The maternity center is a new component of obstetric care in Ukraine

Abstract

In this article, data on the analysis of literature on the perinatal and maternal aspects of the domestic labor and delivery in maternity wards are conducted. For most women in developed countries, the choice of place of birth is maternity cultural norm. However, to give birth in a maternity room is a relatively recent phenomenon. In many countries, the change in birthplace has changed during the twentieth century. For example, in the UK, 80% of women were born in the 1920s, and in 2011, only 2.3%. The United States had a similar shift from 50% of births at home in 1938, to 1% in 1955. In developed countries such as Great Britain, Germany, the Netherlands, France, Italy, Israel, Canada, New Zealand, Australia, and in our geographical neighbors Latvia, Hungary and Poland have long been working on a three-step system of providing maternity care. This system includes: 1) Maternity Hospital – for women of high and moderate risk; 2) maternity centers in or near the hospitals, in which only the midwives receive births, and, if necessary, the woman and the child are quickly delivered to the hospital, where they will be in urgent assistance within a few minutes; 3) home births – for women from a low-risk group, accompanied by experienced certified midwives. The creation of a new obstetric link in Ukraine, the maternity center, is a promising direction for the development of all obstetrics. On the basis of Kyiv City Maternity Hospital № 5 a separate maternity center was created, which is an autonomous maternity ward office. The department has separate medical staff and maternity rooms as close as possible to home conditions. Emergency care for a mother and child takes several minutes. Key words: home birth, maternity center, perinatal aspects, maternal aspects.