Obstetric aid in Canada of
Canada takes the leading positions in the world on such indicators as life expectancy, extremely low level of child mortality and the number of the qualified health workers on 1000 inhabitants. Undoubtedly, it testifies to high efficiency of the Canadian model of medical care. The system of obstetric aid is not an exception. the Health system
Health care of Canada has
much in common with American owing to a similar level of development, cultural and geographical proximity of two countries. However there are also essential differences of which main thing, perhaps, consists that the medicine in Canada, unlike the American, is not commercialized, and is financed by the budget and is almost free for patients. Among residents of the USA there is an opinion that the Canadian medicine is less effective owing to smaller interest of doctors in results of the work and service of bigger number of patients. Really, quite often the Canadians needing urgent operations prefer to go to the neighboring USA and to make them there on a commercial basis, than to register in turn of the house and to wait for operation for months, and sometimes and years.
Everyone living in Canada, and also arriving there to permanent residence or for long term (for example, according to working and student`s visas) has the right for the state health insurance. Working pay for such insurance monthly symbolical money ($50-100 for a family depending on the province), it is provided to pensioners, disabled people, refugees free of charge. The cost of an insurance depends on the number of family members, but not on a condition of their health or age. Within this insurance all other medical actions (except stomatology), are absolutely free, but as it is easily possible to guess, are made generally on doctor`s orders, but not at own will the patient. In other words, you cannot just come and demand make free of charge to yourself the cardiogram because it is interesting to you to learn, whether all at you as it should be with heart. To the cardiogram you are directed by the cardiologist or the therapist if considers it expedient.
The free state Canadian medicine some lines is similar to free state medicine of Soviet period. Besides the turns and waiting lists accompanying almost any contact with doctors and hospitals, medical documents are never handed out, and or stored in hospital, or sent from the doctor to the doctor. Doctors quite often do not consider it necessary to press in explanations of motives of the actions and are not always inclined to carry out wishes of patients regarding treatment methods. It represents striking contrast with the USA where the doctor, in fact, serves the client paying the ordered services.
There is in Canada also a paid medicine which services that who have no insurance use generally, or not persons interested to wait in turns. In that case ultrasonography, for example, will cost from $120, and each analysis - from $50. As for such specific services as stomatology and tooth prosthetics, homeopathic treatment, massage, acupuncture and other nonconventional medicine, an insurance does not pay them.
Supervision over pregnancy
Of course prenatal medical care, just as childbirth and patronage of newborns, is completely covered with an insurance too. After the woman understands that she is pregnant, she usually registers in inclusion in hospital at the choice. Terms of further visits are appointed by the doctor, he appoints ultrasonic researches (usually 3 - 4 during pregnancy) and analyses. As well as in the USA, in Canada there is an institute of midwifes (midwives) which represents some kind of alternative to orthodox medicine. Quite often midwifes deliver the woman in labor and according to the scenario coordinated with her in advance at home that can include childbirth in water, vertical childbirth and so forth. Despite the seeming not formality of such method of conducting childbirth, midwifes possess serious vocational training which is provided with obligatory licensing and examination.
As well as in the majority of the countries of the world, in Canada deliver in delivery rooms of hospitals, no specialized maternity hospitals exist. Before childbirth if there are no serious medical reasons (threat of an abortion, etc.) in hospital do not put. At approach of childbirth the woman is taken to hospital what she, in general, has to take care of. If to carry the pregnant woman there is nobody, it is possible to call by phone 911, but in that case the service of rescue will take the woman in labor to the nearest hospital, but not to that where she would like to give birth.
Childbirth is followed by the midwife, the doctor comes only at the final stage or as required. The decision on anesthesia application, including epiduralny anesthesia, is almost only a prerogative of the doctor, and anesthesia most of the Canadian doctors are not fond, including anesthesia at the time of delivery of risk factor. In general, in general many doctors in Canada follow opinion that childbirth has to take place as much as possible naturally. Partner childbirth - the phenomenon absolutely ordinary, with the consent of the woman can be present at childbirth any invited.
After the delivery the newborn is examined by the doctor - neonatolog, the child is weighed, measure and put to a breast. Everything that is necessary in hospital: hygienic and cosmetics for care of the child`s skin, disposable diapers, milk pumps, even the baby food if with breastfeeding there were problems, - is provided absolutely free of charge.
After the delivery
Postnatal chambers usually many-placed (to 5 - 6 places), mother and the newborn usually are together (if only the state of health of one of them does not serve to that as an obstacle). Chambers are very comfortable, relatives and friends can visit the newborn and his mother practically without restrictions, to bring flowers, gifts, any food, to photograph and make video filming.
Usually if with the child and his mother everything is all right, in a day they are written out home, having taken from the newborn previously blood test. The patronage sister from hospital where were delivered, usually visits the newborn at home in several days after an extract to make sure whether everything is good with the kid, and to consult mother concerning care of the child, establishing breastfeeding. It is supposed that further the child will get under guardianship of the so-called family doctor (family doctor) whom the family has the right to choose; quite often it becomes according to the recommendation of relatives and friends. Such doctor “conducts“ a number of the families living, as a rule, nearby from each other and has to be aware of a state of health all of them members.
If the woman worked in Canada 62 days, she has the right for a grant on pregnancy which is paid within a year from the moment of vacation on pregnancy. The grant size - to 400 dollars a week. Payment term - till one year from the moment of leaving in a maternity leave. The birth grant (about 200 dollars) is paid before achievement of 18 years by the child.
Everyone been born in the territory of Canada - the Canadian citizen on the birth. At the same time his parents not necessarily have to be citizens and even permanent residents of the country. The child who was born in Canada in a family of illegal immigrants - the full citizen of the country also has the right for all those benefits, including social benefits and free medicine, as all Canadians.