Translation. Region: Russian Federal
Source: Moscow Government – Government of Moscow –
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Moscow continues to implement a new standard of care for women's health. The new standard of outpatient obstetric and gynecological care is based on comprehensive care for women's health and the comfort of receiving specialized treatment. This was reported in on your telegram channel Sergei Sobyanin reported.
"The key element is women's health centers. They are replacing the outdated format of women's consultations. These are clinics with the latest equipment, where women can receive specialized care throughout their lives. They are part of the structure of multidisciplinary city hospitals. Thus, patients receive all the best that Moscow healthcare has to offer, and in one place. This is especially important for expectant mothers. To date, we have already opened
11 centers women's health," the Mayor of Moscow wrote.
Source: Sergei Sobyanin's Telegram channel @mos_sobyanin
By the end of this year, it is planned to complete the creation of five centers based on:
— City Clinical Hospital (CCH) named after V.V. Veresaev on Lobbenskaya Street (building 10);
— City Clinical Hospital named after S.S. Yudin on Medikov Street (building 7);
— City Clinical Hospital named after A.K. Yeramishantsev on Pechorskaya Street (building 10, block 1) and Kasatkina Street (building 9);
— City Clinical Hospital No. 31 named after Academician G.M. Savelyeva on Teply Stan Street (building 12b).
Future plans include opening more than 10 centers in different areas of Moscow.
The new standard of outpatient obstetric and gynecological care includes a full cycle of services – from consultations and examinations to support during pregnancy within the structure of a single complex (women's health center – maternity hospital or perinatal center – gynecological department of a multidisciplinary hospital).
A key element of the new standard is women's health centers – modern clinics with a wide range of diagnostic capabilities, where women can receive obstetric and gynecological care throughout their lives, prepare for pregnancy, and be monitored by their doctor before the birth of their child.
The new centers are intended to replace traditional women's consultations, where the quality and comfort of medical care do not meet modern requirements due to various reasons, such as:
— placement in small premises, in which it is not possible to install a full set of diagnostic equipment. Often, the consultation area is from 350 to 600 square meters, and in some of them there are only three rooms;
— lack of uniform equipment standards. Patients have to visit other medical organizations to undergo not only specialized, but also many routine examinations, including ultrasound;
— uneven workload of specialists and staff shortages. The lack of uniform requirements for staffing reduces the availability of medical care — not all women's clinics have specialists;
– the impossibility of creating comfortable conditions for stay.
In accordance with the new Moscow standard, women's health centers provide:
— continuity between outpatient and inpatient care. For patients, this means seamless routing from the women's health center to the maternity hospital, perinatal center or multidisciplinary hospital. A woman's health is in the hands of one team of professional doctors;
— a unified standard of equipment that allows for a full range of diagnostic procedures (ultrasound, mammography, fetal screening, etc.) to be performed using modern, high-tech equipment;
— a unified approach to recruiting staff. The centers will employ obstetricians-gynecologists, therapists, endocrinologists, psychologists and specialists in other various fields;
— modern approaches to the prevention and treatment of diseases, including early detection of oncological diseases, treatment of infertility, cervical pathology and benign breast diseases;
— convenient digital solutions. All data on appointments, examination results, tests and prescriptions are stored in an electronic medical record, women's consultations and women's health centers are united on the EMIAS platform, and basic processes, including the creation of structured protocols, site passports, registers and routing, are carried out digitally;
— comfortable conditions for patients, ensuring the preservation of personal space, as well as creating an atmosphere of coziness and a positive attitude.
In addition, an important advantage of women's health centers is their accessibility. They accept patients seven days a week, unlike the old women's consultation centers, which accept patients only on weekdays.
Women of all ages receive medical care in women's health centers, including during pregnancy, as well as patients of dispensary groups (with infertility and other health problems requiring specialized treatment). Pregnancy management takes place in the most comfortable conditions with wide diagnostic capabilities and the involvement of highly specialized specialists.
Women's Reproductive Health Support Program
In September 2024, Moscow was the first in Russia to launch a program to support women's reproductive health, "Becoming a Mom," aimed at helping Muscovites aged 25 to 39 (if there are medical indications, 18 to 24 years old) plan their pregnancies, taking into account their individual characteristics. The project was developed jointly with leading reproductive specialists and obstetricians and gynecologists.
For the first time, procedures such as blood tests to measure the level of anti-Müllerian hormone (AMH), which shows how many potential eggs women have left in reserve, cryopreservation of eggs, and genetic diagnostics of embryos have become free for residents of the capital.
At the first stage, project participants are offered to take a test for AMH levels. If the test results show that it is low, the woman will be invited to a women's health center for a detailed consultation and offered a set of actions for successful pregnancy planning. For example, it will be possible to preserve eggs for free using cryopreservation. The city will ensure the storage of eggs and embryos in clinics participating in the project for two years. When a woman wants to become a mother, she will be able to use them to get pregnant using assisted reproductive technologies.
In addition, specialists can offer free in vitro fertilization and embryo transfer procedures. Today, EMIAS has formed referrals for screening examinations for AMH levels for more than 1.2 million women.
Since the launch of the program, more than 220 thousand Muscovites have taken the test. This indicates a high coverage of the female population by the population screening program for reproductive health.
Every fourth woman who took the AMH test has a value of less than 1.5. Almost six thousand project participants, including thanks to the data obtained, decided to become mothers and have already registered for pregnancy. About 300 participants used the cryopreservation procedure.
All this demonstrates the demand for a project to diagnose and support women's reproductive health and to form a responsible attitude of women to their health, pregnancy and motherhood in society.
Sobyanin: Healthcare system undergoing its largest modernization
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