The Department of Pregnancy Pathology is designed as part of the physiological obstetric department at the rate of 30% of the total number of obstetric beds of the “mother-child” type.
The observational department is organized when the number of beds in the obstetric hospital is more than 25. When placing it on the same floor horizontally with the physiological department, it should be displaced relative to the latter with a message through the gateway, and when placed vertically, it should be above the physiological one.
The room for discharge of puerperas from these units should be separate. The reception rooms should have a sanitary inspection room for staff with a dressing room and showers at the rate of 1 shower for 5 people. The observational department should have the same set of rooms as the physiological one (see below). The chambers in it are arranged for 1-2 beds according to the type of boxes and semi-boxes. The number of beds in postpartum rooms is 20–25% of the total number of obstetric beds.
Chambers for newborns should be boxed; the number of beds is planned at 105-107% of the estimated number of beds in the postpartum wards.
The operating unit of the obstetric ward is arranged in the same way as in the surgical ward. To ensure asepsis, all its rooms should be clearly divided into sterile, clean and unclean zones.
The small operating room is intended for all obstetric surgeries except for glancing: placement of forceps, vacuum extraction, rotation of the fetus, manual removal of the placenta, stopping the bleeding, delivery at women with severe pathology, etc. Its area is 24 m 2 (with a lock) ); location – next to the birth hall and the postpartum wards.
The large operating room (area 36 m 2 , height 3.5 m) is intended for gluttony only for women from the physiological obstetric department and the department of pregnancy pathology. Preoperative (area 22 m 2 ) is necessary for the preparation of a surgical team. Postoperative chambers should be close to the operating unit; the number of beds in them is calculated on the basis of the standard: 3 beds per 1 operating table.
In obstetric rooms, provision should be made for hyperbaric oxygenation for puerperas and newborns.