with the actions of Bakhmetyeva. Kashina believes that she was just lucky.

Bazanov helps Bakhmeteva find an apartment in St. Petersburg. On the way to work, Bakhmetyeva asks him about her subordinates: which of them should I be afraid of? You can handle the rest yourself.

The pop diva Meridian (her real name is Marina) is brought to the clinic. At the appointment with Bakhmetyeva, she says that already in the late stages of pregnancy, the fetus was diagnosed with Down syndrome. The husband of the pop diva is an oligarch, he is waiting for a normal heir. Therefore, Marina hid the diagnosis from him. And now she doesn't want the baby to be born alive. Bakhmetyeva says that no doctor would agree to kill a child with a pathology. Marina intends to leave the clinic, but at the door she faints. Bakhmetyeva insists on the hospitalization of a VIP patient who has a fetal presentation.

Bazanov is trying to convince a patient who was undergoing IVF by his colleagues from another clinic to get rid of at least two out of four embryos. Giving birth to a healthy quadruple is very unlikely. The woman straightens up.

A prisoner from a pre-trial detention center is brought to the clinic. A woman (Anastasia) killed her husband - exceeding self-defense, he beat her. She has already started contractions. Despite the protests of Dina Rafailovna, Bakhmetyeva gives the order to register the patient and issue gowns to the guards accompanying her.

At the end of the working day, Samoryadov calls Bakhmetyeva and tells her to inform the management of her decisions in extraordinary situations.

Late in the evening, Meridian begins to bleed vaginally. She is rushed to the operating room.

Bakhmetyeva accepts Bazanov's invitation to dine at a restaurant. He orders champagne, expresses the hope that their relationship will become more than friendly. Bakhmetyeva flirts and laughs off.

Misha sees that Kashina cannot cope with Meridian's bleeding. She calls the head nurse and demands that she call Bakhmetyeva: otherwise we will have two VIP corpses.

Saying goodbye to Bazanov, Bakhmetyeva answers Diana Rafailovna's call and rushes to the clinic. She replaces Kashina and finishes the operation started by that one. The child is born premature. They are engaged in Lazarev. In the morning he tells Meridiana: your child is alive, a boy, genetic analysis has come, your son has Down syndrome. Thanks, I'm aware.

Meridian is visited by her producer Vladik. He says that a child down with a star can be a reason for crazy PR: everyone just swears. Meridiana declares: you would not go to the forest with such PR.

Bakhmetyeva delivers Anastasia. Pavel arrives. Bakhmetyeva smells a strong smell of fumes from the intern. She declares that Pavel has been demoted to the orderlies for three days, and drives him away.

A husband comes to Meridiana. Upon learning that the child was born with an incurable pathology, the oligarch declares: we are breaking up, you will receive everything that is written in the contract. And the child? We have a healthy child in the contract. The oligarch leaves.

Anastasia gives birth to a healthy boy. But prisoners do not have the opportunity to raise their children.

Meridiana decides to abandon her child. She asks Bakhmetyeva and Lazarev to invite a lawyer to her.

Bazanov speaks at a medical conference at the institute where his late father taught. He tells the interns about modern IVF methods. After the lecture, graduate student Inga Elizarova meets him.

Samoryadov tells Bakhmetyeva that usually a lot of things are forgiven to the children of the authorities. But she did the right thing with Pavel: I still hope that a real doctor will come out of him. Therefore, do not forgive him for anything like this in the future.

At night, Meridiana comes to the neonatology department. She cries near the box for premature babies, asks her son for forgiveness.

3 season

0. Trailer

2 minutes

1. Series 1

51 minutes

2. Series 2

49 minutes

3 Series 3

50 minutes

4 Series 4

51 minutes

7 December

5. Series 5

December 14,

6. Series 6

December 21,

7. Series 7

28 December

8. Series 8

December 7,

December 14,

December 21,

December 28

Description

Natalya Bakhmetyeva is a brilliant surgeon who can make difficult choices without hesitation. Her determination, which has always served as a reliable support, leads the heroine to a career dead end: Natalya comes into conflict with the hospital administration, loses her position as a leading doctor and makes a fatal mistake. It's time to look for a safe haven in the circle of close people, but Bakhmetyeva's personal life also requires prompt intervention: the pain from past relationships has not yet subsided, when two new gentlemen appear, ready to fight each other for the right to propose a hand and heart. All her life, Natalya has been saving other people, but now she has to gather her strength and save the most important person: herself. The new season of the main medical series in Russia, famous for its realistic depiction of the work of surgeons and sensual melodrama.

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