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Gynaecology - obstetrics

Gynaecology - obstetrics

An obstetrician-gynaecologist is not just a doctor who looks after pregnant women to make sure that their newborn babies come into the world smoothly. They specialise in a much broader range of tasks - from consultations, examinations and preventive care to the treatment of serious diseases.

It is recommended to see an obstetrician-gynaecologist at least once a year, or more often, especially if you experience these symptoms:

  • Troubled or painful periods;
  • Increased discharge;
  • Discomfort or pain in the abdomen;
  • Painful sexual intercourse;
  • Painful breasts or palpable lesions in the breasts;
  • Starting to take contraceptives;
  • Planning for family growth;
  • After learning about a possible pregnancy;
  • Failure to get pregnant for a long time;
  • 6-8 weeks after giving birth;
  • Risk factors, with a family history or history of any oncological disease.

Prenatal care programme

Prenatal care programme (1st trimester - up to 14 weeks):

  • Two consultations with an obstetrician-gynaecologist (first visit and second visit within
  • 14 days from the date of testing);
  • Consultation with a family doctor;
  • Consultation with a dentist;
  • Laboratory tests:
  • Complete blood count;
  • Determining blood group;
  • RhD antibody detection for female RhD (-) and male RhD (+);
  • RPR (for syphilis);
  • HIV;
  • HbsAg (hepatitis B surface antigen);
  • Glycaemia;
  • Urine test;
  • Urine culture (performed at week 12 - 16);
  • Toxoplasma IgM and IgG*
  • TSH, free triiodothyronine (FT3)*, free thyroxine (FT4)*
  • First trimester fetal ultrasound (from week 11 to 13 + 6 days).

Prenatal care programme (2nd trimester - 14-28 weeks):

  • Three consultations with an obstetrician-gynaecologist (18-20 weeks, 24-25 weeks, 28 weeks);
  • Ultrasound fetal examination (18-20 weeks);
  • Cervical ultrasound assessment (24-25 weeks);
  • Laboratory tests:
  • Three urine tests (18-20 weeks, 24-25 weeks, 28 weeks).
  • General blood test;
  • Glucose tolerance sample (3-point, 24-28 weeks +6 days);
  • RhD antibody testing for female RhD (-) and male RhD (+) at 27-28 weeks +6 days).
  • Injection of anti-D gammaglobulin (28-30 weeks +6 days) when the woman has RhD (-) and the man RhD (+).

Prenatal care programme (3rd trimester - 29-40 weeks):

  • Four consultations with an obstetrician-gynaecologist (4th consultation at 41 weeks or 2 months after delivery);
  • Ultrasound fetal examination (36 weeks);
  • Modified biophysical profile;
  • Issuing a maternity leave certificate (30 weeks);
  • Injection of anti-D gammaglobulin (if not injected before 29 weeks) when the woman has RhD(-) and the man has RhD(+).
  • Laboratory tests:
  • Four urine tests (at each visit);
  • Complete blood count;
  • RPR;
  • HIV;
  • Toxoplasma IgM and IgG*;
  • Culture for group B streptococcus (35-37 weeks 6 days)*.

* - tests not funded by the PSDF budget.

Registration
Obstetricians-gynaecologists:
Midwives:
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