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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with outdated attitudes toward women that favors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