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Everything just marketing? Mother takes her baby out of her stomach
In Bad Oeynhausen, a "maternally assisted cesarean section" was performed for the first time in Germany. The woman in the process pulled her baby out of her stomach. Experts now complain that this is medically unnecessary and warn against trivializing the operation.
Mom pulls her son out of his stomach
At the hospital Bad Oeyenhausen (North Rhine-Westphalia), a baby was born by a so-called "maternally assisted cesarean section". In the video that was made of the birth, it looks very easy as Oxana Kaiser pulls her newborn out of the open abdominal cavity. The doctors have raised the head of Eric Maximillian so far that the mother can grab him safely and pull on her chest. "This was the first accompanied cut birth in Germany," it said in a statement of the clinic. Dr. Manfred Schmitt, chief physician of the clinic for gynecology and obstetrics in the hospital Bad Oeynhausen said to have learned that previously had a colleague in Australia performed such an operation. For experts, this method encounters some severe criticism.
Everything just marketing? The accompanied birth provides criticism among medical professionals. (Image: freepeoplea / fotolia) Feeling like a normal birth "
"For me it almost felt like a normal birth," Ms. Kaiser later quoted. And that's what the hospital says. For women repeatedly reported the feeling of being at a delivery by surgery. "This feeling is particularly strong in women who give birth under general anesthesia," said the documentary midwife in the hospital Bad Oeyenhausen, Irina Wittemeier. "They wake up after the procedure and suddenly have a baby. You have not experienced the whole process of the birth of the child. Many women find that stressful. " Schmitt explained that one wanted to counteract this by immediate physical proximity between mother and child. The so-called "bonding", as the early cuddling is called, is good for the mother-child bond. According to a news agency dpa news agency, Schmitt said, "The fact that she herself can pull the child on her breast, gives her a degree of self-determination, which is not otherwise in an operation. That's crucial for the birth experience. "
By caesarean section and fully conscious
After Oxana learned about the Australian method, she decided that this was the right birth method for her. By caesarean section and fully conscious. As with a normal caesarean section, she received a spinal cord anesthesia, which allowed her to move upper body and arms. Especially important was the sterility of the hands of the expectant mother. In a cesarean section, the large surgical wound must be protected from infectious agents under all circumstances. By putting on surgical gloves and covering the arms, the necessary safety could be guaranteed. In addition, an intensive preliminary talk was held. Chief physician Manfred Schmitt expressed himself very satisfied with the course. "Mother and child are doing great, that's the most important thing. If it fits in with the diagnosis and the parent pair, the maternal assisted caesarean section is an alternative form of birth that we will certainly use multiple times. "
Professional world reacts with rejection
In the professional world, however, is strong criticism. Prof. Ekkehard Schleußner from the University Hospital Jena said: "This has no medical benefit at all, but is an expression of an event culture, which we experience in the field of pregnancy and childbirth in medicine." He warned: "The sterility of the surgical area becomes potential endangered ", the woman giving birth is not a specialist. Schleußner is on the board of the German society for gynecology and obstetrics. This has been working for years for the reduction of caesarean rate in Germany. Almost every third child is born in Germany by caesarean section. Reasons for this delivery method include a very high weight of the baby or possible risks of pregnancy with twins or multiple births. The desired cesarean section without a medical reason is still the exception. However, it is clear from a study by the Bertelsmann Foundation in 2010 that physicians in certain situations, such as a pelvic end position, more and more prefer the caesarean section of a spontaneous delivery. An offer such as the "maternally assisted caesarean section" seems more as reinforcement: "This is more marketing for the caesarean section as a supposed optimal solution," said Schleußner. "One invents more and more to make the caesarean section so attractive that a normal birth always seems to be superfluous", said Prof. Walter Klockenbusch, Head of Obstetrics at the University of Münster.
"Kaisergeburt "introduced in Germany
Obstetrics has been reacting to the desire of mothers to witness their child's coming to the world despite the caesarean section. General anesthesia for caesarean section has been common for years only in emergencies. In addition, healthy children are usually no longer carried away after birth to ensure a quick contact between mother and baby. They are immediately placed on the upper body of the mother, said Schleußner. Prof. Wolfgang Henrich from the Berlin Charité, who was also looking for a way to make the procedure more natural for his parents, was successful with London colleagues: In 2012, he introduced the principle "Kaiser's birth" in Germany. At the decisive moment, the mother watches or even presses with her. The doctors ventilate the blinds when the doctor lifts his head out of his stomach. According to the information, it is about pushing the OR character into the background and using simulation to place the birth in the foreground.
Father is allowed to sever the umbilical cord
The father may use this method to sever the umbilical cord. The doctor then hands the child over to the midwife, who places it on the mother's torso. "Child and mother can immediately feel each other's warmth, heartbeat, smell," explained Henrich. The baby is calmed by the skin contact. As an evaluation of the procedure has shown, moreover, the satisfaction of the parents is increased by also being able to see the process. According to Henrich, the survey shows that the principle is secure and that the Caesarean rate does not rise. 70 percent of all caesarean candidates have meanwhile opted for the "Kaisergeburt". However, only if there are medical reasons for the caesarean section, emphasized both Schmitt and Henrich. Nevertheless, Henrich regards with restraint what his colleagues are doing in Bad Oeynhausen. He said, "I do not think that will be met with much interest from mothers like surgeons." It is technically difficult to ensure sterility and at the same time to establish rapid skin contact between child and mother. Schleußner warned: "This will not be an isolated incident." (Ad)