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for her<br />

The Czech Republic can feel like a baffling society<br />

with outdated attitudes toward women that favors<br />

traditional approaches to relationships, work,<br />

and dating—all a bit off-putting to the uninitiated.<br />

But the pleasures of Prague almost always<br />

outweigh the pains: Spas everywhere you turn,<br />

glorious sweet shops, endless cafés for enjoying<br />

a quiet drink. Our just-for-her guide to Prague<br />

covers everything from surviving a Czech office<br />

environment to more serious concerns like your<br />

continued good health.<br />

GynecoloGy<br />

Women from Western countries, who are used to a certain level of<br />

sensitivity and specialized healthcare, may notice some differences<br />

in terms of privacy, disrobing, etc. But while their bedside manner<br />

may be brusque, Czech gynecologists can be more open-minded than<br />

their Western counterparts in when it comes to frank discussions<br />

about sexual health. The standard gynecological examination is<br />

similar to what you’d receive in the US or UK and includes a breast<br />

exam (depending on your age), abdomen, pelvic exam, and Pap<br />

smear. Every twelfth woman in the Czech Republic experiences<br />

breast cancer in her lifetime, which means that diagnostic techniques<br />

still rare in much of Europe are available in the Czech Republic.<br />

Unfortunately, there is no routine screening for cervical cancer,<br />

though a pap smear can detect abnormalities in the cervix. For info<br />

on emergency STD treatment and testing see FOR HIM page 70.<br />

contRAception<br />

Antikoncepční pilulky (the contraceptive pill or the progestin-only<br />

minipill) can be prescribed by your gynecologist, as can contraceptive<br />

hormone injections (hormonální injekce) such as Depo-Provera,<br />

hormonal implants (hormonální implantáty), and intrauterine devices<br />

(nitroděložní tělísko). If you’re worried your contraception has failed,<br />

purchase a pregnancy test (těhotenský test) from any pharmacy. The<br />

emergency contraceptive pill or “morning after pill” is called Postinor<br />

2 and can be prescribed by a doctor. RU-486 (the “abortion pill”) is<br />

not legal in the Czech Republic; abortion (interupce or mini-interupce)<br />

is legal and can be performed on a healthy mother and fetus up until<br />

12 weeks of pregnancy (or up until 24 weeks for medical reasons).<br />

Abortion is not covered under health insurance unless the mother’s life<br />

is in danger.<br />

pReGnAncy/childbiRth<br />

Typically affiliated with a particular hospital or clinic, ob/gyns are,<br />

as a rule, unable to care for their patients anywhere else. Choosing<br />

a hospital—you must register at week 14—limits your choice of<br />

obstetricians and vice versa. Expect to meet with your ob/gyn for<br />

prenatal check-ups once a month and, in the home stretch, once a<br />

week, until week 36, after which you will visit the hospital for checkups<br />

until you deliver. Typical VZP insurance covers all prenatal visits,<br />

several rounds of ultrasound, including the latest 4D scans, glucose<br />

intolerance test, and the 3 test (for chromosomal risk), as well as<br />

neonatal care. Most women who have experienced childbirth in the<br />

Czech Republic find the prenatal care here similar to that in Anglophone<br />

countries, though the jump from the more personalized atmosphere of<br />

the ob/gyn’s office to the hospital, with its long waits and impersonal<br />

feel, can be jarring. Hiring an English-speaking doula can help ease the<br />

transition and provide continuity of care.<br />

Many Prague-based expats deliver at Podolí, Vinohrady, Krč, Motol,<br />

Bulovka, or Apolinář. Outside of Prague, our message boards<br />

suggest Neratovice. Further afield, Vrchlabí in Krkonoše is known for<br />

accommodating alternative birthing requests. After a non-complicated<br />

birth, expect to stay in the hospital 3–4 days; 5–6 days is the norm<br />

after a C-section. While most doctors speak a variety of languages,<br />

midwives and other medical staff may only understand Czech. Most<br />

hospitals and clinics, including the OG Group Medical Centre, the<br />

Prague Women’s Health Care Center, MaternityCare, and Power of<br />

Birth hold prenatal classes for international expecting parents.<br />

mAteRnity/pARentAl leAVe<br />

Expats who have paid Czech health insurance premiums for at least<br />

270 days prior to the commencement of maternity leave and hold a<br />

valid work contract qualify for financial support. Freelancers, too, may<br />

collect maternity pay as long as they’ve paid Czech health insurance<br />

premiums for at least 180 days in the year prior to the commencement<br />

of maternity leave. You are entitled to 28 weeks’ paid maternity<br />

leave (mateřská dovolená), beginning 6–8 weeks prior to the birth,<br />

during which time assistance (peněžitá pomoc v mateřství, or, PPM)<br />

can be collected. The Czech Social Security Administration (ČSSZ)<br />

distributes PPM to mothers; fathers may take over the leave, by<br />

written agreement, seven weeks after childbirth. For the duration of the<br />

maternity leave, you should receive about 70 percent of your salary.<br />

Financial support is calculated by the amount of social insurance<br />

(sociální pojištění) you pay. After maternity leave comes parental leave<br />

(rodičovská dovolená), when you or your spouse can choose to spend<br />

two, three, or four years at home. Support is proportionate to the length<br />

of leave you decide on.<br />

FitneSS<br />

Prague typically keeps in step with the latest fitness crazes and has<br />

definitely jumped on the fit-dance bandwagon with studios everywhere<br />

offering belly dance, pole dance, cabaret dance, and other slimming<br />

moves. Yoga is ever-popular and you’ll find it all here: power, Ashtanga,<br />

flow, Bikram, etc. Pilates, Zumba, and aerobics are also popular with<br />

Czech women, and most recently, ballet has grown-ups stepping up to<br />

the barre again. It’s worth noting that taking a Czech speaking exercise<br />

class is truly a great way to become more comfortable with the<br />

language, not to mention being much cheaper than many of the more<br />

centrally located classes at the big-name gyms. For more on sports,<br />

fitness centers, and athletic clubs, see HEALTHY LIVING, page 77.<br />

beAuty pRoductS<br />

Newly opened Inglot Cosmetics packs a powerful palette, while the<br />

flagship stores of M.A.C., and Sephora on Wenceslas Square cater to<br />

tourists with their English-speaking staffs and liberal try-on policies.<br />

Korres is a Greek purveyor of sleekly packaged cosmetic delights<br />

and L’Occitane, Crabtree & Evelyn, The Body Shop, Lush, Rituals, and<br />

Body Basics can all be found in the center and at malls throughout<br />

Prague, and sell pampering goodies for bath and body, too. For Czechmade<br />

sensual treats, try Dr. Stuart Botanicus and Manufaktura. A<br />

parfumerie, or perfumery (Marionnaud, FAnn, Douglas) specializes<br />

in fragrances but also stocks high-end makeup brands and drugstore<br />

labels as well. A drogerie, or drugstore, (DM, Rossman, Schlecker,<br />

Tesco) stocks everything from baby food to hair color to affordable<br />

cosmetics brands. Eko-drogerie such as Biooo Kotva, Greenwave, and<br />

the newly opened NOI Shop stock fragrance, body and aromatherapy<br />

60 | expats.cz survival guide www.expats.cz

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