Tasks obstetrician-gynecologist

 Save the child's mother, 
 and the mother - child

Pregnancy and childbirth - physiological processes, however, possible deviations in the course. They can be caused by several reasons: 1) the structure and functions of organisms mother and fetus, 2) the influence of the environment (inadequate and one-sided nutrition, physical and nervous tension and others) and 3) concomitant diseases (such as cardiovascular disorders, infectious diseases, and others). Studying and correct assessment of these factors determine the behaviour of the physician at the bedside of the pregnant and lying-in women, contribute to rational choice of activities in the process of labor. The study of the reasons that impair the normal course of pregnancy and childbirth, is an important prerequisite for the prevention of obstetric pathology. A number of questions arises from the obstetrician-gynecologist, when he goes directly to the assessment of the health status of women. How to ensure that the pregnancy was uneventful, and the development of descent act does not lead to the emergence of serious pathological phenomena? How to adjust for the generic process to avoid the application of the operational benefits, for they are often accompanied by damage of the birth canal and threatened the health and life of the mother and child, for which the physician is responsible? What obstetric techniques and methods most appropriate and at the same time the most effective in the conduct of normal and pathological birth? At what point a midwife to intervene in the family act, in order to avoid mistakes and others?
The answers to these and many other questions obstetrician-gynecologist can give only when he comprehensively examine the status of this pregnant or mothers and carefully will keep track of it in the process of pregnancy and childbirth.
The study will include, on the one hand, a thorough acquaintance with the data of the anamnesis, and with another - in a clinical study and observation.
Modern obstetrician-gynecologist not imagine yourself permission diagnostic tasks on the basis of one only objective studies and gives a history of not less important than data, objective research.
During the collection of anamnesis obstetrician-gynecologist should always take into account external factors (geographic, climatic, seasonal) and other conditions in which he lives and works woman (conditions of work, life, food).
Thoroughly collected history with all the external factors, no doubt, is essential in the process of clinical examination of women, facilitates diagnostics and promotes proper treatment choice.
The difficulties of differential diagnosis can be overcome only if a critical attitude obstetrician-gynecologist to the clinical data. Obstetrician-gynecologist should be able clinically to think correctly, to summarize the obtained facts, understand the contradictions, to visualise, which is the main disease, and what refers to the complications.
The correct development of clinical thinking and accumulation of experience of the obstetrician-gynecologist is possible only with everyday practical work it in the antenatal clinic and hospital. This undoubtedly contributes we conducted in the Union of Association of hospital with advice. Work obstetrician-gynecologist in these conditions enables dynamic monitoring of the woman before pregnancy and during her, childbirth and after childbirth. The doctor, watching the woman at all these stages, has the opportunity not only to take into account and analyze the mistakes, but a timely manner to prevent and eliminate them.
Working simultaneously in consultations, hospital and at the site, the doctor in perfection can study the questions of the organization of obstetric care, and thus will be able to achieve the best results in the care of a mother and her child.
Only wide obstetric and medical education and serious approach to business ensures a correct line of behaviour of the doctor and the greatest efficiency of the selected activities, and in some cases warn the doctor of unnecessary and often harmful "activity" in obstetrics.
A criterion the degree of preparedness of a doctor obstetrician-gynecologist can only serve as indicators of the quality of its work, i.e., pregnancy outcomes for the mother and fetus and progressive reduction in the number of surgical interventions, abortion and other complications of pregnancy, premature births, stillbirths, morbidity and mortality among mothers and infants.