When should i bath my newborn

Bathing Your Baby - HealthyChildren.org

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By: Dipesh Navsaria, MPH, MSLIS, MD, FAAP

Bathing your baby is an experience many parents treasure. It's a great time to bond, distraction-free, as your tiny new family member enjoys the sensation of warm water on their skin. Yet this common parenting ritual often comes with questions, and sometimes anxiety, about when and how to do it well.

Here are some frequently asked questions from parents about topics related to baby bath timing, frequency, safety, and more.

When should newborns get their first bath?

The timing of your baby's very first bath has changed over the last few years. While most institutions used to bathe babies within an hour or two of birth, many are changing their policies.

The World Health Organization (WHO) recommends delaying baby's first bath until 24 hours after birth—or waiting at least 6 hours if a full day isn't possible for cultural reasons.

Note: Babies of mothers with HIV or the Hepatitis viruses will still be bathed after the initial breastfeed in order to decrease risk to hospital staff and family members.

How often do babies need a bath once they are home?

Newborns don't need a bath every day. They rarely sweat or get dirty enough to need a full bath that often.

Three baths per week during baby's first year may be enough. Bathing more frequently can dry out your baby's skin.

Can my baby have a bath before the umbilical cord falls off?

Only give your newborn sponge baths until the stump of the umbilical cord falls off, which usually happens by about one or two weeks of age. If it remains beyond that time, there may be other issues at play. See the baby's doctor if the cord has not dried up and fallen off by the time the baby is two months old. Learn more here.

How to give a sponge bath

A sponge bath is like a regular bath, except you don't put your baby in the water.

When is my baby ready for a regular bath?

Once the umbilical area is healed, you can try placing your baby directly in the water. His first baths should be as gentle and brief as possible. He may protest a little. (If this happens go back to sponge baths for a week or two, then try the bath again). Babies usually make it clear when they're ready.

Remember…

Knowing the basics can make bathing your infant a breeze. Just make sure your baby stays comfortable and safe during bath time―and don't forget to soak up all the special moments that come with it!

Additional Information:

Infant Water Safety: Protect Your New Baby from Drowning
5 Bathroom Safety Tips for Infants & Young Children
Baby Birthmarks & Rashes

About Dr.

Navsaria:

Dipesh Navsaria, MPH, MSLIS, MD, FAAP is an associate professor of pediatrics at the University of Wisconsin School of Medicine and Public Health and is director of the MD–MPH program there. He has practiced primary care pediatrics in a variety of settings and is the founding medical director of Reach Out and Read Wisconsin. Dr. Navsaria regularly writes op-eds on health-related topics, does radio and television interviews, and frequently speaks locally, regionally and nationally on early brain and child development, early literacy, and advocacy to a broad variety of audiences. Follow him on Twitter @navsaria, Facebook, and visit his website www.navsaria.com.

Last Updated: 3/3/2020

Source: American Academy of Pediatrics (Copyright © 2019)

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Newborn baths: When and how often to bathe a newborn

Your baby's first bath is an exciting – if slightly nerve-wracking– newborn milestone. While not all newborns appreciate a bath, splashing around will most likely eventually become enjoyable for both of you. As babies get older, baths can become a fun and relaxing part of their bedtime routine.

Baby baths are relatively straightforward once you get the hang of them, but there are a few basics to keep in mind for your child's health and safety. That's especially true in the first few weeks after birth, and as your baby transitions to the baby tub and the big tub.

Read on to learn baby bath basics, including how and when to bathe a newborn and older baby.

When can I give my newborn a bath?

Experts now recommend waiting to give your newborn their first bath until 24 hours after birth (or at least 6 hours, if you need to bathe them earlier for cultural reasons). Doing so helps to prevent a drop in your baby's body temperature and blood sugar, avoids drying out their skin, and supports bonding and breastfeeding.

Until your baby's umbilical cord stump falls off, which usually happens within the first three weeks of birth, the American Academy of Pediatrics (AAP) recommends giving your baby sponge baths. That's because keeping the stump clean and dry helps to prevent infection as it heals.

For the same reason, you'll want to skip full-body baths for circumcised newborn boys. If circumcision isn't done immediately after birth, avoid immersion baths for the first two days after the procedure.

You can bathe your baby at any time of the day, depending on what works best for both of you. Some parents make newborn baths part of a stimulating morning routine, while others find it's a calming way to wind down at night before bed.

Try to choose a time when your baby is in a good mood and you're not rushed. Also, avoid giving your baby a bath immediately after a feeding, to give them time to digest.

How to give your newborn a sponge bath

Until your newborn is ready for full-body baths, give them sponge baths:

Fill a basin with warm water, then wrap your baby in a towel and lie them on a comfortable surface. Always keep one hand on your baby and your baby covered with a towel.
Dip a clean washcloth in the water and clean their face, starting at the bridge of the nose and wiping over their eyes. Clean the outer folds of the ear with a corner of the washcloth (avoid cotton swabs).
Use the washcloth to wipe the rest of your baby's body from the neck down, only uncovering the parts of the body you're cleaning. You don't need to use soap – it can be drying for sensitive newborn skin. If you do, use a mild, moisturizing soap made for babies.

For little messes like milk dribbles on your newborn's chin or neck, you can spot-clean with a damp washcloth. Once or twice a day, wipe down your baby's face, neck, and hands, as well as the folds of their skin (thighs, armpits) as needed. And thoroughly clean their genital area with wipes after each diaper change.

Many newborns have scaly, peeling skin on their scalp – a harmless condition known as cradle cap. It won't bother your baby, and it's perfectly fine to leave it alone until it goes away on its own. But if it really bothers you, you can try to remove the scales by washing your baby's hair with baby shampoo and gently passing a soft-bristled brush over your baby's scalp.

How often to bathe a newborn

Give your newborn a bath two or three times a week. Newborns don't sweat like adults or get dirty like toddlers, so frequent baths aren't a necessity. Plus, bathing your baby too often can dry out their delicate skin. Of course, more frequent baths may be in order when your baby starts eating solids and crawling!

Some babies find the warm water very soothing. If this is the case with your little one, let them linger in the tub and make a bath part of your daily routine.

Others cry through the whole bath. If your newborn protests, go back to sponge baths for a week or two and try again later. Otherwise, it's fine to get them in and out quickly. Baths don't need to take a lot of time: A few minutes is long enough to get your baby clean before the water cools down.

How to bathe a newborn

Bathing your newborn in the tub may feel a little scary at first. Handling a wiggling, wet, and soapy little person takes practice and confidence. Here's what to do:

Gather all your bath supplies (including mild soap, a washcloth or two, a cup for rinsing, towel, diaper, and fresh outfit), and lay them out within reaching distance of your bathtub. You may also want to have diaper rash cream and/or baby lotion nearby.
Fill a baby bathtub with about 2 inches of water that feels warm, but not hot, to the inside of your wrist.
Bring your baby to the bath area and undress them completely, then put them in the bath immediately so they don't get cold. Use one hand to support your baby's head and the other hand to guide their feet in first. Pour bath water over your newborn regularly during the bath so they don't get too cold. Keeping a warm, wet washcloth over your newborn's body may help them feel secure.
Always keep one hand on your baby. Never leave your baby alone, not even for a second. If you need to answer the door or get forgotten bathing supplies, wrap your baby in a towel and bring them with you.
Start by washing your baby's eyes using a wet washcloth, moving from the bridge of the nose outward, then wipe down the rest of your baby's face and the outer folds of the ear (don't use cotton swabs).
Wet your baby's head and rub mild baby soap or shampoo into their scalp using your washcloth. Rinse carefully, keeping the water from running into your baby's face and eyes.
Use the washcloth to gently wipe off the rest of your baby's body from the top down, including between their fingers, under their arms, in leg creases, in the diaper area, and between their toes. Use soap sparingly if at all, as it can dry out your baby's skin, and don't rub or tug at skin. (Learn more about caring for your baby's body.)
Rinse your baby thoroughly with cupfuls of water from the tub.
Very carefully lift your baby out of the tub with one hand supporting their neck and head and the other hand supporting their bottom.
Wrap your baby in a towel, being sure to cover their head, and pat them dry. The AAP recommends applying an unscented baby lotion after the bath to help prevent dry skin and eczema. You can also apply diaper rash cream if necessary.
Diaper and dress your baby, and give them a kiss on their sweet little head.

What's the ideal baby bath temperature?

Your baby's bath should feel warm, not hot, to the back of your wrist. Babies like slightly cooler water than adults. If you're using a bath thermometer, aim for around 100 degrees F.

Tips for bathing an older baby

Your baby will be ready to move from a baby tub to a regular bathtub when they're able to sit without support, at around 6 to 8 months old.

Though your older baby is more stable and independent than a newborn, it's still crucial to keep them safe in the tub. Drowning can happen quickly in just an inch or two of water. Always be sure to stay within arm's reach of your baby, and keep bath supplies where you can easily grab them. Never leave your baby unattended for even a moment.

Bathing can get more challenging when you have an older and more active baby. Giving your baby lots of bath toys – such as containers, foam bath letters, and waterproof blocks – can help keep them entertained while you get them clean. If your child enjoys bathing, don't rush it – this will help them to feel more comfortable in the water.

Use soaps and shampoos sparingly, because they can dry out your baby's delicate skin. Avoid bath oils and bubble bath, which can be especially irritating. In baby girls, sitting in soapy water can lead to vulvovaginitis, irritation of the vulva and vagina.

One solution is to let your child play at the beginning of the bath, and wash up with soap and shampoo at the end so they aren't sitting in soapy water for an extended period.

How to keep your baby safe during baths

Two-thirds of all drownings in infants under 1 year old happen in bathtubs. Make sure to supervise your baby closely during baths and any other time they're in or near the water.

Stay within arm's distance of your baby at all times when they're anywhere near water, including the bathtub.
Never leave your baby unsupervised or under the supervision of another child, even for a moment. If you need to leave the bathroom while your child is in the bath, wrap them in a towel and take them with you.
Don't let your phone – or anything else – distract you from watching your baby while they're in the bath.
Don't use an infant bath seat. They can tip over or your baby can slip out, leading to drowning in just a couple of inches of water.
For younger babies, use a baby bathtub that supports your baby and prevents sliding with a sloped, textured surface or a sling. Make sure it meets current safety standards.
Don't put your baby into a tub when the water is still running: The water can quickly get too deep or hot.
Set your water heater to 120 degrees Fahrenheit. A child can get third-degree burns in six seconds at 140 degrees.
For older babies and children who use the regular bathtub, childproof your tub. Line the tub with a rubber mat to make it less slippery, and consider putting a cushioned cover over the spout to protect your child's head from bumps.
Keep electric appliances (like hair dryers and curling irons) and sharp objects (like scissors) far away from the tub.
Teach your older baby or toddler to sit (not stand up) in the tub at all times and to only get out of the bath with your help.
Drain the tub immediately after your child's bath, since standing water is a drowning hazard. You may even want to remove the plug and store it out of your child's reach when the bathtub isn't in use.

Learn more:

How to shower with a baby
Babyproofing every room of your house
The biggest dangers for newborns

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How to bathe a newborn child so as not to harm him

When can a child be bathed after being discharged from the maternity hospital

Vasilisa Avramenko, neonatologist, expert of the Mama TV channel, member of the Union of Professional Motherhood Support, answers the main question of young mothers: “When is it possible to bathe a child after discharge from the maternity hospital?” The expert assures:

“Bathing starts after discharge on the same day or the next. ”

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At the same time, a doctor who monitors newborns draws attention to the need to separate the concepts of "wash" and "bath". You can wash in the maternity hospital immediately from the first day. But with a full-fledged wash in some cases it is worth delaying.

“Sometimes it may be advised to refrain from swimming if you have had a TB shot in your arm (BCG or BCG-M). But here it is worth remembering that while bathing you can not rub the injection site. If water gets into the place of vaccination, then nothing bad will happen. Also, the presence of a non-falling umbilical cord (umbilical cord or bracket) is not a contraindication to bathing, ”explains the neonatologist.

When is it okay to give a newborn a full bath?

Since babies are not usually given a full bath in the maternity hospital, many mothers wonder if bathing a newborn baby from the first days of life is not dangerous. Neonatologist Avramenko is in a hurry to reassure young parents:

“You can bathe completely even from the first day, it’s just that usually the conditions in the maternity hospital don’t allow, it turns out only to wash. Accordingly, immediately after the discharge of the child, you can bathe.

What to bathe a newborn baby in

The doctor warns that it is not safe to bathe a child in a large bathtub, so you should definitely do it in a baby bathtub.

“What kind of baby bath will be - this is already the choice of parents. It may be with a special slide, but as a rule, these are more suitable for slightly older children, and not for newborns. However, this depends on the weight and height of the baby at birth. Trays on a stand can also be used, but this is more for the convenience of parents and especially for mothers who have had a caesarean section. Such a baby bath is adjusted to the height of the parent - this way the back and arms are not overloaded.

What should be the temperature of the water when bathing a baby

Vasilisa Avramenko does not recommend that parents adhere to the old method - the “elbow method” (when the water temperature was assessed using the sensitivity of the skin on the elbow):
“Everyone has a different sensitivity threshold and unaccustomed skin can feel comfortable water for an adult, but for a child it may be too hot or too cold. Therefore, in order to avoid burns or hypothermia, at first it is better to use a special water thermometer. The optimal water temperature for a child is 36.5-37.5 degrees. In fact, this is body temperature - it will be as comfortable as possible.

Many adults, especially first-born parents, find it necessary to boil water to bathe their baby. The neonatologist assures that this is not necessary - ordinary warm tap water will do.

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Do I need to add special baby bath products to the water

How can I wash my baby and avoid an allergic reaction?

Neonatologist Vasilisa Avramenko answers: “A newborn, and indeed children of the first year of life, do not need to be bathed in any special products, herbs (they can cause irritation or allergies), and even more so antiseptics (they can dry the skin). The same applies to special bathing products. The skin is the "protector" of the baby, and what this organ encounters can cause a reaction. The fewer exposures, the easier it is for the skin to adapt to the environment.”

However, the doctor clarifies that if you still wash the child using bathing products, then it is recommended to add them to the water no more than twice a week.

“You can also add bathing oil to the water to soften the water, especially if you know your water is hard,” says Vasilisa Avramenko.

How to bathe a newborn baby correctly

Many young parents are wondering what to wash first - the genitals, arms and legs or wipe all the skin folds first. However, the neonatologist reports that, in general, there is no clear algorithm for what to wash first and last - this is at the discretion of the parents.

But there are different methods of bathing a newborn. For example, the so-called adaptive bathing is in a diaper.

“Sometimes diaper bathing is used, especially when this is the first child for the parents. And also in the case of active children, since bathing in a diaper allows parents to calmly start bathing each part of the body. But this is optional. If adults feel confident, and the baby does not resist and is calm about the procedure, then this method will not be required, ”the specialist assures.

The doctor notes that the usual bathing is used more often with pouring water from a ladle from above, that is, from head to toe, but the order may vary.

How can I clean my baby's skin if necessary? The neonatologist recommends:

“If desired, while bathing, you can use a soft cup or a special mitt, on which to apply a baby bathing agent. Distribute it, and only then apply it to the skin of the child. It is not recommended to do the opposite - pour the bathing agent on the child, and then distribute it over the skin. It’s better to do it on your hand, on a sponge.”

Dr. Avramenko explains that you only need to apply bathing or skin cleansing products to the skin if you are washing the child out of the stool or the skin is really contaminated with something. In other cases, just warm water is enough.

“If you see dryness, redness or a rash after using the product, then it is better to replace it with another one or not use it at all,” the neonatologist warns.

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How often to bathe the baby

While some parents are accustomed to bathing their newborn every day, others think that once a week is enough.

To the question “how often to bathe a baby”, the neonatologist did not give a universal answer for everyone, since it depends on the preferences and cultural characteristics of different countries: “There are no strict recommendations, but it is worth noting that the child must be clean so that his skin could perform all protective functions. There should be no redness or damage to the skin. And this often happens if, for example, the diaper is not changed often enough or the remains of the stool remain on the skin of the child.

It is worth remembering that bathing has another important function.

“In general, bathing helps not only cleanse the skin, but also affects its receptors – it stimulates the neurological development of the child. Therefore, the bathing procedure is good from all sides. Once a day, I would recommend that every child bathe completely - that is, daily, ”- Dr. Avramenko.

Why you shouldn't bathe your baby after feeding

Many parents have heard that you shouldn't bathe your baby after feeding, but don't know why.

The neonatologist mentioned two main versions, one of them: “If we are talking about a child after two weeks of life, the amount of food eaten (milk or formula) increases and when bathing itself, the parents change the position of the child and due to anatomical features, the child may burp . Accordingly, the child will be deprived of the nutrients he needs for growth and development.”

There is also a second version.

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“After a person takes food, there is some redistribution of blood flow - the stomach and intestines begin to be supplied with blood more intensively. When bathing, warm water is used, so blood flow can go to the skin and muscles. As a result, blood distribution may be disturbed up to a violation of pressure (its decrease). But still, this is more applicable to hot procedures, for example, hot baths. And for children of the first year of life, such procedures are not carried out, ”explains the neonatologist.

What to do after bathing

Can I moisturize my skin with baby oil after washing? Dr. Avramenko answers as follows:
“In the first month of a newborn's life, baby oil can only be used to soften water. The oil is not applied directly to the skin, as this can form such conditional films that cover the pores. As a result, there is a violation of skin breathing and heat transfer, respectively, the child may overheat, since his thermoregulation is just being established. Therefore, we do not use oil for the skin.”

Special children's cotton swabs with limiters can also be classified as prohibited substances. The doctor says that they are not suitable for babies:

“Firstly, they can injure, as they are large enough for a newborn. And secondly, it makes no sense to use them, because it is not recommended to touch the nose and ears, since the glands are not yet so active and earwax is not produced much.

In general, after bathing, the neonatologist recommends drying the skin folds, as well as the skin around the umbilical cord, if it has not fallen off (this place should be dry and number, so that there is access to air). After bathing, if necessary, you can use a moisturizer or drying cream under the diaper. And to keep warm, it is necessary to adequately dress the child, sometimes after bathing you can use a cap.

Error 404 | Regional perinatal center

Dear patients!!!

⚡⚡⚡ Closing for planned disinfection of obstetric hospitals of the Regional Perinatal Center is scheduled for the period from 08:00 October 17 to 08:00 November 01, 2022.

During the closing period, the following will be admitted:
- pregnant women and women in labor up to 33 weeks 6 days inclusive,
- gynecological patients for planned surgical interventions.
High-risk pregnant women in terms of 34 weeks or more, as well as gynecological patients for emergency care, during the specified period, are hospitalized in Clinical Hospital No. 9. P.S. In December 2022, there will be no closure for disinfection.

⚡⚡⚡

Taking into account the epidemiological situation, there is currently a restriction on visits to inpatient departments of the Perinatal Center.

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The Department of Health and Pharmacy of the Yaroslavl Region informs that within the framework of the implementation of the standard pilot project "Reproductive Health", approved by the Deputy Prime Minister of the Russian Federation Golikova T.A. dated November 25, 2021 No. 12752p-P12, regular meetings of citizens with experts on problematic issues of reproductive health continue.

Meetings are held every Saturday on the Reproductive Health channel, which is available at the links:

https://rutube.ru/channel/25385590/

https://www.youtube.com/channel/UCpEP5EFRcqul2Ae6Y6RbGuA

https://vk.com/popsovet.

Questions to experts are accepted by e-mail: [email protected].

Schedule of the educational project "Reproductive Health" for August - December 2022

No.	Date	Time	Expert	Subject name
1.	13. 08	10-00	O.M. Drapkina A.B. Hecht	Obesity as an interdisciplinary problem. Prevention and correction of eating disorders. Proper nutrition and psychological aspects of women's health disorders.
2.	20.08	10-00	O.I. Apolichin	Modern possibilities of drug and surgical treatment of disorders of male reproductive health. Assisted reproductive technologies for male infertility.
3.	27.08	10-00	M.F. Ippolitova	Pregnancy, childbirth and abortion in adolescents. Features of preventive examination of minors. Modern methods of contraception for adolescents and youth.
4.	3.09	9-00	L.V. Adamyan	Uterine fibroids: asymptomatic, symptomatic. family forms. Possible options for examination and treatment.
5.	10.09	10-00	A.B. Hecht (R.G. Akzhigitov)	Consequences of past COVID-19in women (postcovid syndrome).
6.	17.09	10-00	A.D. Kaprin	Prostate cancer and stereotypes of male reproductive health. The possibilities of modern medicine and the right attitude to one's health.
7.	24.09	10-00	E.E. Voronin L.Yu. Afonina	HIV, hepatitis and pregnancy. Prevention of HIV and hepatitis among young people.
8.	1.10	10-00	I.V. Soldiers	Benign dysplasia of the mammary glands. Precancerous diseases and risk factors for the development of malignant neoplasms of the breast. What you need to know: simple answers to women's questions.
9.	8.10	10-00	N. V. Mokrysheva	"Letters to my son": what endocrine aspects of reproductive health do we need to tell adolescents
10.	15.10	10-00	A.D. Kaprin M.V. Kiseleva	Reproductive health of cancer patients: opportunities to become parents are real.
11.	10/22	10-00	A.B. Hecht	Prevention of postpartum depression, including during periods of limited social interaction. Postcovid syndrome.
12.	29.10	10-00	N. V. Mokrysheva	Family planning for diabetes and thyroid disease: what to look for.
13.	5.11	10-00	A.A. Steam horse	Oncology and pregnancy: preservation of reproductive function, preparation and management of pregnancy in oncological diseases.
14.	12.11	10-00	A.A. Olina E.V. Uvarova	Teenage pregnancy: abortion cannot be delivered. Where to put a punctuation mark or what to do in a difficult situation?
15.	11/19	10-00	L. V. Adamyan	Modern aesthetic and plastic gynecology. The unity of beauty, sexuality and psychological comfort.
16.	11/26	10-00	O.I. Apolichin	We are what we eat. Nutrition and male fertility. What and how to eat, drink to maintain fertility?
17.	03.12	10-00	N.V. Dolgushin O.I. Apolichin A.A. Olina	Medical genetic counseling for pregnancy planning. Assisted reproductive technologies, family assistance programs. Inefficiency of ART and ways to overcome it.
18.	10.12	10-00	N.G. Mokrysheva	Beyond genes: the role of parents in childhood obesity. The impact of obesity on the somatic, psychological and social well-being of children and adolescents.
19.	17.12	10-00	Final event	New opportunities in medicine and reproduction ( genetics, immunology, cell technology, endocrinology, reproductive surgery, gynecology, urology, oncology ).

⚡⚡⚡ Partner birth has resumed.

GBUZ YAO "Regional Perinatal Center", on the basis of letters from the Head of the Rospotrebnadzor Administration for the Yaroslavl Region dated March 21, 2022 No. 76-00-04 / 41-1099-2022, dated April 20, 2022 No. 76-00-04 / 48-1632 -2022 and No. 76-00-04/41-2515-2022 dated July 1, 2022, informs about the possibility of partner births from March 23, 2022, subject to the following conditions: the partner has a QR code about vaccination, as well as a PCR test, made no later than 48 hours before delivery (!!!express test is not accepted).

Based on clause 811. Decree of the Chief State Sanitary Doctor of the Russian Federation dated January 28, 2021 No. 4 “On approval of sanitary rules and norms SanPiN 3.3686-21 “Sanitary and epidemiological requirements for the prevention of infectious diseases”, a partner present at a partner birth must provide the result of an examination for tuberculosis (fluorography of the chest organs) not older than 1 year.

In addition, the future father needs to have a passport, a change of shoes (clean rubber slippers), a change of clean clothes (t-shirt and pants), a pair of clean handkerchiefs, a pack of wet antibacterial wipes and a small bottle of drinking water.

⚡⚡⚡ Leaflet for citizens on what to do in case of asymptomatic or mild novel coronavirus infection and acute respiratory viral infection (Download full leaflet, download short leaflet)

⚡⚡⚡Information for accompanying persons

with an increased risk of spreading COVID-19, the presence of persons accompanying patients in outpatient departments is not allowed in the building of the Perinatal Center. Entrance to the building of the Perinatal Center is allowed only for accompanying disabled patients and patients with disabilities.

⚡⚡⚡ Information for patients with infertility who need ART

In accordance with the order of the Ministry of Health of the Russian Federation of July 31, 2020 No. 803n "On the procedure for the use of assisted reproductive technologies, contraindications and restrictions to their use", which entered effective 01.01.2021, the presence of indications for ART programs is carried out by the attending physician.