Pregnancy care

We will be happy to help you during your pregnancy. In our clinic, pregnancy care ensures constant monitoring of your and your fetus’s health status in accordance with the latest requirements of modern obstetrics. We recommend that you seek qualified advice when you are just planning to become pregnant. We will help you ensure the conception and delivery of a healthy fetus.

If you think you are pregnant, but are not sure, contact the clinic as soon as possible so that we can determine whether the pregnancy has begun and is developing correctly.

During pregnancy, you are provided with special care and attention. Based on your health condition, we will create an individual schedule of health monitoring and examinations for you, and if you have any questions, we are always ready to help you. We have prepared answers to frequently asked questions by pregnant women. If you have any questions about your pregnancy, do not hesitate to call us at 2791312, and we will definitely help you.
For expectant mothers

How many times have you wondered if you were pregnant when your period was late? The signs listed below will help you dispel doubts faster and start preparing for motherhood:
Questionable signs of pregnancy (may be due to many other reasons): increased salivation, nausea, vomiting, altered sensitivity, appetite, taste and smell (odor intolerance), mood swings, drowsiness, increased abdominal circumference, and abdominal lines (line from the navel to the pubic bone) and nipple pigmentation. Approximate signs of pregnancy (more typical of pregnancy): missed periods, enlarged and firm breasts, discharge of colostrum when pressing on the nipples, swollen bluish-colored genitals (labia, vagina), basal temperature higher than 37°C, enlarged and softened uterus, positive pregnancy test. True signs of pregnancy (objectively prove an undoubted pregnancy): fetal movements, palpable fetal parts, audible fetal heartbeat tones, ultrasound detects the fetus.
How fertilization occurs
The journey of the embryo to the uterus1. Implantation (the embryo penetrates the uterine lining)

1. Fallopian tube (the tube connecting the uterus and ovary)Fertilization occurs when a sperm fuses with an egg. During sexual intercourse, when semen is released (ejaculated), about 3–5 ml of sperm enters the posterior vaginal vault. The sperm contains about 350 million spermatozoa, which move up through the cervix towards the fallopian tubes, where they enter after about 1.5 hours. that In the uterus, spermatozoa remain viable and are able to fertilize an egg for another 2–3 days. Most spermatozoa die on the way, about 300–500 spermatozoa reach the ampullary part of the fallopian tube, one of which fertilizes the egg. When the sperm penetrates the egg shell, the nuclei of both cells fuse and, as the cells multiply, a new life begins to develop – the embryo is formed. In about 3-6 days, the embryo reaches the uterine cavity. During this period, the embryo already consists of a whole group of cells, which will later divide into two parts: one of them will form the body of the fetus, the other – the placenta, the organ that nourishes the fetus. Having reached the uterine cavity, the embryo does not have a permanent connection with the mother’s body for another couple of days and only 8-10 days after fertilization does it penetrate the uterine lining. This process is called implantation. Until the embryo has implanted, it is easily damaged, all harmful factors (various medications, alcohol, toxic substances, etc.) are destructive to it. This means that the embryo affected by them dies and is excreted together with the uterine lining during menstruation. Therefore, often a woman never finds out that she was pregnant.
   The unique connection between the fetus and the mother. Placenta.

After implantation, the embryo begins to develop rapidly. For the first three months, it is nourished by the yolk sac, which is completely replaced by the placenta from the 12th week of pregnancy. The placenta is a very important organ that ensures a very close connection between the fetus and the mother. The developed and thickened villi, with which the embryo penetrates the uterine mucosa, later erode the blood vessels in it, and the mother’s blood flows into the intervillous spaces. Although the mother’s blood does not mix directly with the fetal blood, intense metabolic processes take place between them: the mother’s blood brings oxygen and nutrients to the fetal blood and takes and then removes the fetal metabolic products. With the help of the placenta, the fetus breathes, eats and removes harmful metabolic products. The placenta prevents infectious agents from entering the fetal body. The placenta produces various hormones that ensure the development of pregnancy. These include the sex hormones estrogen, progesterone and human chorionic gonadotropin, the presence of which in a woman’s body is used to determine pregnancy by pregnancy tests.
Boy or girl?

Both female and male gametes contain sex-determining chromosomes. All female gametes have the same X sex chromosomes. During fertilization, the sex of the future child is determined by the sperm, since about half of the sperm have the X chromosome, which determines the female sex, and the other half – the Y chromosome, which determines the male sex. When X (chromosomes from the mother) and X (chromosomes from the father), i.e. the same sex chromosomes from both parents, meet, a girl develops, and when X (chromosomes from the mother) and Y (chromosomes from the father), i.e. different sex chromosomes, meet, a boy develops. A man’s sperm contains approximately equal amounts of spermatozoa with X and Y chromosomes, so the probability of birth of both sexes is equal.
How long does pregnancy last?

Pregnancy lasts on average about 40 weeks. A pregnancy that ends before the 22nd week of pregnancy, when the fetus dies, is considered a spontaneous miscarriage. If the fetus is born between the 22nd and 37th week of pregnancy, the newborn is premature, but viable, and therefore can survive under special medical care. A baby born after the 42nd week of pregnancy is considered preterm.
How to accurately calculate the due date?

The due date must be determined by a doctor, taking into account the date of the last menstrual period, the date of conception (if known), the results of the first doctor’s examination, the date of the first fetal movements and the data of the ultrasound examination. Therefore, try to remember or write down the date of the last menstrual period and/or possible conception and contact your doctor as soon as you feel pregnant. Also note when you first feel the fetal movements.

Accurately determining the due date is very important so that the doctor can provide the necessary assistance in time so that the baby is born on time.

The doctor should examine the pregnant woman no later than the 12th week of pregnancy, because during this period it is possible to determine the size of the pregnancy with sufficient accuracy. A premature newborn is not fully mature and ready for life outside the mother’s womb, so it can only survive thanks to special medical efforts. A premature newborn may be more traumatized during childbirth, suffer from nutrient and oxygen starvation due to the aging placenta and sometimes may even die in the womb.

What is the position of the fetus in the uterus?

As labor approaches, the fetus’s torso is usually slightly bent, the head is tucked into the chest, the arms are bent at the elbows and crossed on the chest, and the legs are bent at the hips and knees and pressed against the abdomen. The fetus usually lies along the uterus, sometimes in a transverse or oblique position. If the fetal head is lower, ready to move first through the birth canal, this position is called cephalic presentation. This position occurs in about 96 percent of births. If the breech is lower, this position is called breech presentation, which occurs in 3.5 percent of births. Other fetal positions are rare.
How will you give birth?

During labor, the fetus is pushed out through the natural birth canal. This type of birth is the most natural and is always preferred. Pain during childbirth can be relieved with medication or by performing epidural anesthesia, during which painkillers are injected into the area around the spinal cord. If for various reasons a woman cannot give birth on her own, a Caesarean section is performed. During this, the fetus is extracted through the abdominal wall. Breech presentation is not always completed by a Caesarean section; women often give birth on their own.
Childbirth

2–3 weeks before delivery, the fundus of the uterus descends slightly, it becomes easier for the woman to breathe, and the heart rate improves. This indicates that the fetal head has descended into the pelvis. At this time, the sensitivity of the uterus increases, and preparatory contractions are felt. The uterus contracts even from weak stimuli (physical work, defecation, urination, fetal movements). Sometimes pain is felt in the lower abdomen or groin during uterine contractions. Such preparatory contractions are irregular and weaker and shorter than labor contractions. Before childbirth, due to increased fluid secretion, the woman’s body weight decreases slightly, the temperature drops by 0.3–0.4°C, and fetal movements weaken. During this period, the cervix prepares for childbirth. It shortens, softens, begins to open, and takes a position directed towards the upcoming birth. 2–3 days before childbirth, a mucus plug, which may contain blood, is removed from the cervix.