…an exciting time begins for most couples. We are happy to accompany you as a competent professional partner on this magnificent journey towards becoming a parent. Prior to your pregnancy, we also gladly provide you with any information you might need or answer questions you might have. Come meet our staff in a pleasant and relaxed atmosphere!
NINE MONTHS FULL OF INTENSE AND EXCITING MOMENTS…
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, as well as blood tests, the blood group and the Rhesus factor are determined at the beginning of pregnancy. In addition, an antibody search test is carried out, whereby blood group incompatibility between you and your child can be detected at an early stage. This test is repeated between 24 and 27 weeks’ gestation.
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!
In addition, in the 13./14. NIPT (Non-Invasive Prenatal Test) week of pregnancy. Here, chromosomal disorders in the child are carried out by non-invasive tests by simply taking a blood sample 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. Please note the explicit recommendation of the additional ultrasound to the NIPT under “Pregnancy Plus.
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.
The NIPT contained in Pregnancy Basic is used in the 13th/14th week of pregnancy performed. Here, chromosomal disorders in the child are carried out by non-invasive tests by simply taking a blood sample 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. From a medical point of view, we expressly recommend the supplementary ultrasound to the NIPT, as this is the only way we can determine whether the NIPT is really the best test for your child. Please speak to your doctor about this!
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.