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The teenager is no longer childish , but not yet an adult
The growing up process is the most crucial period in a person's life. This is the period of personality formation. The violent hormonal changes taking place in the adolescent's body are inextricably linked with psychological changes and a leap in intellectual, emotional and physical development. This is a period of research and experimentation , including and in the sphere of intimate relations.
Young people aspire Xia become more independent, and at the same time experiencing the fear of misunderstanding on the part of adults and condemnation associated with high psychological vulnerability . It is at this time that adolescents especially need help and support from adults. They need to know and understand what is happening to them, learn to consciously manage their emotions, feelings and behavior, realize that taking care of their health is normal, that this is the key to success and a future happy life.
There are two approaches to sex education around the world: purely abstinence promotion and a comprehensive program that includes contraception information and interpersonal skills training to help a young man or woman learn to make informed choices. As the authors of the World Population 2013 report, published by the United Nations, note, "Two major studies have found that abstinence -only programs do not effectively end or delay sexual debut." The lowest teenage pregnancy rate among European countries is now in Switzerland (8 per 1,000 girls aged 15-19) and the Netherlands (14 per 1,000). Researchers associate this statistic with long-standing sex education programs in countries, free family planning services, and low cost of emergency contraception. According to research data, the rate of use of methods and means of contraception in Belarus is much lower than in Europe and the United States, especially at the first sexual contact.
Lack of mutual understanding in the family, excessive pressure from adults, lack of self-confidence - all this forces teenagers to unite in groups. Usually experimentation with smoking, alcohol, toxic and narcotic substances, and sometimes the onset of sexual activity begins in a group and is supported by an interest in the unusual, the “herd reflex”.
The main patterns of reproductive behavior of adolescent girls:
- p Annius sexual debut and irregular sexual life
- h astaya change sexual partners
- insufficient atochnoe sex education
- fear of parents and doctor
- using advice from friends in choosing a contraceptive method
- short-term use of contraception
- irregular menstrual periods and the use of ineffective contraceptive methods
Today, many young people equate the concepts of love and sex. It is important to remind about the criminal liability of an adult partner for having sex with a teenager who has not yet turned 16 years old.
Sexually transmitted infections (STIs) are spread primarily through sexual contact, including vaginal, anal and oral sex. More than 30 different bacteria, viruses and parasites are transmitted during sexual intercourse. Eight of these pathogens are associated with the highest incidence . Four of these eight infections are currently curable - syphilis, gonorrhea, chlamydia, and trichomoniasis. The other four infections are viral and difficult to treat — human immunodeficiency virus (HIV), hepatitis B and C , herpes simplex virus (HSV), and human papilloma virus (HPV). Parasitic infections: pubic louse and scabies, molluscum contagiosum, amebiasis and others.
In the early stages of the disease, outwardly, nothing may appear, a person is unaware of the presence of an infection and may inadvertently infect his sexual partners. The first and sure signs of an STI are discharge from the genitals, itching, burning during urination or intercourse. Therefore, when the first signs of the disease appear, it is recommended to visit a doctor, and be sure to undergo a full laboratory examination. STI transferred during adolescence can affect the rest of his life, and cause the development of chronic inflammatory diseases of the pelvic organs, male and female infertility, miscarriage pregnancy .
In developing countries, approximately 12 million girls aged 15-19 and at least 777,000 girls under 15 years of age have childbirths each year. For medical reasons, early pregnancy is considered a pregnancy that occurs in a girl under the age of eighteen. Only by the age of eighteen, the girl's body is already sufficiently formed and fully ready for bearing and giving birth to a baby. Therefore, pregnancy and childbirth at a young age can be dangerous for both the life of the mother and the baby. Complications during pregnancy and childbirth are the leading cause of death among girls aged 15-19 worldwide. The negative aspects of early pregnancy include the fact that 70% of teenage pregnancies end in abortion, and about 15% are miscarriages. And only 15% of girls can safely carry and give birth to babies. From a psychological point of view, pregnancy in adolescent girls aged 13-17 has a destructive effect on the development of their emotional - volitional sphere, value orientations, on the formation of sexual and maternal behavior. This applies to both "dysfunctional" and successful "(according to the factors of desirability and" legitimacy ") pregnancies of young people.
HPV usually occurs after the onset of sexual activity and can lead not only to a short-term illness (genital warts , condylomas ) in adolescence, but also, more dangerous, to cervical cancer and other cancers after several decades. There is no specific treatment for HPV infection in the world. Today, there is not a single drug that would be aimed at destroying the virus. Data published in the Cochrane Library shows that HPV vaccines protect against cervical damage in young women, especially those vaccinated between the ages of 15 and 26. Younger adolescence (9-14 years) is optimal for HPV vaccination . In 2019, only 15% of girls worldwide received this vaccine.
In accordance with WHO recommendations, adolescents have the right to choose a method of contraception and should have access to all the variety in their choice of contraception. Sexuality education can help you avoid the problems associated with adolescent sexuality. But the question is not to “protect” from knowledge about one's sexuality , or to inform about biology and contraception, about the possibilities of contracting STIs, and the increased likelihood of “getting infected” by alcohol intoxication. The main thing is to educate the foundations of morality: the formation of the values of a healthy brother of life, a conscious attitude towards parenting, positive marital and family attitudes, a culture of sexual relations .
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I would like to express my deep gratitude to all the staff of the obstetrics department of pregnancy pathology for their attentive attitude to each patient and the performance of their job responsibilities at a high level. I would also like to express my appreciation and admiration to the head of the department, Natalya Yanovna Skobeleva, and obstetrician-gynecologist Elena Valentinovna Sveiko for their medical skills, professionalism, tact and responsiveness! I wish you health and success in your difficult work. Continue to keep the professional and human bar at a high level.
I would like to express my deep gratitude to the head A.V. Obukhovich and all the medical staff of the EVSC for their high professionalism, competence, individual approach, wisdom, and attentiveness. I also thank the chief physician, Pyotr Leonidovich Mosko, for the excellent conditions of the hospital and the high-quality selection of employees. I wish you all good health and well-being!
I would like to express my gratitude to all the staff of the CMHMR hospital to the gynecological department No. 1. For a good and professional attitude towards sick patients. This department employs sensitive, kind and qualified people with "golden" hands and hearts. I want to express my great gratitude to my attending physician Sergey Ivanovich Luschikov that the operation went well, namely by saving my ovary, which was covered in cysts. I bow low to you and wish you good health and a decent salary for what you do with your own hands.
I express my gratitude to the surgeon Tatyana Mikhailovna Tkachuk, the anesthesiologist Galina Nikolaevna Chadovich and all their assistants for the operation for genital prolapse performed on July 12, 2024. I also thank all the medical and technical staff who treat us with love and delicacy.
I would like to express my gratitude to the obstetrician-gynecologist Yulia Lenkevich for a warm welcome, for kind advice, and for high professionalism. I visited the reception here for the first time and I am delighted with such friendly, sensitive, responsive doctors who treat a person with kind words. I wish her good health, boundless happiness, success in her work and grateful patients.
I am sincerely grateful to the real Doctor-a doctor of the highest qualification category of Tonkikh Iraida Gordeevna. Attentive, professional, radiating kindness; a wonderful person, the visit was as informative and competent as possible. Thank you so much for being with us, Iraida Gordeeva!
I would like to note the work of the excellent doctor Irina Gordeevna Tonkikh, express my deep gratitude for the high level of service, attentiveness, pleasant communication and attitude towards the patient, which is a great rarity in our time. A doctor should first of all have such qualities as insight, compassion and an individual approach to the patient. Thank you, Irina Gordeevna, for being there!
I would like to express my sincere gratitude to the obstetrician-gynecologist (head) of the obstetric-gynecological endovideosurgical center of the Minsk region of the State Health Institution "KRDMO" Andrey Viktorovich Obukhovich. Andrey Viktorovich is a doctor from God, to whom you trust the most valuable thing, your life and health. A talented person is talented in everything. A friendly, friendly team of professionals works under the wise leadership of Andrey Viktorovich. It is wonderful that in the Minsk region there are such specialists as Andrey Viktorovich Obukhovich.
I would like to express my enormous gratitude to the wonderful head of the physiotherapy department, Eleonora Nikolaevna Volkovets!!! For her competence, individual approach, sincere desire to help and sort out not only a person's physiological problem, but also to simply support and talk in a human way, to set up a positive solution to the problem. Unfortunately, not all doctors today can boast of such a great desire to help people who need their help. Many thanks to her! I would also like to express my gratitude to the rest of the medical staff of this department. They are all very friendly, empathetic, know their job and do it perfectly. I was also pleased with the atmosphere among the workers, which sets them up for good results.
I am sincerely grateful to the 1st gynecological department for the attention you have given. Your high professionalism, tact, goodwill, and care for patients deserve deep respect. Special words of gratitude to doctor Shmak K.I. Thank you all for your work, kind heart! I sincerely wish you patience, long years of boundless activity with a quick recovery of patients.
I would like to express my sincere gratitude to the staff of the gynecological department #2, namely: the head of the department Tkachuk Tatyana Mikhailovna, senior nurse Garbuzova Inna Aleksandrovna, nurses Titovets O.V. and Verbitskaya O.G. for their well-coordinated work, clear performance of their duties and sensitive attitude towards patients. Special heartfelt thanks to the team on duty on the night from 06/14/2024 to 06/15/2024 - doctor Doroshevich Olga Ivanovna, nurse Yurchenko Alina, anesthesiologist Svetlana Anatolyevna Sepatskaya. Thank you very much for your work, dedication and excellent attitude.
I would like to express my deep gratitude to the wonderful doctor, highly qualified specialist Lidiya Rostislavovna Shiryaeva. On June 18, 2023, my son was born while L.R. Shiryaeva was on duty. A true professional, attentive, responsive, tactful. It is very important to feel in good hands, especially during childbirth. Thank you, CMHMR Healthcare Institution, for such specialists. Deep bow to the doctor, good health and success!
I would like to thank the medical staff of the physiotherapy department. Their sensitive and kind attitude makes the procedures less unpleasant. Many thanks to them.
I would like to express my deepest gratitude to the gynecologist Makuta Lyubov Vyacheslavovna, the ultrasound doctor Shorokh Irina Grigoryevna, the midwife Basalai Elena Ivanovna and the ultrasound nurse Kravtsova Olga Aleksandrovna. By the will of fate, I had to come to the consultation at the CMHMR. The entire staff treated me with understanding, since I am disabled. I would like to express my deepest gratitude to them for their understanding. We need more people like you. Thank you very much.
I would like to express my deepest gratitude to the gynecologist Putik A.D. and the anesthesiologist Deninis P. for their professionalism and attentive attitude. I have rarely met such responsive doctors in my life. Many thanks to them. They are doctors from God. Good luck to them in their difficult and very necessary work for us.
To the first gynecological department. We express our deep, sincere gratitude to doctors Selitskaya S.N., Boltrushko Zh.V., Pilipenko E.O., Nekrashevich S.V. for their noble work, for the highest professionalism, for knowledge of their business, for skillful hands, moral support, and warmth of heart. We also thank the junior staff for their patience, responsiveness, and attentiveness. We also thank the buffet attendants, who always greet us with a smile and a kind heart. Many human thanks for your noble cause. We wish you all success, happiness, well-being, prosperity, and many years of healthy life.
Friends advised to sign up for an ultrasound scan and courses on preparation for childbirth at the maternity hospital at the address: Minsk, F. Skorina 16. Good attitude of the medical staff, the information on the courses is very useful.
I express my deep gratitude to the midwife of the maternity ward, Malevich Svetlana Nikolaevna. Only thanks to your qualifications, skills and abilities, my child was born.
Friends advised me to seek advice from a gynecologist at the regional maternity hospital. I signed up through paid services, I'm very pleased with the good attitude, got appointments, I'm recovering.
Regional maternity hospital, doctor Shmak K.I. She gave birth in August. I am grateful with all my heart and soul to the entire team of professionals who accompanied me from the moment of birth to discharge!
Gave birth in October 2019. Is free. Medvedev's doctor is from God. Insanely happy that it was in this hospital that I gave birth. There were partner births.
Gave birth on April 7, 2020. Free, but the attitude was as paid. Very cozy and comfortable. They explained everything and helped. I was very pleased.
End of November, free delivery. The best impressions. Low bow to all the staff and deep gratitude for the attitude towards women in labor and children and the incredible humanity with which everyone works there.
July. Free delivery. Doctors, obstetricians, neonatologists and everything is at the highest level. Full information about everything. And yes, there were interns all the time. It was all worth it !!! Doctors from God, grateful with all my soul!
Excellent maternity hospital, helpful staff. Some positive impressions.
The maternity hospital exceeded my expectations !!! Anyone who is relevant - only here I advise you to go to give birth! The professionalism and friendliness of the doctors are just at their best! Everything in the maternity hospital is modern, not like in the USSR !!!