…starts an exciting time for most couples. We look forward to being able to accompany you on this path as a sensitive and competent partner right from the start. We would be happy to advise you before you become pregnant and give you the opportunity to get to know our team in a relaxed and pleasant atmosphere.
Your thoughts and feelings, your longings, your fears and of course your questions about the desire to have children, pregnancy and childbirth are just as important to us as the necessary medical examinations. In this way, together with you, we are able to create optimal medical conditions for you and your unborn child right from the start.
Feel free to contact us at an early stage if your desire to have children remains unfulfilled. Our medical team is at your side with this sensitive topic with experience, empathy and a wide range of diagnostic and therapeutic options. Often only small measures are required to turn the desire for children into a desired child.
NINE MONTHS OF INTENSE AND EXCITING MOMENTS…
… lie between the positive pregnancy test and your baby’s first cry. Every pregnancy is just as unique as the growing child. It is therefore our aim to accompany you individually, empathetically and according to your wishes during this time.
Through numerous specializations and further training, our experienced team of doctors has developed into a competent partner in all aspects of pregnancy and birth. You and your child are in the best of hands with us.
In order to protect and support what is most valuable in life from the very beginning, we have created our comprehensive “Pregnancy plus” service catalog for you. Together with your doctor, choose the additional services that are individually sensible for you and your baby – beyond the maternity guidelines. When recommending the additional services, we are of course guided by the applicable guidelines and the current recommendations of the gynecological specialist societies.
Examination and advice during pregnancy, initially at approx. 4-week intervals and later, depending on the course of the pregnancy, at 2-week intervals. In addition to the comprehensive anamnesis within the initial examination, the vagina and uterus are examined.
In addition to the typical, regularly occurring examinations at the preventive appointments such as blood pressure measurement, urine examination, weight control, exclusion of chlamydia infection, determination of hemoglobin – iron value and blood tests, the blood group and the Rhesus factor are determined at the beginning of pregnancy. In addition, an antibody search test will be carried out, whereby blood group incompatibility between you and your child can be detected at an early stage. This test is repeated between the 24th and 27th week of pregnancy.
In addition, a search test for sexually transmitted diseases (Lues search reaction – LSR) and a test for “rubella antibodies” (if no two vaccinations or specific antibodies can be detected) are required by law.
An additional test for HIV (AIDS virus) is recommended!
After the end of the 32nd week of pregnancy, another blood test is carried out, which can reveal any existing infections with the hepatitis B virus, since such an infection during birth could lead to your child being infected.
At the beginning of pregnancy, nutritional advice is included in the medical advice. A healthy diet is good not only for your own health but also for the optimal development of your child. During pregnancy there is an increased need for certain micronutrients such as folic acid, iron, vitamin D, iodine, omega 3 fatty acids, etc.
In addition, excessive weight gain can increase the risk of diseases such as diabetes and high blood pressure during pregnancy. We will also inform you about the connection between diet and the risk of tooth decay.
There are three ultrasound assessments of fetal development during pregnancy:
- eBasic ultrasound: 09.-12. SSW
- Basic ultrasound: 19.-22. SSW
Here you have the choice between the basic ultrasound examination and the extended basic ultrasound examination to detect any abnormalities
- Basic ultrasound: 29.-32. SSW
The “sugar test” is offered between 24+0 and 27+6 weeks’ gestation. If you decide to do this, there will first be a pre-test in which you (not sober) drink a glass of water with 50 grams of sugar. If an increased value is then found, a second diagnostic test (on an empty stomach) will be carried out promptly afterwards, in which blood will be drawn from a vein in your arm. Possible consequences of gestational diabetes are the so-called preeclampsia or birth complications.
To ensure that the unborn child receives as many antibodies as possible through the placenta and the umbilical cord, vaccination against pertussis (whooping cough) is offered to all pregnant women from the third trimester onwards. In this way, your baby’s “nest protection” can be optimized after birth before it can be vaccinated itself.
Depending on the time of year, a flu vaccination is recommended to protect pregnant women from a severe flu infection.
The new Radiation Protection Ordinance, which came into force in January 2021, and the German Society for Ultrasound in Medicine (DEGUM) once again confirm that ultrasound does not pose a health risk for the fetus, since fetal brain development is not influenced and there are no secondary effects on fetal organs. Leading sonography experts are of the opinion that there is a clear connection between a higher number of ultrasound examinations and a positive pregnancy outcome. We agree with this medically sensible recommendation and are therefore pleased to be able to offer you additional ultrasound examinations in 2D and 3D/4D. Contact us!
Specific infectious diseases of the mother can impair the health and development of the child in the event of a first infection during pregnancy. We therefore recommend an antibody titer check in the blood:
- Cytomegaly (CMV)
- Hepatitis C
If no antibodies are found, further monitoring later in the pregnancy is recommended.
If you are diagnosed with the blood group “Rhesus negative”, an i.m. Injection (Rhophlyac) useful during pregnancy and after childbirth as well as in case of bleeding during pregnancy. If the child’s father is also “Rhesus negative”, these injections are not necessary. If the father of the child has the blood group “Rhesus positive”, it is possible to determine the blood group of your child as part of a prenatal/harmony test.
- First trimester screening (ETS): Maternal blood test + neck fold measurement
The risk of having a child with a chromosomal disorder increases with the age of the mother. Trisomy 21 (“Down syndrome”) usually occurs. The desire for an early, individual risk assessment is becoming louder, regardless of age. The first trimester screening (ETS) includes the measurement of the nuchal fold (NT, fluid accumulation under the skin of the child’s neck) and the determination of two pregnancy-associated hormones (from the mother’s blood). It allows an individual risk calculation for the existence of trisomy 21 during pregnancy, since 80% of children with trisomy 21 show a noticeably thickened NT in the ultrasound. The accuracy increases to 95% through the combination with the hormone analysis. The NT measurement is only carried out during certain periods of pregnancy from 11+0 to 13+6 weeks.
- NIPT (Non-Invasive Prenatal Test)
In addition, chromosomal abnormalities in the child can be detected by non-invasive testing using a simple blood draw from the mother. A complex procedure is used to identify child DNA fragments in the mother’s blood and thus determine the number of fetal chromosomes. The tests can be taken from the 9+0 week of gestation.
- Invasive diagnostics
If the tests described above yield dubious or suspicious results, or if there is a suspicion of a genetic disease based on previous histories, invasive diagnostics (chorionic villus biopsy / amniocentesis = amniocentesis = amniocentesis) is recommended, whereby the genetic information of the child’s cells is genetically examined. The 100% exclusion of a chromosomal disorder is only possible with one of these methods. There is minimal risk of miscarriage during the procedures
It is important for the development of your child that your thyroid gland is well and correctly adjusted during pregnancy. Unfortunately, thyroid monitoring is not a standard part of maternity policies. Talk to us – especially if you have previous illnesses.
Especially in the 4D ultrasound, your child can be viewed in an impressive way plastically and in his movements. On the one hand, the fetal development of the child can be assessed even better and, on the other hand, the morphology of the child’s face can be assessed better than in two-dimensional ultrasound. This is particularly useful when ruling out clefts in the jaw, lips and palate. We are pleased to be able to offer you 3- and 4-dimensional ultrasound in addition to conventional ultrasound examinations.
Stem cells in umbilical cord blood are very valuable because they can be used in the treatment of around 80 diseases. They can be removed and stored in the delivery room immediately after the birth. When it comes to cell storage, there are both non-profit and private providers. Contact us if you are interested – we will be happy to advise you in good time during pregnancy.
Group B streptococci in the genital area can be found in 20-36% of pregnant women. As a rule, these bacteria are harmless colonizers of the vaginal mucosa. However, in pregnant women, the newborn could become infected at birth, which could result in severe infections in the child shortly after birth or after 1-6 weeks. Because of this, the Society of German Gynecologists has given recommendations for the prevention of this so-called neonatal B streptococcal infection.
In order to prevent B streptococcal infection, you should definitely have a detailed consultation with your doctor beforehand. The examination is only carried out by means of a vaginorectal smear and should be carried out between the 35th and 38th week of pregnancy. Contact us!
Acupuncture is one of the oldest medical healing methods and, in the hands of a trained person, has practically no side effects, can be repeated at any time and can also be used alongside other treatment methods. Prenatal acupuncture has been shown to significantly shorten the opening phase of labor. Acupuncture can be done from the 37th week of pregnancy – contact us if you are interested.
Since 2013, the WHO has recommended the one-step test procedure, i.e. the direct implementation of the “big blood sugar test” in all pregnant women. 90% of European countries already follow this recommendation. It has been proven that in the context of the two-stage test procedure, in which only the “small blood sugar test” is carried out at first, a considerable number of mothers suffering from gestational diabetes are wrongly classified as “healthy”. Since gestational diabetes that is diagnosed too late or undetected can be associated with significant pregnancy and birth complications, as well as negative health consequences for mother and child, the German Diabetes Society and the German Society for Gynecology and Obstetrics also follow the WHO recommendation. Feel free to contact us if you primarily want to have the major blood sugar test carried out.
Kinesio Taping® during pregnancy and around birth
The therapy with the colorful adhesive tapes has been around since the late 1990s and works via proprioceptive receptors in the skin. With taping, depending on the symptoms, special elastic patches are stuck to the lymphatic drainage pathways or muscles and fascia, which unfolds their stimulating or relaxing effect. The advantages of the therapy are a longer-term effect, because the K-Tape® works as long as it is worn. Targeted training can also be supported and made more effective in this way.
This can also be a method with few side effects for pregnant women, which can reduce the consumption of medication and ease pregnancy symptoms.
Can I shower/swim/exercise with a tape on?
Yes, the tape is elastic and should not impede movement. It is also waterproof and you can shower, bathe or swim with it without any problems. In order to increase the service life, it is recommended not to shower too long and hot on the affected area when showering and to carefully dab when drying instead of rubbing hard.
What else can I do to extend the adhesive life of my K-Tapes®?
If the ends separate, carefully trim with small scissors. Always cut round ends.
Are there any disadvantages?
The tape can stain on contact with moisture and is impermeable to UV rays, i.e. it “streaks” when sunbathing.
When is a K-Tape® right for me?
The areas of application are numerous and must be worked out with your K-Taping® therapist depending on the individual symptoms. If you are interested, please ask at the practice.
Do you have a plaster allergy?
No problem, the cotton tapes are coated with a special and medically controlled acrylic adhesive, to which allergic reactions are very rare, even with known plaster intolerance. If necessary, we can carry out a compatibility test.
some possible areas of application of K-Taping®:
- Tension in the neck muscles & tension headaches
- Sciatica and back pain
- Supporting the growing belly
- Symptoms or loosening of the symphysis
- Supporting the involution of the uterus
- Lochialstau (damming of the weekly flow)
- Scar treatment (to support wound healing)
- Upper body posture correction
- Diastasis recti (separation of the straight abdominal muscles after or during pregnancy)
- menstrual cramps
- Breast engorgement and mastitis (breast infection)
- Carpal Tunnel Discomfort
- Knee or ankle instability
Talk to us and make an appointment.
Congratulations! We wish you and your family all the best, good luck and health!
Arrange a follow-up appointment 6-8 weeks after the birth for the final examination. Important topics such as pelvic floor training and contraception are discussed. The subsequent check-up then takes place three months after the birth for the first cancer check-up.
If you are not feeling well in the first two weeks after the birth, do not hesitate to call us and make an appointment. We would be happy to advise you on the topics of breastfeeding problems, exhaustion and depressive moods (“baby blues”), pain in the area of birth injuries or the caesarean section. Please talk to us.