Alexey Kugushev: “Childbirth is a pure stream of joy. “

Birthing is seen from a different angle by Alexey Kugushev, who calls it a "pure stream of joy." The birth of a new life is one of the most profound moments in life, and he perfectly captures it in words. In contrast to the frequently depressing accounts of suffering and strain, Kugushev emphasizes the profound spiritual and emotional beauty that can result from childbirth.

Kugushev urges prospective parents to change their perspective and consider childbirth as more than just a medical procedure based on his personal experiences. He thinks it’s a happy, connected, and wonder-filled occasion. His method encourages families to welcome this transformative event with joy and openness.

This article examines Alexey Kugushev’s conception of childbirth and how his optimistic viewpoint can encourage parents to greet their child with joy and positivity.

Topic	Details
Speaker	Alexey Kugushev
Quote	"Childbirth is a pure stream of joy."
Message	Alexey emphasizes that childbirth brings an overwhelming sense of happiness and fulfillment.
Emotion	Joy and Gratitude

"The birth was so shocking that I immediately made a choice …"

– Our customary query for Alexey Viktorovich is: how did you decide on your career?

– My aunt practices obstetrics and gynecology, and my mother is a skilled dentist. Since I was a young child, I have watched them work, so it was only natural for me to want to study at a medical facility so that I could help people. Following my graduation from the 22nd gymnasium, I enrolled right away at Novosibirsk Medical University.

And we made up our minds right away: Will I become an obstetrician?

I considered becoming a surgeon or traumatologist. I made the choice after attending my first birth as a student. I still don’t completely comprehend it, but it was truly a miracle. I was there when the baby inhaled for the first time, cried out, and… I saw nothing but this baby’s eyes, full of wisdom that seemed to transcend all medical specialties, and not a single one of my twelve classmates. I was so taken aback and amazed by this that I made a decision right away.

I am aware that not everyone enjoys giving birth, and some students may even pass out. But how bad can this whole thing get? It seemed to me like a fairy tale of some kind!

Have you continued to work at the maternity hospital ever since?

Yes, it has been 14 years already. After graduating from college, I visited the maternity ward of the 25th City Clinical Hospital, where I met three amazing doctors who would later become my mentors: Valentina Vasilievna Kuzmina, Tamara Andreevna Dracheva, and Valentina Aleksandrovna Pascal. True experts!

And can you recall the first time you gave birth on your own?

Not good. That is, all I remember is that they went well. Giving birth is an endless source of joy for me. I anticipate precisely this when I enter the delivery room. I am aware of what to anticipate.

According to Alexey Kugushev, giving birth is one of the purest expressions of joy, a profoundly emotional and transformative experience that offers parents an unmatched sense of happiness. Instead of concentrating on the anxieties or discomforts that are frequently connected to the experience, he highlights how important it is to embrace its beauty and wonder. Positive perspectives on childbirth, according to Kugushev, can change how families approach this significant life event and help them make enduring, happy memories.

"Modern ultrasound machines are simply space!"

Fourteen years is a significant amount of time. Did I really want to make any changes in my professional life?

Obstetrics is the most fascinating medical specialty, but I also obtained extra training to become an ultrasound physician. I now get to know babies and moms well in advance of delivery. How nice it is later on when these patients come to you for childbirth, when you see the baby in its early weeks of development! Ultrasound machines of today are just space! Real-time footage shows you how babies eat, open their eyes, smile, and more. Parents can see all of this; they use the ultrasound screen to communicate with their kids.

Babies occasionally cover their faces while displaying other features. When I see a mother with unusual ears, for instance, I sometimes tell her right away, "You will be able to distinguish your baby by their ears." And then I am able to identify them!

Thus, say this to the baby when delivering them: "I’ve already seen you."

Indeed, I do say that! And presenting mothers with ultrasound pictures, saying, "This is the first picture for your family album."

What about advancements in obstetrics?

Contrary to ultrasound exams, obstetrics is a relatively conservative field. The same ultrasonic technologies have a significant impact on the gradual changes that take place. For instance, it is now typical to give birth naturally following a cesarean section. A scar measuring three millimeters used to worry us that it would burst. Now, I see that a woman who has never had a cesarean section can have a uterine wall thickness of one or two millimeters and still give birth normally during an ultrasound examination. It becomes evident that the likelihood of issues that we previously worried about is minimal, particularly when ultrasonic control is applied with a contemporary instrument.

Suture materials are also evolving. Additionally, we have started applying sutures in a different way, making them look nice and thin in addition to being dependable. Right away, patients want to know: "What kind of suture will I have? I would prefer a tiny one, so nothing would show through my bikini."

"You have kidneys – give birth at 25…"

And in the last few years, has the health of women themselves changed? Women with kidney pathology are the specialty of your maternity hospital.

Yes, we welcome laboring women from all over the city. Even though a woman’s diagnosis of pyelonephritis runs through her life like a red thread, these cases are not always severe. "If you have kidneys, give birth at 25," is the popular belief. However, kidneys only affect pregnancy; childbirth is unaffected.

Do women with severe pathologies have a higher prevalence?

– I think so. But not because health has deteriorated so much. Firstly, diagnostics have become better and more accurate: every pregnant woman comes to me with such a stack of tests! Secondly, the age of women giving birth has changed – there are more of those who give birth at forty. Finally, women have become bolder: now they themselves give birth with pathologies with which they previously did not dare to get pregnant. For example, with one kidney – they carry the pregnancy and give birth. Or do a second, third cesarean. Previously, after the first operation, they were offered sterilization. What"s more, I was told that before, cesarean was nonsense, a doctor was specially called from home to operate. Now cesarean is on the flow.

– Are you sending for a cesarean section out of caution?

Instead, what we’re doing is trying to avoid problems. easier to operate on, produce a healthy child, and ensure that the woman is happy.

But did it really end up failing?

Indeed, this poses no threat to anyone.

"- I recall the large, heavy babies that had challenging birthing processes and were born very heavy. They had to help, which resulted in more neurological conditions.

I had a patient like that, and I am aware that the young person still cannot move his hands. That being said, there was nothing more that could be done.

And young ones? What are your thoughts on the new guidelines regarding nursing a child who weighs less than half a kilogram?

This is a really challenging query. This individual is entitled to the same medical care as the rest of us, and we fulfill that right. We inform parents right away that there is a chance of pathology related to hearing, vision, or mental development. That is to say, rehabilitation continues during the children’s resuscitation at the maternity hospital. However, parents nurse and raise their children if they are prepared for such a development in the circumstances.

– How about stimulating labor?

We simply celebrate when a woman comes and gives birth naturally and calmly. When contractions start and the water breaks on their own, as nature intended, that is the perfect birth. However, this isn’t as frequent as we would like. If the cervix is ready, I think the most safe way to induce labor is through puncturing the amniotic sac. Simply press the button to initiate the labor mechanism.

We stimulate if the cervix is still not ready. However, we have recently been attempting to approach artificial labor stimulation in a more balanced manner, and new protocols allow for this—the number of indications has dropped. We never act without the woman’s permission and always wait until the forty-first, even forty-first, week.

"Breathe, give birth and feel happiness"

– Moms nowadays are more educated and knowledgeable about medicine. Has working changed from fourteen years ago in terms of difficulty or ease?

– Working has grown more difficult. For instance, you recommend giving an epidural to a pregnant woman during labor. "My friend did it, her back hurts, and generally, I read the forum and am against epidural anesthesia," she exclaims right away. As a physician, however, I am aware that this is a useful approach even though there could be negative effects. Not to hurt the woman, but to try to make her life easier!

– Do you convince?

– I convince. Then, it seems that mothers begin to think more about themselves as the pain gets worse, and they concur. "It was not for nothing that you agreed to the epidural," you might inquire after the birth. – as it happens, everyone is content!

"You will soon give birth, you will forget everything, the head is about to appear," is something I encourage people to say. Generally, I try to be as accurate, courteous, and friendly as possible. You are welcome to touch your baby’s hair if you so choose. We all assist and are present. It does occasionally happen that a woman acts inappropriately right at the end of labor. However, there’s no need to scream at her! She screams that we won’t be able to hear each other if I scream.

Does information assist or hinder a laboring woman?

– Information may not always be required. Nature has given birthing careful thought, and in my opinion, having the appropriate psychological attitude is more important than having knowledge.

Some expectant mothers deceive themselves by telling themselves that everything will work out for them. For the most part, everything is good with them! A woman will experience complete calmness during childbirth if she is confident in herself, is expecting this child, and will breathe, give birth, and feel happy throughout the entire process.

However, occasionally a woman will start to fuss and get in the way of the doctor’s procedures, saying things like, "You should give anesthesia, do a cesarean, pull him out by the ears," rather than paying attention to her internal feelings. For a woman going through labor, I think it’s sufficient to know that this is a common physiological process that everyone experiences—your mother gave birth, your grandmother gave birth, your great-grandmother gave birth, and you will give birth and forget about the pain right away.

You have undoubtedly come across ridiculous circumstances?

Yes, we do get surprised from time to time. Let’s say a woman says out of the blue, "We’ll take the placenta with us." Why and for what reason? "We’ll bury it beneath a tree." It’s not always the worst option, despite what some people may say.

Will they consume it?

They will indeed eat it! Alternatively: "I don’t know why, but I want a vertical birth," my neighbor said to me. I want to know, my neighbor told me.

– Do you oppose giving birth vertically?

If you approach them thoughtfully and not just as a fad, I’m not against them. They are not without advantages. Generally speaking, though, we make an effort to hear what the laboring woman has to say: let her jump on balls, take a bath or shower, use any oils, or perform chants—as long as it’s all safe and helpful. Beliefs can be detrimental, after all.

As an illustration, some mothers object to immunizations. I wholeheartedly endorse vaccinations! You realize that you can truly protect yourself and your child from diseases you come across on the street when you come across people who have tuberculosis.

Or the myth that ultrasound causes harm, for instance. I don’t know, maybe it was dangerous when the technique was first being developed, but the sensors are so safe now that ultrasonography can be performed on a daily basis. Even so, some women are reluctant to "show the baby." And this is related to the most memorable case, by the way.

– Explain this case to me!

– A woman came to give birth to her child. She had never had an ultrasound and was not observed at the prenatal clinic. After that, the child is born. Additionally, he has a congenital condition known as "gastroschisis," in which the intestines develop externally to the body. The woman wasn’t prepared for this, and neither was I, nor the pediatricians. Put simply, a woman must approach pregnancy with greater responsibility.

“I am against giving birth with mothers…”

Currently, it’s trendy to bring your spouse along to the birth.

No, having a husband is out of style. A doula, a woman with specialized training who will assist the laboring woman, has been invited to the birth.

– Yes, we have already given birth with doulas. It is convenient, they become intermediaries between me and the patient. I cannot be in the ward with a woman constantly and stroke her head. And they do it. Although … there are times when they begin to bend the stick, command in childbirth. Then turn off the light in the Rodzal, then shut up, the child should be in silence. Of course, we try, but the neonatologist should examine the newborn, and we – make sure that the woman in order is in order. But women say that it is easier to give birth with the support of a loved one.

Is childbirth easier for you when your husband is involved?

It’s simpler to agree because most men try to avoid getting in the way of their wife’s labor by supporting her during contractions. The typical response from the husband is, "No, I’d better stand outside the door, and you’ll bring me a baby." It’s okay. However, I don’t understand active intervention when they scuttle right under your arm, even with cameras, even video cameras.

"-It’s amazing how the first picture shows the child in Rodzal. However, giving birth should not be viewed as a spectacle, but rather as a sacrament and a miracle: "Now we will film everything, post it on Instagram, and get a bunch of likes." I object to it.

And I have encountered difficulties with husbands who pass out?

– No. A man will occasionally experience bad moods, but he will eventually gather himself and sip some water. Contrary to popular belief, when a husband arrives to comfort his wife during labor, she screams and he collapses onto the bed beside her, dozing off! Therefore, there are no problems with husbands.

And who are they arising with?

– With moms. I oppose having children with mothers. I think it must be difficult for moms to watch their daughters suffer. They know their daughter must give birth, as they did themselves, and they are powerless to stop it. Their blood pressure increases, and it is evident that they are crying. Rather than working with laboring women, I had to treat mothers.

– Will you also give birth to your wife’s child?

I won’t give birth to a child, even though I don’t yet have a wife or kids. It’s likely that you are aware that physicians attempt to avoid treating their own relatives. It is preferable to work under such pressure when working with a professional.

The idea that childbirth is a "pure stream of joy," as expressed by Alexey Kugushev, serves as a reminder of the profoundly emotional and transformational potential that this experience has. While the physical difficulties of childbirth are frequently discussed, Kugushev urges us to look past these difficulties and consider the immense joy that childbirth can bring to families.

Rethinking childbirth as a celebration of life allows us to appreciate the wonder and beauty of bringing a new life into the world. By encouraging a more upbeat and empowered attitude toward the experience, this viewpoint makes parents feel more involved and connected.

According to Kugushev’s perspective, the greatest benefit of giving birth is the unparalleled sense of fulfillment and happiness it brings, regardless of any challenges. It’s an eternally happy and pure moment that parents cherish.

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