Midwifery
Pregnancy and childbirth are periods of high importance in which absolute safety and comfort are essential. The world’s clinics have created ideal conditions and programs for women expecting a baby. Below we will tell you what obstetric centers offer and to whom, as well as what are the peculiarities of procedures in different countries.
Who needs to manage pregnancy and childbirth in advanced clinics?
All women need to be registered during pregnancy and give birth under the supervision of medical personnel, even if there are no pathologies. European centers use the most modern technologies and offer pregnancy and childbirth management for mothers for whom:
- An individualized, qualified approach is important
- Independent choice of obstetric care (including natural birth after cesarean section, water birth) plays a major role
- Advanced equipment and facilities are needed because abnormalities either in the woman herself or in the baby have been detected during pregnancy
- It is important to have family members present at any stage (whether ultrasound or delivery)
- Comfort and a welcoming atmosphere around you is paramount
- Additional procedures such as cord blood sampling during labor are needed
What do the world’s clinics offer in the field of obstetrics?
- Round-the-clock support: doctor on call at any time of the day or night
- Choice of doctor and midwife
- Comfortable rooms: vip-rooms for those who go to the maternity hospital earlier (in the department of pathology of pregnancy) and those who have just given birth
- High-tech operating rooms cesarean sections
- Performing manipulations of increased complexityAmniocentesis, external rotation of the fetus (in case of malposition), cord blood collection.
- Individual birthing rooms with all necessary equipment (including for accommodating contractions)
- Partner’s presence at the birth: not only your spouse, but also your mother, sister, friend can be a chaperone
- Childbirth with a Doula – a professional assistant who stays with the woman in labor and helps her psychologically and physically to cope with the current state of labor (to live through contractions, pushing).
- Effective, safe anesthesia at any stage of labor
- Soft labor according to the principle of maximum naturalness: independent choice of position, breathing labor (relaxed labor period), delayed pulsation of the umbilical cord, breastfeeding in the delivery room and the “golden hour”. (ensuring skin-to-skin contact)
- Water birth: A woman is in a bathtub or pool during the first and second periods of labor. This allows for less painful contractions and a gentle delivery of the baby, avoiding tears and cracks in the perineal tissues
- Vertical birth: the period of labor (when the baby is born) is not lying on the back, but kneeling, on all fours or half squatting. The advanced equipment (functional beds, chairs) available in leading Western clinics allows the woman to assume any comfortable position
Where to use midwifery services: features of delivery in different countries?
Midwifery care varies from country to country. Before choosing a place for pregnancy and childbirth, it is important to know whether the wishes of the woman will be taken into account.
| Caesarean section only if desired | Presence of a partner at the birth | Stem cell collection (cord blood) | |
|---|---|---|---|
| Where not applicable | In many European countries (e.g., Germany and France), cesarean sections are performed for medical reasons | All countries have switched to a family-oriented program where a partner is allowed to attend the birth. For caesarean sections, the presence of a companion is negotiated in person at each hospital | Private storage of biomaterial is prohibited in the UAE. |
| Where is the most developed | Elective Caesarean sections are legal in England, Brazil and South Korea. Switzerland (according to European statistics) and Turkey are the leaders in caesarean sections | In Norway, it is compulsory for the father to be present during childbirth (including caesarean sections). In Germany, almost all natural births are partner births. France is the pioneer of collaborative childbirth (the partner can be present even at the operation) | Spain is the leader in stem cell collection. The most developed cord blood collection is in China, USA, Germany, Turkey |
Artificial intelligence in obstetrics
Artificial intelligence in obstetrics is being introduced systematically, with clearly defined steps. There should be no mistakes in the processes, because two, and sometimes three or four lives are at stake.
Insufficiently high efficiency of the methods of pre-eclampsia prediction proposed by the international organizations NICE and ACOG led to the creation of artificial intelligence algorithms to assess the risk of PE. The approach based on stochastic gradient bousting (a model for creating modern AI algorithms) demonstrated the best prediction accuracy.
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