Childbirth in Żelazna
Responding to women’s expectations, we offer two models of childbirth – in the Hospital Labour and Delivery Suite or at the Hospital Birth Center.
1LABOUR AND DELIVERY SUITE VS. BIRTH CENTER
| BIRTH CENTER | LABOUR & DELIVERY SUITE | |
| medicalization of labour | NO | YES (if necessary) |
| pinduction of labour by amniotic sack puncture or administration of Oxytocin | NO | YES (if necessary) |
| natural, non-medication methods of labour pain alleviation | YES | YES |
| possibility to take a warm bath during labour | YES | YES |
| possibility to assume the most comfortable position at every stage of labour and delivery | YES | YES (if progression of labour allows it) |
| continuous presence of a support person | YES | YES |
| intravenous line (peripheral venous catheter) | NO | YES |
| episiotomy | YES (if necessary) | YES (if necessary) |
| CTG | Only upon admission to hospital or if attending midwife finds it necessary. We avoid frequent fetal monitoring. Fetal heart rate is auscultated with a portable detector in line with set up guidelines. | YES (at least every 2 hours for 20 minutes or longer if progression of labour requires it) |
| midwife-assisted labour NAD DELIVERY | YES (unsupervised) | TYES ( unsupervised and under physician’s supervision ) |
Several things worth knowing about the Hospital
Birth schools
Birth schools are aimed at educating parents and preparing them for labour, birth and newborn care. Apart from hospital-based „Zosieńka” Birth Center, there are 12 other centers which follow the curriculum accredited by our Hospital SEE MOREBirth plan
In accordance with the Perinatal Care Standard, we encourage our patients to fill out a birth plan form. The patients can do that themselves or together with a doctor or midwife.Social support during birth
About 80% of expectant mothers decide to go through labour with a family member or a close friend whose empathy, involvement and active participation in labour and delivery process may be of invaluable help.A childbirth with a labour supporting person does not require any extra fee.
Supplementary services
Our patients are welcome to use separately paid additional services:- individual childbirth education classes
- in post-partum period – accommodation in a private family room which allows a family member or a friend to stay overnight
- presence of a support person (family member, friend) in the operating room during an elective c-section procedure
- individual midwife care during intra-partum and post-partum period
1INDIVIDUAL PERINATAL SERVICES
Individual perinatal care is one of the supplementary services provided by our hospital. The service is separately paid by the patient.
All patients who intend to benefit from the service should directly contact a chosen midwife to sign an appropriate personal perinatal service agreement.
One of the advantages of the agreement is the possibility to choose a particular midwife who will be at the patient’s disposal 24/7 from 37 to 42 weeks of pregnancy.
The conclusion of a personal perinatal service agreement with a midwife does not guarantee hospital admission in case there are no beds available in the Labour and Delivery Suite.
The fee for the above service is PLN 3000
The fee for the service provided by a foreign language-speaking midwife is PLN 3500
Martyna Grygiel-Kaczmarek(English)
midwifefrompoland@gmail.com
Marzena Obsowska (English)
609 683 834
Magdalena Witkiewicz (English)
603 404 799 magdawitkiewicz@o2.pl
Maternal birthing positions
We tend to support natural progression of labour and delivery at every stage adequately to the uniqe needs of every woman.Unless there are medical contraindications, a patient can:
- walk around
- squat
- kneel
- sit on a ball or birthing stool
- assume one of the following positions: hanging or squatting onto the bar, four-point kneeling (all-four position), two-point kneeling (upright kneeling), side lying or squatting on the birthing bed
We encourage our patients to use the following labour-supporting equipment:
- birthing stools
- birthing balls
- birthing bars
- beanbags
- birth- supporting ropes
Perineal protection
We do not perform episiotomy as a routine procedure. Unless episiotomy is medically indicated, we use various techniques of perinatal protection taking into account such factors as the woman’s anatomical predispositions, the progression of labour or the size of the child. Generally, upright positions assumed by women in labour , water immersion and close collaboration with a midwife make perineal protection easier.We encourage all expectant mothers to increase the flexibility of perineal muscles throughout their pregnancy by doing proper flexibility exercises and perineal massage. This kind of ante-natal education is provided to all mums-to-be who attend childbirth education classes at our Birth School.
First contact
As soon as medically possible following delivery, the healthy baby is placed skin-to-skin on the mother’s chest and remains in her embrace until the placenta is delivered and for the next several hours – the critical time to aid the newborn’s temperature stabilization, bonding and initiation of breastfeeding.During this time of uninterrupted contact the baby is neither dressed nor washed and does not undergo any irrelevant medical procedures. The first assessment of the newborn’s health condition (the Apgar score test ) is made by a midwife or, if medically indicated, by a neonatologist with the baby still resting in the mother’s arms.
Weight and length measurements and a medical examination of a newborn usually take place within 2-12 hours after birth.
The priorities of the neonatal care in the first hours of the child’s life are:
• skin-to-skin contact
• warmth of mother’s body
• stimulation of newborn’s skin receptors
• colonization of baby’s skin with mother’s friendly bacteria
We usually initiate breastfeeding once the newborn’s activity and sucking reflex are observed. It commonly happens in the first hour after birth.
Umbilical cord blood
There is a possibility to collect and store the umbilical cord blood. The Hospital collaborates with:- DIAGNOSTYKA.
- NOVUM
- Polski Bank Komórek Macierzystych
- Progenis
