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and robing light yakmahalepshu belarusians are so formidable ali them i know the homogeneous earth belarus 20 jonah my name is sergey vasilyev i am the director of the republican scientific and practical center mother and child candidate of medical sciences and today i want to tell you about the work of my center, and the specialty of obstetrics gynecology and about kids, of course. hello , you are watching the program of distortions of the silence studio victoria popova and tatyana shcherbina and our guest today is sergey vasiliev good afternoon. good afternoon. hello sergey alekseevich i am very glad to see you in our studio. you are

an obstetrician-gynecologist by profession and, uh, now you are the head of the rspc. mother and child. continue to practice childbirth, operate , unconditionally, the profession of a gynecologist. it generally implies a surgical specialty associated with surgical interventions, including completely the rest, therefore, remain a profession , you can only actively participate in it, therefore, of course, this part of my life is part of the profession, therefore, i go to the operating room with pleasure, participate in the adoption of the family, that is, continuing. perform the basic functions of your specialty, but you probably counted up to some thousand operations there, and then quit. well, absolutely right. maybe there is not up to 1,000, maybe up to 500, but something like this, because only then they lose all sorts of meaning when they have already exceeded a few thousand. this is no longer fundamental. the one that the operation scrolls. every year there is the most difficult thing in my head. well, of course, all the most, probably, the most difficult most difficult

cases. uh, especially critical. i remember all my life. i have not even had one such operation. and in principle, probably, all of their such are the most difficult operations. they are remembered for a lifetime, you can’t get anywhere. this is unpredictability. yes, that everything is going well, and then once and well, something like this, because there are different gentle ones, including complex ones that require certain ones, as we say so moments of surgical technique. uh, skills and knowledge and everything else, let's say the efficiency of adoption. so decisions, therefore, there is certainly such a symbiosis of the room here absolutely. childbirth is probably the most unpredictable process that exists, but in nature it is provided that way, yes, they most often end well and safely, but any obstetrician-gynecologist cannot say that yes. i am 100% sure that everything will be from start to finish without a hitch without a perky specialty, ours is such a little bit on the verge of extreme. she why because at any moment? everything can

go wrong and will require the doctor to take decisive action. why here, in general, it’s probably understandable that an obstetrician-gynecologist is responsible for life, and for two lives, the life of a mother’s life is a child’s life, so these are the moments at stake, therefore endurance is unconditional. yes quickly, yes make a decision. and, of course, knowledge, skill , surgical technique and everything else. or can you remember your feelings when you took the new man into your arms for the first time , any childbirth, any childbirth, even starting from student bench. yes, it’s like everything was saved up for someone once, but definitely here. and the first childbirth that we saw, let it be very students, when there is a mother, tired once the child is approved, the first cry, and such tears of joy, and in the delivery room to do like this, well, such an atmosphere reigns. you can’t imagine such a thing, well, it’s an inexpressible feeling, so it’s absolutely a miracle of birth. here is such a joy. well, this is

such a feeling that is indescribable, therefore this is our profession, probably this positive charge. he is, in general, people who came into the profession and endure in it, because our main purpose, of course, is to give mom a healthy child, so that everyone is happy and everything is fine. well , there are not so many men among obstetrician-gynecologists. and what influenced your choice. that 's it this specialty, you know many times gave questions. i many times. well, as if trying to give myself an answer, but i, probably, like most people in life. yes, when, when something is yours, you understand it right away, this is what happened to me, right? here is the specialty which i like. this is a job that will bring me the satisfaction of everything else. and then you start, probably, stringing. why did this happen and explain to yourself. yes, probably, maybe the teachers who showed them discovered the essence of this specialty, probably, these are the very first births that i spoke about, yes, with this atmosphere, probably, of course,

there this difficult operation that ended. successfully it was all strung like this one another third, but it was already then it was like love at first sight. yes, when a person falls in love, he cannot explain himself. yes, what did the girl like there, eyes, hair, lips, oval, faces, something else you see a person, and you understand, this is your person. this is love. this is your way, probably, in my specialty, obstetrics and gynecology happened. well, what you are now going with pleasure so far. he says that, of course, that you made the right choice. yes , you are a happy person. absolutely. when i go to the operating room, i always joke, i rest. i rest mentally. soul get satisfaction, well pleasure from operations, so this is part of my profession. when you have a difficult choice of whom to save a child or a mother, there were such cases, fortunately, they happen, no matter how rare these days.

i don’t even remember the last year, because our technologies allow us to nurse very premature babies, and those associated with some certain, let’s say , developmental problems and everything else, so last year, fortunately, there was no such choice, but when i was started to work. yes, the question has always been that a woman has a severe , more complicated preeclampsia, for example, yes, uh, the pressure goes off scale and there is a question in the life and death of a mother and a short-term pregnancy, which, unfortunately, sometimes. well, i had to interrupt in order for my mother to stay alive, because, and she has children, she could still give birth in this choice, well, fortunately, i say, i repeat, that it practically does not happen now. but at a recent meeting, the president criticized the work of the health care system to remind viewers a fragment of this meeting, the door steps, roof ceilings and other governors with chairmen to be polished to an ideal state, so that it would be like this is

a presidential hospital, where were they? that's what it was like, treatment, regulatory protocols or some kind of legal base you have there, everything is in order. it's not a problem. this is not a problem to do in a few one and a half to two months, but that's not the point. start feeling people in every district, see that they prolong their lives. well, sergey alekseevich doesn’t take his eyes off your rpc mother and child anyway, but nevertheless. if you come to you now , you will pass the test. well, i hope that yes the question is different, that criticism is always accepted. well, from a human point of view, not very good. but i consider this to be, probably, healthy criticism, so the president is certainly right and, as i say, e orders. it is necessary to execute them to discuss, therefore, there is no discussion here. uh, medical specialty. i say it

implies a certain responsibility, so it is clear that the demand is gearing up. yes , somewhere else in agriculture moments. if there are roughness. in general, let's say, they were somehow reparable from the point of view of health care, of course. this is life, health, holy things, and they said here, they should not be interpreted, therefore, certainly criticism, healthy and we will follow orders to try to work even better, because the specialty of a doctor is constantly, in general, self-improvement. this discipline is iron is observance. again, the same clinical protocols, which, in general, have suffered through life, therefore, of course. yes, you hear praise more often or actually and the claim is also lacking fortunately praise. well, claims, firstly, all people are different in themselves. secondly, we must understand that people come. yes, our center is characterized by the fact that we give birth to patients

with some serious problems. yes , including the problems of children with developmental disabilities, the prophet of the world of development and certainly. mom is new. because there is a child’s illness, so it’s clear what we did. well, let's say so with people who are already psychologically. in general, configured at some points, therefore, certainly even some trifle roughness of our work. mom is perceived by him as a universal catastrophe, because this concerns her, of course, this is a holy child , therefore, of course, this work with the staff is work with doctors so that they, well, in general, take it more gently, help women cope, that is so that the main message of our profession was that kindness and help, uh, thanks to which, in general, we and the children get better, therefore, well, there is such a moment in our practice. what is the problem that doctors? as you said, childbirth is the most

unpredictable. yes, the situation in a woman’s life and a guarantee do not give in the same way, and when she has already given birth to her mother, when she is in the russian orthodox church , there are also no guarantees, maybe, here's how do you think here, it can be suggested to doctors, but behave more confidently or not? or everything is now no volume. it's like in a bank, probably more probang. we still have people who have a lot of experience. b in general, a certain necessary knowledge, skill and everything else, so they are given confidence in their profession that, in general, help is mm. we will, therefore, perhaps, uncertainly on the part of women in labor, but on the part of doctors, this is a firm belief that everything will end well . sometimes it feels like when i sign some papers that i myself refuse there. is it hospitalization or i agree to hospitalization, then everything is in my hands. well , as it were, but there is no responsibility on the doctors , it’s not exactly necessary to fuck, on the contrary, there is more responsibility than, let’s say, on the very mother or on our patient.

why because, firstly, and the doctor must intelligibly and clearly explain in simple words, perhaps the outcomes of possible moments, but we, of course, live in the age of legal medicine now. not only did he explain, he must , in general, back up with a signature, including the patient's, all his actions, all his moments. why because? well, unfortunately life is nobody and there are such conditions. the patient says one thing then the second, so that it is clear and clearly outlined all these moments. we discuss before the beginning of some action, that is, before childbirth. in general, we warn about some possible moments and discuss with her. now, even in principle, there is such a thing as discussing the tactics of conducting childbirth, how it will be as it will be. if any complications suddenly arise, we will need the intervention of certain ones, if it was before. well, let's put it this way. uh, a few years ago, ten years ago, verbal consent was enough. now the time is changing a little, so even more or less complex

some actions. we take written consent and this is all discussed before the patient understands what if she comes in an emergency. we resolve issues as the events progress. but in principle, if this is a planned surgical intervention, there are some kind of predictable births, but they do not happen quickly, this is all discussed in advance, at least with the patient. let's talk about all kinds of actions in 2021 , a new five-story building was commissioned, where did the department of anesthesiology and

resuscitation move? let's watch the video. ah it's just space. 16 years ago i was in rnkts, mother and child, and these are, well, simply incomparable things, of course, how your life has changed doctors, with the introduction of a new corps in life, of course. this is our pride. why because we have gone to this for a long time and start there from all kinds of design work, finish with grinding all

sorts of small subdivisions of the details of everything else and we got, in principle, what we wanted, this is the most ultra-modern, if we translate the body into simplicity, in which is concentrated all e, the highest that exists, well in the world. uh, focus uh thoughts of creative technical possibilities and any other diagnostic possibilities, where, of course, uh, everything. all the best advanced in the world has been collected, therefore, of course, these are our results , yes, according to which, in general, it looks at the healthcare system in the healthcare service such concepts as infant mortality rating in the world on the dangers of motherhood we are always the leading opposition and i i'm not afraid of this word, as far as this is the pediatric intensive care unit. we are one of the first in the world. in in general, because there is everything that will help to get out of our such children. and from how many months now you can go

classic is considered from 22 weeks, e. weight from 500 g and the field. in general, this applies already, as it were, to a child and, in general, this is to nurse, although in the history of our center, probably the smallest child, 470 g, went out. so, uh, he's fine, and he's about 7 years old now. i'm afraid to make a mistake there by age. so we even here in this building of ours on the first floor have so called the tree of life. the stylists helped us a little. in this regard, such a large tree is not drawn, and how the fruits hanging means photographs of our children, for example, there arina is 500 g, the terms are 22-23 weeks there , his age is her age, say, 3 years 7 years. this is certainly good from a psychological point of view for workers who see the results of their work, because, well, this is hard work, of course, both morally and psychologically and physically. and when they see

e, the results of their labor are unconditional. this very big incentive and even more incentive this is for mothers who come to visit such children. yes, they walk down the corridor and see these results, and this inspires them to wear clothes. quite right. there you can wish for the message here. here it was absolutely correctly shown that a breast milk bank appeared, how does it work? yes? this is also nau- nau-how in our e division, which means that different children are born, well, with milk. umam a priori is always there, that's why mom comes and expresses her milk. there is nothing better than natural breast milk why because there is nature provided? in general, the optimal set of proteins, fats, carbohydrates, plus they contain immune components, and everything else is definitely for children. and, all the more so there, for example, from 500 g - this is probably the best moment, which means that mom comes and expresses she can feed immediately, and

we can pasteurize milk, that is, use it for a longer period of time and finally freeze , because if mom lives somewhere in the region, for example, she came to brest preparation has been made. we expressed this milk and put it in, and in principle, we have been on the job for a whole week. we can feed these babies with breast milk. this milk passes, firstly, let's say, an analysis for all sorts of bacteria, viruses. so we determine, there are proteins, fats, carbohydrates, and for this baby, yes , we calculate mg per kilogram of weight. how much breast milk does he need? how much he needs, for example, to introduce some more proteins through the internal. volevodov in order to have this energy metabolic protein balance, here in generally observe and unconditionally. this is one of the happiness of technology that allows you to go out and, in general, recover, this can be used for another child. in short, we

are still working on an individual basis. and when we have already accumulated, more or less enough experience, in principle, we plan for this breast milk bank to become a donor, because there are mothers who, in general, do not mind, but they certainly comply with all safety rules and all other things. we plan to extrapolate this. in general, since the donor milk bank. this prospecting is carried out the most complex high-tech operation. you can list. there are a fairly large number of them, ranging from eco, which also refers to high-tech interventions in e-e obstetrics, gynecology. yes, for example, such problems as rebellion. about the father - the center of the tumor of the uterus, which used to be indications for the removal of the organ. we have technologies that allow. in general, all of these problems to cope with and save the reproductive organs. mom's health life, 1 january we have already opened the department of fetal surgery. we are already doing operations on the fetus. what

seemed like a few years before. we don't quite say so. uh, we've already come to that and we're basically making a correction, baby. inside, for what, so that they develop. there inside already without these problems. at least the survival rate will be higher. and most importantly. probably this is a problem, subsequent disability and all other things, please, what kind of operations to do? for example, corda tnts, there is such a thing as hemolytic disease is protected, when antibodies are formed to blood cells in the fetus and certainly begin to suffer tightly, starting with such things when a blood transfusion is replaced. that is, we take some of the fetal blood and transfuse its erythrocytes, which are well fulfilled. its mission in general, uh, such operations as, for example, in multiple pregnancies, when there are two pregnancies. uh, in one placenta between them there is a short lateral, that is, one donor, the second recipient, blood is dumped from one into as a result, one suffers because

he has an excess. uh, let's say the same erythrocytes, the second, on the contrary, suffers from a lack. that's called phytofetal transfusion syndrome and cauterization, intervening in the early stages. that's how by ovulating those vessels that are shunts. we thereby, e, contribute to the fact that we prolong these pregnancy periods and, in principle, even to full-term pregnancy. we can bring, that is, the lives of two children were saved, if earlier this problem was already critical. generally. well, our last one. uh, the intervention is a diaphragmatic hernia, and a disease that is deadly to babies. yes, in general, we are also starting to do spinofi. yes defect. um, let's say so in uh. hmm spinal cord. which can also lead to disability in early interventions - this is a less traumatic procedure, and, in general, allows you to save all nervous functions and everything else. that is , we go, we develop. we are going, let's say, in the advanced technologies of the world and certainly this is the future in order to carry out high-tech operations, it is required and

high-tech equipment. actually the reagents. including the sanctions somehow affected the work of certain significant moments. we didn't notice. so, at least in the areas that we work in, in general , the equipment is working and working properly. let's just say that the terms of delivery of some consumable reagents have increased, but we generally keep our finger on the pulse. this is an ordinary organization of bomb protection planning. let's take a moment. let's take a break. we have a telegram channel. tell, do not be silent. subscribe ask questions and suggest guests in touch. and today our guest is the director of the republican scientific and practical center mother and child sergey vasilyev sergey alekseevich and in your center only women with pathologies receive help, in principle, no. we help

women who, for example, are healthy. but there are problems with the babies in utero, some peculiarities or malformations, which then either require or do not require the provision of surgical care. in general, so when it is understood that there may be some moments of complications, the mother herself is healthy, but she must give birth in our institution, because the assistance, children's resuscitation of the pediatric service. it should be generally close to patients. just like that, if you want, i want to give birth in the rspc. such a mother and child should not be some direction of kazan, but a small one , most often it is still evidence, but a small percentage. we are in general. uh, even in their center they made family chambers, like an apartment on this, type, where, in general, a mother can give birth there with her husband, spouse with her mother, there is a family, can visit her and everything else we talked about criticism of the president, and it basically sounded, what is it, that in the area, for example, there is a long wait, but some then the help of the same mri

than in the capital. it seems to me that the most important thing here is how quickly they get to you from the region . mom, if there are such indications, does not happen, as i said in order for a woman to receive it as soon as possible. the entire list of medical care surveys is sufficient to be a pregnant woman uh-huh well, decipher it probably so that there is a correct understanding, if a pregnant woman really has some kind of problem , yes, starting from telemedicine counseling, that is, roughly speaking, in any central district and hospital, there are many local network television consultations, where there is an opportunity to consult in our specialists and not when necessary. we have a visiting obstetrician, rather an animation team that is ready to leave. take this patient to any point in our country according to the principle on yourself and bring her either to your center, if there are the main, prevailing obstetric problems of the totality with others, or she is pregnant , but with some kind of neurological cardiological issues, respectively, to

the profile republican scientific and practical center, therefore, with this , just the same in terms of pregnancy we have built a multi-level. here is a multilevel system. yes, and there everything is absolutely clear first, second third. well, the fourth level is our institution and doctors who observe patients. yes, they predict where to give birth to her practically, it becomes clear as far as. so to speak. here is the collection, there is anamnesis-recovery of the diagnosis and all these other things, so this system is one of the best in the world. it works quite clearly throughout our region , the problem was more concerned. in general, there was probably a different therapeutic profile there, but i was interested to know how you are, that is, how soon a woman in labor can come from some farm, but it’s absolutely very pleasant to get to you instantly from this point of view . in obstetrics gynecology door all medical institutions.

married couples are always open for our women. recently, with certain indications, they again can do ivf for free, but in your opinion, this is a popular procedure, in general, how did this program start working, did it show its effectiveness, which is definitely we have been working with this program for the third year already, when , by decree of the president , a married guy is provided free of charge and citizens of the republic of belarus are free of charge for ivf attempts with e, the presence of indications, that is, infertility itself and in the absence of evidence against, the most important points. this means that a commission has been created in each region, which determines if a person who really needs this kind of assistance comes to this commission and receives a referral, and he, in principle, can choose one of the three state centers, starting from our republican one. the mother and child center, and the second city clinical maternity hospital in minsk and gomel also have a third center, which means that the patient chooses and comes to us for help in demand. why because the main problem is that the procedure is expensive. not every couple, in general

, can afford it, and here the state offers such an opportunity? yes, because sometimes for a woman, after all , the only way left is to make ivf clear that, from the point of view of demography, this is not such a big contribution. yes, but separately for the individual. e family. this is certainly the only way to get this child and make the family happy. therefore , help is certainly important and the second point is needed. we are, in principle, guided about 2.000. here's for last year. we had an attempt at eco on the basis of our center, for example, the efficiency was the third order of 39%. this is good and the result is even according to the general world trends in everything else, so help is needed. she's in demand. uh, i’ll say right away that there are no queues. we work at all three centers almost with a wheel of medicines in the product, in principle, there is enough of everything.

well, 2000. uh, i say, we are working with wheels, queues. no, in general, yes, prices become actual. here he is now becomes. well, according to the phases of the cycle, it is clear that there is a small binding there, therefore from next month. he may actually be inferior in protocols. i counted this 700 pregnancy moms, because there are also pregnancy outcomes. the percentage of loss there is ectopic miscarriages fortunately he heeded, but nonetheless. he is, so we keep statistics. in general, we have a lot of questions because we have. uh, such a standard theme, yes, restrictions are up to 40 years. why because further it becomes practically ineffective or there is such concept of anti-mullerian hormone fertility? yes, below 0.5 this suggests that in a real reserve, that is, the ability of the ovaries to produce an egg and, accordingly , get pregnant, it is low and ineffective, that is, there is less than one percent, therefore, naturally, these

limitations, as it were, also have us hmm a number of patients to ours who are there, for example, 50 years old. even now there is a unique case of 54 years due to different circumstances. i decided i want to become a mother and comes to our republican commission. she has a bouquet the disease begins with arterial hypertension, ending there with certain issues and everything else, so of course here already, of course, well, here is the legislation. and if the board can also refuse reproductive technologies there, in principle, everything is regulated. well, if let's say it doesn't work out, and even with the help of eco, to become a mother, women resort to surrogate motherhood. and what do you think about this way to become parents, well, for certain couples, of course. this is the only way. here already. eh, rests a little more on a psychological moment and why, because, well, from my point of view, women who

give them a lift. uh, let's say someone else's embryo. she bears it must be morally stable enough. why because it's psychological? it's all hard, of course. she bears the whole pregnancy giving birth and suddenly, yes at all. it is these natural instincts that must be taken and given to the biological parents in my understanding. right here. there is always such a psychological moment, but then again, if there are people, who are sometimes ready, by the way, are absolutely free of charge, that is, relatives there are a cousin. there are others out there who want to help. here's a guy, yes, a good couple, everything is there. you know, children are not possible even relatives sometimes from this point of view. yes, everything is clear. this. in general. well, there are people who probably want to earn money, including helping, well , first of all, of course, i still sincerely think to help this married couple, but in addition to everything, to receive some kind of reward, of course. here without it

nowhere legal. all the unique way of surrogate motherhood is those cases that we have in the republic, they certainly consist of notarial income. and everything is clearly spelled out there. somehow i don't get along. the problem that you are talking about is very often sung about in western cinema. yes, that mother does not want to give up her time, but she is with us. somehow i don’t hear cases, more and more often women become mothers for the first time at the age of 30 plus, so let’s call it as before. these mothers are considered age primiparous. well to fortunately, such a term has already remained in the distant past, like many certain points. well, it means age, if we take it earlier. yes, there in the 18th century, the average life expectancy was about forty-fifty years, now many, uh, are suitable for giving birth at that age, therefore, at an age. this is already thank god there is a moment left to go. everything is in the past, but certainly. here,

the component is very simple, the younger the woman, the less she has. well, roughly speaking, the accumulated chronic sores, the more she can withstand, that you yourself remember. yes when, for example, i didn’t have 20-30 years of age, thieves raise with age, of course, the reserves of organisms decrease and everything else is therefore definitely the most optimal from 20 to 30 years. here is the birth age. here we have the same tendency, as in principle , in all european countries and in russia, uh, the average age of the order is slightly more than the first birth of twenty-eight, and the age of repeated births approaches thirty years with us, because every time, uh, getting i heard a question from the experts. oh, if you are planning to give birth, then this one is this they don't exclude anything at all. you can plan there even at the age of 50 absolutely. well, anyone. you see how e in mine will manage

the point of view of understanding. the first question of birth must be decided by the married couple themselves, until they decide for themselves how many children they want there, one or two or three, and until the decision itself takes place. everything else. you can persuade them there to tell the dough, do other things. that's until they themselves decide, nothing will happen, but nonetheless. you said you wouldn't sign. the mission is, well, somehow there is objective data. well, i think that this also needs to be understood, er, material. well, definitely those who suffer with it. yes, that's the first second and fifth tenth, they can stop. there is already a psychological problem. you see, it seems to me that the problem here is complex. well, again, from memory. yes, i probably had such a case, a unique woman from the seventeenth attempt at an ecodile with nadia was 43 there, with a penny, her age is already a little. that's

doing a caesarean section, but she achieved her goal unconditionally. there are certain moments. from one point of view. eco seems to have just taken the egg as well. i took the sperm. fertilized, received an embryo , implanted the uterine cavity, and that's it, unfortunately, there are many components here and that's it. the rest depends on the woman. as far as her body is ready, because most often such chronic sores begin there from certain, let's say. so the profile ending with profiles, when a woman cannot bear the body, for some moments sometimes happens and for some unknown reason she rejects this pregnancy. but you see, the seventeenth attempt. yes, he was fine. it was just necessary to see her, there are already tears. it is not clear something of joy, or already a long way of waiting - this is most likely, but this is a purposeful woman , of course, it’s worth applauding her, it’s clear that a psychologist should work with her and even a psychotherapist, because this all imposes certain imprints, but nonetheless less, probably, the joy of motherhood,

struggling, active things completely. and when there are cases when such difficult births take place, and the child is born, let's say not quite healthy. yes, but how to tell mom from the point of view of a doctor that he is a problem, than to say so as not to injure her once again. mm, you know, over the years, probably, every doctor, in general, accumulates a certain one. eh, experience, let's say, why because women have different historical ones, they need to directly say to others , it is necessary to somehow bring this topic to this topic in a florid way. therefore, doctors already, as a rule , see with whom they work, that is , the psychological nature of the portrait of a woman, therefore, in general, they try to convey it in such a way that so that it would be, and not be so painful, er, truthfully and the third. e moment. e, let's say, the most important one, probably inspired the woman's

hope that everything will be fine. these are the three criteria that make up, probably, the most important thing depends on the experience of absolutely psychology, medicine is nowhere, because each person should have an approach in the mfc mother and child, which provides support to the materials there. we work in the center. there are even three psychologists, a psychotherapist and a psychiatrist. everything that you tell sergey alekseevich speaks about that belarus is simply a wonderful country for mothers, and for future mothers for mothers who are at risk, and for their children, the entire base has also been created, but the birth rate, at the same time, is somehow not growing in our country. what would you say is the main reason. if there was such a simple answer to this question there would be a simple key to solving this problem, unfortunately the problem. it is multifaceted here, as i already started the conversation, yes, both psychologically and some social aspects,

and in terms of health care. so here your piece of input from health care. yes, i am ready to answer that, in principle, everything is done as much as possible, starting from the stage of antenatal consultation, even the slightest , let's say. so the woman has some questions. so i want to get pregnant. she will be examined , prepared for pregnancy, recommendations given and ending with the most important question. she will be sent to a specialized center in time, which will deal with it. if there are problems with the impossibility of pregnancy, and how we have already returned problems, ending the possibility of providing a free ivf attempt, that is, there is the entire spectrum of health care that affects this well, of course, this is, in general , the safety of motherhood, the timeliness of the provision of assistance, skilled childbirth, in principle, uh, we have a 100%

presence in the republic. well childbirth in the presence of medical personnel. there is such a criterion, as it were, that's why even this level of infant mortality, that is , all the components of health care that contribute to demography. i i believe that it is done more than other points. uh, let's say the formation of a woman's need for a child. we are also working in this direction, i want to tell you. here we have a so-called teen-friendly center, and our center supervises. this is the work in our country now, 58 such centers have been created and work is being done in this direction. we continue to advise young people on the safety of sexual behavior and reproductive health, yes. there would be a rejection of all sorts of bad habits and all sorts of other things. this yes, we give them these messages , well, it’s clear that work is underway to ensure that motherhood is - it’s good that a woman is still her main goal, what kind of family is

children, everything else is there, therefore, in this point of view, the direction of work is being carried out, but certainly, again, already with what this psychological decision-making of a married couple began. here it is already a purely ideological component. uh, this should sound like i 'm talking about, from all the dummies, tv screens, family promotion radios. now quite a lot is being done by the state in this in the direction of the priority of family values, and not in the way that these all other percentages of us are here, fortunately casuistically rare, and all these western so-called values ​​in quotation marks. well, it still doesn't resonate with us. in general, i guess i think there, this is the slavic value of the soul and everything else to which these moments are alien, therefore , it is casuistically rare, but again people are all sorts, therefore, of course, this is the promotion of this all here is the main one and we will add here,

preferential lending and large-scale promotion of children. and here we have been struggling with this problem for so many years. here are examples of the post-war years, they lived heavily in poverty, and much worse than we are now, but nevertheless, after the war, the birth rate, it generally rolls over. there are four and five six children in each family. it was the norm. in general, now, for example, in almost every family you go to live, there is work, what to eat is to dress well. yes, transportation is a problem. no. you look in the country, as if all conditions were created, what prevents them from giving birth, in general, yes, in 2018, the ministry of health approved the rules for visiting maternity hospitals. and then there was a lot of enough controversy on this topic to allow relatives. uh, not allowed in the wards. babies, now, 5 years later, what time has shown is definitely a positive experience, firstly, and we are open. why because always closed doors create innuendo and misunderstanding, and

when there is an opportunity to openly communicate with parents, show the child and everything else on, again, there must be appropriate conditions for this and unconditionally. we to to this we go is the creation of separate wards for childbirth, where, in principle, can relatives come? it is clear when let's eat. ah, the chambers. there are institutions where there are two or three women and the presence of other people's relatives will probably not be entirely comfortable, both for them and for those around them, and for the woman herself, therefore, of course. uh, the main direction is the creation of optimal comfortable conditions for the women themselves. well, it’s understandable for their family, the more openness, the more mutual understanding , typical about the same department here children's resuscitation, which we talked about, we have created a percentage opportunity for mothers to visit their children, these little ones, who are there in kvei on apparatus breathing. sometimes we have such a room, even if mom cannot visit there is a room with a large monitor screen, a small

child has a camera pointed at him, the doctor says, you see, reflexes. there are handles , legs, everything else the mother sees, well, the child feels, it seems to me even if the mother has no contraindications. we basically have a certain time allotted, there is free waste, when parents come, they stand talking, they bring some of their things there. there are hats and socks. these here are knitted communicate with children. they feel everything, so of course. it's some kind of nursing. these should be somewhere, so they have no questions left. they see that everything possible is being done impossible for a child in order to save his life and complaints of treatment will be less why? because people see real. what do doctors do further sometimes they work really miracles. let's take a short break now after a short pause and return to this studio again, while subscribe to our telegram channel. that's what it's called. say don't be silent. leave your comments. offer us guests, and

look for all our releases on the youtube channel, belarus is the only one on the air. say again, don't be silent, and our guest is the director of the rpc mother and child, sergey vasiliev, you yourself have four children. this is a parable. well, as a doctor of obstetricians and gynecologists, too, a contribution, of course, to i did my country's demographics in my opinion, and you were a member of the affiliate freaks, every time. yes, the eldest daughter is now 17, and the baby is already five. right. this is such a beautiful, big family. here is the experience, of course, in work, you probably take into account, yes, when the kids appeared, they already talk differently. relate to this process, well, children, all my life i treated you well unconditionally, of course, when your children appear. this is, in general, an outlet that nothing will remain after us. only our children are with them. in general, our continuation and all

the rest, therefore, in my understanding, probably, the more children. the better, the happier, probably, the family. at least from my point of view, partner childbirth, when both imam and mom and dad are gynecologists, doctors or obstetricians, i understand, but when a young man comes right there from the cold to help his wife give birth. that practically makes all the sense to you. well, you know, nevertheless dynamic changes or there 10 years 20 e partner childbirth was a curiosity, but now no one has been looking at it for a long time, firstly, it starts there mass school pre-pregnancy information. on the internet, resources are completely different for the rest, in general, both dad and mom are quite advanced, so they imagine, and where do they go if there is a drop in the wob. yes, there sometimes happened at dawn. these are all the initial events, yes, yes, now people come quite motivated, quite ready for all these things, but also unconditionally. it is understandable that the condition of a woman, which young

healthy has never practically been in the hospital, falls into a completely alien state , let's say. so, uh, this is the moment. this is a hospital. it’s a stranger there, let’s say the ward is absolutely fear, but still, fear, no matter how twisted, it remains in a woman any fear, uh, before childbirth before the outcome before what is happening before the child is definitely there and the support of a loved one, like a mother with partner childbirth, of course, it is needed and even, in principle, let's say so from the point of view of communication and communication with the patient. yes, and sometimes e husband, well, more or less changeable , you unite him. yes, convey information to her over one word you spray. say something necessary. like this, like this, a husband is sometimes there in one phrase, one word, one sentence. in general, he probably correctly conveys the ranking. best of all, he knows his spouse, so the given information is definitely in the plan. here are

the communications. i mean, i think they're bothering you. there are these daddies in the wards, but it turns out that they even help you. well, to be honest, we, in principle, have nothing to be ashamed of, we do not hide anything. in general, we perform, you know, some kind of alarming situation. this one still needs it. e some serious moments then arise. sometimes, of course, there i am and surgery. sometimes you need to give and provide such help, which is really the presence of the pope. yes, with a large number of staff it will simply interfere, so we ask. well, go out and stand there on the sidelines a little bit of a gynecologist. and that is, such a medical family. children will continue or dynasties know absolutely. i influence their choices. why because , after all, each person must decide on the most postile, but the eldest daughter, for example, was surprised by the desire to be. uh, dentist. my first question, of course, is why a dentist is not an obstetric gynecologist,

as it would be at my place of work. in general, he told and showed the kid already showed. yes, prepared for this, well, for some reason , dentistry is closer and therefore i will not even interfere. that's how there are such there is very interesting that you are such an advanced father does not directly affect the choice of children. did you come up with this yourself? no, of course, the experience for here are four children, as they would have already said, yes, and each one has the feeling that he is born with his own character with his behavior and with his general perception in life and the desire for what he wants to live absolutely. it would seem, but everyone should be the same yet. moments absolutely not, you sit different, and roughly speaking, this determination and the desire to be someone else there, they already have the feeling that they have been present since childhood, so why break the grind so that later

there will be dissatisfaction with the search for a profession . this is completely alien to me. i believe that each person, in principle, should choose something to strive for, especially since you told so beautifully how it happened to you. this insight is generally during practice, so it is still unknown what he will choose after he begins to study. your daughter. what a special it is still only her wish. well, i don’t confuse anything in white russia for a long time. yes , we should congratulate you. now this is a party , you probably fit into sports life, if you have time for it, as far as possible, of course, yes, why? because it's, well, an opportunity, probably an implementation. well regarding, of course, the sphere of uh health care. the possibility of realizing the promotion of some of your ideas of certain things, of course, this is as a mechanism and the possibility of further development of health care of some other things, so

here hmm and from health care i defend and i ask you to take into account your will, because in general, health and marriage are the most dear, what does a person have right? the president said it. sorry most. the main value of our country, after all. let's be frank. if we compare with the rest will start fucking, then everything is not very bad. well, i would say that it is very bad. everything is very good in my understanding, of course, but nevertheless you think that it should be completely different. excuse me , there is some kind of stagnation of other things, when a person does not move rapidly, does not develop forward, then no development occurs, therefore, of course, this is new, let's say so. these are the possibilities of organizing the same labor, yes , certain mechanisms are new, let's say, diagnostic clinical protocols are the same the most that should be improved every three years, because the health care

of medicine is such a dynamic, developing industry 2-3 years ago there were only views. so now approaches are changing diametrically, some methods of treatment are becoming obsolete. it's all dynamic. it should be developed by western countries, there is no comparison at all. there's even a lot of money to sign up for the money. eh, as a typical example. there, people tell the same thing to america, how rare specialists are waiting there for half a year of hunting, who you can get an appointment and make an appointment to call a doctor at home, for example, pediatricians. i 'm not talking about my childhood about my own. a priori, the doctor will not go. but this is if they are personal glad that some kind of billionaire, so about the availability of assistance. i don't even need to tell you that in the name of your center there is the word scientific-practical. and you can boast of some scientific developments, in addition to the practical health care of the clinical department, we have a scientific department that goes to six laboratories, uh, two for obstetrics and

gynecology, two for pediatrics, and two for medical genetics. it's in. in general, our three spheres of influence are the main institution of the country's leading institution, for which we are average. for example, in the twenty-second year. we have, uh, 24 worlds, 24 scientific research projects were carried out on topical issues. here are the areas of this activity. and what is good about the republican scientific practical center, we take some acute problem that has not been developed. yes, uh within the world, uh, we develop, we run at its center and only then all this is implemented by practical healthcare in the form of clinical protocols of methodological recommendations of some new methods of treatment. that is, here, uh, such a golden, let's say, fund. the fusion of science and practice, which really leads to the results that we have, unfortunately, we have to say goodbye sergey alekseevich although time is with you. i don't know it flies. how is it that you instantly

trust a doctor who has four happy children somehow, especially you don’t even need extra words, but what we heard. this, of course, inspires a sense of pride in our medicine, in our healthcare system, and we wish you as many happy mothers as possible within the walls of your institution. well, more valuable scientific discoveries of tatiana shcherbina victoria popova say goodbye to you today. goodbye. goodbye. and now sergey vasilyev is speaking about the main motto of our center mother and child. we give life and health to our patients, therefore, on children's day june 1 is children's day. i want to wish your children to be healthy and give birth to children after them.

our future is our happiness. we will tell about everything in order, on the main air we are proud of the past , we put our soul into the present in order to create a bright future and a stable economy - this is confidence in tomorrow. shnem's word, on which both the whole country and, in particular, individual cities, rests on the course towards unity and exemplary integration. we are now together stubbornly, we are moving towards technological independence, the task is to be autonomous. as far as it is possible, in

deliveries or logistics does not break the usual rhythm and everyone who comes to the store enters everything you need, according to the union market, and we are solving issues on the sanctions agenda. and we'll find out when the region of dollars. from the strength of the body, the spirit is strengthened, and our program will strengthen your knowledge about sports at 15:03.040. what sport are we talking about? kirill answer tennis absolutely right speech about tennis, how the abbreviation trp defense is deciphered , program participants will fight in the battle of the mind, that at the awards ceremony they raise the flag in honor of the athlete who won the competition absolutely right this time no

questions for correct answers. they will get points, and for the wrong to lose their sports equipment, the name of which is literally translated from english as a snow board. denis is the first snowboarder of which country canada represents, of course, a very talented hockey player, watch the intellectual sports show heading on belarus 24 tv channel. their way of life cannot be called familiar to most people, i say a super side job, i worked three days at home. all friends are like that, they are all moving. we don't have enough time. well calls. where are you? i'm at home, let's go to the forest. well after how many 10 minutes will i be thinking outside the box allows them

to transform ordinary ordinary things into something beautiful in essence. if the engine of some kind flares up with him. that is, it is for scrap metal, marina is melted down. and i give them a second life tugari, this metal burns is famous for sparks. it is beautiful and i like it. for example, i will do something i bring home a project to break stereotypes. watch on tv channel belarus

24. live you watch the main news at noon with you pavel lazubik. hello to this issue of the military-political situation in the region and the events around us, the meeting