The program "Pregnancy multiple" plus (for monochorionic twins)

Pregnancy management programs from the Dobrobut Medical Network

Pregnancy is an amazing period for every woman. An important and at the same time exciting moment of the "hopeful" period requires the supervision and support of highly qualified specialists. Especially when you are expecting twins, and maybe even triplets!

In the Dobrobut medical network, we provide full support for pregnant women and further support for your newborn babies by our pediatricians.

You can always choose a pregnancy program that will suit your needs. Pregnancy management programs include all the necessary instrumental and laboratory tests, consultative examination of narrow specialists. Pregnancy management in Dobrobut is all services in one place and without queues. If you are a Dobrobut client, then all your data is stored in one card, so you do not have to mention what may be important for your doctor in the management of pregnancy.

When can I register?

The pregnant woman should be registered as early as possible about the established term of pregnancy, and preferably not later than 10-12 weeks of pregnancy. This is due to the screening period of the first trimester. During the first trimester screening, doctors determine the risks of chromosomal abnormalities and fetal malformations.

You can register for pregnancy in Dobrobut at any time by choosing the appropriate pregnancy management program. Each pregnant woman will receive an individual approach and observation by the recommendations of the Ministry of Health. Obstetrician-gynecologist Dobrobut will accompany the woman during pregnancy, will provide the necessary counseling and medical care, will answer all questions.

How do I choose the program that's right for me?

To choose a program for yourself, you need to contact an obstetrician-gynecologist Dobrobut, who after the initial examination will recommend a program that is right for you.

Once your doctor has confirmed on early ultrasound that you are an expectant mother of twins or triplets, it is important to determine the "chorion" of pregnancy, that is, whether your children share one placenta. This is an important factor in choosing a pregnancy protocol.

To choose the program just for you, the doctor takes into account the following factors:

• Single or multiple pregnancies.
• "Chorionicity" of pregnancy.
• Presence of chronic somatic diseases in pregnant women.
• Negative rhesus factor of the mother and positive of the father (rhesus conflict).
• Obstetric and gynecological history (history of previous pregnancies and births).
• Takes into account the period of registration.

The happiness of multiple pregnancies has several features: more visits to the women's clinic, more ultrasound examinations, more thorough supervision by specialists. Our doctors will provide you with detailed information on birth planning, including the timing and types of labor and pain relief; taking care of your children after birth.

Pregnancy management program "Multiple pregnancies plus".

The program is recommended for women during pregnancy with monochorionic twins.

The basic program contains all the minimum necessary examinations, which are regulated by the order of the Ministry of Health of Ukraine in multiple pregnancies:

• general clinical tests;
• consultations with an obstetrician-gynecologist (observation by expert doctors) and related specialists;
• serial prenatal ultrasound examinations (according to the protocols of observation of this type of multiple pregnancies, to prevent the development of possible complications);
• screening of chromosomal pathology of fetuses;
• antenatal monitoring of fetal condition (cardiotocography);
• determination of thyroid function;
• Ultrasound of the abdomen, kidneys;
• examination for TORCH infection;
• screening for latent iron deficiency anemia;
• prenatal screening for neonatal sepsis with the possibility of prevention;
• prenatal consultation with a pediatrician/family doctor for the care of future children and breastfeeding;
• the departure of the pediatrician home after birth (for both children).

Each pregnant woman is given an exchange card, a sick leave, or a certificate for "maternity leave" within the program.

Validity of the program: 1 year from the date of execution of the contract.

An additional program deposit of UAH 2,000 / UAH 4,000 / UAH 6,000 / UAH 8,000 is possible (for services that are not included in the list of the package with a 15% discount and payment of the additional cost of expert doctors' consultations).

The service is provided: in all "adult" departments by an obstetrician-gynecologist.

What services are included in this program that will be provided to me?

• Consultation physician/family doctor 2
• Consultation pediatrician 1
• Consultation pediatrician at home in Kyiv city 7
• Preanalytical stage in biological material study 20
• Thyroid-stimulating hormone (TSH) 1
• Definition antibodies Ig M to the herpes virus I, II type 1
• identify antibodies lg G to herpes virus I, II types 1
• Determination of Ig antibodies to rubella virus 1
• Determination of Ig M antibodies to rubella virus 1
• Qualitative determination of Ig M antibodies to Toxoplasma gondii (toxoplasmosis) 1
• Quantitative determination of Ig G antibodies to Toxoplasma gondii ( toxoplasmosis) 1
• Determination of Ig G antibodies to CMV 1
• Determination of Ig M antibodies to CMV 1
• Urine backscatter 1
• Determination of Ig G antibodies to HCV (hepatitis C) 1
• Determination of Ig M antibodies to HCV (hepatitis C) 1
• 3-Hour Glucose Tolerance Test 1
• Calculation of the risk of developing a neural tube defect (AFP) 1
• Total protein 1
• Urea 1
• blood creatinine 1
• aspartate aminotransferase (AST) 1
• alanine aminotransferase (ALT) 1
• Bilirubin overall 1
• alkaline phosphatase, 1
• Blood Glucose 1
• Coagulogram 1
• Blood group and rhesus factor 1
• Immune antibodies to erythrocytes according to the Rh system 1
• Determination of HbsAg (hepatitis B) 1
• HIV testing by enzyme-linked immunosorbent assay 2
• Determination of antibodies to Treponema pallidum (TPHA) (syphilis) 2
• Total urine test 10
• Ferritin 1
• Expanded blood test 3
• Definition streptococcus group B (Streptococcus Agalactiae) with sensitivity to antibiotics 1
• Microscopic analysis of secretions from the genitourinary organs (bacterioscopy) 2
• PAP test by liquid cytology method (SureParh BD technology) 1
• Registration electrocardiography (ECG) standard 12-lead and decoding 1
• cardiotocography (CTG ) with autoanalysis without consulting a doctor (two fetuses) 3
• Ultrasound of the abdominal cavity, kidneys, thyroid gland 1
• Cervicometry 2

Services prescribed by a doctor Vienna to the needs of each sector of a selected service in the amount specified in column

Consultation related professionals to choose from: genetics, ophthalmologist, endocrinologist, phlebologist 2

• Consultation Genetics
• Consulting of an ophthalmologist with the determination of intraocular pressure and autorefractometry
• Consultation endocrinologist
• consultation vascular surgeon (phlebologist )

Ultrasound of short term in multiple pregnancies/Dynamic feto and/or Doppler in multiple pregnancies 1

• Ultrasound of pregnancies (up to 11 weeks)
• Expert ultrasound of pregnancies (up to 11 weeks)
• Dynamic feto and/or Doppler in multiple pregnancies

Expert Multiple in the first trimester of your choice 1

• Expert ultrasound of the fetus in multiple pregnancies at 11.1-13.6 weeks of pregnancies
• Expert ultrasound of the fetus in multiple pregnancies at 11.1-13.6 weeks of pregnancies (Eugene Ivanovich Parpaley, Taras Yurievich Pidchenko)

Expert ultrasound fetus in multiple pregnancies in the second trimester of choice 2

• Exp ultrasound of the fetus in multiple pregnancies at 14-22 weeks of pregnancies
• Expert ultrasound of the fetus in multiple pregnancies at 14-22 weeks of pregnancies (Eugene Ivanovich Parpaley, Taras Yurievich Pidchenko)

Expert ultrasound of the fetus in multiple pregnancies in the third trimester In the choice of 7

• E multiple pregnancies at 22-41 weeks of pregnancies
• Expert ultrasound of the fetus at multiple pregnancies at 22-41 weeks of pregnancies (Eugene Ivanovich Parpaley, Taras Yurievich Pidchenko)

Consultation of obstetrician-gynecologist/expert of choice 12

• Consultation of obstetrician-gynecologist
• Clinic consultation

Consultation with a pediatrician/family doctor 1

• Consultation with a therapist/family doctor
• Consultation with a pediatrician
• Prenatal screening of the 1st trimester, approved by the FMF (PAPP-A, hCG)

How will I understand when and for what procedure I need to see a doctor?

First of all, after registration you will receive an exchange card of the pregnant woman, the obstetrician-gynecologist will enter all data on the state of health of you and your babies. Also, the doctor will note all scheduled follow-up visits and dates of examinations, laboratory and instrumental tests.

What is the cost of the program "Multiple Pregnancy Plus" "(for monochorionic twins)?

The cost of this program saves 15% of the price of services.

How do I choose a doctor who will accompany my pregnancy?

All obstetricians and gynecologists of the Dobrobut medical network are highly qualified specialists who provide not only medical support but also psychological support to the expectant mother.

Dobrobut Medical Centers are located in different districts of Kyiv and the region, so you can choose a clinic near your home.

You can make an appointment for an initial consultation with an obstetrician-gynecologist by calling our contact center (044/097) 495 2 888.

We care about you and your future.