Runny nose

Adamyan Leila Vladimirovna. Chief gynecologist Women's health centers may appear in the city

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

Rules of life for the country's chief obstetrician-gynecologist

Anastasia Gnedinskaya

The working day of the chief obstetrician-gynecologist of Russia, Leila Adamyan, begins at seven in the morning. In the elevator, she takes off her watch and rings and puts on surgical pajamas as she goes. In ten minutes - surgery. There are few such titled women in Russian medicine. Leyla Adamyan is an academician, Honored Scientist, holder of the Order of Merit for the Fatherland, IV, III and II degrees. But every day, like forty years ago, she performs several complex operations.

January twentieth is Leila Vladimirovna’s anniversary. A RIA Novosti correspondent spent one day with this amazing woman.

"Responsibility for Two Lives"

Leila Adamyan schedules the interview for nine in the morning. By this time she has been on her feet for four hours. To keep up with everything, he gets up at five. “I sleep four to five hours, no more. I can't afford to waste my precious time. But I don’t have problems sleeping, as soon as my head touches the pillow, I pass out,” while we walk along the corridors of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Leila Vladimirovna talks 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 with high wedges only at the entrance to the operating room. She believes that even in the most difficult work a woman should remain elegant. He will come out only after an hour and a half. She will put on a white coat and fly back to the waiting room, where patients are already waiting for her...

Unlike most famous doctors, Leyla Adamyan was born into a family not related to 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 later put on 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, there were 17 “social cells” huddled there, and in each there was a huge number of grandmothers, grandfathers, and aunties. It is not surprising that the ambulance visited them with alarming regularity.

“I always ran out to meet doctors. While they listened to the patient, gave him injections, she stood nearby and observed,” 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 so used to me that they asked me to write something down on the card, count my pulse, and help me bandage the wound. And I did it with great pleasure.”

By the age of eleven, Leila clearly knew which symptoms required a magnesium injection and which ones needed mustard plasters.

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

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 on cohesion in the team. I took responsibility and got drive from it. This was one of the decisive factors when choosing a profession. I needed a job where I would not be on the sidelines, where a person’s fate would depend on me. Obstetrics is such a fateful specialty. Moreover, here the risk is multiplied in half, 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 for those who were deprived of this due to various diseases.”

Leila Adamyan was accepted into the medical school 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 them to ask me more questions. The voiced ones seemed too easy,” recalls the agency’s interlocutor.

Leila 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. But two operating doctors in a family is too much,” explains Leila Vladimirovna. “I obeyed and went to the gynecologist.” And then, as it happened, I chose surgery anyway.”

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

Leila 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 subordinate, then a resident. In the mornings, together with the nurses, I personally took blood from all patients. Once a week I assigned myself duty in the birthing room. “I took on everything. I believe that a real doctor, and especially an obstetrician-gynecologist, should be able to deliver a child and stop the bleeding.”

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

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

Leila Adamyan will never forget one of her night shifts. She was urgently called to the operating room: a woman in labor named Marina was bleeding. As it turned out, the woman hid from the doctors that she had a serious illness in which the blood does 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 of them. We transfused blood to her, but she lost it...” explains the doctor.

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

For two days Leila Vladimirovna did not leave the patient’s side: she held her hand. Even lunch was brought to her in the intensive care ward. “Something had to be done, because things couldn’t go on like this. And I called my husband. He then headed the department of dressings, sutures and polymer materials at the A.V. Vishnevsky Institute of Surgery, where the first embolizations began (that is, “blocking” arteries using a minimally invasive method. - Ed.). True, before this case, the technology was used mainly for cerebral hemorrhages or during brain surgery.

I remember how I begged into the phone: “I have a woman 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 transportation upon ourselves.”

This was the first embolization in obstetrics and gynecology in the Soviet Union. The blood was stopped and 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 could lose so much blood and remain alive,” Adamyan notes.

Article in Izvestia dedicated to the rescue of Marina

34 years have passed. Marina periodically calls Leila Vladimirovna. And recently she brought her son and said that she came for her grandchildren.

“I will pray for her”

For forty-six years in a row, Professor Adamyan has been hosting on Thursdays. But on other days there is a line in front of her office. In the corridor of the operative gynecology department, which she heads, a visitor in a colorful robe and scarf rushes towards Leila Vladimirovna. “Every day I will pray for you that you 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 me. But she’s my fifth child, she’s beautiful,” the mother almost cries.

He explains that over the years he visited dozens of doctors in Tajikistan, but no one could help. “Everyone says that this is a congenital defect, it cannot be treated, you need to live like this. How so? She needs to get married..."

One of the doctors advised me to go to Moscow, to see Leila Adamyan. “I read the Internet and 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. Diagnosed in three percent of girls. And it was Leila Vladimirovna who developed the original method for eliminating this defect. Moreover, at 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 and do everything so that the patient becomes a full-fledged woman,” explains the doctor.

One of the priority areas for improving the healthcare system has traditionally been maternal and child health care. Thus, in the capital region, work in this direction has always been carried out, but especially noticeable structural changes in this area have occurred over the past few years.

The chief obstetrician-gynecologist of the Moscow Department of Health, professor of the Department of Obstetrics and Gynecology of the Russian National Research Medical University named after A. N.I. Pirogova Alexander KONOPLYANNIKOV.

– Alexander Georgievich, you have been supervising the work of the capital’s obstetrics and gynecology service for more than 4 years, so all the changes taking place in this area occur with your direct participation. What are they and what goals do they pursue?

– 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 designed in such a way that only part of the maternity hospitals were located in the structure of multidisciplinary hospitals. Others existed separately, they did not have all the capabilities of a hospital with powerful intensive care units, surgical, vascular, therapeutic departments, functional diagnostic departments, which the capital authorities have equipped with the most modern equipment over the past 5 years.

If any situation arose related to complications and pathologies, then a specialized team - resuscitation, vascular, etc. - came to the aid of this maternity hospital. After all obstetric hospitals have been administratively affiliated with 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 is repurposed to perform other tasks.

Nowadays, not only the deputy chief physician for obstetrics, but the chief physician himself is responsible for every pregnant woman admitted to the maternity hospital. Providing 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 under his jurisdiction. Accordingly, his motivation to improve staff qualifications and introduce 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 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 complications such as massive obstetric hemorrhage during childbirth, which is still one of the main causes of maternal mortality in Russia. Thanks to the introduction of evidence-based medicine using only modern technologies (for example, X-ray surgery), the use of effective medications and equipment (for example, in every maternity hospital in Moscow there are cell savers that allow minimizing the use of donor blood by using your own) over the past years in medical organizations Not a single mother in Moscow died from bleeding...

– How were these changes perceived by the professional community?

- A little wary at first. The medical community is quite conservative, so any innovations that completely change the usual pattern of work find some opposition. It is equally important that previously each maternity hospital had a chief physician, who in the new scheme became the deputy chief physician of the hospital for obstetrics and gynecology - that is, his functional capabilities were reduced.

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 for them. They now have a kind of “elder brother” who will come to the aid of this institution in any situation. For example, if a patient requires further observation and diagnostics and cannot receive them inside the maternity hospital for some objective reason (for example, there is no opportunity to conduct a CT or MRI), then the multidisciplinary hospital has all this. 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 merging multidisciplinary hospitals with antenatal clinics began...

- Absolutely right. Moreover, a pilot project in this direction had previously been tested 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 illness or complications came for the first time.

But the first people who see patients are outpatient doctors. This is the most crucial moment: the first meeting with the patient, a competent history taking, identifying risks and resolving 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 resolve organizational and administrative issues, but also to raise the professional level of the staff of antenatal clinics.

Having set this goal, we created the Moscow School of Obstetrician-Gynecologist 3 years ago. I invited outpatient doctors there to raise their educational level so that they would treat all patients equally and treat all forms of diseases in the same way.

In June of this year, an order was signed by the capital’s Department of Health to merge multidisciplinary hospitals, which have obstetric departments, with antenatal clinics. On a territorial basis, we have connected 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 to the provision of specialized care both during pregnancy and childbirth, and for gynecological diseases. If necessary, receive treatment in one medical organization: from diagnosis of the disease to rehabilitation after surgical treatment. One medical organization will be responsible for it, not several.

It is important to note that nothing changes for patients: they still turn to the residential complex at their place of residence (territorially everything remains in its place). For doctors, only the employer changes: now they are employees of one or another hospital, but physically return to their previous workplace.

The unification process will be completed in September this year.

“Working on this model places completely different demands on the professional training of the doctors involved. How will this process be ensured?

– In modern conditions, representatives of our profession need to become real generalists, capable of providing assistance at the same high level both in the outpatient setting and in the gynecological hospital, and in the process of accompanying pregnancy and childbirth.

In the diplomas of both antenatal clinic doctors and hospital doctors, one specialty is written - obstetrician-gynecologist. Unfortunately, we have gradually lost our universality, becoming divided based on where we work. When all these doctors become doctors in the structural divisions of multidisciplinary hospitals, the city will have a main obstetrics and gynecology department, including an outpatient clinic, a hospital and a maternity hospital. Such a structure will ensure constant professional communication between doctors, exchange of experience, and the creation of conditions under which a doctor, for example, on an outpatient basis, can go to both the maternity and gynecological departments and see whether hospitalization is justified for a particular patient. The same applies to his colleagues from the maternity hospital or hospital. Currently, we, together with the Moscow Department of Health, are deciding on the issue of ensuring that, after the completion of the unification process, all obstetrician-gynecologists work according to the same clinical protocols.

– Provided that the new model of organizing medical care will include all “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 go to another medical organization? Indeed, in this case, it will be possible to forget about maintaining continuity in treatment...

– At the systemic level, the management of a medical organization will be interested in ensuring that patients receive 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 other than creating comfortable conditions for the patient, attracting the most qualified personnel and increasing the efficiency of the institution. Patients, according to 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 the medical organization.

By the way, if we have already mentioned the financial topic, it is worth noting that the level of wages of medical staff at antenatal clinics will not change when changing employers. To ensure this condition, the issue of increasing 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, the capital’s obstetrics and gynecology service has seen, so to speak, a qualitative leap in technology. Can you tell us more about this?

– One of the most noticeable positive results of the modernization of obstetric and gynecological care services was the creation of a network of perinatal offices. 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, the married couple themselves decide on the possibility of continuing the pregnancy. There are fewer and fewer unpleasant situations when any diagnosis is made to a baby after childbirth, when for parents it’s like a “bolt from 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 population of one million. As a result, on the initiative of the chief district obstetricians and gynecologists, based on the principle of territorial accessibility, a total of 37 such offices were created. A clear prenatal diagnostic service has been built.

All antenatal clinics refer pregnant women to prenatal diagnostic rooms at 11-14 weeks, as well as at 18-21 weeks, to undergo prenatal screening to not only identify malformations in the fetus, but also predict the risk of fetal growth retardation, the development of such a formidable pregnancy complications such as preeclampsia. During the first prenatal screening (11-14 weeks), not only an ultrasound examination is performed, but also a biochemical one, since the study of these markers (PAPP-a and -hCG) makes it possible 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 to medical genetic counseling, where, after an expert ultrasound examination, a decision is made on the need for invasive diagnostics.

Prenatal diagnostic rooms are staffed by obstetricians and gynecologists who have not only an ultrasound diagnostic certificate, but also an international certificate. Also, KPD doctors undergo monthly audits (the correctness of ultrasound examinations).

Previously, it took 2 weeks from taking the test to receiving the result. Now thanks to this system – 2 days. This is a very important indicator, since we are limited by strict time frames for making a decision to terminate a pregnancy if malformations are detected in the fetus.

– How do you assess the decision to introduce the “Moscow Doctor” status 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 discontent among my colleagues. However, I fundamentally believe that this status should not become widespread and should not be available to everyone. It must be prestigious and truly represent the professional distinction of a particular specialist and be awarded not “on the basis of merit,” but according to objective criteria.

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

The second stage of the exam involves the use of simulation technologies: the applicant must deliver a child, perform a vacuum extraction, demonstrate knowledge of laproscopic surgical techniques and the ability to conduct and interpret ultrasound results of pregnant women, etc. I repeat, all this is regardless of the actual place of work and position. A “Moscow doctor” must 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 a non-standard situation. A very important point: the chief physician of the medical organization must be present at the exam. After all, it is he who ultimately needs to imagine 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, it lies in the fact that a doctor should not limit his professional duties to work only in the outpatient clinic or in the gynecological department. We are certified as an obstetrician-gynecologist. This assumes that a specialist, if necessary, should be equally effective in both the field of gynecology and obstetrics. He must be a generalist who can come to an appointment, deliver a baby, and perform an operation in the gynecological department. Then he will be a full-fledged obstetrician-gynecologist, and this is what we should strive for...

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 Regenerative Medicine and Biomedical Technologies of Moscow State Medical University named after A.I. Evdokimova, member of the board of the association of specialists in aesthetic gynecology ASEG.

Graduated from the Moscow Medical Academy named after I.M. Sechenova, has a diploma with honors, completed clinical residency at the Clinic of Obstetrics and Gynecology named after. V.F. Snegirev MMA named after. 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 MMA named after. THEM. Sechenov.
From 2009 to 2017 she worked at the Federal State Institution “Treatment and Rehabilitation Center” of the Ministry of Health of the Russian Federation
Since 2017, he has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine of Medsi Group of Companies JSC.
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 Ryazan State Medical University named after academician I.P. Pavlova with a degree in general medicine. Completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology Clinic named after. V.F. Snegirev MMA named after. THEM. Sechenov.
Proficient in a full range of surgical interventions for gynecological diseases, including laparoscopic, open and vaginal access.
Engaged in the introduction of new methods for identifying and treating the 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 named after. THEM. Sechenov, has a diploma with honors.
She has certificates: an obstetrician-gynecologist, a specialist in the field of laser medicine, a specialist in intimate contouring.
The dissertation is devoted to the surgical treatment of genital prolapse complicated by enterocele.
Kolgaeva Dagmara Isaevna is the author of a number of published works, participant in Russian and international congresses and scientific and practical conferences on obstetrics and gynecology.

Myshenkova Svetlana Aleksandrovna

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

In 2001 she graduated from the Moscow State Medical and Dental University (MGMSU)
In 2003, she completed a course of study in the specialty “obstetrics and gynecology” at the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences
In 2007, Svetlana Aleksandrovna Myshenkova defended her dissertation on the topic “Treatment of uterine fibroids by x-ray endovascular embolization of the uterine arteries” and received the degree of Candidate of Medical Sciences
He has a certificate in endoscopic surgery, a certificate in ultrasound diagnostics of pathologies of pregnancy, fetus, newborn, in ultrasound diagnostics in gynecology, a certificate of a specialist in the field of laser medicine. He successfully applies all the knowledge acquired 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” and “Problems of Reproduction”. He is a co-author of methodological recommendations for students and doctors

Pritula Irina Alexandrovna

Obstetrician-gynecologist

Graduated from the First Moscow State Medical University named after. THEM. Sechenov.
She completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
She is certified as an 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, cervical pathology

Muravlev Alexey Ivanovich

Obstetrician-gynecologist, gynecological oncologist

In 2013 he graduated from the First Moscow State Medical University named after. THEM. Sechenov.
From 2013 to 2015, he completed a clinical residency in the specialty “Obstetrics and Gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University named after. THEM. Sechenov.
In 2016, he underwent professional retraining at the State Budgetary Institution of Healthcare of the Moscow Region MONIKI named after. M.F. Vladimirsky, specializing in Oncology.
From 2015 to 2017 he worked at the Federal State Institution “Treatment and Rehabilitation Center” of the Ministry of Health of the Russian Federation.
Since 2017, he has been working at the Center for Gynecology, Reproductive and Aesthetic Medicine of Medsi Group of Companies JSC.

Mishukova Elena Igorevna

Obstetrician-gynecologist

Doctor Mishukova Elena Igorevna graduated with honors from the Chita State Medical Academy with a degree in general medicine. She completed clinical internship and residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University. THEM. Sechenov.
Mishukova Elena Igorevna has 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 salpingoophoritis, etc.
Mishukova Elena Igorevna is an annual participant in 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 named after. THEM. Sechenov with a degree in general medicine. She completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the First Moscow State Medical University named after. THEM. Sechenov.
The dissertation is devoted to the topic of organ-preserving treatment of adenomyosis using FUS ablation. He has a certificate as an obstetrician-gynecologist and a certificate in ultrasound diagnostics. Proficient in the 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 salpingoophoritis, etc.
Author of a number of published works, co-author of a methodological guide for doctors on organ-preserving treatment of adenomyosis using 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 diagnostics doctor.

Gushchina Marina Yurievna graduated from Saratov State Medical University named after. V.I. Razumovsky, has a diploma with honors. She was awarded a diploma from the Saratov Regional Duma for excellent success in studies and scientific activities, recognized as the best graduate of Saratov State Medical University named after. 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 is certified as an obstetrician-gynecologist; ultrasound diagnostics doctor, specialist in laser medicine, colposcopy, endocrinological gynecology. She has repeatedly completed advanced training courses in “Reproductive Medicine and Surgery” and “Ultrasonic Diagnostics in Obstetrics and Gynecology.”
The dissertation work is devoted to new approaches to differential diagnosis and management tactics for patients with chronic cervicitis and early stages of HPV-associated diseases.
Proficient in the 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, cervical conization, etc.)
Gushchina Marina Yurievna has more than 20 scientific published works, is a regular participant in scientific and practical conferences, congresses and conventions on obstetrics and gynecology.

Malysheva Yana Romanovna

Obstetrician-gynecologist, gynecologist for children and adolescents

Graduated from the Russian National Research Medical University. N.I. Pirogov, has a diploma with honors. She completed clinical residency in the specialty “obstetrics and gynecology” at the Department of Obstetrics and Gynecology No. 1 of the Faculty of Medicine of the First Moscow State Medical University. THEM. Sechenov.
He is certified as an obstetrician-gynecologist, ultrasound diagnostics doctor, specialist in laser medicine, pediatric and adolescent gynecology.
Proficient in the 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, cervical conization, etc.)
Participant of congresses and scientific and practical conferences on obstetrics and gynecology.
Author of 6 scientific publications.

Ivanova Olga Dmitrievna

Ultrasound doctor

Graduated from the Moscow Medical Academy named after. THEM. Sechenov with a degree in general medicine
She completed clinical residency in the specialty “Ultrasound Diagnostics” at the Research Institute of Emergency Medicine named after. N.V. Sklifosovsky
Has a Certificate from the FMF Fetal Medicine Foundation confirming compliance with international requirements for 1st trimester screening, 2018. (FMF)

Proficient in ultrasound examination techniques.

Academician of the Russian Academy of Medical Sciences, Doctor of Medical Sciences, Professor
Honored Scientist of the Russian Federation, laureate of the Russian Government Prize,
Member of the Presidium of the International Federation of Gynecological Endoscopy,
Member of the American Association of Gynecological Laparoscopists,
President of the Russian Endometriosis Association,
Vice-President of the National Association of Gynecologists and Endoscopists of Russia.
Chief specialist in obstetrics and gynecology of the Ministry
healthcare and social development of the Russian Federation.
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In 1972 she graduated from MMI named after. I.M. Sechenov. In 1977 she defended her thesis on the topic: “Reproductive function in patients with endometrioid ovarian cysts before and after treatment”; in 1985 - doctoral dissertation on the topic: “The state of the reproductive system of patients with benign tumors of the internal genital organs and the principles of its restoration after reconstructive plastic surgery.” From April 1989 to the present, L.V. Adamyan has been the head of the department of operative gynecology at the Scientific Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakova. Since 2002 L.V. Adamyan - Head of the Department of Reproductive Medicine and Surgery of the Faculty of Advanced Education, Moscow State Medical University.
In 1993 L.V. Adamyan was awarded the academic title of professor. In 1999 she was elected a corresponding member of the Russian Academy of Medical Sciences, in 2004 – a full member of the Russian Academy of Medical Sciences; Member of the Bureau of Clinical Medicine Department of the Russian Academy of Medical Sciences. In 2002, L.V. Adamyan was awarded the title “Honored Scientist of the Russian Federation” and awarded the Russian Government Prize in the field of science and technology for the introduction of endoscopic technology in gynecology.
Adamyan L.V. – one of the leading obstetricians and gynecologists in the country, whose scientific and practical interests cover all aspects of reproductive health from embryogenesis to postmenopause. She has conducted fundamental scientific research into the pathogenesis of various aspects of pathological processes in the human reproductive organs. Fluent in the techniques of traditional and latest surgical techniques, L.V. Adamyan supervises and coordinates scientific research to improve the technique of reconstructive plastic surgery in obstetrics and gynecology, actively develops the direction of minimally invasive surgery and the use of new technologies in operative gynecology. L.V. Adamyan has 19 copyright certificates for various inventions in the field of operative gynecology, she has developed her own surgical techniques, which she has repeatedly demonstrated at international congresses in Italy, the USA, Great Britain, and Belgium. Adamyan L.V. carries out extensive medical work, provides advisory and medical assistance in various medical institutions in Moscow and other cities, travels to complex cases, and participates in consultations.
Results of scientific activities of L.V. Adamyan are presented in 968 publications in domestic and foreign publications, including 14 monographs and manuals, 5 atlases, 11 chapters. L.V. Adamyan created a scientific and clinical school of gynecologists, recognized in 2006 as the leading school in the specialty within the framework of the federal target scientific and technical program “Research and development in priority areas of development of science and technology,” the representatives of which head the departments of medical universities, medical institutions and clinical units hospitals and medical centers both in Russia and in countries near and far abroad. Under the leadership of L.V. Adamyan, 48 candidate and doctoral dissertations have been completed, 21 works are being carried out. L.V. Adamyan carries out extensive scientific and organizational work as a member of the Academic Council of MGMSU, NC AGiP, Moscow Medical Academy, member of the Problem Commission of the Scientific Council of the Russian Academy of Medical Sciences and the Ministry of Health and Social Development for Obstetrics and Gynecology. Under the leadership of L.V. Adamyan, joint scientific research is being conducted with the universities of Oxford (Great Britain) and Leuven (Belgium).
L.V. Adamyan is the president of the Society of Reproductive Medicine and Surgery and the Russian Association of Endometriosis, vice-president of the National Association of Gynecologists and Endoscopists of Russia. Under her leadership, over the past 16 years, these associations have organized and conducted 20 International courses, seminars and congresses on various aspects of gynecology on the basis of the NC AGIP, and in 2006 - the First International Congress on Reproductive Medicine.

Chief gynecologist? This is a specialist who deals with many women’s problems not only during appointments, but also at the public level. After reading this article, you will learn 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 tubes, which resulted from the appearance of adhesions;

2. Removal of the ovary. If doctors have discovered a cyst or cancerous tumor in the patient’s 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. There are two types of operations - urgent and planned. Urgent operations are performed in case of diseases that endanger the life of a woman or child. Before a planned operation, the patient must undergo appropriate tests and undergo additional examinations so that the doctor can plan the operation process in detail.

Work of the chief gynecologist in the public sector

The chief gynecologist, together with representatives of the Ministry of Health, is fighting for the provision of free gynecological services to all segments of society. It's no secret that before you can 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. This is especially true for maternity hospitals.

Areas of work of the chief gynecologist

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

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

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

Help from additional specialists

In his practice, the chief gynecologist may refer the patient to doctors who work in a different field. A gynecologist can 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 treatment of both benign and malignant tumors in the body;

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

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

The work of the chief gynecologist, like that of an ordinary specialist, is primarily aimed at providing assistance to the female half of the population. He can also conduct routine examinations, prescribe treatment for the patient and guide her until full recovery.