Česky
The reconstruction of the Hořovice Maternity Hospital U Sluneční brány, where most babies are born in the region, is nearing completion. This January, a month before the start of the reconstruction, Leoš Teslík took over its management. He moved to Hořovice from the Gynaecology and Obstetrics Clinic in Motol, Prague, where he worked for 26 years. "I received an offer that is not to be refused. I joined the renowned workplace of Chief of Medicine Aleš Klán, under whose leadership the U Sluneční brány Maternity Hospital became a popular workplace and thus became the maternity hospital with the highest number of births in the region," explains Leoš Teslík why he moved from the Prague clinic to the regional hospital.
If you had the same offer now, would you make the same decision again?
Absolutely, because I work with nice people here. The staff is friendly and kind. The nurses, even though they are busy, have no problem smiling at the patients. Patients for us are not walking diagnoses, but specific people who come in with a health problem. And we solve it professionally and with a human approach.
Your specialty is pediatric gynecology. Do you still have time to practice in the outpatient clinic for children and adolescents?
My specialty is gynaecology/obstetrics and I am board certified in paediatric gynaecology. I still have an outpatient clinic - twice a week. On Thursdays in Prague and on Tuesdays here in the hospital in Hořovice. Children from all over the country come to my Prague office for consultations. Girls from the local region, Pilsen and Karlovy Vary come to Hořovice.
In paediatric gynaecology, you have mainly dealt with surgical correction of congenital developmental defects of the genitals and surgical treatment of tumours in children and adolescents. Do you also perform them in Hořovice?
Yes. We are equipped for that. We don't need any other equipment for this than we use for adults.
patients. We concentrate large operations into three days a week, while small operations are performed daily.
These are mostly genital tract procedures - mainly double malformations (congenital
malformations with significant shape and functional disturbances - ed.). I also have patients who have had a unique operation - neoplastic vagina - i.e. its creation when it does not develop. After neoplastic
the patients are able to have a normal sexual life. In Prague we did three or four a year. In Hořovice, it's already
and there are other patients on the waiting list.
Can you count how many babies you've delivered?
I don't know. I kept a record of births as a medical student - while studying at medical school. Since my third year of medical school.
to the sixth year of medical school, I had 450.
Theoretically, you could have given birth to as many children as the population of Hořovice in about thirty years...
Maybe even two Hořovice (he smiles), but since graduation I don't really count the births that I conduct anymore.
After so many births, do you still perceive the uniqueness of the moment of childbirth?
It's a unique moment. Nowadays, most expectant mothers want to know if they're having a boy or
a girl. I always ask them why they want to know if it means missing out on the best part of childbirth -
the moment of surprise. I understand that there are situations where we need to know, for medical reasons, if it's
a boy or a girl. But for pregnancies that are physiologically fine, it's unrepeatable when parents don't know until the last minute if it's going to be a son or a daughter. And they experience a huge moment of surprise at the final birth. For me, the moment of birth is still unrepeatable.
Is that why you chose obstetrics?
Yes, I did. When I was a medical student, I was an orderly in a maternity ward. Then I went on to
until my junior year on weekends to earn a few pennies. In my third year, I joined a special interest group
Obstetrics club and went to serve with my senior doctor. In the summer, it was six to eight services a
a month and a lot of emotional births. The others went to the seaside in Yugoslavia during the holidays.
I went to deliver babies.
This January, you took over from Dr. Klan. The reconstruction of the maternity ward began at the end of February. Did you have a chance to comment on its appearance?
I did. We met repeatedly over the projects and discussed how best to use the space. We didn't get a bigger one because it was a reconstruction of the existing maternity ward. With three delivery boxes (delivery rooms with sanitary facilities for the mother and her attendant - ed.), we were at the limit of the capacity limit. Therefore, we needed to expand the delivery room by another box, which meant finding space for it at the expense of something else, but while maintaining the safety of the operation.
How will the new boxes be better than the previous ones from 2002?
They will all be equipped with the latest technology. All the instruments will be connected to the command centre. The midwives will be in control of the babies at all times. With the help of telemetry, they will monitor the fetal and maternal condition remotely in every situation. As a result, women in labour can move freely at least during the first period of labour and do not have to lie on the bed.
The reconstruction of the maternity ward was originally scheduled to be completed by the end of June. What has slowed it down?
The reason was that we are not building a new maternity hospital on a greenfield site, but in a decades-old building. It's a work in progress.
several other problems that had to be solved during the renovation, such as floors and ceilings.
How much will it cost to rebuild the maternity hospital?
The work is not yet finished. We expect the final amount to be in the tens of millions of crowns.
When will mothers start giving birth in the new premises?
The latest assumption is that at the end of October and the beginning of November. If it is from 1 November, it will be the best Christmas present for us.
Will you be adding doctors and midwives to the maternity ward?
We have enough gynaecologists/obstetricians now. But we'll need at least four more midwives.
You've been accredited to teach undergraduate midwifery students since last year.
Will any of them join you after graduation?
We're trying to do that. So far, unfortunately, it is the case that our students do their compulsory practice during the holidays, but they don't want to join the health care system at all.
Even with the prospect of getting new company flats at the end of the year, do you have a nursery and other benefits?
I don't know of any regional hospitals or clinics that have the benefits that employees in Hořovice have. Even so, we have a problem getting more midwives, which is also problematic in other maternity hospitals in the country.
Can medical students also do their professional practice with you?
Yes. We have quite a lot of applications for summer internships from all the Prague medical faculties, and there are more and more students
from the Pilsen faculty. Not only future gynaecologists come to us. A number of doctors also intern at our department as part of their pre-test postgraduate training.
Source.
