Leyla adamyan clinic center of obstetrics. Leyla Vladimirovna Adamyan Planned and preventive visits to the doctor

Head of the Center for Gynecology, Reproductive and Aesthetic Medicine, Candidate of Medical Sciences, Doctor of the Highest Category, Associate Professor of the Department of Restorative Medicine and Biomedical Technologies, A.I. Evdokimova, Member of the Board of the ASEG Association of Specialists in Aesthetic Gynecology.

Graduated from the Moscow Medical Academy named after I.M. Sechenov, has a diploma with honors, passed clinical residency at the Clinic of Obstetrics and Gynecology named after. V.F. Snegirev MMA them. THEM. Sechenov.
Until 2009, she worked at the Clinic of Obstetrics and Gynecology as an assistant at the Department of Obstetrics and Gynecology No. 1 of the Moscow Medical Academy. THEM. Sechenov.
From 2009 to 2017 she worked at the Medical and Rehabilitation Center of the Ministry of Health of the Russian Federation
Since 2017, she has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine, JSC Medsi Group of Companies
She defended her dissertation for the degree of candidate of medical sciences on the topic: "Opportunistic bacterial infections and pregnancy"

Maksimov Artyom Igorevich

Obstetrician-gynecologist of the highest category

Graduated from the Ryazan State Medical University named after Academician I.P. Pavlova with a degree in General Medicine. Passed clinical residency in the specialty "obstetrics and gynecology" at the Department of Clinic of Obstetrics and Gynecology. V.F. Snegirev MMA them. THEM. Sechenov.
He owns a full range of surgical interventions for gynecological diseases, including laparoscopic, open and vaginal access.
He is engaged in the introduction of new methods for the detection and treatment of early stages of endometriosis.
He constantly improves his practical skills and is an annual participant in Russian and international congresses and scientific and practical conferences on obstetrics and gynecology.

Kolgaeva Dagmara Isaevna

Head of Pelvic Floor Surgery. Member of the Scientific Committee of the Association for Aesthetic Gynecology.

Graduated from the First Moscow State Medical University. THEM. Sechenov, has a diploma with honors.
He has certificates: an obstetrician-gynecologist, a specialist in laser medicine, a specialist in intimate contouring.
The dissertation work is devoted to the surgical treatment of genital prolapse complicated by enterocele.
Kolgaeva Dagmara Isaevna is the author of a number of publications, a participant in Russian and international congresses and scientific and practical conferences on obstetrics and gynecology.

Myshenkova Svetlana Alexandrovna

Obstetrician-gynecologist, candidate of medical sciences, doctor of the highest category

In 2001 she graduated from the Moscow State University of Medicine and Dentistry (MGMSU)
In 2003 she completed a course in obstetrics and gynecology at the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences
In 2007, Svetlana Alexandrovna Myshenkova defended her dissertation on the topic "Treatment of uterine fibroids by X-ray endovascular embolization of the uterine arteries" and received a PhD in Medicine
He has a certificate in endoscopic surgery, a certificate in ultrasound diagnostics of pathology of pregnancy, fetus, newborn, in ultrasound diagnostics in gynecology, a certificate in laser medicine. He successfully applies all the knowledge gained during theoretical classes in his daily practice.
She has published more than 40 works on the treatment of uterine fibroids, including in the journals Medical Bulletin, Problems of Reproduction. He is a co-author of guidelines for students and doctors

Pritula Irina Alexandrovna

Obstetrician-gynecologist

Graduated from the First Moscow State Medical University. THEM. Sechenov.
Passed clinical residency in the specialty "obstetrics and gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
She is a certified obstetrician-gynecologist.
Possesses the skills of surgical treatment of gynecological diseases on an outpatient basis.
He is a regular participant in scientific and practical conferences on obstetrics and gynecology.
The scope of practical skills includes minimally invasive surgery (hysteroscopy, laser polypectomy, hysteroresectoscopy) - Diagnosis and treatment of intrauterine pathology, pathology of the cervix

Muravlev Alexey Ivanovich

Obstetrician-gynecologist, oncogynecologist

In 2013 he graduated from the First Moscow State Medical University. THEM. Sechenov.
From 2013 to 2015, he underwent clinical residency in the specialty "Obstetrics and Gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
In 2016, he underwent professional retraining on the basis of GBUZ MO MONIKI them. M.F. Vladimirsky, majoring in Oncology.
From 2015 to 2017, he worked at the Medical and Rehabilitation Center of the Ministry of Health of the Russian Federation.
Since 2017, she has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine, JSC Medsi Group of Companies

Mishukova Elena Igorevna

Obstetrician-gynecologist

Dr. Mishukova Elena Igorevna graduated with honors from the Chita State Medical Academy with a degree in general medicine. Passed clinical internship and residency in obstetrics and gynecology at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
Mishukova Elena Igorevna owns a full range of surgical interventions for gynecological diseases, including laparoscopic, open and vaginal access. He is a specialist in providing emergency gynecological care for diseases such as ectopic pregnancy, ovarian apoplexy, necrosis of myomatous nodes, acute salpingo-oophoritis, etc.
Mishukova Elena Igorevna is an annual participant of Russian and international congresses and scientific and practical conferences on obstetrics and gynecology.

Rumyantseva Yana Sergeevna

Obstetrician-gynecologist of the first qualification category.

Graduated from the Moscow Medical Academy. THEM. Sechenov with a degree in General Medicine. Passed clinical residency in the specialty "obstetrics and gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
The dissertation work is devoted to the topic of organ-preserving treatment of adenomyosis by FUS-ablation. He has a certificate of an obstetrician-gynecologist, a certificate in ultrasound diagnostics. He owns a full range of surgical interventions in gynecology: laparoscopic, open and vaginal approaches. He is a specialist in providing emergency gynecological care for diseases such as ectopic pregnancy, ovarian apoplexy, necrosis of myomatous nodes, acute salpingo-oophoritis, etc.
Author of a number of publications, co-author of a methodological guide for physicians on organ-preserving treatment of adenomyosis by FUS-ablation. Participant of scientific and practical conferences on obstetrics and gynecology.

Gushchina Marina Yurievna

Gynecologist-endocrinologist, head of outpatient care. Obstetrician-gynecologist, reproductive specialist. Ultrasound doctor.

Gushchina Marina Yuryevna graduated from the Saratov State Medical University. V. I. Razumovsky, has a diploma with honors. She was awarded a diploma from the Saratov Regional Duma for excellent academic and scientific achievements, and was recognized as the best graduate of the SSMU. V. I. Razumovsky.
She completed a clinical internship in the specialty "obstetrics and gynecology" at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
He has a certificate of an obstetrician-gynecologist; doctor of ultrasound diagnostics, specialist in the field of laser medicine, colposcopy, endocrinological gynecology. She repeatedly took advanced training courses in "Reproductive Medicine and Surgery", "Ultrasound Diagnostics in Obstetrics and Gynecology".
The dissertation work is devoted to new approaches to differential diagnosis and tactics of managing patients with chronic cervicitis and early stages of HPV-associated diseases.
He owns a full range of minor surgical interventions in gynecology, performed both on an outpatient basis (radiocoagulation and laser coagulation of erosions, hysterosalpingography), and in a hospital setting (hysteroscopy, cervical biopsy, conization of the cervix, etc.)
Gushchina Marina Yurievna has more than 20 scientific publications, is a regular participant in scientific and practical conferences, congresses and congresses on obstetrics and gynecology.

Malysheva Yana Romanovna

Obstetrician-gynecologist, pediatric and adolescent gynecologist

Graduated from the Russian National Research Medical University. N.I. Pirogov, has a diploma with honors. Passed clinical residency in the specialty "obstetrics and gynecology" on the basis of the Department of Obstetrics and Gynecology No. 1 of the Medical Faculty of the First Moscow State Medical University. THEM. Sechenov.
He has a certificate of an obstetrician-gynecologist, an ultrasound diagnostician, a specialist in laser medicine, pediatric and adolescent gynecology.
He owns a full range of minor surgical interventions in gynecology, performed both on an outpatient basis (radiocoagulation and laser coagulation of erosions, cervical biopsy), and in a hospital setting (hysteroscopy, cervical biopsy, conization of the cervix, etc.)
Participant of congresses and scientific-practical conferences on obstetrics and gynecology.
Author of 6 scientific publications.

Ivanova Olga Dmitrievna

Ultrasound doctor

Graduated from the Moscow Medical Academy. THEM. Sechenov with a degree in General Medicine
Passed clinical internship in the specialty "Ultrasound diagnostics" on the basis of the Research Institute for Emergency Medicine named after A.I. N.V. Sklifosovsky
Has a Certificate of the FMF Fetal Medicine Foundation confirming compliance with international requirements for screening of the 1st trimester, 2018. (FMF)

Proficient in ultrasound examination techniques.

One of the priority areas for improving the health care system has traditionally been the protection of motherhood and childhood. So, in the capital region, work in this direction has always been carried out, however, especially noticeable structural changes in this area have occurred over the past few years.

The Chief Obstetrician-Gynecologist of the Moscow Health Department, Professor of the Department of Obstetrics and Gynecology of the Russian National Research Medical University named after M.V. N.I. Pirogova Alexander KONOPLYANNIKOV.

- Alexander Georgievich, you have been supervising the work of the obstetric and gynecological service of the capital for more than 4 years, so all the changes taking place in this area are taking place with your direct participation. What are they and what are their goals?

- If we go back in history, changes began almost 4.5 years ago. The first thing we did as part of the modernization of our service was to combine free-standing maternity hospitals with multidisciplinary hospitals. At that time, the very structure of providing obstetric and gynecological care in the city was arranged in such a way that only a part of maternity hospitals was located in the structure of multidisciplinary hospitals. Others existed separately, they did not have all the capabilities of a hospital with powerful resuscitation, surgical, vascular, therapeutic departments, departments of functional diagnostics, which the city authorities have equipped with the most modern equipment over the past 5 years.

If there was any situation related to complications and pathologies, then a specialized team - resuscitation, vascular, etc. - went to the aid of this maternity hospital. After all obstetric hospitals were administratively attached to multidisciplinary hospitals, when a critical situation occurs, all services of the multidisciplinary hospital help the maternity hospital. The need for previously formed mobile specialized teams has lost its relevance. Therefore, the service has been repurposed to perform other tasks.

Now, not only the deputy chief physician for obstetrics, but the chief physician himself is responsible for each pregnant woman entering the maternity hospital. The provision of medical care to pregnant women is a litmus test for the availability of medical care in general. It is the chief physician who must ensure the correct organization of medical care in the institution subordinate to him. Accordingly, his motivation to improve the skills of the staff, the introduction of new technologies has increased.

As a result, safety has increased for both the patient and the fetus. The successful implementation of the first stage of the reform of the system of obstetric and gynecological care in Moscow has made it possible to qualitatively improve the level of medical care for both pregnant women and patients with gynecological diseases in general.

We managed to improve the situation with such complications as massive obstetric bleeding during childbirth, which is still one of the main causes of maternal death in Russia. Thanks to the introduction of evidence-based medicine using only modern technologies (for example, X-ray surgery), the use of effective drugs and equipment (for example, in every maternity hospital in Moscow there are cell savers that minimize the use of donated blood by using their own) over the past years in medical organizations Moscow, not a single puerperal died from bleeding ...

– How were these changes perceived by the professional community?

- A bit wary at first. The medical community is quite conservative, so any innovation that completely changes the usual scheme of work finds some resistance. No less important is the fact that earlier in each maternity hospital there was a chief physician, who, in the new scheme, became the deputy chief physician of the hospital for obstetrics and gynecology - that is, there was a decrease in his functionality.

On the other hand, having started working in the system of multidisciplinary hospitals, both the management and staff of maternity hospitals realized that fundamentally new opportunities were now opening up before them. They have a kind of "big brother" who will come to the aid of this institution in any situation. For example, if a patient requires further observation, diagnostics and cannot receive them inside the maternity hospital for some objective reasons (for example, there is no possibility to perform CT or MRI), then a multidisciplinary hospital has it all. That is, if necessary, the patient can be transported to the hospital for further examination and treatment. Thus, everyone understood the benefits of the innovation: both doctors and patients.

- This summer, the process of combining multidisciplinary hospitals with antenatal clinics began ...

- Quite right. Moreover, a pilot project in this direction has already been worked out in the capital's Center for Family Planning and Reproduction, to which 9 antenatal clinics were attached. In Moscow, there used to be 131 antenatal clinics, where pregnant women or patients with complaints of some kind of illness or complications came for the first time.

But the first ones who see patients are outpatient doctors. This is the most crucial moment: the first meeting with the patient, competent history taking, identification of risks and resolution of issues related to the observation and treatment of pregnant women and patients with gynecological diseases. That is why it was so important not only to solve organizational and administrative issues, but also to raise the professional level of the staff of antenatal clinics.

Having set ourselves such a goal, we created the Moscow School of Obstetrician-Gynecologist 3 years ago. I invited polyclinic doctors there to raise their educational level and so that they treat all patients equally and treat all forms of diseases equally.

In June of this year, an order was signed by the capital's Department of Health to merge multidisciplinary hospitals, which include obstetric departments, with women's consultations. On a territorial basis, we have attached antenatal clinics to 17 multidisciplinary hospitals. The implementation of this approach will ensure the provision of medical care to our patients - from contacting the antenatal clinic and ending with the provision of specialized care both during pregnancy and childbirth, and with gynecological diseases. If necessary, receive treatment in one medical organization: from the diagnosis of the disease to rehabilitation after surgical treatment. One medical organization, not several, will be responsible for it.

It is important to note that nothing changes for patients: they still apply to the LCD at the place of residence (territorially everything remains in its place). For doctors, only the employer changes: now they are employees of a particular hospital, but physically come to their former workplace.

The unification process will be completed in full in September of this year.

– Work according to this model imposes completely different requirements on the professional training of the doctors involved in it. How will this process be ensured?

– In modern conditions, representatives of our profession need to become real all-rounders, able to provide assistance at the same high level both in the outpatient department, and in the gynecological hospital, and in the process of accompanying pregnancy and childbirth.

The diplomas of both antenatal clinics and hospital doctors contain one specialty - an obstetrician-gynecologist. Unfortunately, we gradually lost our universality, dividing ourselves according to the place of work. When all these doctors become doctors of structural subdivisions of multidisciplinary hospitals, the city will have the main obstetric and gynecological section, including an outpatient clinic, a hospital and a maternity hospital. Such a structure will ensure constant professional communication between doctors, exchange of experience, creation of conditions under which a doctor, for example, an outpatient department, can enter both the maternity and gynecological departments, to see if hospitalization is justified for a particular patient. The same applies to his colleagues from the maternity hospital or hospital. Currently, together with the Moscow Department of Health, we are solving the issue of having all obstetricians and gynecologists work according to the same clinical protocols after the completion of the merger process.

- Provided that the new model of organizing medical care will include all the "links" - from the antenatal clinic to the specialized department of the hospital - will there be a risk that at a certain stage the patient will want to apply to another medical organization? Indeed, in this case, it will be possible to forget about maintaining continuity in treatment ...

- At the system level, the management of a medical organization will be interested in patients receiving medical care in this particular structure - from the first visit to the antenatal clinic and ending with childbirth or receiving specialized care. There are no other levers, except for creating comfortable conditions for the patient, attracting the most qualified personnel and increasing the efficiency of the institution. Patients, according to the current legislation, have the right to choose a medical organization. How this work will be organized and how effective it will be is also an indicator of the professionalism of the head of a medical organization.

By the way, if we have already mentioned the financial topic, then it is worth noting that the salary level of the medical staff of antenatal clinics will not change when changing employers. To ensure this condition, the issue of increasing the tariffs for pregnancy care in antenatal clinics is currently being considered to ensure the wage fund. There is every reason to believe that this issue will be resolved positively.

- In addition to organizational changes, a qualitative technological leap took place in the obstetric and gynecological service of the capital, so to speak. Can you tell me more about this?

– One of the most noticeable positive results of the modernization of the obstetric and gynecological care service was the creation of a network of perinatal rooms. It was the work of specialists in these offices that made it possible to ensure that the diagnosis is made during pregnancy. After providing information about the possibility of correcting this disease, a married couple decides on the possibility of maintaining the pregnancy. There are fewer and fewer unpleasant situations when a diagnosis is made to a baby after childbirth, when for parents it is like “thunder in the blue”.

When the issue of creating this network was discussed, I advocated that there should be at least one of them per district - that is, at least 11 in Moscow, given that each administrative district is, in fact, a city with a million inhabitants. As a result, on the initiative of the chief district obstetrician-gynecologists, based on the principle of territorial accessibility, a total of 37 such rooms were created. A clear prenatal diagnostic service has been built.

All antenatal clinics are sent to the offices of prenatal diagnostics of pregnant women at 11-14 weeks, as well as at 18-21 weeks for prenatal screening to not only identify fetal malformations, but also predict the risk of fetal growth retardation, the development of such a formidable pregnancy complications like preeclampsia. During the first prenatal screening (11-14 weeks), not only ultrasound, but also biochemical examination is performed, since the study of these markers (PAPP-a and -hCG) allows you to more accurately calculate the individual risk of developing not only fetal pathology, but also fetoplacental insufficiency .

Now all prenatal diagnostic rooms are united into a single information network. If abnormalities are detected, pregnant women are referred for medical genetic counseling, where, after an expert ultrasound examination, a decision is made on the need for invasive diagnostics.

Obstetrician-gynecologists work in the prenatal diagnostic rooms, having not only a certificate of an ultrasound diagnostic doctor, but also an international certificate. Also, KPD doctors undergo monthly audits (correctness of ultrasound).

Previously, from taking the analysis to receiving the result, 2 weeks passed. Now thanks to this system - 2 days. This is a very important indicator, since we are limited by a strict time frame for deciding whether to terminate a pregnancy in the event of a fetal malformation.

– How do you assess the decision to introduce the status of “Moscow doctor” in relation to obstetricians and gynecologists?

– My personal position on the question of how and to whom the status of “Moscow Doctor” can be assigned may well cause some dissatisfaction among my colleagues. However, I fundamentally believe that this status should not become widespread and should not be available to everyone. It should be prestigious and really represent the professional distinction of a particular specialist and be awarded not "according to the totality of merit", but according to objective criteria.

An obstetrician-gynecologist with the status of "Moscow doctor" should not be a narrow specialist in some area. He must be equally well versed not only in his own, but also in related specialties - both in accompanying pregnancy, and in childbirth, and in the treatment of gynecological pathology, urogynecology, oncogynecology, etc. That is why, when developing materials for passing the exam for obtaining this status, we proceeded from the fact that they should be general and universal for all areas of obstetrics and gynecology. Moreover, in my opinion, test tasks, along with the correct answers, must be in open access, regardless of whether the doctor decides to go for the exam, the knowledge gained when getting acquainted with the tickets will not be superfluous.

The second stage of the exam involves the use of simulation technologies: the applicant must take delivery, perform vacuum extraction, demonstrate knowledge of laraproscopic surgical techniques and the ability to conduct and interpret the results of ultrasound of pregnant women, etc. I repeat, all this regardless of the actual place of work and position. "Moscow doctor" should be able to do everything ...

Finally, during the third stage, the applicant will be asked to solve a situational problem, during which he must demonstrate not only professional skills, but also the ability to act in an unusual situation. A very important point: the chief physician of a medical organization must be present at the exam. After all, it is he who ultimately needs to represent the level of competence of his employee - at least in order to understand his potential.

In general, if we talk about my vision of the profession, then it lies in the fact that a doctor should not limit his professional duties to work only in an outpatient clinic or in a gynecological department. We are certified obstetricians and gynecologists. This implies that a specialist, if necessary, should be equally effective in the field of gynecology and in the field of obstetrics. He should be a generalist, who can come to the reception, and take delivery, and perform an operation in the gynecological department. Then it will be a full-fledged obstetrician-gynecologist, and we must strive for this ...

Chief gynecologist? This is a specialist who deals with the solution of many women's problems, not only during receptions, but also at the public level. After reading this article, you will find out what the specifics of the work of the chief gynecologist are.

If necessary, the chief gynecologist can perform the following types of operations:

1. Surgical removal of the fallopian tubes. This surgical intervention is caused by obstruction of the pipes, which arose as a result of the appearance of adhesions;

2. Removal of the ovary. If a patient has a cyst or a cancerous tumor in the ovary;

3. Surgical interventions on the uterus. Elimination of benign tumors. Partial or complete removal of the cervix. This operation is required in case of malignant tumors.

If conservative methods do not cope with the disease, then the doctor decides to use surgical methods of therapy. Operations are of two types - urgent and planned. Urgent operations are carried out in case of diseases that endanger the life of a woman or a child. Before a planned operation, the patient must pass the appropriate tests, undergo additional examinations so that the doctor can plan the operation process in detail.

The work of the chief gynecologist in the public direction

The chief gynecologist, together with representatives of the Ministry of Health, is fighting for the free provision of gynecological services to all sections of society. It's no secret that before you get quality medical care, you first need to pay. But, according to the legislation of our state, all women have the right to receive completely free gynecological care. In particular, we are talking about maternity hospitals.

Directions of work of the chief gynecologist

In his medical practice, the chief gynecologist works in the following areas:

· Prevention. Timely prevention of most women's diseases is the key to a healthy nation. Preventive measures are carried out both at the local and state levels;

· Counseling. The doctor can advise his patient on various issues. But, first of all, he must acquaint her with information about sexually transmitted infections, with the choice of contraceptives and on issues related to pregnancy planning.

Assistance from additional specialists

In his practice, the chief gynecologist can send the patient to doctors who work in a different direction. A gynecologist may schedule a consultation with doctors such as:

· Urologist. A specialist who specializes in the diagnosis and treatment of the urinary system;

· Oncologist. The work of this doctor is aimed at rapid diagnosis and therapy of both benign and malignant tumors in the body;

· Surgeon. This doctor is referred if an acute disease of the abdominal organs is detected;

The joint work of the gynecologist with the above specialists gives hope to the patient for a quick recovery.

The work of the chief gynecologist, as well as an ordinary specialist, is primarily aimed at helping the female half of the population. He can also conduct routine examinations, prescribe treatment for the patient and lead her to a full recovery.

Recently I was discharged from the clinic, where I had an operation under the mandatory medical insurance quota. From what I saw and heard - I have a SHOCK!!! I thought that this happens only in Western American films: clean, modern, stylish; the rooms are spacious, TV, comfortable furniture, large bathrooms, air purifiers, antiseptics, water coolers are everywhere….
But, most importantly, it's the staff: always with a smile, care, sympathy, goodwill (where have you seen nurses just walking past you in the morning asking you along the corridor, “How did you sleep?”, “How are you feeling?”)
And doctors are a special caste; I am impressed with their hard work and professionalism. Many patients who arrived from different regions, even for a lot of money, could not get qualified help in their city (especially in matters of preserving the reproductive function), but here they found understanding and an individual approach ... At work since 7 o'clock, all day operations, examinations , receptions ... (and so sometimes until 9 pm). When do they sleep and rest? Amazing dedication and dedication!!!
As I understand it, it all starts with the "head". Early in the morning, at 7.15, several times, leaving the ward, I saw the incomparable, amazing Leila Vladimirovna Adamyan - already “in shape” - slender, beautiful, beautifully dressed, makeup, hairstyle, gait, blooming look (as if she had just returned from the resort ), and she also operates all day, accepts, examines ....
And my doctor is generally a magician, MAESTRO - Andrey Vladimirovich Kozachenko (“golden hands”) - calm, sensitive, he will explain everything, tell, warn, answer all questions ... After the operation there was no pain at all; (I even doubted: Was there an operation? Maybe I just slept soundly?)
A separate topic is food: tasty, easy, varied (someone would cook like this at home!)
But, I repeat, the most remarkable thing is the attitude towards patients (ALL health workers). Low bow to YOU!!! The most positive, bright emotions - Olga Muratova (with gratitude)

In this clinic, according to the quota, I gave birth and performed surgery on my newborn child. Despite all the difficulties, the birth went wonderfully, thanks to the obstetrician Timoshina Irina Vladimirovna. Also, many thanks to the department of surgery and pathology of newborns, within the walls of which my baby lay for more than a month. They saved our lives! The only thing that darkened the impression of the clinic was a mammologist, whom I had to turn to for a fee. The prices are expensive, but they still could not cure me.

I want to express my deep gratitude to the team on duty, who was on duty from June 30 to July 1, and especially the doctor Karimova Galia Nasibullaevna, midwife Koroleva Galina for their high professionalism, for their coherence in work, for respect for the patient, for love for their work. Received 30.06 for 39 weeks with bleeding after examination by Kuznetsova. She was admitted to the Rodblok for diagnostics (with suspicion of placental abruption). There I was connected to a CTG, after which an ultrasound was brought to my ward, where they told me that everything was fine. Doctor Maria Gracheva and Galiya Karimova will answer all your questions. They looked at me and said that it was cervical bleeding and not the placenta. That soon I will enter into labor, since the opening is 2 cm, but when, they could not say, the other day. I was upset, because lying with CTG in an empty ward and listening to how babies were born was very boring. Since my stomach pulled quite a bit, Gracheva said that I needed to prepare the neck and put a candle on me, after which the contractions became a little sick, or is it a coincidence. I was sent for an enema at 12 am, where even there the nurses were very kind and attentive (even the enema is now disposable), there I called my husband. My husband arrived, I was already lying in the prenatal room in compression stockings (it’s just trash to put them on), the contractions grew very quickly, at that moment it was impossible to lie down with CTG. Karimova Galiya did not leave me for a second, although she could have left me. But for this I am very grateful to her, she constantly supported me. She sat with me when I could no longer lie down. I did a neck massage, as it opened very poorly after erosion. Thanks to this massage, although painful during contractions, I did not tear. When the turn came to the midwife Galina, then I realized that I was surrounded by only specialists. They held my legs. Galina cheered me on time, and when it was necessary, she shouted so that during painful attempts, I could at least hear someone. And thanks to two girls (women), I gave birth to my baby on 8/9 Apgar without a single tear. After giving birth, I sat, walked after 3-4 hours. Thank you! To the leaders of the Kulakov Research Institute for such well-chosen doctors. Doctors with a capital letter. Thanks again to the doctor Galiyushechka and the midwife Galinochka, I bow to you.

I want to express my gratitude, MD, Head of the Department of Breast Pathology, a doctor with golden hands! Thank you very much for your attention and responsiveness! On June 7, I had a breast operation, on the 8th I was already at home. The seam is almost invisible. Valery Vitalievich is very courteous, caring, professional in his field. Rodionova M. V. mammologist-oncologist, I bow to you, thank you for experiencing their problems together with patients, you will always find the right words.

I can call this institution the institution of hope, where it is born after many years of struggle. Today I had my first hCG, the result is excellent 737 mIU / ml. And it's all thanks to Vladimirova Inna Vladimirovna! It all started on May 16th. To say that it was easy - I can not, in the first place - it was very hard morally. The attitude of all the specialists was excellent, but I went on the compulsory medical insurance program. I really hope everything goes well in the future. For those who have not yet decided, I want to say that it is here that you can get competent help and support. Here you can get the opportunity to become a mother and feel truly happy.

“I held the patient’s hand for two days”

Rules of life of the chief obstetrician-gynecologist of the country

Anastasia Gnedinskaya

The working day of the chief obstetrician-gynecologist of Russia Leyla Adamyan starts at seven in the morning. In the elevator, she takes off her watch and rings, puts on surgical pajamas as she goes. Ten minutes later, surgery. There are few such titled women in Russian medicine. Leyla Adamyan is an academician, an honored worker of science, a holder of the orders "For Merit to the Fatherland" IV, III and II degrees. But every day, like forty years ago, she performs several complex operations.

On January 20, Leyla Vladimirovna has her birthday. RIA Novosti correspondent spent one day with this amazing woman.

"Responsibility for two lives"

Leyla Adamyan appoints an interview at nine in the morning. By this time she has been on her feet for four hours. In order to do everything, he gets up at five. “I sleep for four or five hours, no more. I can't afford to waste precious time. But I don’t have problems sleeping, as soon as my head touches the pillow, I switch off,” as we walk along the corridors of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Leila Vladimirovna speaks on abstract topics. There are several tense hours ahead - she was urgently called to see a woman with a severe form of uterine fibroids.

The surgeon exchanges high-heeled shoes for clogs on high wedges only at the entrance to the operating room. He believes that even in the most difficult work a woman should remain elegant. Comes out after an hour and a half. She puts on a white coat and flies back to the waiting room, where patients are already waiting for her ...

Unlike most famous doctors, Leyla Adamyan was born in a family that has nothing to do with medicine. His father is a master engineer at a factory, his mother is a primary school teacher.

Raising two girls, they could not imagine that both would then wear white coats. The neighbors chose the profession for the sisters. More precisely, not even the neighbors - the yard. In Tbilisi, the family lived in a house united by a typical courtyard-well. In total, 17 “cells of society” huddled there, and in each there was a huge number of grandmothers, grandfathers, aunts. Not surprisingly, the ambulance visited them with frightening regularity.

“I always ran out to meet doctors. While they listened to the patient, gave him injections, stood by and watched, - Leila Vladimirovna recalls during an interview with RIA Novosti. - For me, people in white coats were real angels who came to a sick person, and left a healthy one. Over time, the doctors got used to me so much that they asked me to write down something in the map, count the pulse, and help in bandaging the wound. And I did it with great pleasure.”

By the age of eleven, Leila clearly knew which symptoms required an injection of magnesia, and which - mustard plasters.

It so happened that from the third grade, only her mother raised her and her sister. “We clearly agreed with her: she works, I study. And I tried very hard. Suffice it to say that at school she was the only medalist for four graduation classes, ”the obstetrician-gynecologist notes.

Leyla Adamyan's second hobby was sports: despite her short stature, she was the captain of the youth women's volleyball team.

“Even then, I got used to teamwork, to the fact that the success of the game largely depends on my decisions and cohesion in the team. I took responsibility and got a drive from it. When choosing a profession, this was one of the decisive factors. I needed a job, wherever I was on the sidelines, wherever the fate of a person depended on me. Obstetrics is such a fateful specialty. And here the risk is multiplied in two, because you take responsibility for two lives at once - a woman and an unborn baby. Or, which is also very significant, you give the opportunity to experience the feeling of motherhood to those who were deprived of it due to various diseases.

Leyla Adamyan was accepted to the Medical Institute based on the results of a single exam - as a medalist. And it didn't last long.

“I remember that I didn’t even want to leave the office, I kept waiting for more questions to be asked. The voiced ones seemed too easy, ”recalls the interlocutor of the agency.

Leyla Adamyan came to work at the Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov 47 years ago

She initially did not want to be a gynecologist - she saw herself as a surgeon. But my husband was categorically against it. “At that time, he was already working as a surgeon at the Vishnevsky Institute. And two operating doctors in the family is too much, - explains Leila Vladimirovna. - I obeyed, went to gynecology. And then, it just so happened, I still chose surgery.

“I didn’t leave the patient for two days”

Leyla Adamyan came to the Center for Obstetrics, Gynecology and Perinatology named after academician V.I. Kulakov 47 years ago - in 1971. At first I was a subordinator, then an intern. In the morning, together with the nurses, she personally took blood from all the patients. Once a week I set myself a duty in the birthing room. “I took on everything. I think that a real doctor, and even more so an obstetrician-gynecologist, should be able to take birth and stop bleeding.

After night shifts, she hurried home to two daughters, whom she gave birth to while studying at the 1st Moscow Medical Institute named after I.M. Sechenov. One for the winter holidays, the other for the summer.

“By the way, we have a phenomenal family: my father, my daughter and I were born on January 20 at the same time,” the interlocutor cites a curious fact.

Leyla Adamyan will never forget one of the night shifts. She was urgently called into the operating room: a woman in labor named Marina started bleeding. As it turned out, the woman hid from the doctors that she had a serious illness in which the blood did not clot. “When I was called into the operating room, she had already lost two liters. Over the next two days, another 23. Just think about it: 25 liters of blood. An adult has only five. We transfused her with blood, she lost it ... ”the doctor explains.

Donors for Marina were cadets from the police school located opposite the hospital - they lined up to donate blood for a dying young mother.

For two days, Leila Vladimirovna did not leave the patient: she held her hand. Even lunch was brought to her in the intensive care unit. “Something had to be done, because it couldn’t go on like this. And I called my husband. He then headed the department of dressings, suture and polymeric materials of the A.V. Vishnevsky Institute of Surgery, where the first embolizations were just begun (that is, "blockage" of the arteries by a minimally invasive method. - Approx. Ed.). True, before this case, the technology was used mainly for cerebral hemorrhages or during operations on the brain.

I remember how I begged into the phone: “A woman is dying in my arms, do something, because she won’t survive another operation!” He asked if the patient was transportable. And we took responsibility for the transportation."

It was the first embolization in obstetrics and gynecology in the Soviet Union. The blood was stopped - Marina survived. “When we gave material about this operation to the Izvestia newspaper, the journalists even decided to correct the volume of blood loss: instead of 25.5 liters, they wrote 2.55. No one could believe that a person can lose so much blood and stay alive,” Adamyan notes.

An article in Izvestia dedicated to the rescue of Marina

It's been 34 years. Marina periodically calls Leila Vladimirovna. And recently she brought her son and said that she had come for her grandchildren.

"I will pray for her"

For forty-six years in a row, Professor Adamyan has hosted on Thursdays. But on other days, a queue forms in front of her office. In the corridor of the department of operative gynecology, which she heads, a visitor in a flowery dressing gown and a scarf rushes to Leila Vladimirovna. “Every day I will pray for you that they didn’t refuse,” she thanks the doctor in broken Russian.

She asks not to take pictures of her and not to mention her name. In the Tajik city of Khujand, where they came from, no one knows that her daughter has a rather rare gynecological problem - the girl was born with an undeveloped uterus and vagina. This pathology is called aplasia.

“If someone in our city hears about this, they won’t marry. And she is my fifth child, a beauty, ”the mother almost cries.

He explains that over the years dozens of doctors in Tajikistan have been visited, but no one has been able to help. “Everyone says that this is a congenital defect, you can’t treat it, you need to live like that. How so? She needs to get married...

One of the doctors advised me to go to Moscow, to see Leyla Adamyan. “I read the Internet, found everything about her. She is a doctor from God. She told me: “Don't cry, I'll do the operation myself, everything will be fine. Now my girl is already being prepared, in two hours Leila Vladimirovna will take her.”

In the office, the obstetrician-gynecologist clarifies that such a malformation of the female body is not at all unique. It is diagnosed in three percent of girls. And it was Leila Vladimirovna who developed the author's method for eliminating this defect. Moreover, in the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, more such operations were performed than in the whole world. “We create a vagina from the peritoneum, we do everything so that the patient becomes a full-fledged woman,” the doctor explains.