uh, such a good specialty that treats people. well, what am i here for, well, beauty for uh, i do it for people, but this i think that i am an ordinary woman the most important thing in life, so that this world of health is my children and grandson, this is probably the most important thing, so that there was peace on earth if you want to know a little more about belarus, then the best way to do this is with the help of travel kudrich. this is generally a separate issue nowhere else in the world. you will not find such archaic villages on small islands among the swamps, where almost everything is left, like hundreds of years ago, today the atmosphere in

the museum, the estate is about the same as during the life of the national hero and you get here literally returning to the castles and feeling the spirit of that time is actually easier than it seems. and the entrance was made specially narrow and without railings so that each guest of pysovsky, climbing the stairs, could touch the musical wall, which was located on the left side of the entrance, see the project of the city of belarus and make a trip online. come on a tour, but remember, as in any castle in ghosts live in kosovo only on the belarus 24 tv channel. whoever has belarusian karani of the belarusian land had

quite a lot of such partisan formations and one of their greatest poison is the whole prokansky zone. this is the so-called, polotskolepel partisan zone near this mocin. eh, repulsion. a sculptor and architects are serving me, they could have realized full measures with molded ones, it would be possible to conceive on a pedestrian more the heroism of our procs and what memorials and memorials are immortalized, the upper tier, the most on my flights and medallions in java soldiers. this is the uniform worn at 41 years old. they had saints. immediately we bam and stone replaced simonov and glorified the later mogilev e, theirs is, as it were, not the defense itself. this is the memory of

the defense. this is already a memorialization project , the memory of my land, pack it. we know our memory, we know our history, we will trace our history and the tragic and heroic will still be good, we will be masters on earth, we will not forget ukraine or the people, and look at us on belarus tv channel 20 tires. removed from the city mitusnia and your strength.

skin grog and one not with nature wild watchful yelnya belarus my name is sergey vasiliev, i am the director of the republican scientific and practical center mother and child , ph.d. oh hello,

you are watching the program and say, do not be silent 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 studios. uh, you are an obstetrician-gynecologist by profession and, uh, now you are the head of the rspc. mother and child. continue to practice taking birth and operating unconditionally the profession of an obstetrician-gynecologist. it generally implies a surgical specialty. e is associated with surgical interventions, including the rest, therefore, to 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 to perform the main functions of their specialty. there are no former doctors. but you probably counted up to some thousand operations there, and then asked, maybe there is not up to 1,000, maybe

up to 500, but approximately so, because only then they lose all meaning when they have already exceeded several 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 critically i remember all my life. i'm not even alone such an 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, everything is going well, and then once and well, something like this, because there are different ceilings. i, including complex ones, require certain, let's say, moments of surgical technique. eh, skills and knowledge and everything else, the efficiency of making a decision, let's say, therefore , this is definitely here. symbiosis bundled with more than one kind of genera, probably the most an unpredictable process that exists, well, in nature it is provided so, 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. eh, our specialty 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 is probably understandable obstetrician-gynecologist is responsible for life, but for two lives, the life of a mother is the life of a child, therefore, such moments are at stake, therefore endurance is unconditional. yeah fast ta decision making. and, of course, knowledge and skill in surgical technique and everything else. or you can remember your feelings when you first took the new man into your arms, any childbirth, any childbirth, even now we are not started from the student bench. yes, it’s like it’s all right this time, but of course, here it is. and the first childbirth that we saw, let it be often students, when a mother is tired there, once

a child is born here, the first cry, and such tears of joy, and in the delivery room she creates such. well, this is the atmosphere. 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, it's indescribable from such a feeling, that's why this is our profession, probably this positive charge. he, uh, in general, people who came into the profession and endure in it, because our main mission, of course, is to give mom a healthy a child so that everyone is happy and everything is fine. well, the judge of obstetrician-gynecologists of men is not so much. 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 and most in life. yes, when, when something is yours, you understand it right away , this is what happened to me, right? this is the specialty that i like. this is the job that will bring me the satisfaction of everything else. and only 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 same first births that i spoke about, yes, with this atmosphere, probably, of course, there this difficult operation that was ending. 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, face something else you see a person. you understand, this is your person. this is love. it's yours so, probably, my specialty in gynecology happened. well, the fact that you are now going to the operating room with pleasure so far says, 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. get satisfaction with your soul. well, the pleasure of the operation, so this is part

of my profession, when you have a difficult choice, who to save the child or the mother were the same, for sure cases, fortunately, they happen, no matter how rare it is recently, i don’t remember the last year, because our technologies allow us to nurse hmm very premature babies, and associated with some specific, let’s say, developmental problems and everything else, therefore last year, fortunately, such a choice is not worth it, but when i was when i started, i probably worked. yes, the question has always been that a woman has a more severe preeclampsia, for example, yes, uh, the pressure goes off scale and there is a question in life and death mothers and 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 give birth again, this is such a choice. well, as if fortunately, i say, i repeat, that it practically does not happen at the present time. but at a recent meeting, the president criticized the work of the health care system, we remind viewers

of a fragment of this meeting, door steps, roof ceilings and other governors with chairmen of the executive committee to polish everything to perfect condition so that it is as it is presidential hospital, where they were. that's what the treatment of the protocol was like, regulatory or legal, some kind of 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 nonetheless. if now, uh , they come to check on you, you will pass. i hope that yes the question is different, that criticism is always it

perceived. well, from a human point of view, not very good. but i attribute this to the category of, probably, healthy criticism, therefore, of course, the president is right and, as i say, e orders must be executed, they are discussed, therefore, there is no discussion here. uh, medical specialty. i say it implies a certain responsibility, so it is clear that the demand is from us. yes, there are some other moments in agriculture somewhere. if there are roughness. they are in general, let's say. so somehow fixable more or less in terms of health undoubtedly. this life is a health thing. and here is an allegory. there should be no interpretation, therefore criticism is certainly healthy and we will fulfill orders to fulfill passion even better, because the specialty of a doctor is, in general, constant self-improvement. this discipline is iron is observance. again , the same clinical protocols, which, in general, have suffered through life, therefore, of course. yes, more often you hear praise or,

in fact, claims also lack praise, fortunately. well, claims, firstly, all people are different in themselves. secondly, we must understand that people are coming. yes, our center is characterized by the fact that we give birth to patients with some serious problems. yes , including problems and children with developmental disabilities 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 put it this way with people who are already psychologically, in general, tuned in to some moments, so there is certainly even some trifle roughness in our work. mom is perceived by him as universal a disaster, 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 easier to help women cope, and so that the main message of our profession there 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 they don’t give a guarantee in the same way, and when the mother has already given birth, when she is in the roc , there are also no guarantees, maybe. that's how do you think here, can doctors suggest to behave more confidently or not? or everything is right there now, for example. you know there are no guarantees. it's like in a bank, probably more about drumming. 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 professions that, in general, help mamin, therefore, it may be uncertain on the part of the women in labor, but on the part of the doctors, this is a firm belief that everything will end well it sometimes feels like when i

sign some papers that i myself refuse this hospitalization or agree to capitalization, then everything is in my hands. well , as it were, but she is not a doctor, there is no responsibility for fucking, on the contrary, there is more responsibility than, let's say, on the mother herself or on our patient. why because, firstly, and the doctor must intelligibly and distinctly simple to explain in words, possible outcomes are 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 no one for us. conditions the patient says one thing and then the other, so that it is clear and clearly outlined all these moments. we discuss before the start of some action, that is, before childbirth. in general, we warn about some possible moments 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 for some more or less complex actions. we take written consent and this is all discussed before the patient understands that if she enters emergency situation. 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.

it's just space. 16 years ago i was in

the rnc, mother and child, and these, well, are simply incomparable things, of course, how is your life doctors have changed, here 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 sorts of design work, ending 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 translated into simple language, the body, in which all uh is concentrated, the highest that exists, well in the world. e, the concentration of e thoughts of creative technical possibilities and any other diagnostic possibilities, where, of course, everything. all the best advanced in the world has been collected, therefore, of course, these are our results, yes, of the type that, in general, looks at the healthcare system in the healthcare service such concepts as infant mortality ratings in the world according to the dangers of motherhood we always occupy

the leading opposition and i'm not afraid of this word, as for this is the pediatric intensive care unit. we are one of the first in the world. in general, because there is everything that will help the exit of ours. such are the 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 already applies, as it were, to a child and, in general, this is to nurse, although in the history of our center , probably the smallest child is 470. yes, you understand, yes, so, uh, everything is fine with him . he is now about 7 years old, i'm afraid to make a mistake there by age. this means that we even have the so-called tree of life on the ground floor in this building of ours. we were helped a little by stylists in this regard and such a large tree was drawn and how the fruits hanging means photos of our children, for example, there is arina 500 g, the terms are 22-23

weeks there, his age is her age, let's say, 3 years old 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 is a very big incentive. and even more incentive. this is for mothers who come to visit such people somewhere. yes, they walk down the corridor and see these results and this is what inspires their clothes. quite right. and hope for desire for a promise. this doctor here it was shown quite correctly that a breast milk bank appeared, how does it work? yes? this is also know-how in our unit, which means that different babies are born, but umam apriori always has milk, therefore, mom comes to express milk. there is nothing better than natural breast milk,

why because it is provided by nature? in general, the optimal set of proteins, fats, carbohydrates, plus they contain immune components, and everything else is definitely for kids. 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, in brest, she came to make a blank. 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 here is the diet of 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 he needs, how much he needs, for example, to introduce some more proteins by printer. we tried water in order to keep this energy

metabolic protein balance, in general, to observe and certainly. this is one of the happiness of technology that allows you to go out and, in general, recover is on a normal basis and when we have already gained, more or less enough experience, in principle, we are planning for this breast milk bank to become a donor, because there are mothers who, in general, do not mind, but certainly in compliance 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 by the most complicated high-tech operation. you can list. what are a fairly large number of them, starting from eco , which also belongs to high technologies high-tech intervention in e-e obstetrics, gynecology. yes, for example, such problems as and not about the father's tumor centers

of the uterus, which used to be indications for the removal of the organ. we have technologies that allow. in general, all these problems can be coped with and the reproductive organs of life are healthy, and on january 1, mothers, we already opened a 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 doing 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. this is probably a problem, subsequent disability and all other things, please, what kind of operations on the canvases to do, for example, kurdish tnts, there is such a thing as hemolytic disease of the newborn, when antibodies are formed to blood cells in the fetus and certainly begin to suffer tightly, starting with these things as a substitute for a blood transfusion. that is, we we take part of the blood of the fetus and transfuse its erythrocytes, which, well, changes its mission.

in general, 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 shed from one, as a result, one suffers because that he has an excess. uh, let's say the same erythrocytes, the second, on the contrary, suffers from a lack. here it is called the fetal transfusion syndrome and cauterizing, interfering in the early stages. here, by coagulating these vessels , which are, that he is tammy, we thereby , uh, 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. in general, well, our last. uh, intervention is a diaphragmatic hernia, a disease that is deadly to babies. well, in general, we are also starting to do this. back bifida defect. uh, let's just say in the uh spinal department brain, which can also lead to

disability in early interventions. this is a less traumatic procedure, and in general, it allows you to save all the functions of the nerves and everything else. that is, we go, we develop. we are going, so to speak, to the advanced technologies of the world and , of course, this is the future. in order to carry out high-tech operations , high-tech equipment of our own reagents is also required. including the sanctions somehow affected the work of certain significant moments. we are not noticed means, uh, at least in the areas that we work in, in general, the equipment is working and in good order. let's say that the terms of some supplies of e-consumable reagents have increased. but we, in general, have our finger on the pulse. this is an ordinary organization of planning, storage explosion. let's take a moment. let's break reminds. we have telegram channels. say be quiet. subscribe to ask questions. and suggest guests we are in touch. we talk about the most important thing from

the world of science. unfortunately, there is also a sound pollution during renovations. yes, when someone mows the grass, after all, we don’t think about wearing noise-absorbing headphones in order to preserve our hearing, we share interesting facts until the middle of the 19th century , peasants. in russia, they considered him to be the birth of unclean forces and called him nothing more than devil's and apples, very beautiful from such potatoes, chips look like purple unusual puree. i think that not everyone stays to try. but, in principle, this is an ordinary potato. we ask the most exciting questions and look for answers to them. but have you thought about it. what if you speak with a simple language and the wrong side of the headphones is a prototype of headphones, oddly enough, an ordinary pipe is, see the science project nearby on belarus

24 tv channel. oblivion is the very first thing. a step to distort the average belarusian, he will always sort out provocative details and answers to the challenges of the time, now in society there is a very strong demand for justice. no need to make excuses. do you know why? because when a person has learned the four basic rules of management, yes, then in general it does not matter what he manages. he just the head should be on the shoulders, serve in three structures. this is in the army in the church and the whole theater, therefore, and there is the concept of operational artificiality, theatrical art. as you stand not to become an actor in someone else's game , the main thing was not to wait for the command, you should not be afraid to take responsibility. i 'll probably re-emphasize two things that are taken advantage of. i liked them . the decency and the replacement of markov's project. nothing

personal. only the truth, which is always more interesting at home. watch on tv channel belarus 24. on the air again, say the program, do not be silent. 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, when it is understood that there may be some moments of complications, the mother herself she is healthy, but she must give birth in our institution, because assistance in 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. mother and child such should not be some direction of rendering. yes, a small most often it is still evidence, but a small percentage. we are in general. eh, they even did it in their center. you are a family type of an apartment type, where, in general, and a mother can give birth there with her husband, a spouse with her mother, there and uh, family, maybe her visit and everything else. we talked about criticizing the president, and there was mostly sound. what does it consist in, that in the district, for example, it is a long wait, and some kind of 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 examinations is enough to be pregnant uh-huh well decipher probably so that there is a correct understanding if a pregnant woman indeed, there is some kind of problem, yes

, starting with telemedicine consultations, that is, roughly speaking, in any central district hospital. there is a local network of medical consultations, there are many of us, where there is an opportunity to consult with our specialists and not in winter. we have an on-site obstetric resuscitation team that is ready to go anywhere in our country to pick up this patient on the principle of ourselves and bring her either to our center if there are major prevailing obstetric complex problems with others, or she is pregnant, but with some kind of neurological cardiological issues , respectively. in the specialized republican scientific and practical center, therefore, with this, just from the point of view 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 institutions and doctors who observe the patient. yes , they are already predicting where she practically laughs. this becomes clear as time goes by. so to speak. here collecting an anamnesis there. diana is behind

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, probably, there is a therapeutic other profile. well, i was interested to know how you are, that is, how soon from uh, some abandoned farm, a woman in labor. maybe get to you instantly. it is very pleasant to hear from this point of view in obstetrics and gynecology the doors of all medical institutions. family houses are always open for our women. pair. we have recently, with certain indications, again, they can do ivf for free, but in your opinion. this is a demanded procedure, in general, how did this program start to work, whether it showed its effectiveness unconditionally. we have been working with this program for the third year already, when, by decree of the president, it is provided free of charge to a married couple of citizens of the republic of belarus free of charge for attempts at ivf, if there are indications, that is, infertility itself and in the

absence of evidence against. the most important moment means in each region created the commission that determines the person who really needs this kind of assistance comes to this commission receives a referral and he is in principle. maybe choose one of the three state centers, starting from our republican center mother and child, the second city clinical maternity hospital in minsk and in gomel there is also a third center, which means the patient chooses and the help is in demand. why because the main problem is that the procedure is expensive not every, in general, a couple can afford and here the state lends a shoulder to such an opportunity? yes, because sometimes for a woman, after all , the only way left is to make ivf clear that in terms of demographics, 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 , of course, this help is important and necessary, and the second

point, we, in principle, will be around 2,000. here's for last year. we had eco attempt was granted on the basis of our center, for example, the efficiency was 30 about 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 with all three centers practically from the wheel of medicines into products, in principle, everything is enough, a large one, well, 2,000 a year is done. we work from wheels. the queue becomes actually. now he is becoming. well, according to the phases of the cycle, it is clear that there is a small binding there, so from next month. he may actually be inferior in protocols. i counted. that's 700 moms. you made me happy during the year of pregnancy, because there are also outcomes of pregnancy. a certain percentage of loss there is an ectopic miscarriage, fortunately it is

minimal, 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 indicates 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 restrictions, as it were, we also have. hmm, a number of our patients who are there, for example, are 50 years old. even now there are unique cases of 54 years due to various circumstances. so i decided i want to become a mother comes to us at our republican commission he 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, let's say it doesn't work. eh, even with the help of eco e to become a mother, women resort to surrogacy . 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 psychological moment. why because? well, from my point of view, the women who plant. uh, let's say someone else's embryo. she bears it must be morally stable enough. why because it's psychological after all, of course, it's hard. 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. here. there is always such a psychological moment, but again, if

there are people who are ready sometimes, by the way, happens absolutely free of charge, that is, relatives, there is 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 this , everything is legal, a unique way surrogate motherhood, those cases that we have in the republic, it turns out, they certainly depend on real incomes. and everything is clearly spelled out there, that somehow i don’t encounter the problem that you say is very often sung there in western cinema. yes, that the mother does not want to give. now she is with us. and somehow i don’t hear my practice. increasingly

, women become mothers for the first time at the age of 30 plus, so let’s call it, but still. these are the mothers who are considered mature. primiparous. well, fortunately, such a term has already remained in the distant past, like many certain points. well, that means age, if we take earlier, yes, there the 18th century today life expectancy was in order, there 40-50 years, now many e are suitable for that age, therefore, in 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 diseases. the more she will be able to withstand that you yourself remember. yes when, for example, i was not on my own there was 23 years old to lift mountains with age, of course, the reserves of the organization decrease.