The community of obstetricians and gynecologists expressed the dubiousness of the position of individual doctors who, for ideological reasons, refuse to perform abortions. According to the director of the Research Institute of Obstetrics, Gynecology and Reproductology named after. BEFORE. Ott, chief freelance reproductologist in St. Petersburg Igor Kogan, “The task of an obstetrician-gynecologist is no matter how harsh it may sound – perform an abortion as safely as possible for the life and health of the woman.” “This is a professional skill of a gynecologist,” — Kogan emphasized at the V All-Russian Scientific and Practical Conference of Obstetricians and Gynecologists “Ottovo Readings”.
At a recent round table in the State Duma, where restrictions on abortion were discussed, chief obstetrician-gynecologist FMBA Russia Oleg Filippov stated that he has not performed abortions for many decades and called for “every possible encouragement” to other doctors who take such a position. State Duma Deputy Leonid Ogul at the same meeting, he said that abortions “are very comfortable to do in a hospital, and they began to be followed like bread,” so when he headed the Clinical Maternity Hospital in Astrakhan, he also prohibited termination of pregnancy in a medical institution at the request of a woman.
“We are now expressing the idea that the obstetrician-gynecologist who refuses to perform an artificial termination of pregnancy is doing well. He should be given a bonus. And where more doctors refused, that region is better. This is bad because abortion – direct functional responsibility (of a specialist – editor’s note). Today a gynecologist refuses to perform an abortion, tomorrow another doctor will not give anesthesia to someone for some reason, and the day after tomorrow the surgeon will not begin the operation because he is afraid of a mistake and does not want to take risks. This is all a dead end,” Kogan said.
According to him, a doctor has professional skills and standards, but there are moral convictions that a specialist can express on other platforms, as a citizen of his country, but not as a health worker.
Other conference participants agreed with him. According to the advisor to the director of the Research Institute of Obstetrics, Gynecology and Reproductology named after. BEFORE. Otta Anna Olina, Gynecologists were given a “presumption of guilt” for performing abortions, although this was the performance of direct professional duties. “We provide assistance for spontaneous miscarriage, incomplete abortion, infected abortion, if a woman cannot carry a child for medical reasons, and all this is an abortion,” she clarified.
Olina is confident that the professional community must express a unified position. “We cannot allow our own professionalism to be undermined and our standards and our ethics to be undermined in this way,” she said.
Gynecologists also condemned the decision of certain regions to ban private clinics from performing abortions. According to experts, this will only lead to medical tourism or an increase in clandestine abortions with complications. According to the deputy director for scientific work of the Research Institute named after. Otta Olesya Bespalova, a ban on abortions in private clinics in Mordovia “will only lead to abortion tourism to other cities.” “In St. Petersburg, doctors will perform abortions. Because our task is to ensure that the abortion is performed correctly in a hospital by a specialist, so that the woman leaves without complications,” she emphasized.
Experts have not reached a consensus on whether doctors should dissuade patients from having an abortion. According to Kogan, the timing of a gynecologist’s work and his working time are not devoted to “talking, dissuading and persuading.” “We have the professional standard of an obstetrician-gynecologist, not a psychologist or psychotherapist,” he noted.
Head of the Department of Gynecology and Endocrinology, Research Institute named after. Otta Maria Yarmolinskaya reminded that modern medicine is “5P medicine,” where there is a predictive part (tell the patient about possible risks and complications after an abortion) and a preventive part. “If the patient does not have enough information about abortion, it is the doctor’s responsibility to discuss her situation with her and tell her about all the risks,” the doctor is sure.