6.2.1. General provisions About the Department:
Department of Family, Motherhood and Child State Ministries social protection The population and labor of the Republic of Mari El (hereinafter referred to as the department) is a structural unit of the Ministry of Social Protection of the Population and Labor of the Republic of Mari El, created for the organization and direct implementation of work on the implementation of public policy in the field of social support for family, motherhood and childhood.
The department is accountable to the First Deputy Minister of Social Protection of the Population and Labor of the Republic of Mari El.
Legal basis for the activities of the Department:
The department in its activities is guided by the Constitution Russian Federation, Constitution of the Republic of Mari El, federal laws and laws of the Republic of Mari El, other regulatory legal acts of the Russian Federation and the Republic of Mari El in the field of state support of family, motherhood and childhood, industry regulatory legal acts, orders and orders of the Minister of Social Protection of the Population and Labor of the Republic of Mary El, hereby.
6.2.2. The main tasks of the department
The main tasks of the department are:
participation in the preparation of proposals for the formation and conduct of state policy in the field of social support of family, motherhood and childhood;
participation in the development of program-targeted measures ensuring the implementation of federal and republican regulatory legal acts on social support family, motherhood and childhood;
development and introduction of new organizational forms and modern technologies for the provision of medical and social, psychological, socio-legal, rehabilitation and other social services for women and children;
implementation of organizational measures to develop a network of social service institutions and children;
the implementation of control (verification) of the activities of state authorities, organizations on issues related to the competence of the department.
6.2.3. Functions department
The department in accordance with the tasks assigned to it performs the main functions:
participates in the preparation of projects and regulatory legal acts in the field of social support for family, motherhood and childhood;
conducts control and maintenance of organizational work on the implementation of decrees, orders of the President of the Republic of Mari El, Decisions of the Government of the Republic of Mari EL on the provision of social guarantees to families with children;
participates in the implementation of social support measures to families with minors in accordance with the Law of the Republic of Mari El dated December 2, 2004 No. 50-3 "On Social Support and Social Services some categories citizens in the Republic of Mari El "and other regulatory acts;
participates in the development and implementation of integrated programs social assistance families with juvenile children;
makes up in the prescribed manner and on established forms statistical reporting;
carries out differentiated accounting of families and children in a difficult life situation with legislatively established right to measures of social support;
works on the prevention of neglect of minors, the protection of their rights;
works on the organization of recreation and recovery of children in a difficult life situation, through the social protection system;
participates in the implementation of state policy in the field of social support for women, comprehensive assistance programs for women;
interacts with state, public, charitable and other organizations whose activities are aimed at supporting families, women and children;
collects and processing information materials that characterize the state and trends in the development of the established field of public administration on social support for family, motherhood and childhood;
participates in the organization of training, retraining and advanced training of specialists in social work, other personnel of employees of social service institutions and children;
prepares certificates and information to higher authorities, the Minister and for consideration by the Board of the Ministry of Social Protection of the Population and Labor;
cooperates with the mass media in order to strengthen and support the family;
conducts explanatory work among the population on issues included in the Department's activities;
considers statements, letters and appeals of citizens, social protection bodies of the population, ministries and departments, as well as enterprises, institutions and organizations, takes the necessary measures.
6.2.4. Rights department
In accordance with the assigned tasks and functions, the department has the right:
to submit to the Government of the Republic of Mari El in the established procedure, draft regulatory legal acts on the issues of social support for family, motherhood and childhood;
request and receive from the officials of the ministry and subordinate institutions the information necessary for the activities of the department;
participate in seminars, meetings and other events held by the Ministry or with the participation of the Ministry, with the consent of the heads of structural units of the Ministry of Specialists to conduct inspections of institutions in connection with the preparation of issues on the ministry's collegium;
submit on behalf of the Ministry of Social Protection of the Population and Labor of the Republic of Mari El Interests within their competence in all state, public and other institutions;
the specialists of the department in order to fulfill the functions assigned to the department within their competence have the right of unhindered access to other executive authorities and local governments of the Republic of Mari El, as well as in institutions, organizations to familiarize themselves with the necessary documents on issues within the competence of the department.
6.2.5. Organization of activities within the department
The department heads the head appointed to the post and dismissed by the Order of the Minister of Social Protection of the Population and Labor of the Republic of Mari El in the prescribed manner.
The head of the department is subject to the First Deputy Minister of Social Protection of the Population and Labor of the Republic of Mari El.
The Head of the Department implements the general management of the department's activities and is responsible for the timely and qualitative implementation of the tasks assigned to the Division.
The order of execution of official duties of the head of the department during its temporary absence is determined by the Order of the Minister of Social Protection of the Population and Labor of the Republic of Mari El.
The specialists of the department are directly subordinated to the head of the department and fulfill their job responsibilities in accordance with their official regulations.
The department's specialists are personally responsible for the implementation of tasks and functions assigned to them.
As part of the execution of state social policy on the protection of the rights and interests of families with children, the Ministry of Social Protection of the Population and Labor of the Republic of Mari El is working aimed at improving the demographic situation, solving problems to improve the situation of children, raising the level preventive work With families to prevent their social disadvantages, improving the efficiency of state support for children in a difficult life situation.
In order to implement the State Family Policy in the Social Protection System of the Republic of the Republic, a certain system of ensuring agreed actions of bodies and institutions of the social protection system of the population has developed. The social services system of the family and children of the Republic includes 27 institutions of social services for family and children.
The Ministry of Social Protection of the Population and Labor of the Republic of Mari El is taken to protect the rights and interests of children, improving the situation of families with children. One of the ways to social support for families and children is the development of republican target programs on childhood issues.
The Ministry of Social Protection of the Population and Labor of the Republic of Mari El is the state customer of the following Republican targeted programs:
Republican target program "Improving the demographic situation in the Republic of Mary EL for 2007-2012", approved by the Law of the Republic of Mari El dated February 28, 2007 No. 5-s. Decree of the Government of the Republic of Mari El dated November 30, 2012 No. 444, a similar program was approved for 2013-2020.
Republican target program "Childhood without violence and cruelty: prevention of family disadvantaged, social orphanhood And the neglect of children "for 2010-2012, approved by the Decree of the Government of the Republic of Mari El dated June 4, 2010 No. 159. The program was co-financed by the Foundation for the Support of Children in a difficult life situation. In accordance with the Supplementary Agreement of August 13, 2012 No. 2 to the Agreement of July 9, 2010 No. 20-RP2-ZDN on the allocation of funds in the form of a grant for the implementation of this program from the Fund for the Support of Children in a difficult life situation received funds grant. In 2012, 1,119,399 thousand rubles were actually spent on the implementation of the program: 740.0 thousand rubles. - funds of the republican budget of the Republic of Mari El; 379,399 thousand rubles. - Funds of the Foundation for the Support of Children in a difficult life situation. Resolution
The Government of the Republic of Mari El number 333 of September 6, 2012 is a similar program approved for 2013-2020.
The Ministry of Social Protection of the Population and Labor of the Republic of Mari El developed the departmental target program "Maintenance of families raising children with disabilities" for 2012 - 2014. (Approved by the Order of the Minister of Social Protection of the Population and Labor of the Republic of Mari El dated December 29, 2011 No. 592).
The social service and children institutions have formed a base of statistics on various categories of families with children who have the right to social support measures in accordance with republican legislation.
Registered in integrated social service centers and family centers and children consist of 26,467 families with children in which 40,344 children live. As of January 1, 2013, 4,450 large families live in the republic.
The address social assistance in 2012 received 882 families in the amount of 3,870.067 thousand rubles.
The Ministry of Social Protection of the Population and Labor of the Republic of Mari El is determined by the authorized body of the executive authority of the Republic Mari El to ensure rest and recovery of children in a difficult life situation. In 2012, more than 54 million rubles were allocated for the improvement of children in this category, including: from the federal budget - more than 42 million rubles; from the funds of the republican budget - more than 11 million rubles.
Annually for the improvement of children is used by the base of country health facilities for the social service of year-round operation (rehabilitation center for children and adolescents with disabilities "Zhuravushka", Sanatorium "Cychier", Sanatorium "Clavetra"), in 2012. Data institutions took on vacation and recovery More than 3 thousand children. In addition, 1,550 children who are in a difficult life situation were healing on the basis of other suburban wellness camps republic.
On the basis of 8 institutions of social services and children, recreation camps with daily stay for 450 children were organized.
In 2012, 5,173 children were joined in the social protection of the population. All children who are registered in social service institutions and needing rehabilitation have been covered by various forms of rest and recovery.
The average cost of a ticket in country camps was 11,795 rubles. (In 2011, 10 950 rubles.).
Financing events in holiday camps with day stay was carried out in terms of food costs of children in the amount of 82 rubles. For 1 child per day - with a two-time diet (2011, 77 rubles).
Prevention of family disadvantaged, protection of the rights and legitimate interests of juvenile minors in social hazardous position, are among the most important areas of the activities of social protection institutions.
As of January 1, 2013, the Bank of Data consists of 1,047 families in which 2,019 minors live (on January 1, 2012 - 1,063 families (2,023 children).
Among families who are registered with the public service institutions, the most numerous category are incomplete families - 38% (394 families), families in which parents do not fulfill their duties - 22% (232 families), large families - 21% (222 Families), families who have children who are in a socially dangerous position - 17% (183 families), are brutally treated with children - 2% (16 families). In total, in 2012, a post of accounting of 320 families raising 560 children. Incidentally, categories: incomplete families - 37% (117 families), in which parents do not fulfill their duties - 27.1% (88 families), families who have children in a socially dangerous position - 24.3% (78 families ), Large families - 10% (32 families), families in which they are brutally treated with children - 1.6% (5 families).
The head of the department is the abbot of the church of the Nativity of the Blessed Virgin, with. Buldyr Chistopolsky district, Archpriest Andrei Rybchkin.
Tel: 89053765098 (Svetlana Gennadyevna Ryabova - Department-coordinator)
The following tasks are delivered to the department:
1) Support and protection, including the improvement of the position of low-income, large, incomplete families, children with disabilities and the remaining parents. Social and psychological rehabilitation;
2) promoting the strengthening of the prestige of the status and role of the family in society. Faith in the family and its roots;
3) Promoting motherhood protection, childhood, paternity. Protection of rights and interests;
4) Help with incomplete and young families. Preparation of young people to create a strong religious family, education of spiritual and moral values \u200b\u200bin them;
5) assistance to women who are in the crisis situation;
(Predated consultation and proper decision in unplanned pregnancy)
6) the revival of historical values, love for the country and the native land;
7) Improvement of the nation's sobriety.
The department helps people free. At all times, the highest civil virtue was considered mercy. About the health of society can only be said when it turns out to face the need for help. For the smallest grains, human kindness is going, the faith is multiplied, in the fact that we can overcome any misfortune, any misfortune. People put in trouble do not know where to look for support, and those who want to help do not always know who and how to do it. In such situations, the department comes to the rescue.
The department shakes multi-fashioned and unfavorable families, orphans and disabled people. They find out their difficulties and as much as they have assisted them. In need, it turns out to be material, moral, and psychological assistance. Many single mothers are over the patronage of the department, monthly coordinators visit them, constantly interested in health and the state of residence.
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Many families who are in a severe life situation receive employment assistance. Incomplete and large families, mothers - receive spiritual help and support in conversations with me, preparations for the sacraments of the Church are being prepared. The literature is given as a gift that helps them learn and learn the necessary and necessary about Orthodoxy. Our task is to try to save the maximum, help and save families.
Modern familyHow never today needs protection and help. The question of creating conditions for the growth of fertility, the protection of motherhood and childhood, strengthening the institution of the family is priority social tasks In Russia and Tatarstan. Thousands of children become orphans with living parents, but still the main task is to leave the child in native family. Education of children is extremely difficult and responsible.
Our main task is to maintain the life of not born children, a decrease in the number of refusal babies, social adaptation of families. Spectrum of issues that exciting pregnant women and young mothers who fell into difficult life situation, very extensive. Signature fees and all possible shares "For the ban of abortions" are held. Often, the facilities of women leads the problem of choice: whether to make an abortion, or cope with the situation in other things. Meetings are held with priests, in which spiritual conversations about the family, marriage, about post, preparation for the sacraments of the Church are held.
Propaganda is underway healthy image Life, among teenagers. All sorts of conversations about the dangers of smoking and drug addiction and their consequences. Teenagers are offered sports games, competitions, vacation in nature in summer and in winter time. As a rule, such events are supported by children, diplomas and gifts give in the end to all participants, not highlighting the winners.
"The right loves goodbye"
Association in defense of the family, parents and children leads
public project "Russia. Semia.Desti"-Horn lines in defense of family, parents and children"
In a blog
all information about families will be published. In need of protection from the arbitrariness of officials (local administrations, guardianship and guardianship bodies, social protection bodies, IDD, KDN, Basmanny justice, etc.). The list will be updated as problems or income problems with new families.
Hotline phones(in Russia) :
8-915-009-17-13
Address for correspondence and appeals
aRSD1 @ Yandex.ru.
"Hot line" really need to be parents who can not get necessary assistance In official government agencies or not able to independently understand legal intricacies and solve their problems. A number of situations will require an individual approach.
On the most acute appeals, we will respond quickly and, if possible, seek help in the authorities, to consultant experts, to provide advice and conclusions, send their representatives to the place of events to help help parents.
Once a month, the "hotline" organizers plan to sum up the interim total and publish information on appeals statistics.
The "hotline" is also intended to monitor the observance of the rights of families, parents and children in accordance with the legislation of the Russian Federation. The most important function of the "hotline" is public control. The results of her work can be an indicator of how effectively the decisions of the President of the Russian Federation and the government's order for the protection of motherhood and childhood are fulfilled.
Parents, families and children can seek help if anyone violates their rights:
. Trying to remove children from the family,
. Restores children counter family values,
. collects confidential information about your family life ..
. Your family is poor, but to apply for help scary
. You are alone and council to ask not
. Neighbors teat large seven Or a disabled child?
. Take care of you
. You learned about the fact of the mailing of children or about the facts of deprivation or restriction of parental rights, the violation of the rights of family, parents and children
Call without a delay, achieve a positive result for the family easier at the initial stage.
Parents, families and children who collided with the situation of arbitrariness from officials from guardianship bodies, social protection, health and education systems will receive qualified advice and support.
call and contact, these families will definitely try to assist consultants and lawyers of a hotline help to parents, families and children. "
By calling us, you can be sure that here the question of the mapping of children will never rise, we will look together, and we will try to refer to the law.
The application must be supported by the evidence of the truthfulness of your words. Start writing briefly, clearly and clearly, avoiding emotional revolutions.
Wrought families can help:
1) spreading information on the activities of the organization - the Association "in defense of families, parents and children", which keeps a public project
Hotline (installing banner with information on the activities of organizations).
2) providing special assistance to families: products, things, objects of life.
3) We will be grateful and for the possibility of organizing addressive assistance For families
We also need representatives in other cities of the country.
We will not just look for cases of violation of the rights of parents, families and children, but also to work on them and betray publicity cases of violations of government support rights, ignoring the priority of the education of children in their native family, violations of the principle of maternity and childhood protection.
It is necessary to travel to families, learn their position, try to conduct legal protection, to collect and organize assistance in place. If there are those who want to hold such a line of protection of families, then write to us, you may have our own suggestions, we will be happy to discuss them and implement together with you within current legislation RF.
Remember that even a small help in distributing information is able to positively solve the fate of someone's family. Do not stay indifferent!
Currently, the list of families in need of help is constantly replenished.
In order to social protection and support for large families and poor families, assistance to families that have fallen into difficult life circumstances, and children with disabilities and orphans, our organizations collect assistance to such families. On the this time A number of similar families also appealed and new. These are families in need of protection and help. But, unfortunately, resources organizations are insufficient.
We appeal to you for support in assistance assistance. You can find information about the activities of our organizations here.
Dear women - future mothers!
For a young mother, pregnancy and first child is a whole unknown world. At this time in the body future mom There is a unique process - the formation and development of a new life.
Ahead of you awaits exciting time! Materials presented in this edition will help answer many new questions that nine months of pregnancy and the first year of child's life will be put in front of you.
The trend of recent years is such that more and more women during pregnancy continue to work until the moment of birth. However, you need to remember that no one except you will take care of the health of your future baby! In particular, starting with early deadlines Pregnancy should change the way of life of a woman, since it is during this period that the bookmark and the formation of all organs and systems of your child occurs! In addition to the lifestyle, the working conditions of the pregnant woman according to Sanpin 2.2.2 / 2.4.1340-03 should change.
Each woman in addition to medical aspects of pregnancy, should know the legal aspects regarding any pregnant woman.
In accordance with the order of the Ministry of Health and social Development Of the Russian Federation (Ministry of Health and Social Development of Russia) of 01.02.2011 N 72N "On the procedure for spending funds listed by medical organizations to pay for services for medical assistance provided to women during pregnancy, and medical care provided to women and newborns during the birth and postpartum period, as well as dispensary (preventive) observation of the child during first year of life " pregnant women After receiving a generic certificate on the hands of a generic certificate, the total cost of which does not exceed 20-33% of the amount of the funds listed for the medical organization provided medical care Women during pregnancy.
According to the Federal Law of July 17, 1999. №178-FZ "On State Social Assistance" (as amended by federal laws of 22.08.2004. No. 122-FZ, of October 18, 2007 No. 230-FZ), order of the Department of Health of the city of Moscow and the Department of Information Technologies of the city of Moscow of 10/22/2014 № 914 / 64-16-421 / 14 "On the procedure for maintaining a unified city register of citizens, eligible for drugs and medical products released by the recipes of doctors for free or with a 50 percent discount in Moscow" residents of the city of Moscow have the right social Supports in the form of ensuring during pregnancy medicines and medical products for free or with a 50% discount on the doctor's prescription.
A sheet of disability on pregnancy and childbirth is issued in 30 weeks of pregnancy with unionless pregnancy and at 28 weeks with multiple pregnancy according to the order of the Ministry of Health of Russia dated June 29, 2011 N 624N (ed. From 07/02/2014) "On approval of the procedure for issuing disability leaves."
Appointment, calculation and payment of temporary disability benefits, pregnancy and childbirth, monthly benefit The child care is carried out in accordance with the Federal Law of the Russian Federation of December 29, 2006 No. 235-FZ "On the provision of temporary disability benefits, pregnancy and childbirth of citizens subject to compulsory social insurance".
The Department of Health of the city of Moscow will continue to take measures aimed at raising the birth rate, improving mother and child health! Per last years Qualitatively changed the level of medical care provided by mom and baby during childbirth - high-tech equipment, incubators for lying and intensive therapy of infants, single and double chambers make it possible to make birth not only safe, but also comfortable.
Let every day of motherhood be happy!
Calendar of analyzes and examinations during pregnancy
Calendar of analyzes and surveys in physiological pregnancy
| Gestational age | Analyzes | Events (registration, medical examinations, a schedule of visiting doctors) |
| Up to 12 weeks | Early registration in women's consultation Reception of folic acid All I trimester no more than 400 μg / day; Potassium iodide 200-250 μg / day (in the absence of thyroid diseases) | |
| At the first java | An obstecological doctor collects history, conducts a general physical examination of respiratory organs, blood circulation, digestion, urinary system, mammary glands; anthropometry (measurement of growth, body weight, determination of body weight index); measurement of the sizes of the pelvis; Inspection of the cervix in the mirrors; Bimanual vaginal research. | |
| No later than 7-10 days after the initial appeal to women's advice | Inspections and consultations: - therapist; - a dentist doctor; - otolaryngologist; - ophthalmologist; - other specialist doctors - according to indications, taking into account the concomitant pathology | |
| In the first trimester (up to 13 weeks) (and at the first appearance) | 1. Common (clinical) blood test. 2. Biochemical blood test (total protein, urea, creatinine, common bilirubin, direct bilirubin, alanine transaminase (hereinafter - ALT), aspartate transaminase (hereinafter - AST), glucose, general cholesterol. 3 coagulogram - quantity of coagulation , bleeding time, platelet aggregation, activated partial thromboplastinet (hereinafter - ARTV), fibrinogen, the determination of prothrombin (thromboplasty) time. 4. Determination of antibodies of classes M, G (IgM, IgG) to blood rubella virus, definition of antibodies to toxoplasm Blood. 5. Total urine analysis. 6. Determination of the main blood groups (A, B, 0) and RUS accessories. In rhesus-negative women: a) Survey of the child's father for group and resorts. 7. Determination of antibodies to the pale treponema (Treponema Pallidum) in the blood, the definition of antibodies of classes M, G to the human immunodeficiency virus of HIV-1 and HIV-2, the definition of antibodies of classes M, G to the antigen of viral hepatitis B and viral hepatitis C blood. 8. Microscopic study of separated female genital organs on Gonokokk, microscopic examination of the vaginal candidate candidate on mushrooms. | A visit to the obstetrician-gynecologist every 3-4 weeks (with the physiological course of pregnancy). Electrocardiography (hereinair hereinafter - ECG) for the appointment of a doctor-therapist (doctor's cardiologist). Up to 13 weeks of pregnancy adopted folic acid not more than 400 μg / day; Potassium iodide 200-250 μg / day (in the absence of thyroid diseases) |
| 1 time per month (up to 28 weeks) | Blood test on rhesus antibodies (in rhesus-negative women with a replicious affiliation of the father's father) | |
| 11-14 weeks | Biochemical screening of serum markers levels: a pregnancy-related plasma protein A (RARR-A) and free beta-subunit of chorionic gonadotropin (hereinafter - beta-xg) | In the office of prenatal diagnostics Ultrasound examination (hereinafter - ultrasound) organs of a small pelvis. |
| After 14 weeks - single | Sowing a medium portion of urine | To eliminate asymptomatic bacteriuria (the presence of bacteria colonies over 10 5 in 1 ml of the average portion of urine, determined by the culture method without clinical symptoms) to all pregnant women. |
| In the second trimester (14-26 weeks) | General (clinical) blood test and urine. | A visit to the obstetrician-gynecologist every 2-3 weeks (with the physiological course of pregnancy). With each visit to the doctor's female consultation - determination of the circumference of the abdomen, the height of the bottom of the uterus (hereinafter - VMS), the tone of the uterus, the palpation of the fetus, auscultation of the fetus with a stethoscope. Potassium Iodide 200-250 μg / day |
| 1 time per month (up to 28 weeks) | Blood on rhesus antibodies (in rhesus-negative women with a replicious affiliation of the father's father) | |
| 16-18 weeks | Blood test for estriol, alpha fetoprotein, beta-xg | Only at the late appearance, if there was no biochemical screening of serum markers in 11-14 weeks |
| 18-21 weeks | In the office of prenatal diagnosticssecond screening ultrasound of the fetus | |
| In the third trimester (27-40 weeks) | 1. Common (clinical) blood test. 2. Biochemical blood test (total protein, urea, creatinine, common bilirubin, direct bilirubin, alanine transaminase (hereinafter - ALT), aspartate transaminase (hereinafter - AST), glucose, general cholesterol. 3 coagulogram - quantity of coagulation , bleeding time, platelet aggregation, activated partial thromboplastinet (hereinafter - ARTV), fibrinogen, the determination of prothrombin (thromboplasty) time. 4. Determination of antibodies of classes M, G (IgM, IgG) to blood rubella virus, definition of antibodies to toxoplasm Blood 5. General urine analysis. 6. Determination of antibodies to the pale treponema (Treponema Pallidum) in the blood, the definition of the antibodies of classes M, G to the HIV-1 human immunodeficiency virus, the definition of the antibodies of classes M, G to the antigen Viral hepatitis B and virus hepatitis C in the blood. 7.Microscopic study of the separated female genital organs on Gonococcus, microscopic examination of the vaginal separated on mushrooms Candida. | A visit to the obstetrician-gynecologist every 2 weeks, after 36 weeks - weekly (with the physiological course of pregnancy). With each visit to the doctor of women's consultation - determination of the circumference of the abdomen, VMU, the tone of the uterus, the palpation of the fetus, auscultation of the fetus with a stethoscope. Potassium Iodide 200-250 μg / day |
| 24-28 weeks | Oral glucose-tolerant test (PGTT) | |
| 28-30 new | In rhesus-negative women with a reserves-positive blood of the father of the child and the absence of rhesus antibodies in the blood of the mother | Introduction of human immunoglobulin antveusus RHO [D] |
| 30 weeks | Issued a sheet of disability on maternity leave and childbirth | |
| 30-34 weeks | The third screening ultrasound of the fetus with dopplerometry. Inspections and consultations: - therapist; - Doctor dentist. | |
| After 32 weeks | With each visit to a female consultation doctor, in addition to determining the circumference of the abdomen, the height of the bottom of the uterus (hereinafter - VMS), the tone of the uterus, aboutlocate the position of the fetus, the prerequisite partThe doctor conducts an auscultation of the fetus with a stethoscope. | |
| After 33 weeks | Cardiography (hereinafter referred to as KTG) fetus | |
| Through pregnancy | In women's consultations, the schools of pregnant women who visit future mothers along with dads are functioning. In the learning process, familiarization with changes in the body of a woman in physiological pregnancy, acquaintance with the process of childbirth, the right behavior in childbirth, the basis breastfeeding. | |
| Over 37 weeks | Hospitalization with the beginning of the generic activity | |
| 41 weeks | Planned hospitalization for delivery | |
| No later than 72 hours after childbirth | All women with a rhesus-negative group of blood who gave birth to a child with positive rezes-belonging or a child, whose rhesus affiliates cannot be determined possible, regardless of their compatibility on the AV0 system | Re-administration of human immunoglobulin Antiresus RHO [D] |
| Postpartum period | 1. Early applying to the chest 2. Recommendations for breastfeeding. 3. Consultation of specialist doctors on the concomitant extragenital disease (if there is indications). 4. Toilet outdoor genital organs. 5. Dry processing of seams (if available). 6. Removal of external non-disseminating seams (if available) for 5 days. 7. Early extract. | |
| Daily in the postpartum period | 1. Inspection of an obstetrician-gynecologist; 2. Inspection and palpation of the mammary glands. | |
| For 3 days after childbirth | Uzi small pelvis organs | |
| After the delivery through cesarean section | 1. Common blood test, general analysis urine. 2. Blood biochemistry (according to indications). | Uzi small pelvis organs |
List of things needed in maternity hospital for mother and child
General:
Passport (original, copy is welcome)
Exchange card (original)
The policy of compulsory health insurance (original, the copy is welcome)
Certificate (original)
Direction from female consultation (Original, if any)
Insurance certificate of the Pension Fund (a copy is welcome)
Disability sheet (copy, if available)
Contract for childbirth (original, if any)
Results of surveys and analyzes not included in the exchange card (original)
In the prenatal office (separation of pathology of pregnancy):
Slippers are washable
Night shirt / pajamas
Bathrobe (or T-shirt, Shorts / Sports Suit)
H / w Socks (not woolen!)
Telephone charger
Water without gas.
Shampoo
Shower gel
Toothbrush and paste
Favorite book
Player
Disposable shaver
List of things for childbirth (optional):
Water without gas.
Slippers are washable
When child breeds: Slippers are washes for her husband
Anti-varicose stockings / compression
Mobile phone (charged! And / or charging for the phone)
Headphones to the phone and favorite music
Paper soft napkins
Hygienic lipstick
List of things B. postpartum separation
These things need to be collected in the package and reported to her husband / relatives who bring it to you in the hospital in the postpartum separation.
Mesh panties disposable (2-3 pieces per day) or reusable (2 pcs.)
Pasters postpartum (~ 2-3 packs)
Pads for breast
Bustleter for feeding (1-2 pcs.)
Cream from cracks on the nipples (for example, Bepanten, Purelan or others)
Shampoo
Antibacterial soap in soap or liquid
Toothbrush and paste
Comb and hairpins / rim
Nourishing face and hand cream
Dirty
Notepad and handle
Telephone charger
Hygienic lipstick
Bathrobe
Night shirt with clasp / strings Ahead or specials. Futball (2 pcs.)
Bandage postpartum
Milkotesos
Tableware: Plate, Mug, Spoon
Toilet paper
Towel
Camera
Child care book
To kid:
Disposable diapers / "diapers" for newborns (3-5 kg)
Wet napkins odorless
Tarmers paper
Children's cream or powder
Cap (2 pcs.)
Socks (2 pairs)
Spasching / Body / Jumpsuit (2-3 pcs.)
Desert
Scratches
On an extract
Clothes and shoes for the season
Cosmetics if you want to bring marafet
to kid:
The set on an extract (in the finished set, as a rule, includes body, cap, socks and envelopes (easy or warm - Select option for the season).
Car seat
Night shirt, bathrobe, dishes, toilet paper, breasts, can be issued in the maternity hospital
In women's consultations, "motherhood schools" function, which can attend future mothers with dads. In pregnant schools, they introduce changes in the body of a woman in physiological pregnancy, the process of childbirth, teach proper behavior in childbirth, breastfeeding basics. For more information, you need to refer to the doctor Akuster-Gynecologist with which you are watching during pregnancy.
Classes with pregnant women in the "Maternity School"
Lesson 1.
I. Anatomo - physiological changes in the body of the mother during pregnancy
1. Brief information about the structure and functioning of the sexual system.
2. Women and male sex cells.
3. Development of intrauterine fetus.
3.1. Fertilization.
3.2. The first signs of pregnancy.
3.3. The development of the fetus by months of pregnancy, his reaction to external stimuli.
3.4. The role of placenta and amniotic waters in the livelihood of the fetus.
3.5. Physiological changes in the body of a woman, pregnancy periods.
4. Risk factors of pregnancy.
4.1. What is risk factors?
4.2. Influence of parents' health on the health of the future child.
4.3. The role of heredity.
4.4. Alcohol, smoking, reception of narcotic and toxic substances by parents as a harmful risk factor of the pathology of the fetus.
4.5. The influence of other adverse factors on the fruit (production, infectious, medicinal, radiation, etc.).
4.6. Complications of pregnancy.
5. Medical observation.
5.1. The importance of early circulation of pregnant women in women's advice.
5.2. The frequency of visits to the obstetrician - gynecologist, midwife.
5.3. The need to fulfill the mandatory amount of medical examination during pregnancy.
5.4. Acquaintance with modern tools for monitoring the health of mother and fetus.
5.5. Training of pregnant women with some tests to assess the development of pregnancy and the state of the fetus.
Lesson 2.
II. Hygienic rules during pregnancy
1. Changing lifestyle.
1.1. Recommendations for labor regime, incl. homework. Legislative rights of pregnant.
1.2. Daily regime.
1.3. Sex life.
2. Nutrition.
2.1. The concept of calorie food and a balanced diet of food.
2.2. Receiving fluid.
2.3. The role of vitamins and trace elements for mother and fetus health.
2.4. Features of nutrition in pathological conditions (early toxicosis, constipation, hypertension, kidney disease, etc.).
3. Personal hygiene.
3.1. The importance of compliance with the purity of the body (skin care, teeth, dairy glands, genitals, etc.).
3.2. Clothes, shoes, linen.
3.3. The role of breastfeeding up to 6 months of child's life.
3.4. The use of natural factors for hardening and improving the body of a woman.
4. The role of hygienic gymnastics during pregnancy.
4.1. Training in a complex of physical exercises depending on the period of pregnancy.
4.2. Learning the ability to relax ("quick rest").
5. Features of the psycho-emotional state of pregnant.
5.1. Psychological adaptation of a woman to pregnancy.
5.2. The role of a family in the psychological and physical support of a woman during pregnancy, childbirth and after the birth of a child.
Lesson 3.
III. Preparation for "fees without fear"
1. Calendar dates of the occurrence of childbirth.
2. Harppinger of childbirth.
3. Preparation for entering the maternity hospital.
4. periods of childbirth and their duration.
5. Behavior during childbirth.
5.1. The value of the right and calm behavior of a woman in childbirth.
5.2. The role of partnership in childbirth.
5.3. Trust in medical personnel and the need to fulfill all its recommendations.
5.4. Training various ways Breathing for a safe flow of childbirth.
5.5. Using receptions of childbirth.
5.6. Outcasting and spot self-resistant to strengthen psycho-emotional state in childbirth.
6. The first hours after childbirth. Value early applying Child to chest in the maternity hospital.
7. Medical gymnastics in the postpartum period.
8. Contraception after childbirth.
9. Legislative rights of motherhood.
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Dear Parents! Full nutrition of a child is one of the fundamental factors of the child's health.
Federal Law of the Russian Federation of 11/21/2011 No. 323-ФЗ "On the basis of the health of citizens' health in the Russian Federation" (Article 52 "The rights of pregnant women and mothers in the field of health protection") defines the requirements for the constituent entities of the Russian Federation to ensure the full nutritional nutrition of pregnant women, Nursing mothers, as well as children under the age of three.
To bring Moscow law, in line with the requirements of the Federal Law, the Moscow City Duma adopted the law of the city of Moscow, which was amended to the law of Moscow of Moscow dated November 23, 2005 No. 60 "On social support for families with children in Moscow".
Now FREE Food Products at the Milk Distractions receive the following categories of residents of Moscow:
- children of the first three life,
- children under 7 years old from large families,
- children with disabilities under the age of 18,
- children under the age of 15, suffering from chronic diseases (on the list),
- pregnant women,
- nursing mothers.
In order to improve nutrition and achieving its balance, taking into account the rational norms of food consumption, the range of issued foods is expanded, which is necessary to ensure a full-fledged diet.
Department of Health of the city of Moscow, in accordance with the established powers, taking into account methodical recommendations Russian Ministry of Health on the organization of the full nutritional nutrition of children, pregnant women and nursing mothers, have been developed for free holidays for each preferential category.
Children of the first years of life, depending on age, in a set of food, along with adapted milk products, the juices, puree vegetable, fruit puree, meat puree, porridge are additionally provided.
Pregnant and nursing mothers get milk and juices.
This will make the diet of children of the first years of life, pregnant and nursing mothers more complete and balanced.
To create more comfortable conditions Food production increased the duration of the operation of milk-handouts: now they work from 6.30 to 12 hours. The conclusion of a doctor for food for children older than 1 year, nursing mothers and pregnant women can be arranged for a period of 3 to 6 months, depending on the preferential category. It is provided for the issuance of food in the amount of the month norm, which will reduce the costs of parents on transport, queues in the clinic and will eventually release time for the family!
Food products are released on the conclusion of medical professionals of the State Health System of the city of Moscow.
For lists of recipients of free food, you need to issue a written application addressed to the head of the medical organization of the State Health System of the city of Moscow, which includes a dairy-handout.
Documents are attached to the application:
- a photocopy of a document certifying the identity of the legal representative of a child, a pregnant or nursing woman (photocopy of passport);
- photocopy of the child's birth certificate;
- a photocopy of a compulsory medical insurance policy;
- photocopy of the registration certificate at the place of residence in Moscow of the child (form number 8, approved by the Order of the Federal Migration Service of September 11, 2012 No. 288 "On approval of the administrative regulations for the provision of the Federal Migration Service of the State Registration Service for the registration of citizens of the Russian Federation") or an extract from house book.
The procedure for ensuring free food products of pregnant women and children under three years of age, which are residents of the city of Moscow, but attached to provide primary medicine assistance to medical organizations in the Moscow region.
To obtain food products for the conclusions of doctors, pregnant women and children under three years old, which are residents of the city of Moscow, but attached to provide primary health care for medical organizations in the Moscow Region, a written application addressed to the head of the medical organization of the Moscow State Health System of the city of Moscow be filed at the place of registration. When applying, the following documents are provided:
a) for pregnant women - a passport of a citizen of the Russian Federation with a mark on registration in the city of Moscow; Extract from the "Individual Map of Pregnant and Rigor" and a signed direction form (form 057 / U-04) from a medical organization at the place of observation of a pregnant woman.
b) for children under 3 years old - certificate of registration at the place of residence (form 8 of the order of the federal migration service of 11.09.2012 No. 288 "On approval of the administrative regulations for the provision of the Federal Migration Service of the State Service for the registration record of citizens of the Russian Federation at the place of stay and At the place of residence within the Russian Federation "), the child's birth certificate, the policy of compulsory medical insurance of the child, a document certifying the identity of the legal representative of the child, an extract from the" Child Development History "(form No. 112 / y) and signed direction form (Form 057 / U-04) from a medical organization at the place of observation of the child.
Issuing conclusions for free food leave is carried out according to the results of a medical examination of a citizen eligible for free vacation of food and fixed in medical records.
Pregnant women and children up to three years of life who have no registration in the city of Moscow at the place of residence (previously permanent registration) are not entitled to ensure free food.
Information on the procedure for ensuring free food is placed in the medical organizations of the State Health System of Moscow, Milk-Distribution Points.
For all issues of providing free food products, you can contact the administration of territorial children's clinics, as well as to the State State Institution "" on the territory of your stay (contact phones are indicated on information stands Polyclinic and posted on the official website of the Moscow Public Health Department Website in the "" section ).
Neonatal Screening
Immediately after birth, the child may be absent clinical symptoms genetic disease. However, with age, clinical symptoms can increase, lead to a critical situation, severe illness and even death.
For early detection, timely treatment, the prevention of disability and development of severe clinical consequences, as well as a reduction in childhood death from hereditary diseases, neonatal screening is carried out.
Neonatal screening is a mass examination of newborns for hereditary diseases (adrenogeneital syndrome, galactosemia, congenital hypothyroidism, fibrosis, phenylketonuria).
When is the screening of newborns?
Neonatal screening spend on:
- 4th day of life at the docking child;
- 7 day of life in a premature child.
Where do the screensing of newborns?
Blood fence is carried out in the maternity hospital. At the same time, in the discharge, the doctor neonatologist puts the "Neonatal screening taken" mark.
If for any reason the screening was not carried out, then it is carried out in the clinic at the place of residence.
How do newborns screensing?
Blood sample take from the heel of a newborn baby 3 hours after feeding.
Blood sample samples are carried out on special filter paper test blanks from a newborn heel.
Before the blood sample fence, the heel of a newborn baby must be washed, wipe with a sterile napkin, moistened with a 70-degree alcohol, then flashed with a dry sterile napkin. The punch of the newborn baby's heel is carried out by a disposable scarifier, the first drop of blood is removed with a sterile dry tampon.
For accumulation of the second drop of blood, they carry out a soft pressure on the heel of a newborn baby. The test form is applied perpendicularly and is impregnated with blood completely and through the size of the circle specified on the test form. The type of blood stains should be the same on both sides of the test form.
The study of blood samples is carried out in the Genetic Branch (Moscow Center of Neonatal Screening).
Since 2006, in Russia, by order of the Ministry of Health and Social Development of Russia dated March 22, 2006 No. 185 "On a mass examination of newborn children for hereditary diseases", neonatal screening for five hereditary diseases is carried out:
Congenital hypothyroidism.
1. Phenylketonuria.
2. Mukobovysidosis.
3. Galaktozhemia.
4. Andrenogenital syndrome.
5. Congenital hypothyroidism.
Congenital hypothyroidism - the disease at which the failure of the thyroid gland is manifested, so physical and mental condition The child does not develop. Timely hormonal treatment will prevent the disease and will lead to the complete development and restoration of the baby. The dose of hormone is selected individually.
Phenylketonuria - A rare hereditary disease of the group of enzymes, associated with a violation of the metabolism of amino acids, mainly phenylalanine. The disease is associated with serious mental and neurological disorders. If the disease is detected, the doctor prescribes a long diet to restore and normal development of a young organism. Diet is selected individually.
Mukobovysidosis (Other name - cystic fibrosis) is a common genetic disease that is transmitted only by inheritance. Its specific feature is the formation of viscous mucus throughout the body, as a result of which the functioning of organs covered with mucous membrane is violated: the digestive system, lungs and other vital organs. Most often, the disease is manifested in infancy and requires a well-coordinated interaction of families and doctors of specialists in order to ensure the child timely, and therefore effective treatment.
Galaktosemia - The reason that occurs when feeding with milk or dairy products, in the same time internal organs are affected ( nervous system, liver). Observing the directions of the doctor, treatment and the silent diet will help avoid consequences.
Adrenogenital syndrome - increased production of hormones androgen adrenal glands. If not treated, then the children develop a field system rapidly, and the overall growth stops, in the future, man is inflighted. The use of the necessary hormonal drugs restores development and removes signs of the manifestation of the disease.
In 2015, by order of the Department of Health of the city of Moscow from12.03.2015 No. 183 "On improving the activities of medical organizations of the State Health System of the City of Moscow to conduct a mass examination of newborn children on hereditary diseases (neonatal screening)" Created by the medical and genetic department (Moscow Center for Neonatal Screening).
The medical and genetic department (the Moscow Center for Neonatal Screening) is located on the basis of GBUZ Morozovskaya DGKB DZM.
In the department is carried out:
- conducting a study of blood samples;
- re-election of blood for confirming diagnostics;
- hospitalization of newborns with suspicion of adrenogenital syndrome, galactosemia, congenital hypothyroidism, phenylketonuria, fibrosis (before or after receiving screening results) in the profile compartment;
- dynamic (dispensary observation) in outpatient conditions;
- Consultation by medical professionals;
- Extract medicinal preparations and specialized medicinal food products.
How to get to the reception inMedico-genetic department(Moscow Center of Neonatal Screening)?
The center is located on the basis of the GBUZ "Morozovskaya DGKB DZM" at the address: Moscow, ul. Utility d. 24.
Recording recording is carried out by registry:
For registration of the patient's medical card receiving medical care in the outpatient conditions (form 025 / y), the patient must be submitted:
- direction from the medical organization (form 057 / y-04);
- an extract from the medical card of an outpatient, stationary patient (form 027 / y);
- the policy of compulsory health insurance (hereinafter - the Policy of the OMS);
- Certificate of birth or passport of a citizen of the Russian Federation;
- Insurance number of an individual personal account (hereinafter referred to as SNOW).
For patients consisting on dispensary accounting: The direction from the medical organization (form 057 / U-04) and an extract from the medical card of an outpatient, stationary patient (form 027 / y) is provided once a year.
