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LELEKA Maternity Hospital has everything necessary for quality perinatal care. We perform observations and provide medical care for premature infants and all babies born with different disorders during neonatal period.
Baby is provided with warm environment and care of highly qualified neonatologists
From the first breath, a baby is provided with warm environment and care of highly qualified neonatologists. Immediately after birth, a doctor assesses a baby’s condition using the Apgar scoring system.
Most healthy newborns have a score of 7 or 8 at 1 minute after birth, at a later time the score can reach the maximum value of 10. If a baby has the Apgar score of less than 7, the multidisciplinary neonatal team performs required resuscitation for newborn life support.The Department of Neonatology and Neonatal Intensive Care is equipped with appropriate medical equipment and monitoring system; and the most important that it provides a high quality around the clock care.
Intensive care
Preterm infants born at 22 to 34 weeks gestational age, who need intensive care, are provided with a full range of neonatal care services, and, if required, a baby can stay in the NICU for 28 days free of charge. Preterm infants are to be monitored using cerebral function monitoring to detect brain lesions for 24 hours. Automated monitoring of blood pressure, blood flow and blood parameters in newborns is used.
Early contact between the mother and her baby
Policies and practices to fully support breastfeeding and to provide a full rooming-in are implemented at LELEKA Maternity Hospital. Early contact between the mother and her baby starts during the first minute postbirth: doctors place the baby on the mother's breast in the delivery room and they stay together for 2 hours; then the mother and her baby are transferred to the postnatal ward.
After a cesarean birth, a farther puts his baby to the breast. So-called "heat chain" is extremely important for babies; it encourages breastfeeding, reduces aggressive intensive care, and helps to form an early emotional and psychological bond between parents and their child.
Aid neonatologists in the postpartum period
During postpartum period, experienced neonatologists and nurses monitor infants around the clock; help a new mother to take care of her baby at the hospital and after discharge, and give breastfeeding consultations. During hospital stay, a mother and her baby are provided with needed medications and personal care products. If a baby needs formula feeding, we provide baby food. If a mother had previous experience in formula feeding and has her preferences, her wishes are taken into account. Electric breast milk pumps are available at the maternity hospital.
LELEKA Maternity Hospital carries out mandatory expanded newborn screening for every infant to detect a number of disorders, which early diagnosis is important in neonatal period:
Pulse oximetry screening for early detection of critical congenital heart diseases (performed 24 hours after birth)
Expanded genetic screening for 26 inherited metabolic disorders
Audiologic screening for early detection of hearing impairment in newborns using otoacoustic emission method (performed 2-3 days after birth)
At first days after birth, a baby is given BCG and hepatitis B vaccine with parental consent, and if there are no contraindications to vaccination. The vaccines are manufactured in Bulgaria and Belgium. After getting the vaccines, a baby is under strict supervision of a neonatologist.
According to medical protocols and international standards, it is recommended that within first hours after birth, all newborn infants receive intramuscular vitamin K to prevent VKDB.
- Use of NeoPuff in the delivery room
- Surfactant replacement therapy
- Neonatal vaccination
- Intensive care and resuscitation
- All types of respiratory therapy from non-invasive respiratory support to artificial respiration
- Lung ventilation, including high-frequency oscillatory ventilation
- Surfactant replacement therapy
- Infusion therapy
- Parenteral or intravascular nutrition
- Exchange blood transfusion
- Rational antimicrobial therapy
- Immune-corrective therapy based on laboratory assessment of immune status
- Biochemical genetic testing
- Pulse oximetry screening for early detection of congenital heart diseases
- Neurosonography
- Echocardiography
- Abdominal ultrasound
- Amplitude-integrated electroencephalography, dynamic screening for brain injury
- Newborn hearing screening
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Can I choose the mode of delivery at LELEKA Maternity Hospital?
The decision regarding mode of delivery (caesarean section or vaginal delivery) should be made exclusively by an obstetrician-gynecologist based on medical indications.
What should you bring to LELEKA Maternity Hospital for birth?
The cost of the package includes absolutely everything that is necessary for birth and stay with a baby at our maternity hospital after birth. All the details are in the Childbirth section. We recommend you to bring only:
What is the difference between hospital rooms?
The rooms only differ in size and living space. Healthcare services are equally high and provided in a full range.
Is there any restaurant in LELEKA Maternity Hospital?
Yes, we have a restaurant that offers healthy meals to all our inpatients, and also operates as a normal restaurant every day from 8.00 am to 8.00 pm. Restaurant menu you can find at:
How many days a mother and her baby stay at LELEKA Maternity Hospital?
Three days after vaginal delivery and four days after cesarean section.
A newborn infant (infants) with gestational age between 22 and 34 weeks and more who needs intensive medical attention obtains the full range of intensive care and stays for 28 days in the intensive care unit. Further treatment requires his transfer to a specialized healthcare facility for the second stage of the developmental care.
Under the contract the mother of such newborn infant can stay in the maternity hospital for up to 10 days after birth, her further stay is possible only if vacant rooms are available and for an additional charge.
