Birth

As natural as possible, as safe as necessary

"As much nature as possible, as little medicine as necessary".

This is the philosophy of our maternity department. We want to give you a natural birth according to your wishes, with a lot of comfort and the safety of the hospital.

 

Every birth and every birth process is unique. If the birth is uncomplicated, you will be accompanied first and foremost by the midwife. She will inform you about the progress of the birth and about the possibilities of birthing posture and pain relief, will engage with you in an unbiased way and will care for you in the best possible way. At the latest during the birth, in addition to the midwife, the doctor in charge is also present.

Forms of labor

Labor
Cannot be moved consciously. If the uterus contracts, this contraction is called a contraction. The contraction is used to bring the baby into the right position or to move the birth forward. However, not all contractions are the same.
Pregnancy labor
Descending contractions promote blood flow and growth of the uterus. The cervix is not opened. Pregnancy contractions are short, regular contractions in which the abdomen becomes hard. Often they are not felt. 4 to 10 times a day is normal.
Descending labor
Descending contractions begin around the 36th week of pregnancy and cause the baby to enter deeper into the pelvis. They soften and shorten the cervix. It is an irregular pulling in the groin and small of the back, about once or twice an hour for about 30 to 40 seconds.
Pre-labor
Preterm labor may occur regularly for a short period of time, but then disappear again. The uterus is a muscle that cannot be moved consciously. When the uterus contracts, this contraction is called a contraction. The contraction is used to bring the baby into the right position or to help the birth progress. However, not all contractions are the same. contractions occur in the groin and sacral region and (especially with the first child) are interchanged with labor pains. If you are unsure, a warm bath can be helpful: If the contractions calm down due to the warm water, they are preterm contractions. If the contractions persist or become stronger, they are usually labor pains.
Birth pangs
Birth pangs occur rhythmically and regularly and do not stop in any position. The cervix is opened and the child enters deeper. The contractions are felt mainly in the groin and sacral region. The frequency of contractions increases, up to three contractions in 10 minutes. One contraction lasts 45-60 seconds.
Postpartum labor
The placenta is delivered with postpartum contractions, which are no longer as painful and are sometimes assisted with labor medications.
Postpartum hemorrhages
Postpartum hemorrhages serve to regress the uterus and stop bleeding by reducing the wound area in the uterus. They occur in the first two to five days, more frequently during breastfeeding.

Birth phases

Birth room
With our three fully equipped, air conditioned birthing rooms – all with bathtub – we ensure that there is always enough capacity available.
It is important to us that you feel secure with us. For this reason, our birth rooms are uniquely designed in terms of color and convey a warm and soothing atmosphere. In addition, you will enjoy an unobstructed view of the lake.

In our birthing rooms, you help decide how you would like to give birth to your child: on the birthing bed, on the floor mat or on the birthing stool. Or
do you prefer a water birth in the birthing tub? How and in which position you give birth, you decide situationally with our professional support.

Birth stages
The latency (or early opening) phase is the period from the onset of labor to a cervical opening of 4-6 cm.

Active opening phase: The active (or late) opening phase is the period from a cervical opening of about 4-6 cm to full cervical opening.

Emergence phase (AP)latent / passive emergence phase: The passive emergence phase is characterized by the following aspects: complete cervical opening and
no urge to push (yet).

Late emergence phase: The active emergence phase is characterized by the following aspects: The child is already visible or an instinctive urge to push sets in when the cervix is
cervix is complete.

Postpartum phase: The postpartum phase comprises the time from the development of the newborn to the birth of the placenta.

The natural birth

Sign that it starts
Those facing childbirth for the first time are often afraid of going to the hospital too late. However, as a rule, first births are leisurely. If you have regular contractions (about every five minutes), you have lost amniotic fluid (ruptured bladder), or you have light bleeding, these may be signs that your birth has begun. If you feel unsure whether your birth has begun, you are welcome to call 044 728 17 00 (birthing room) and discuss your symptoms with the midwife.
What is done at birth?
When you arrive at our clinic, you will be taken to the examination room. The midwife checks the baby’s heart tones and records the regularity of the contractions with the CTG (contraction recorder). She checks the baby’s blood pressure, urine, weight and position. An ultrasound may be performed. The beginning or progress of labor can be determined with a vaginal exam.

 

Once the birth has definitely begun, you will be taken to the birthing room. There, blood will be taken from you and a vein will be inserted for the purpose of pain medication, if necessary. A vaginal examination will take place approximately every two hours and heart tones and contractions will be checked.

Breech position
Vaginal birth from the breech position is possible. It is performed at the See-Spital after detailed consultation and careful assessment of the size of the child in relation to the mother’s pelvis and after ruling out other birth risks. We will be happy to advise you around 6 to 8 weeks before the expected date. Please make an appointment at our practice: Tel. 044 728 17 02.

 

If a vaginal birth is not recommended in the case of breech presentation, a rotation of the child in the cranial position can be attempted before the otherwise necessary caesarean section. We will be happy to advise you on which methods are suitable for you.

Pain relief
Hardly any birth is completely pain-free. But pain perception is very individual. Many women still give birth without the use of painkillers. However, it is usually reassuring for the woman giving birth to know that various methods are available to alleviate or even largely eliminate the pain.

 

Often, simple methods such as proper breathing, movement, a changed birthing position or a bath already help. If this does not provide enough relief, pain relief ranges from complementary medicine methods such as homeopathy, aromatherapy, acupuncture, massages and wraps to painkillers from classical orthodox medicine.

 

At See-Spital, we offer patient-controlled pain therapy. Using a pump, the woman can determine at the touch of a button how much painkiller she acutely
she needs acutely. An overdose is not possible.

 

In peridural anesthesia (PDA), a catheter is inserted in the area of the lumbar spine, near the spinal cord, to numb the nerves in the lower body. This causes relaxation in the abdomen and almost complete freedom from pain. The dosage of the epidural is adjusted so that you are only slightly restricted in your mobility and can assume virtually all birth positions.

Cesarean section

Explanation cesarean section
Cesarean section – in which the baby is surgically removed from the uterus – has become an indispensable part of obstetrics. In Switzerland, around one in three children is born by Caesarean section.

A distinction is made between primary and secondary cesarean sections.

Primary and secondary cesarean section
Primary cesarean section is planned and performed before the birth has started naturally. Indications for this may be an impossible position of the
child or already known medical reasons. Secondary cesarean section, on the other hand, is necessary due to complications that may arise during birth.

 

Nowadays, cesarean section is sometimes deliberately preferred to spontaneous delivery. For fear of the unknown labor pain or possible perineal injuries under a natural birth, the cesarean section is considered the “lesser evil,” so to speak, and is perceived as more predictable. On the other hand, to believe that a cesarean section is completely risk-free would be a fallacy. A cesarean section is a surgical procedure performed under regional or general anesthesia, and the pain afterwards should not be underestimated.

 

We and the Society of Pediatrics believe that a complication-free birth is the gentlest and often perceived best way to deliver a baby for both mother and baby. It is completely normal that fears arise before a birth. Discuss these with us! Our midwives as well as our doctors are always available for a discussion.

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