Observational department in the hospital - what is it? Indications for the observatory

When observed in a female consultation for some pregnant women, the doctor reports the need for prenatal care or delivery in the observation. Observational department in the hospital - what is it? This issue worries all women who are shown hospitalization in this department. For some, the word "observational" is associated with some kind of box in which women lie and give birth without a fixed place of residence or who suffer from terrible infections.

Structure of the maternity hospital

Regardless of where the maternity hospital is located, how many women it is designed for, the internal structure of this medical institution is the same. And it does not matter how many pregnant women can be served by the maternity hospital, what its equipment is, whether it is a branch of a clinical hospital, perinatal center or midwife department of the central district hospital, the principles of the structure are observed. Any maternity hospital has in its composition:

• the ward of the maternity home, or the sanitary checkpoint;
• physiological maternity ward;
• Observation, or observational maternity ward,
• postpartum department,
• separation of pregnancy pathology,
• separation of newborns.

Maternity hospital

Observational department in the hospital - what is it? This second obstetrical department, as it is still called, is similar in structure to the hospital. There are: a reception room, a sanitary check-out room, rooms for 1-2 people, a maternity ward with individual boxes, a neonatal department, an operation room, intensive care chambers . Some large maternity hospitals as part of the observatory have their own laboratory, physiotherapeutic and diagnostic departments.

Sanitary-hygienic regime

Many pregnant women are worried about the question: "The observatory department in the maternity hospital - what kind of separation is it, how it is arranged and is there any chance of getting something from another woman?" Chambers in the observatory department are most often single rooms with a functional bed, changing table, baby cot and own bathroom. In each observation unit, a strict sanitary and hygienic regime is observed, and the observational unit is subjected to multiple treatment within a week and three times daily: once with detergent and twice with disinfectant solutions followed by quartz irradiation. Surgical instruments are processed in the compartment or in the central sterilization department. Most maternity homes use a disposable tool.

The medical staff daily wears a clean or disposable gown, shoes and a mask. The mask changes every 4 hours. Shoes are daily treated with disinfectants. Anyone who visits an observation from other offices should change their shoes and put on a disposable gown and a mask.
Bed linen is changed 2 times a week. Do not use your own bed linen, towels, nightgown and bathrobe.
Once a year, the observatory is closed for repairs and routine disinfection.

Indications for the observatory department

In the observational department, pregnant and parturient women are placed, who have even detected minor inflammatory and infectious diseases. This is thrush, and carious teeth, and pyelonephritis of pregnant women, and other diseases. If a carrier of viruses or antibodies to hepatitis B and C is diagnosed, positive blood tests for HIV or syphilis are indicated, treatment in the observational unit is also indicated. Pregnant women who are not observed during pregnancy, have no exchange cards on their hands or are not fully examined are subject to hospitalization. If the pregnant woman comes with decongestant water and the anhydrous interval is more than 12 hours or there is a fever of unknown etiology - this is also an indication for delivery in the observatory department.

During pregnancy, some inflammatory diseases can become aggravated, which creates a risk to the health of women and the future baby. Such women are referred for treatment in this department. The possibility of infection from another pregnant woman in this department is reduced to zero.

Sometimes after birth metroendometritis occurs, mastitis. This is also a testimony for hospitalization. Observation is sometimes called the "infectious ward of the hospital." This is a wrong name, because in these departments there are pregnant women and puerperas not only with infectious diseases.

Rules of admission

After admission, the doctor examines the exchange card, after checking all the tests, the examination of the pregnant woman sends her to the observatory department. The woman is subjected to sanitary-hygienic treatment, she is given a nightgown and a dressing gown of this maternity ward. Shoes should be such that it is easy to handle with detergents. Pregnant women are sent to separate wards. If the number of beds in ward 2 or 3, then they have pregnant women with similar diagnoses. Temperate women are isolated in individual boxes.
Monitoring of pregnant and parturient women is carried out around the clock by an obstetrician, a neonatologist and a nurse. They help the woman to get used to the department, teach the rules of feeding, caring for the child and, if necessary, conduct explanatory work.

Features of childbirth

Who gives birth in the observatory? This issue is decided only by an obstetrician after finding out the indications for hospitalization for childbirth. With the onset of labor or when entering with signs of the onset of labor, the woman is subjected to sanitary and hygienic treatment and sent to the prenatal ward. Maternity halls in the observatory should be at least 2.

Childbirth in the observatory department is conducted by a whole team of doctors: a midwife, an obstetrician-gynecologist, a pediatrician, a neonatal nurse, an anesthesiologist. At the request of a woman, it is possible to conduct partner births. In the absence of contraindications, the attachment to the breast is carried out in the nursery.

If after the birth the infection does not harm the child or the causative agent in the mother's body is not transmitted through breast milk, then the mother and the baby are placed in one ward; if the woman is after Caesarean section and if breastfeeding is contraindicated, the child is placed in the neonatal department. In this case, a woman must express milk for the prevention of mastitis or lactostasis. After preobsledovaniya women, treatment and recovery after surgery, the baby is placed with his mother.

Any manipulation or surgical intervention is carried out after the written consent of the woman. This rule is also observed when the baby is vaccinated.

Extract from the observatory

For longer than usual terms, no one will detain you and your child. On the 5th day, all women are discharged after normal delivery. Mandatory blood tests, urine tests, additional studies. If there is a fever or exacerbation of chronic diseases, the puerpera can be detained for 1-2 days followed by discharge and providing additional recommendations. If necessary, the woman is hospitalized in a maternity hospital of a higher level or gynecology.
The extract is carried out through the discharge room, which each observatory department has.

How not to go to the observatory

Observatory department in the hospital - what is it: an isolator or an infectious disease department? It is the same maternity hospital, only it observes all the rules that help to isolate a woman with an infectious disease, provide her with the necessary treatment and give birth with highly skilled care. In this department doctors work, which will help a woman at any stage of pregnancy and during childbirth.

In order not to appear in this department it is necessary:
• Continuous observation in the antenatal clinic from the first weeks of pregnancy;
• Accurate implementation of your obstetrician-gynecologist's recommendations;
• a full medical examination;
• timely sanation of foci of infection: caries, pharyngitis, laryngitis, etc .;
• treatment of chronic diseases;
• Prevention of ARVI and other colds;
• proper nutrition;
• courses of vitamin therapy;
• restorative treatment.
Pregnant people need to visit less crowded establishments, especially during epidemics, and if it is impossible - to wear a mask and not communicate with patients.