Joint stay with the child in the hospital. Joint stay of relatives with a child in a hospital: how to apply. Benefits of being separated from your child

What happens to a woman after childbirth?

It seems to me that the key point in choosing a ward should be woman's well-being after childbirth. Therefore, it is very difficult to predict in advance (if you are giving birth for the first time) which ward will be ideal for you. Fortunately, I did not give birth in an ordinary maternity hospital, and there I could freely choose to stay together or separate. And I could change my mind at any moment.

All births are different. Someone, a couple of hours after giving birth, is full of energy, dreams of new exploits and gallops around the ward like a young doe. And someone needs at least a few days to recover. Emotional Recovery. So it was with me. I felt so squeezed and broken that I could not even calmly rejoice at the baby. Thank God, I had the sense to choose a separate stay with the child. During these days I slept only two hours, although no one bothered me to sleep. It was just that my inner state was so agitated that I did not fall asleep, although I was dying of fatigue. After two days, the nerves began to calm down a bit. But then one midwife began to reproach me for choosing a separate ward. I immediately felt like a bad mother, felt guilty and transferred to a shared ward. I'm sorry I was in such a hurry. There was only one day left before discharge, but on this particular day I lacked until the final restoration. As a result, postpartum depression began in the hospital, I came home completely dead. And it began. Read more about getting out of postpartum depression in the article "Recovery after childbirth" and "Postpartum depression: a look after six months."

What are the benefits of being separated from a child?

If a woman feels well after childbirth, I am entirely for a joint ward. However, you need to soberly assess your strengths. After all the hospital is the only way to relax . The maternity hospital is almost a resort, especially in a paid room. It is better to gain strength now by entrusting the baby to midwives than to hysteria from the first days of life at home. A separate ward is needed only in extreme cases. But if you feel such a case. Send your guilt somewhere far away, do not listen to anyone and gain strength! The baby needs a calm and healthy mother.

Benefits of a shared ward with a child

1. From the first days you live with your baby! This is already a huge plus!

2. You study your baby, gradually get used to it. After all, in the hospital you do not need to wash and iron diapers, you do not need to do household chores. So, the load on you will increase gradually.

3. If no one will be at home with you for the first weeks, then this is the only option. After all, in the hospital you will be taught basic child care. In particular - to change diapers and swaddle the baby.

4. You will control everything that is done with the baby. More precisely, nothing will be done to him without your knowledge. You will be sure that he has a clean diaper on. And no one handed him a bottle of formula.

5. You will be able to feed your baby on demand.

6. It is very good for a child to be close to his mother from the first days.

When should you choose a separate room?

If after childbirth you feel that you are on the verge of hysteria.

When should I choose a cohabitation room?

In all other cases.

How hard is it to be in a joint room?

Everything depends on the child. Our baby had colic when she was in the hospital. Doctors indifferently shrugged, promising that it would pass by 3-4 months. Therefore, the first nights we did not sleep, but went crazy. If you choose a cohabitation ward, be prepared for this turn of events.

In what conditions were you immediately after giving birth? What do you think of shared wards?

Instructions for the joint stay of mother and child

Please note that this information is intended for specialists, but may be recommended for familiarization to future parents who are distrustful of the work of medical staff in maternity hospitals.

Instructions for the joint stay of mother and child (from the recommendation for specialists)

1. General provision
The joint stay of the puerperal and the newborn child in the ward of the postpartum department of the maternity hospital significantly reduced the incidence of diseases in puerperas in the postpartum period and the incidence of disease in newborns. The main feature of the maternity hospital (obstetric department) with the joint stay of the mother and child is the active participation of the mother in the care of the newborn child (swaddling, toileting of the skin and mucous membranes, feeding).
When the mother and the newborn stay together after childbirth, the contact of the newborn with the medical staff of the obstetric department is limited, the possibility of infection of the child with hospital strains of opportunistic microorganisms is reduced, and favorable conditions are created for the colonization of the newborn's body with the mother's microflora.
This mode ensures early attachment of the newborn to the mother's breast, active training of the mother in the skills of practical nursing and care of the newborn, increases the mother's sense of responsibility for maintaining personal hygiene and sanitation in the ward.
When the mother and the newborn stay together, they are placed in boxes or semi-boxes (for one or two beds). It is possible to redevelop the postpartum wards in previously built maternity hospitals into wards for the joint stay of mother and child.
The joint stay of mother and child can only be carried out in an ordinary, non-specialized maternity hospital; in such institutions, about 70% of puerperas of the physiological department in the postpartum period can stay with their children.
Each ward for the joint stay of mother and child is equipped with medical scales for weighing newborns. Next to the mothers' beds, individual bedside tables or shelves are installed for storing the newborn's linen and placing on them a tray with a set of medicines for caring for the skin and mucous membranes of the newborn (boric acid solution 2% - 10.0, tannin ointment 2% - 10 gr.) . The nurse of the department of newborns brings a pill with sterile material (cotton balls, bandages, cotton sticks) to each ward and changes the pill and a set of medicines as they are used, but at least 3 times a day. All rooms are provided with a container for disinfectants.
For the treatment of changing tables, bedside tables, scales, beds, the following are used: chloramine B - 1%, chloramine B - 0.75% with 0.5% washing solution, deoxon-1 - 0.1%, deoxon-1 - 0.05% with 0.5% detergent, sulfochloranthin-0.2%, dichlor-1 - 2%, chlordesin-0.5% (wiping objects - twice).

2. Contraindications to the joint stay of mother and child
Contraindications on the part of the puerperal are:
- late toxicosis of pregnant women;
- extragenital diseases in the stage of decompensation;
- surgical interventions in childbirth;
- rapid and prolonged childbirth;
- long, more than 18 hours, anhydrous interval in childbirth;
- the presence of fever during childbirth;
- tears or cuts in the perineum.
Contraindications for a newborn baby are:
- prematurity;
- immaturity;
- long-term intrauterine fetal hypoxia;
- intrauterine hypotrophy of the fetus II-III degree;
- intracranial and other types of birth trauma;
- asphyxia at birth;
- developmental anomalies and deformities of internal organs;
- hemolytic disease.

3. Organizational arrangements
2 hours after the birth and examination of the newborn child, the pediatrician, head of the maternity unit, and in his absence, the obstetrician-gynecologist on duty, allows the transfer of the puerperal and her newborn to the ward of joint stay, which is recorded in the history of childbirth and the history of the development of the newborn.
The midwife on duty delivers the newborn to the mother's ward and hands it over to the nurse of the neonatal department. The time of transfer to the nurse of the child and the condition of the newborn (the nature of the cry, the color of the skin, etc.) are noted on the first sheet of the history of the development of the newborn and are certified by the signatures of the midwife and the nurse of the neonatal department. If the child's condition worsens, he is immediately transferred to the appropriate ward for intensive observation and a decision on his subsequent place of stay.
The first toilet of a newborn child and care for him on the first day is carried out by the nurse of the department of newborns and the mother. The nurse teaches the mother how to care for the newborn, emphasizing the importance of following the sequence of processing the skin and mucous membranes of the child (eyes, nasal passages, washing); teaches the mother how to use sterile material and disinfectants. To wash the child, soap for individual use, which is always with the mother, should be used. For other purposes, this soap is not used.
Control over the stump of the umbilical cord and the umbilical wound is carried out by a pediatrician. When the umbilical cord falls off and as prescribed by the doctor, the umbilical cord is processed by a nurse.
To bypass the pediatrician in each ward, the nurse prepares:
- a sterilization box with sterile materials (balls, cotton wool, cotton sticks, bandage);
- sterile tweezers for taking sterile material and one for each newborn child for treating the umbilical wound;
- a container with ethyl alcohol 95% - 2 ml;
- a container with a solution of potassium permanganate 10% - 2 ml;
- a container with a solution of hydrogen peroxide 3% - 2 ml.
Entering the pre-box (ward), the pediatrician and the nurse, after washing their hands twice with soap and warm running water, put on gowns that are allocated for each ward and changed daily.
The nurse provides the puerperas with the necessary number of sterile diapers (25 pieces per day for 1 child). The collection of used diapers in each box (ward) is carried out in tanks with lids, or pedal buckets with cotton or oilcloth covers embedded in them. After swaddling is completed, the duty nurse or nurse collects the used linen together with the covers and (through the shaft) lowers it into the room for sorting and collecting dirty linen. Wet cleaning is carried out in the ward. The nurse strictly monitors the timely change and use of disinfectant solutions in each ward, teaches mothers how to use them.
The storage of stocks of medicines, drinking solutions and sterile material, the acquisition of sets for the care of newborn children, the storage of development histories of newborn children are organized in a specially dedicated working room for nurses. Medicines are kept under lock and key.

Coexistence of mother and child

Today, perhaps, you will not find in our country such a maternity hospital, where conditions would not be created for the joint stay of mother and child. In many maternity hospitals, family delivery rooms have been created, which, in their appearance and level of comfort, resemble hotel rooms.

In them, a woman gives birth to a baby and stays until discharge. There are also cohabitation wards in the postnatal ward. These are one-, two-, maximum three-bed rooms, where there is everything you need to make mom and baby feel comfortable after childbirth.

But even 15 years ago, women could only dream of such conditions. And in general, women were inspired with the idea that after giving birth, mother needs to rest, sleep and restore strength. And let the baby stay under the supervision of medical personnel. So there are more chances that nothing will happen to the child and the pathology will be detected in time, if suddenly the child has it. Unfortunately, even today, the same advice can be heard from the lips of “caring” grandmothers. Of course, they can be understood, they just do not know that the first days after childbirth can proceed somehow differently. They also do not know that the early postpartum period is the most sensitive period in the life of mother and child. Therefore, nature itself intended them to be together. Otherwise, a lot of problems can arise. But let's talk about everything in order.

However, let's be clear right away. We will talk about the round-the-clock joint stay of mother and child, i.e. when, immediately after childbirth, mother and baby do not part and are together 24 hours a day. Any separation of mother and child, even the shortest, can have unpredictable results.

Let's start from a medical point of view. In the early postpartum period, serious health problems can develop for both mother and child. If they are not identified in a timely manner and properly resolved, they can lead to long-term negative consequences in their condition. Living together allows you to create the most favorable conditions for effective postpartum care and minimize the likelihood of postpartum complications.

What are the benefits of living together for mom and baby?

Benefits of mother-child cohabitation for mother

postpartum period- this is the time when the woman's organs return to their original state and lactation is established. Physiological changes occur 6-8 weeks after birth. The first week after childbirth is associated with the most serious changes: a basis is created for the restoration of a woman's health, and mutual adaptation of the mother and child takes place. In this regard, staying together with the child contributes to the physiological course of the entire postpartum period.

The uterus quickly returns to its previous size: this is facilitated by the frequent attachment of the baby to the breast. When a baby suckles, the mother releases the hormone oxytocin, which causes the uterus to contract.

Less risk of early and late postpartum hemorrhage: also due to the hormone oxytocin.

Breastfeeding is established faster and there is less likelihood of problems with breasts and lactation, women get milk faster and produce as much milk as the baby needs. In addition, living together has a positive effect on the duration of breastfeeding.

The routine practice of separating mothers and babies can negatively affect the duration of breastfeeding. All studies examining this issue showed that the number of mothers who stopped breastfeeding between one and three months after birth was significantly higher among those who were separated from the child after birth.

Benefits of mother-child cohabitation for the child

Most of the rules and regulations for postnatal care in hospitals that existed until recently were established to prevent or contain cross-infection and to prevent nosocomial infections. With the increase in the birth rate after World War II, maternity wards became overcrowded, and the problem of staphylococcal lesions of the skin of newborns arose. A variety of measures have been taken to reduce the incidence of infection, including isolation, a ban on entering children's wards without special clothing, bathing with the addition of medicines, and special treatment of the umbilical cord.

Children were immediately taken away from their mothers after birth and kept in the neonatal unit. This tactic, in which all the children lay in close proximity to each other, but separated from their mothers, increased the risk of infection. This was even proven in one study conducted almost 50 years ago. Babies who stayed 8 to 12 hours a day with their mothers were shown to have lower levels of seeding and infection compared to babies who were in a children's ward and had little contact with their mother. But half a century had to pass for the joint stay of mother and child to become routine in all maternity hospitals.

At present, it has been proven that the joint stay of the mother and the newborn for 24 hours in the same room is a kind of protective factor, since the newborn is seeded with mother's microorganisms, and not nosocomial strains resistant to antibiotics.

In addition, the lack of contact with other children reduces the risk of cross-infection of newborns.

Constant stay with mom and breast sucking on demand
contribute to the colonization of the intestines of the child with normal microorganisms and:

prevent the development of intestinal infections;

reduce the likelihood of developing severe jaundice;

contributes to a more rapid recovery of the initial loss of body weight;

allows the child, along with milk, to receive protective antibodies that strengthen his immunity.

Psychological benefits for mother and baby

Many studies have compared encouraging mothers and newborns to stay in the same room all the time with keeping mothers and newborns separate in the early postpartum period. It has been convincingly shown that when contact between mother and child is limited, mothers show less maternal feelings, are in a state of confusion and have lower self-esteem. This suggests that the separation of mothers and newborns increases the risk that first-born parents may not give their children the attention they need, and therefore take poor care of them. In one study, for example, it was shown that with the introduction of round-the-clock co-existence of mother and child in maternity hospitals, the number of child abandonment decreased!

In the conditions of a round-the-clock stay of a mother and a child, a mother quickly learns to understand the signals of her baby, his needs and quickly learns the rules of caring for him. So by the time she is discharged, she feels absolutely confident and is not afraid to do something wrong.
Cohabitation also allows you to strengthen the emotional and psychological bond between mother and baby, which began to form in utero and continues to exist after childbirth. This is very important for the psychological well-being of both.

It has been observed that mothers who are separated from their children are more likely to experience postpartum depression and psychosis. For the child's psyche, such a separation after childbirth is also a serious trauma that can have long-term consequences. Separation from the mother leads to the fact that the baby is in a state of chronic stress. As a result, violations of the adaptation process are possible, as well as deviations and delays in psychomotor development.

A newly born baby is in a state of anxiety. After all, the whole environment around him is unfamiliar to him. Mom for him is a source of sensations familiar and familiar from the prenatal period: her smell, voice, breathing and heart rate, the taste of colostrum, similar to the taste of amniotic fluid. When meeting in this unfamiliar world with familiar and pleasant elements, his anxiety decreases, and the world around him no longer seems so scary to him. Sometimes the whole life of a person passes under the sign of anxiety, which he cannot cope with at birth. The other side of anxiety is aggression.

Psychologists and child development experts argue that the destruction of physical and emotional contact with the mother is expressed primarily in the absence of a favorable impression of the world, the formation of a complex of resentment and anxiety, the destruction of self-confidence, difficult social adaptation and antisocial behavior.
Thus, 24-hour cohabitation is a vital necessity for both mother and child. Therefore, any causes that violate this unity must be eliminated.

About the benefits of staying together with a child in a maternity hospital

I gave birth to a baby girl in December. True, she did not give birth in Moscow - I am from Vladivostok. I chose the maternity hospital with a program of joint stay with the child immediately after the birth. Many friends, my sister and mother, who had already given birth, advised me to rest after childbirth better than to mess around with the child, not yet strong. Good thing I was smart enough NOT to take their advice.

I gave birth to a baby girl in December. True, she did not give birth in Moscow - I am from Vladivostok. I chose the maternity hospital with the program of joint stay with the child immediately after childbirth. Many friends, my sister and mother, who had already given birth, advised me to rest after childbirth better than to mess around with the child, not yet strong. Good thing I was smart enough NOT to take their advice.

I gave birth easily. That's just the placenta and the baby's place have grown. I was given anesthesia, and for another two hours after that I was moving away from it. The elevator did not work and I went to the room on foot. More precisely, I was practically dragged by two young nurses. Arriving in the room, I collapsed on the bed. They said that they would bring the child to me as soon as I recovered well from anesthesia.

I slept soundly. I could not lie on my right side - everything ached and hurt. Constantly thinking about the child - what's wrong with him and how. Some time later - already, apparently, late at night, they brought me a child, saying: “You will feed the child or not. And then she cries so much, she wants to eat! I said what kind of thoughts they had and that I, of course, would feed her - there were no questions, and that I would not only feed her, but I would already leave her with me - I couldn’t do it alone anymore. And that's all. Since then, we have not been separated.

It was hard. The girl sucked all the time, and while there was no milk (one colostrum) I suffered a lot - my chest hurt from constant irritation (sucking). They say it can be worse - cracks, but God had mercy on me. It can be seen correctly breast gave. I had to go to the toilet in the corridor and I left the child alone (I had a separate room). Well, when my husband came, at least I could leave calmly, and not “run” - I could hardly hobble.

But now I thank myself for going through it. Firstly, because I did not have milk stagnation, and there was and is milk (God forbid); secondly, the uterus contracted the next day so that I could be discharged. And thirdly, I myself swaddled and changed the baby (although I could hardly stand) and when we were discharged from the hospital, we did not even have a hint of diaper rash. And it’s unlikely that I could calmly stay in the ward, knowing that somewhere, far from me, in the children’s department, my child is lying and, maybe, crying, or that he is supplemented with formula (this is not uncommon, but it happens almost always in maternity hospitals - doctors just hide it. I think there is no need to explain the harmfulness of this “supplementary feeding” while mom has milk!)

Just don't think that I'm an experienced mom - no! This is my first child, my first experience, a very desirable child, although I am only 20 years old. I really knew what I was getting into at what they say is an “early” age. I just didn’t give birth to a child in order to be, at least for a couple of days, excommunicated from him. This is my bloodline! And I love my Alexandrushka. Very much.

I want to advise mothers to choose maternity hospitals only with cohabitation. Let it be hard - this is at first, but then you will understand that this is right for you and for the child!

Together or apart? Joint and separate stay in the hospital with the baby.

In Soviet times, there was no problem of choice. They gave birth like everyone else and took care of the children like everyone else. Now, fortunately, you can choose a maternity hospital that meets all the ideas of a future mother about quality medical care. One of the important selection criteria is the joint or separate stay of the child with the mother immediately after birth. Both options have pros and cons. Which? More on this below.

How does this happen?

When a baby is born, in almost any modern maternity hospital, the first thing they do is apply it to the mother's breast for a few minutes. Then the newly-minted mother is given a rest from 2 to 4 hours. Further - the baby remains in the children's ward and meets with his mother only during feedings. Or - goes immediately to her caring, but sometimes not yet experienced hands. It depends on the way mothers and babies stay in a particular maternity hospital. It can be separate or joint.

In the first case, the woman who gave birth goes to the ward, where from 2 to 6 more mothers are with her. There she comes to her senses and after 2-4 hours, in accordance with the feeding schedule in the maternity hospital, they bring her a baby for the “first date”. Half an hour or an hour, then the nurse collects neat bags and takes them to the children's department. If the maternity hospital is small and there is a short distance between departments, then mothers hear babies crying in the children's ward when they are undergoing medical or hygiene procedures. Many children already at this age have such a special voice that the mother through several walls recognizes him in the general choir.

If the maternity hospital practices the joint presence of mother and baby, the child is brought to the ward to the mother 4 hours after birth. Provided that the birth went well and the mother does not need additional medical care. And from that moment on, it's all by itself. Joint wards are usually designed for no more than three mothers and, accordingly, three children. A nurse comes to treat the babies' umbilical wounds and wash their eyes. In some cases, when the mother leaves for medical procedures or goes to relatives (if allowed in the maternity hospital), she can leave the baby with the nurses in the children's ward. In good maternity hospitals with attentive staff, you can get answers to all questions from the doctor and nurses. But in an ordinary average institution, you sometimes have to run around for an answer to every question (and a newly-made mom has a lot of them).

Separate finding: rest or worry?

There are pluses here and are connected, first of all, with the convenience for the mother. She has the opportunity to relax, recover after childbirth, sleep. Every 6 hours, the nurse brings the child and leaves for a maximum of an hour. That is, a total of no more than 6 hours - so much time the baby spends with his mother. The rest of the time the kids sleep. Or nurses do procedures for them. Mom can only guess: “How is the baby, is it crying, is it hurting him?”

Sometimes being separated is the only option. It depends on the condition of the mother.

Does the system work like clockwork?

The system of separate stay of mother and baby has long been practiced in maternity hospitals. Doctors and nurses act "on knurled". There is a daily routine: feeding, changing clothes, blood sampling, vaccinations. Mom does not need to worry that a vaccine is prescribed, and the baby is sleeping. If the maternity hospital has been practicing such a system for decades, all the staff are used to it and there are almost no failures.

Therefore, if you choose between a good maternity hospital with a separate location and a so-so maternity hospital, but with a joint one, I would choose the first. And now I will explain why.

Unfortunately, in some cohabiting maternity hospitals, having rebuilt the form, they forget about the content. Moms rushing along the corridor and catching a nurse with the question: “What to do?” in the newly appeared "joint" maternity hospitals are not uncommon. Explain, show - nurses do not always have enough time for this. Another banal flaw is lunch for mothers. If you don’t have time to come for dinner in time, you will be left without it. And this is for a nursing mother "not to eat well."

If you decide that cohabitation is what you need, choose a maternity hospital where such a system has been worked out for a long time, and was not introduced just yesterday (or last year).

Cohabitation: benefits

Recently, the joint presence of mother and baby in the hospital has become increasingly popular. Fortunately, despite the difficulties that were mentioned just above, in many maternity hospitals the system has taken root and works well. Here are the opportunities that she gives to a young mother and a newborn:

Communication with the closest person. The baby is surrounded by mother's care from the first hours. In fact, he doesn't need anything else. He is calm and serene.
Baby care skills. It is almost always possible, if not immediately, to ask a nurse or pediatrician a question about child care. Such mothers come home already prepared and relatives are surprised: “How cleverly you cope with the baby, as if you have been doing just that all your life!”
Mom is calm that the child receives only breast milk or strictly defined, and not some unknown food. “How is he without me, is he crying?” - these questions, when separated, also add anxiety. Here, everything is under control.
Joint stay in the very first hours is useful for breastfeeding. The baby is always with his mother and can get a breast whenever he wants. Milk comes faster and in the right quantities. The need to supplement the mixture disappears almost immediately.
Frequent attachment to the baby's breast in the first days after childbirth is also beneficial for women's health. When the baby suckles the breast, the uterus contracts more actively, returning to its normal state. This means that the process of recovery of the body after childbirth is faster.

I had the experience of both joint and separate stay with the child in the maternity hospital. With the eldest son - an ordinary maternity hospital with a separate stay, with the middle one - the same maternity hospital, but in a joint ward, with the youngest - a maternity hospital specializing in the joint stay of mother and baby. I have experienced all the pros and cons of each option. The conclusion I can draw is this: of course, it is better together. When the baby is nearby 24 hours a day, even mothers of first-born children turn into caring and skillful parents right in front of their eyes. As for the need to sleep, in the first week after childbirth it is quite possible, even being next to the baby, since he sleeps a lot himself.

Of course, everything is individual. It is not always possible to choose the option of staying in the maternity hospital: together with the child or separately. In this case, you should not be upset, because the hospital is only a few days. At home, in a calm environment, you can relax and make up for everything that, in your opinion, you and your baby lacked in a medical facility.

I gave birth to a baby girl in December. True, she did not give birth in Moscow - I am from Vladivostok. I chose the maternity hospital with the program of joint stay with the child right away. Many friends, my sister and mother, who had already given birth, advised me to rest after childbirth better than to mess around with the child, not yet strong. Good thing I was smart enough NOT to take their advice.

I slept soundly. I could not lie on my right side - everything ached and hurt. Constantly thinking about the child - what's wrong with him and how. Some time later - already, apparently, late at night, they brought me a child, saying: "You feed the child or not. Otherwise, she cries so much, she wants to eat!" I said what kind of thoughts they have and that I, of course, will feed - there are no questions, and that I will not only feed, but I will already leave her with me - I can’t do it alone anymore. And that's all. Since then, we have not been separated.

It was hard. The girl sucked all the time, and while there was no milk (one colostrum), I suffered a lot - my chest hurt from constant irritation (sucking). They say it happens worse - cracks, but God had mercy on me. It can be seen correctly breast gave. I had to go to the toilet in the corridor and I left the child alone (I had a separate room). Well, when my husband came, I could at least leave calmly, and not "run" - I could hardly hobble.

You just do not think that I am a mom with experience - no! This is my first child, my first experience, a very desirable child, although I am only 20 years old. I really knew what I was getting into at what they say is an "early" age. I just didn’t give birth to a child in order to be, at least for a couple of days, excommunicated from him. This is my bloodline! And I love my Alexandrushka. Very much.

I want to advise mothers to choose maternity hospitals only with cohabitation. Let it be hard - this is at first, but then you will understand that this is right for you and for the child!

Personal experience

Anna Lugovets

Comment on the article "On the benefits of staying together with a child in a maternity hospital"

I agree completely with the author. also went through this. I was in a single room with my daughter already 2 hours after birth. no one fussed over us, did not jump, which at first was of course difficult. but after 5 days in the hospital, I returned home as an experienced mother. I can’t even imagine what I would do with a crumb without learning in practice there. it is difficult with the child current the first day. then I remember I was terribly afraid of her :) she seemed so fragile to me that it was scary to take it in my arms. the next day I already swaddled with one hand, watered with the other :))
Yes and simply together nicer and more interesting than one. and not only for you, but also for the baby :)

12/15/2008 02:59:10 PM, Angelica

Hello! I am writing to you from Kazakhstan. 18.07 I gave birth to a daughter. in our maternity hospitals, at the moment, a joint stay with the baby after childbirth is practiced. what happiness it is, even after I had minor complications after giving birth, the baby was with me. Girls, what a blessing. you are always with the child, you hear his breathing, you feel his presence, your soul is near, and when the baby is in the children's room, the soul does not find peace. constantly thinking only about the child, how he is there, what is happening to him, and the baby cannot understand where the mother is and where they brought him. be with the baby. Not everyone is lucky enough to be a mom. enjoy every minute of your stay with your baby.

08/07/2008 15:23:45, Olga

I am only for the joint stay of the mother with the child. I gave birth easily, they did EA, so after the birth I felt cheerful. 2 hours after the birth, the three of us, my husband, and my son spent in the birth room, then they took my son to the ward, they rolled me on a gurney, and he was already in the bed next to mine lies :) Half an hour later, the children's sister came and together we dressed him in home clothes, then while he was sleeping, I washed. All five days in the hospital passed like one day. and soap, and it turned out well, although the child is the first (probably because there was nowhere to go :)) So from the very first hours I did not develop any fear of such a little thing, and there was no time to listen to my well-being. We slept together with him, because. in October it was cold in the maternity hospital, he constantly hung on his chest, and I lay and trembled with happiness. There were really 3 unpleasant moments: he sneezed and a little snot came out, as if with a 2mm blood clot. I was scared to death, but the doctor called said that the blood was mine, from the birth canal. Then our nose was stuffed up and we sniffed all over the ward. I was frightened at 4 o’clock in the morning, with him in my arms I went to look for my sister, found her sleeping on the lower floor, woke her up, got her to tell her what it was. , it happens. She dripped a couple of times to us some kind of yellow droplets and everything went away. Well, the third problem was when there was still no milk, and the son already wanted to eat. But I am an ardent opponent of IV, endured, gave water to drink. It was terribly difficult to stick empty breasts to a hungry child. Once I gave up slack, dragged him a hospital bottle with a mixture, but the pediatrician noticed it in time and scolded me strongly that I was going to give all sorts of nasty things to the child, and we survived !!! On the third day of milk it was at least fill up, and we were blissful! In spite of everything, I gained invaluable communication experience, my son did not know other people's hands at all (I, a crazy mother, did not even let the pediatrician pick him up, she examined him in the crib), learned everything about care and feeding herself. I have already arrived home as an experienced mother, and both my husband and mother were surprised at my skill with open mouths. So take your pick, mothers-to-be. I must say right away that my health and well-being were at "5", no weakness, no dizziness, no stitches, so I could completely switch to the child. If this happens to you, do not hesitate, do not feel sorry for yourself, take your happiness for yourself, because you deserve it!

09/13/2007 21:45:38, Tata

Total 26 messages .

Legal status of the patient's relatives

Point 2 Art. 55 of the Family Code of the Russian Federation defines: a child in an emergency situation has the right to communicate with his parents and other relatives. Staying in a medical organization is an extreme situation.

Particular attention should be paid to the legal status of persons accompanying the child in the hospital. Within the meaning of item 9 Art. 2 of the Law on Health Protection, such citizens do not have the status of a patient. After all, they do not apply to a medical organization for medical care. When staying with a child, they are also not provided with medical assistance. By virtue of part 3 Art. 27 of the Law on Health Protection, citizens undergoing treatment are required to comply with the rules of patient behavior in medical organizations. The law does not contain clarifications about the relatives of the patient who are not on treatment. From this it follows that formally such persons may not comply with the rules of conduct for patients in a hospital and the requirements of other local regulations approved by the administration of a medical organization and focused on patients.

In such a situation, the administration of a medical organization, when developing local regulations, can extend their effect to persons staying in a hospital with a child. This is especially true for medical organizations that do not have special children's departments, and children are hospitalized in the "adult" departments of the hospital accompanied by their parents.

Free hospital stay

The legislation does not sufficiently specify the eligibility of joint stay of relatives (parents) with a child free of charge if the child is over 4 years old. Part 3 Art. 51 of the Law on Health Protection establishes that free stay in a hospital with a child over 4 years old is possible if there are medical indications. However, the legislator did not define a list of such indications.

We believe that such indications can be established by the administration of a medical organization. The list of indications is approved by the head of the medical organization, they must be available for review.

Relatives, due to objective reasons, cannot take part in the provision of medical care to their child. Therefore, the presence of medical indications, which, according to the norm, imply the direct participation of relatives in the provision of medical care to the child, seems to be a very controversial condition for free joint stay with the child.

Forced labor receipt

Some medical organizations make the mistake of persistently suggesting that the child's parents take part in the economic activities of the organization: cleaning the premises and caring for other patients. At the same time, the administration of the medical organization takes receipts of voluntary consent from the parents. Such receipts are illegal. In fact, this is forced labor without wages, and it is prohibited by law ( part 2 Art. 37 of the Constitution of the Russian Federation, Art. 2 Labor Code of the Russian Federation). In addition, under such conditions, the right of parents to stay together with the child in a hospital is unduly restricted.

A medical organization should keep in mind that a receipt with the consent of the parents to conditions that unlawfully restrict the exercise of their rights is legally void. Moreover, its existence can harm the medical organization, since it documents the fact of the restriction of the right of parents to stay together with the child in the hospital. On the basis of such a receipt, parents can make claims against a medical organization, for example, file a claim for compensation for moral harm.

Application to the manager

According to the legislation, the right of the mother and other family members to stay with the child in the hospital is unconditional and is realized without any counterclaims from the medical organization.

In practice, medical professionals often deny the child's relatives the right to exercise this right for various reasons. The reason for refusal may be the lack of extra beds, quarantine regime in a medical organization, failure to provide health certificates.

In such cases, parents or other family members submit an application addressed to the head of the medical organization with a request to provide them with the necessary conditions for staying in a hospital. The current practice is useful because it allows you to document the appeal of the child's parents.

The head of the medical organization can establish the procedure for filing an application in his name. The parent's statement will be documentary evidence of the fact of his stay in a medical organization.

When a child is discharged from the parent, you can take a receipt in which the parent confirms that he was in the hospital together with the child during the period of his treatment. The receipt must indicate that the parent has created all the conditions necessary for a joint stay with the child and that he has no claims against the medical organization. Such a receipt will allow the medical organization to reasonably respond to the claims of relatives who were in the hospital with the child, and provide proper legal protection.

It is better to keep the application and receipt in a medical organization along with medical documents.

Entry in medical records

Records of the joint stay with the child of members of his family must be entered in the medical record of the inpatient ( Form No. 003/y). It is best to record this information in the doctor's emergency room records ( page 3 of Form No. 003/y). If the parents joined the child after he was admitted to the hospital, then the attending physician makes a corresponding entry in the medical history.

The fact of the joint stay with the child of members of his family should also be indicated in the discharge epicrisis: “together with the child during the entire period of stay in the hospital there was (a) a citizen (ka) ... belonging to the child ... All the necessary conditions for joint stay of a citizen (s) were granted. Such records will confirm the parent's stay in the hospital with the child if the parent refuses to apply to the head physician.

Staying with a child in intensive care

Questions arise about how to formalize the joint stay with the child of persons entitled to this in the intensive care unit. The specifics of the work of the resuscitation and intensive care unit makes it impossible to stay together with the child during the entire period of medical care.

Ministry of Health of Russia in its letter dated 09.07.2014 No. 15-1/2603-07 pointed out that it is necessary to organize visits to children by relatives in the departments of anesthesiology and resuscitation. But there is no information in the letter about the permanent stay of relatives with children in the departments of anesthesiology and intensive care. Normative documents do not contain provisions in this regard. In other words, the parent will not be able to stay with the child all the time. Only occasional visits are possible.

A common situation is when relatives who are together with a child periodically change. For example, the mother is with the child for a week, and the father is the next. This circumstance also needs to be documented by a diary entry or a citizen's statement addressed to the head of the medical organization. If relatives initially plan to stay with the child in shifts, it is better for them to indicate this in advance in the application.

In order to document the fact of visiting the child's relatives in the department of anesthesiology and resuscitation, we recommend that the order and time of such visits be included in the internal regulations. Relatives who wish to visit the child must write an application addressed to the head physician with a request to provide them with the opportunity of such visits.

Violation of the rules of conduct in the hospital

The legislation provides citizens with an unconditional right to stay with a child in a medical organization free of charge and does not restrict it in any way. This opens up opportunities for abuse of the right. The question arises of how to deal with those relatives who violate the rules of conduct in a medical organization. We have already mentioned that formally the rules of conduct apply only to those citizens who receive medical care.

However, according to Constitution of the Russian Federation the rights of one citizen must not violate the rights of others ( Part 3 Art. 17). If such a violation occurs during the exercise of someone's right, the right can be limited up to its complete cancellation. Based on this, the administration of a medical organization has the right to prohibit persons who have the right to stay in a hospital with a child if they violate the rights of other patients. Violation of the rights of other patients may be smoking in the premises of the hospital, insulting patients and medical personnel, damaging the property of a medical organization, violating sanitary requirements, and committing other offenses. The offense should be documented so that it can be confirmed later. The best option is to draw up an act in any form, in which to describe in detail the offenses that have taken place and indicate the witnesses of the incident from among the medical personnel and other patients. The act is signed by the attending physician of the child, the head of the structural unit and the head of the medical organization. The document is attached to the inpatient card. The administration of the medical organization may offer a joint stay with the child to another member of his family.

If a relative of a child committed an administrative offense during his stay with him in the hospital, the administration must call law enforcement agencies.

Let's summarize. The joint stay of the mother and other persons with the child in the hospital must be properly documented. To ensure that such a stay is properly documented, it is necessary to:

supplement the internal regulations with an indication that their effect applies to persons staying together with the child;
to add to the internal regulations the grounds on which the relatives of the child may be denied a joint stay with him;
establish the procedure for filing by relatives who wish to be with the child, an application addressed to the head of the medical organization;
make entries about the stay of the child's relatives in the medical organization in the medical documentation;
approve and publish a list of medical indications, according to which relatives can stay in a hospital free of charge together with a child over 4 years old.

We recommend that the head of the medical organization develop a separate local regulatory legal act regulating the issues of joint stay of the mother and other persons with the child in the medical organization.

What happens to a woman after childbirth?

All births are different. Someone, a couple of hours after giving birth, is full of energy, dreams of new exploits and gallops around the ward like a young doe. And someone needs at least a few days to recover. Emotional Recovery. So it was with me ... I felt so squeezed and broken that I could not even calmly rejoice at the baby. Thank God, I had the sense to choose a separate stay with the child. During these days I slept only two hours, although no one bothered me to sleep. It was just that my inner state was so agitated that I did not fall asleep, although I was dying of fatigue. Two days later, the nerves began to calm down a little ... But then one midwife began to reproach me for choosing a separate ward. I immediately felt like a bad mother, felt guilty and transferred to a joint ward ... I'm sorry that I was in such a hurry. There was only one day left before discharge, but on this particular day I lacked until the final restoration. As a result, postpartum depression began even in the maternity hospital, I arrived home completely killed ... And it began ... More about getting out of postpartum depression in the article "" and "".

What are the benefits of being separated from a child?

If a woman feels well after childbirth, I am entirely for a joint ward. However, you need to soberly assess your strengths. After all the hospital is the only way to relax . The maternity hospital is almost a resort, especially in a paid room. It is better to gain strength now by entrusting the baby to midwives than to hysteria from the first days of life at home. A separate ward is needed only in extreme cases. But if you feel such a case ... Send your guilt somewhere far away, do not listen to anyone and gain strength! The baby needs a calm and healthy mother.

Benefits of a shared ward with a child

1. From the first days you live with your baby! This is already a huge plus!

2. You study your baby, gradually get used to it... After all, in the maternity hospital you do not need to wash and iron diapers, you do not need to do household chores... This means that the load on you will increase gradually.

3. If no one will be at home with you for the first weeks, then this is the only option. After all, in the hospital you will be taught basic child care. In particular, change diapers and swaddle the baby.

5. You will be able to feed your baby on demand.

6. It is very good for a child to be close to his mother from the first days.

When should you choose a separate room?

- If after giving birth you feel that you are on the verge of hysteria.

When should I choose a cohabitation room?

- In all other cases.

How hard is it to be in a joint room?

Everything depends on the child. Our baby had colic when she was in the hospital. Doctors shrugged indifferently, promising that it would pass by 3-4 months ... Therefore, the first nights we did not sleep, but went crazy. If you choose a cohabitation ward, be prepared for this turn of events.

In what conditions were you immediately after giving birth? What do you think of shared wards?