Luiza Niyazmetova

Our today’s hospital visit was in the Obstetrics and Gynecology department of the

NRCMCH, which included the visit to the Admission unit, High-risk pregnancies,

Postpartum, and Labor/delivery units. Our instructors Dr. Gulzhanat and Dr. Lyazzat guided

us through this department and explained the essential safety rules and working principles in

each unit.

I could observe an excellent logistic organization and management within and

between each unit, and there are two main points that I want to emphasize. First thing that I

observed that the sanitation and equipment supply was very good, so that patient comfort and

safety is assured: sanitizers, door codes, diagnostic devices, delivery beds etc. I could notice

that patients were satisfied with the quality of care provided in this department. Secondly, I

was really impressed with the amount of knowledge about pregnancy period, fetal

development, labor and delivery that Ob/Gyn doctors and nurses need to have in order to

resolve different issues before, during and after delivery. Fortunately, there is some aid to the

medical workers in the form of standard charts, scores, and guidelines which might become

very helpful in difficult cases. Furthermore, we were able to have a small conversation with

patients in different units. I could see that women in the Postpartum unit were already more

relaxed even if they had some complications (e.g. eclampsia) during labor. This again

demonstrates a good quality care in this department. However, the only negative thing that I

have noticed was that sometimes pregnant women are “misdiagnosed” in their regional

hospitals that their future baby would have certain abnormality, which might not be true. I

think that it is crucial for physicians to make sure that each patient clearly understands the

condition and the risks underlying it.

 Overall, this session helped me to understand the huge role of health care team in

helping patients. The work of midwives, ob/gyn specialists, neonatologists and even

psychologists is synchronized to ensure professional help to future mothers and their babies.

Also, I could see that patients’ autonomy and comfort (physical and emotional) is satisfied.

Finally, knowing how much time healthcare professionals spend in Ob/Gyn and how much

effort they put in their work, I would like to learn more if they are provided with

psychological support to avoid burnout syndrome.