The third stage of the program ...

The second phase of the Programme of prevention of child abandonment - work directly with women who have deliberately kept the pregnancy. They are working obstetricians, social workers and psychologists at the Center for the Prevention and Fight against AIDS and infectious diseases. Social services help to solve the issues of housing and employment, child's place in the nursery. Socio-psychological assistance aims to provide women the skills of motherhood, wean from bad habits. If necessary, drug-addicted women are sent to rehabilitation centers. The third stage of the program is carried out directly in the maternity ward of City Hospital for Infectious Diseases. SP Botkin. Women who have taken the record at the gynecologist AIDS Center, receive long-term support - before and after childbirth. To minimize the risk of transmitting HIV to your baby, you need not only to chemotherapy, the mother must give up breastfeeding a newborn. Therefore, all HIV-infected mothers receive free infant formula for feeding baby, as well as so-called "social package". In order to prevent possible abandonment is very important to preserve the biological mother - for this and is working on preparing women to normal life, for that after his discharge from the maternity ward wards women with babies are sent to the AIDS Center, where they continue to oversee the physicians, psychologists and social workers. So you are working programs on the general scheme. But there are various options, the worst of them, when women at risk are not screened and do not know that you are infected with HIV. Often this is due to the psychological factor: the idea that sick, they do not want to confirm the "verdict". Is not it better when, after learning the diagnosis, the women are hidden and do not apply to hospitals. Not surveyed during pregnancy, not who got registered in the antenatal clinic women are sent to labor in observational hospital (in St. Petersburg is a maternity home № № 15 and 16). If the "rapid test» (rapid test) shows that the lying-in woman is infected, she conducted an accelerated chemoprophylaxis to avoid infecting the child. In these hospitals a very high percentage of child abandonment. These women, who, having given birth, just go away - the most serious risk group. Some of them come to the hospital as early as attempts, when it is impossible to even accelerated chemoprophylaxis. Most often they give false addresses, and it is impossible to find in order to formalize the rejection of the child (without the child can not give up for adoption). "Refusal" children sent to orphanages or, at best, be returned to their biological families. In each case it is necessary to carry out an individual approach: sometimes it's better that the woman gave up her child rather than trying to awaken her maternal instinct (we are talking about severe cases of drug addiction and alcoholism, and full social inadequacy). In this case the staff of the Programme - to find a guardian for the child, it's better if they become family baby.