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Birth plan

Soon you will have to make a detailed delivery plan together with your doctor.

Unfortunately, the expectant mother may not always participate in the planning of childbirth. As a rule, in most clinics, the obstetrician-gynecologist makes the sole decision, and all objections and suggestions are rarely taken into account.

However, when choosing the clinic where your baby will be born and the doctor who will help him to be born, you are, of course, already planning your ideal birth. In our deep conviction, in order for the birth to go the way you want, even with the adjustments and adjustments that life can make, first of all we need to hear the expectant mother and her wishes.

What do we mean by a birth plan and how it happens, – says the head of the EMC Perinatal Center, Prof. Natalia Kahn.

What should be in the delivery plan?

The first thing the doctor evaluates is the possibility of having a child through the natural birth canal. The size of the fetus, its location, pelvic features, and whether there are any burdened factors in the form of somatic or obstetric pathology are taken into account. For us, the most important thing is the health of the mother and her unborn baby, even minimal risks must be taken into account. If a woman in labor has strict indications for a planned cesarean section, the doctor will discuss in detail all the risks that may arise if she chooses a different method, and will tell you why an operative delivery is required. For example, with the full placenta previa the doctor adds measures to the plan to prevent possible risks.

In most cases, we are talking about childbirth through the natural birth canal or a planned cesarean section. Then we provide all the possibilities for the fantasy of future parents: whether they want to be together in the delivery room, whether the lights need to be dimmed, what kind of music should be played, perhaps a woman wants to call her doula to give birth or ease contractions in the water, whether her husband will be present in the operating room and will be the first to receive the baby.

When drawing up a birth plan, the doctor and the patient discuss the possibility of stimulating labor,the use of anesthesia, anesthesia after cesarean, the possibility of themselves cross the umbilical cord and more.

birthing plan

When is the optimal time for making a birth plan?

As a rule, at 36 weeks, so that the obstetrician-gynecologist has the most complete clinical picture based on the history of pregnancy and the collected examination data.

What should I do if everything doesn't go according to plan?

Of course, it can be. For example, during EP, situations may arise that cannot always be predicted in advance: acute fetal hypoxia, discoordination of labor, etc. In this case, the delivery plan may change. In EMS, in such situations, the delivery room turns into an operating room in a few seconds with all the equipment necessary for the operation, but at the same time, all the wishes of the woman, which can be realized during the operative delivery, will be taken into account.

We do everything to ensure that childbirth is as calm and safe as possible for a woman. Therefore, when making a birth plan, we always take into account any wishes of a woman, if they do not contradict the safety of the mother and baby.

You will feel safe and secure with us.

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Questions and answers

Nonbacterial Prostatitis
For over a year now I have suffered with nonbacterial prostatitis. I am 65 years old and my prostate is 50 cubic cm. I have treated this every way possible to no avail. As I understand it, there are only 2 possibilities: 1) Daily painkillers and sleeping pills which leave me in a drug-induced stupor. 2) Radical
prostatectomy, although I don't have cancer and my PSA is around 1. I don't live in Russia and it isn't possible to have a radical prostatectomy here. Can I have this operation in your center? Because of the severe inflammation, I can only sit and walk for limited amounts of time. I am near insane from the constant pain and sleeplessness.
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As with all civilized urologists in the civilized world, we COMPLETELY remove the prostate ONLY in cases of prostate cancer. At the same time, if you would like to be seen by us for assistance, at your convenience we can examine you and treat your problem.
Both knees
I would like to get MRT and diagnosis for my knees. Left has old trauma and right is hurting now permanently. An English or German speaking doctor would be an advantage. KR Florian
Dear Florian. Be sure you'll get all the answers for your questions. We have MRI and English-speaking staff including knee surgery specialists. Our assistants will contact for further instructions. Kind regards.
Laser surgery for removal of varicose veins
Does you clinic offer laser surgery for removal (or correction) of varicose veins on the legs? I would like to learn about both the aesthetic and medical side of the issue.
Our clinic performs the most common and advanced methods of varicose veins’ treatment. This includes classic phlebectomy, injection sclerotherapy, and foam sclerotherapy (the most common method of treatment in Europe). The method of treatment depends on certain medical conditions. If the disease manifests itself as
small spider veins, the laser correction could be performed by a surgeon-phlebologist or a dermatologist. But each case is always individual. You need to make an appointment for a consultation to discuss all the issues in more detail.
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Cancer of the thoracic spine
I have cancer of the thoracic spine. According to the MRI, I have wedge-shaped vertebrae, and small fractures in some places, with the absence of normal bone. Is it possible to undergo a vertebroplasty if the lumbar region is also affected? Will the lumbar vertebrae be able to support the thoracic vertebrae after
this procedure?
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It is necessary to analyze the MRI scans in this case. Metastatic vertebral bodies are treated with radiation and chemotherapy according to our principles. Vertebroplasty is possible, but it is difficult to say anything specific without seeing the scans.
Hernia-related pain
Hello, I had hernia-related pain about one month ago. With abrupt leg and foot movements, I experience pain in the cervical segment of the spine, radiating into my arm. MRI test result: degenerative-dystrophic changes of the cervical segment, spondylosis, osteophytosis of C5-C6 segment, posterior hernia of C4-C5
segment with a tendency to sequestration. Could the hernia growth be stopped? What do I do?
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If the MRI data shows a disk protrusion (small hernia) which does not cause dural sac compression and you have no clinical manifestations of the disease, you need to undergo physical therapy and therapeutic physical training aimed at strengthening the muscles of the cervical segment of the spine. In order to make the
decision, you must make an appointment and show the MRI results to a neurologist or neurosurgeon, who will give you recommendations for further action. You can get all necessary assistance at our center.
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