Family Planning and Reproduction Center 1. Family Planning Center

Thanks to advances in medical technology, infertility is no longer a death sentence. Modern family planning and reproductive centers are able to solve problems with conceiving and bearing a healthy child in the majority of applied couples. In vitro fertilization, artificial insemination and surrogacy programs have ceased to be something incredible, and more and more people are getting the opportunity to become parents with their help.

Family planning services

The concept of "family planning" appeared in the second half of the 20th century. It includes solving problems aimed at protecting the reproductive health of men and women, the birth of healthy and desirable children. Today, a large number of specialized centers and departments at maternity hospitals and antenatal clinics operate under the family planning program. IVF centers may be part of the structure of family planning centers or be independent structural units that provide assistance to couples with reproductive problems in conceiving and bearing a child.

IVF centers solve the following tasks:

• early diagnosis, prevention and treatment of reproductive diseases;
• examinations and treatment of infertility by intrauterine insemination with the husband's (donor's) sperm or IVF;
• detection of fetal pathologies in the early stages of development;
• regulation of the timing of conception and pregnancy.

All IVF centers provide almost the same set of services. Differences can only be in the level of service, the cost of a particular service and the technologies used. They have their own embryological laboratories, where embryos for IVF are created and tested, as well as cryobanks.

The best IVF centers in Moscow

To date, more than 70 IVF centers operate in Moscow different levels- from public medical institutions to small private clinics. Nevertheless, this number is still not enough, since couples apply to the capital's institutions not only from Moscow itself and nearby settlements but from remote regions of the country.

The level of quality of the services offered, as a rule, is quite high. It should be noted that large clinics have more opportunities in diagnosing, choosing a method of treatment and in attracting highly qualified specialists. Most clinics have their own laboratories and modern equipment for research and procedures.

State IVF centers:

• FGBU NTsAGiP named after V.I. Kulakov of the Ministry of Health of Russia - science Center obstetrics, gynecology and perinatology. academician V.I. Kulakov - state state-financed organization, which is the leading clinic in this area. World-famous specialists work in the center. The center provides a full range of obstetrics and gynecology services, including IVF, childbirth and high-tech medical care.
• TsPSiR of Moscow- The Center for Family Planning and Reproduction is a multidisciplinary clinic that manages a normal pregnancy, helps with premature birth, manages patients with group and Rh incompatibility in the mother and fetus.
• GBUZ MO MONIIAG- The Moscow Regional Research Institute of Obstetrics and Gynecology is a leading scientific and practical healthcare institution that provides all types of assistance in the field of reproduction and family planning. Its structure includes departments of reproductive medicine, endoscopic surgery, neonatology, laboratory of perinatal diagnostics.

Private IVF centers:

• Embryo Medical Center- one of the oldest clinics in Russia in its field (founded on the basis of the Maternity Hospital No. 4 in Moscow in 1992), specializing exclusively in carrying out programs for in vitro fertilization, cultivation and intrauterine introduction of the embryo according to various protocols. An important advantage is the availability of a modern diagnostic base and therapeutic materials for establishing the causes and successful treatment of infertility of various origins. All necessary laboratories and departments are located on the territory of one center. In addition to classical IVF, the center also uses assisted reproductive technologies that increase the chances of patients to become pregnant.
• "Mother and Child"- these are four modern hospitals and 26 clinics with good diagnostic and therapeutic resources in different cities of Russia. The main directions of the center's work are women's health, infertility treatment, operative gynecology, pregnancy management.
• "AltraVita". When creating the clinic, the standards of the American Society for Reproductive Medicine were applied. Today, the center is actively introducing new IVF technologies.
• "Lera". The clinic positions itself not only as an institution dealing with women's health, but also as an andrology clinic. The center's specialists took part in one of the first IVF procedures in the USSR. The clinic "Lera" provides a full range of services for the treatment of infertility, pregnancy management, surrogate motherhood.
• "Tube Children". The clinic provides assistance in the treatment of male and female infertility in any form. The clinic's arsenal includes the latest ART methods of various types.

Prices for services of IVF centers

Although most reproductive services, such as IVF or ICSI, are paid, there is the possibility of receiving them free of charge under a quota, both in public institutions and some private centres. Since 2015, infertile couples have the opportunity to receive this quota under the compulsory health insurance policy. At the same time, all procedures under the quota are paid by the Compulsory Medical Insurance Fund (FOMS).

In 2018, not only officially married couples, but also those who are in a civil marriage and single women will be able to receive IVF quotas.

But how do you get a quote? First of all, the couple must be diagnosed with infertility, while the woman must be registered in the antenatal clinic and strictly follow all the doctor's prescriptions. After the diagnosis is made, the couple undergoes additional tests and the documents are sent for consideration. special commission. After making a positive decision, you must contact the IVF center included in the list of institutions registered in the program. The wait can take up to a year and a half. If a positive decision of the commission cannot be obtained, then it remains possible to independently pay for IVF. The initial consultation of a reproductologist will cost from 1,500 to 3,000 rubles.

On average, the cost of an IVF procedure in Moscow ranges from 110,000 ( basic program) up to 400,000 rubles (ECO-maximum).

How to choose a medical center

Choosing a reliable IVF center is a very important task, because it depends on the specialists of this center with what probability a childless couple will finally be able to give birth to a healthy baby.

The main requirements for any medical center are the period of existence, the availability of specialists high level, necessary equipment for research and manipulation. It is worth paying attention to the availability of certificates for the implementation of a particular activity. In reputable clinics, usually all the necessary documentation is freely available to patients.

The choice of a medical center in pregnancy planning and management is usually based on information from various sources. It is necessary to carefully study the sites of the clinics you like, the list of services provided, prices, and the level of specialists. It is recommended to talk with those who have already undergone treatment in the chosen center, to find out how effective it was. Pay attention to the clinic's working hours and the possibility of contacting your doctor in case of an emergency. If it is necessary to conduct ART programs (IVF or IUI), the qualifications and experience of doctors are even more important. An obstetrician-gynecologist, an andrologist, an anesthesiologist and an embryologist must be on the staff of a clinic engaged in ART. It is necessary to clarify whether the center has experience in working with germ cell donors - the presence of such experience indicates high professionalism. Request statistics on successful pregnancies in ART programs and statistics on multiple pregnancies - these data will give you almost all necessary information about the clinic.

Specialists of IVF clinics act in stages, realizing the possibilities to solve the problem of infertility in various ways. In the event that simpler methods are ineffective, an IVF procedure is prescribed.

Description

Center for Family Planning and Reproduction - unique medical institution, which provides highly qualified multidisciplinary assistance to gynecological patients and pregnant women. Six buildings of the Center, connected to each other, represent a single obstetric and gynecological complex, the largest in Russia. In terms of equipment and breadth of application of modern medical technologies, this is one of the best institutions in the capital. Bed fund The hospital has 250 beds.

The TsPSiR manages a normal pregnancy and childbirth, and also provides obstetric care to patients with premature birth, with blood diseases, with group and Rh incompatibility of the blood of the mother and fetus.

The center includes an obstetric hospital, a gynecological department, a consultative and diagnostic department, a prenatal diagnostics department, an IVF department, a blood transfusion department, and a clinical diagnostic laboratory.

More than 8,000 births take place in the maternity ward of the TsPSiR annually. Births at the Center for Childbirth and Childbirth take place in individual maternity wards, equipped with modern equipment for safe and gentle delivery. TsPSiR employees carry out daily operations caesarean section in patients with severe obstetric and extragenital pathology, both on a planned and emergency basis.

The departments of the Center are equipped with the latest equipment, which allows treating patients at the modern level. Such, for example, as an angiographic apparatus for embolization of the uterine arteries, a magnetic resonance tomograph, combined with a focused ultrasound unit, for non-surgical non-invasive treatment of uterine fibroids.

The following types of assisted reproductive technologies are used in the in vitro fertilization department: artificial insemination with the husband's or donor's sperm, in vitro fertilization, microinjection of a single spermatozoon into the cytoplasm of the egg.

Clinical bases of scientific and educational institutions

The Center for Family Planning and Reproduction (TsPSiR) is the clinical base of scientific and educational medical institutions.

SBEE HPE "Russian National Research Medical University named after N.I. Pirogov":

Department of Obstetrics and Gynecology, Faculty of Pediatrics

GBOU VO "Moscow State University named after M.V. Lomonosov":

Department of Obstetrics and Gynecology, Faculty of Fundamental Medicine

Official website of the TsPSiR

Branches

• Obstetric department
• Gynecological department
• Department of Anesthesiology and Intensive Care
• Department of resuscitation and intensive care
• Operations department
• Department of Fetal Surgery
• Antenatal department
• Ancestral department
• Postpartum department
• Department of Endoscopy
• X-ray department

As part of the Center:

modern obstetric hospital (maternity hospital for 190 beds);

gynecological hospital for 60 beds;

consultative and diagnostic department;

clinical diagnostic laboratory.

obstetric hospital The center is one of the largest maternity hospitals in Moscow, where more than 8,000 births take place annually. The maternity hospital is specialized in providing obstetric care to patients with preterm birth, with group and Rh (Rh) incompatibility of the blood of the mother and fetus, as well as patients with blood diseases.

A powerful consultative and diagnostic department(KDO), in which highly qualified personnel and modern technology are concentrated. In the consultative and diagnostic department, more than 150,000 patients receive consultations annually. The main tasks of the consultative and diagnostic department are:

Family planning;

Preparation for pregnancy and childbirth;

Medical genetic counseling;

Management of pregnancy in various pathologies of the mother and fetus;

Application of assisted reproductive technologies;

Comprehensive examination of patients with various gynecological pathologies

Preparing for operational methods treatment

One of the most difficult tasks solved in BWW is to determine the cause of hereditary and external factors affecting the development of the fetus, and timely diagnosis of severe malformations incompatible with life. These issues are dealt with in the departments of functional and prenatal diagnostics.

IN gynecological department all types of gynecological operations are performed by endoscopic methods. There is a possibility of using a modern angiographic method for the treatment of uterine fibroids - embolization of the uterine arteries in the TsPSiR. This method also used for massive obstetric bleeding.

The Family Planning and Reproduction Center has a unique department of in vitro fertilization, which uses the latest achievements of world science in the treatment of infertility caused by both male and female factors.

The Center has blood transfusion unit, designed for the preparation of 700 liters of whole donor blood per year. The department carries out blood preparation and preparation of preparations (erythrocyte mass, plasma) and their storage in a special mode.

In all operations with a high risk of bleeding, the technique of hardware reinfusion of autologous blood with a cell-saver device is used. The combination of hardware reinfusion with transfusion of prepared blood products allows, in most cases, to compensate for surgical blood loss. And specially prepared packages with fresh frozen autoplasma and autoerythromass allow minimizing transfusions of donor blood components.

The Center organized department of magnetic resonance imaging and densitometry room equipped with a modern device that allows both timely detection of bone mineral density loss and body composition research, which is very important for the competent selection of sports training, who want to reduce excess weight and gain muscle mass.