Barley gruel and other Russian hospital delicacies
I wouldn't want to be pregnant in Moscow. Actually, at my age, I wouldn't want to be pregnant anywhere. But especially not in Moscow.
At four months along, my younger American friend, R. is trying to optimize her maternity care options. She chose an Israli OB-GYN at the American Medical Clinic, one of a handful of joint venture medical centers catering to expats in Moscow.
R. was having urinary problems and the doctor put her in the clinic's limited bed area, before sending her home with an I.V. The clinic sent a Russian nurse to administer the I.V. at R.'s apartment. After multiple painful attempts, R. had to insert the I.V. herself. (As a former EMT, she got it in on her first try.)
R. went into pre-mature labor and her OB-GYN gave up and admitted her to a Russian hospital. Russian hospitals segregate women. There are no male visitors, no male orderlies, no male nurses, no male technicians and no male doctors. They also speak no English there. R. got special dispensation to bring her husband, B., who is fluent in Russian. B. was stopped everywhere in the hospital, as if he were some male interloper upstairs at a sorority house. When they did an ultrasound, exposing R.'s belly, B. was required to stand behind a screen.
Russian hospitals provide the same dinner menu each night: barley gruel, beets and beer tongue. Along with horrible food, R. almost immediately developed a skin rash all over from the bedding. The nurse was surprised that R. hadn't brought her own sheets. Most scary, was R.'s observance of the reuse of "disposable" gloves and needles.
The average Russian woman with a problem in her pregnancy spends four weeks at the hospital. R. and B. were able to negotiate a release after three days. R. was told to go home and to "try not to think too much."
A Russian friend, hearing R. tell her story to a small expat group, asked, "But did they cure your problem?" The answer was yes. The Russian doctors stopped the onset of labor, diagnosed a IUT infection and prescribed anti-biotics that cleared it up. Now feeling much better, R. marched over to the American Clinic to demand her records. Her OB-GYN had known about the bacteria in her urine for at least a month and didn't think it was important. R.'s own research showed that a high number of miscarriages are due to infections.
Obviously in the market for a new gynocologist, she asked the rest of us for recommendations. We were no help. We all schedule our gynocology appointments to coincide with our home leaves. Surprisingly, R. is electing to stay on for now in Moscow. But she and her husband have decided to leave for Finland about a month before her due date so she can give birth in the modern facilities there. Someplace where they provide clean sheets and sterile needles would be nice.