After giving birth you should take time for yourself and your child and take care of them through a midwife. Especially in the period shortly after birth, the midwife helps you with the many physical and emotional changes and promotes the growing together of the family.
The care and observation of the midwife in the puerperium usually includes in the newborn:
- the observation and care of the umbilical hernia
- the observation of a possible development of neonatal jaundice
- the observation of weight development
- the heel blood collection for the metabolic disease test (if not already performed in the maternity clinic)
- the education on rickets prophylaxis
- the instructions for baby care
- the instructions for handling the baby
- nursing care or breastfeeding counseling
- the information about allergy prophylaxis
The care and observation of the midwife in the puerperium usually involves the mother:
- a conversation / talks about the birth
- the monitoring of uterine regression
- the observation of the seam healing
- the promotion of milk production
- Assistance with difficulties
- Advice on contraception and family planning
- Assistance after premature, miscarriage and death
Midwife – what is your claim??
Midwifery services before birth (pregnancy)
- personal / telephone midwife advice
- Midwifery check-ups (exception: ultrasound)
- Birth preparation course for the pregnant women (individual funds also take over the share of men in pairs courses)
- Birth preparation course for the partner (only individual cash registers)
- Alternative methods, e.g. Acupuncture (only individual cash registers)
Midwifery services during childbirth
- Clinic birth (midwife or midwife employed in the clinic)
- home birth
- Birthplace (only individual coffers, flat rate 550 Euro)
Midwifery services after birth
- Daily midwife home visit (in special cases up to twice a day) in the first 10 days after birth
- 16 more midwife visits in the first 8 weeks after delivery
- 4 more midwife visits for breastfeeding problems (possibly with medical certificate)
- Regression rate
Bonding – A band of emotions between parent and child
The term “bonding” describes the close connection between mother, father and child. In order to make it as early as possible and to be particularly intensive, a lot of physical closeness is required – also and especially right after birth. It has been scientifically proven that the bonds made in the first few minutes and hours can have a lasting effect on the later development of a newborn. For us, that means that we do not separate the baby and his parents, as circumstances permit, so that they can build a close relationship with each other in peace. This also applies in the case of cesarean births. As a rule, immediate skin contact with the baby is possible – even before the first baby examination.
In order to establish the close connection between parent and child from the first moment, direct physical contact is essential. Since the language is not yet developed, touch and the sound of the voice are the all-important means to give a newborn the feeling of safety and security. So that this exchange can unfold, we let the young family spend a lot of undisturbed time together. This creates the basis for a stable relationship. The baby intuitively learns that it is surrounded by loving people it can rely on. This basic trust is of great value for the development of a healthy self-esteem.
The birth of a child is the best gift for parents. At the same time, it means a drastic change in one’s own life. Therefore, it is quite normal if the euphoric feelings do not adjust to everyone and immediately. In particular, the mother undergoes due to the rapid hormonal changes after birth not infrequently an alternation of feelings, which in some cases can also lead to a so-called postpartum depression. This situation is perceived by the mother as extremely stressful and requires special advice and support.
Postpartum depression – what is it??
Postpartum depression is an umbrella term for temporary, mentally distressing situations in which a mother can find herself after the birth of her child. These sensations can be very different – the most common is the baby blues, also called “howling days”. In the first days after birth, there is often an increased sensitivity of the mother, the z. B. can express by strong mood swings. Fears can play a role in being able to accept the mother role badly or not at all, to feel overwhelmed with the situation or to suffer from an excessive concern for one‘s own child. It is a completely normal process that can be triggered by the rapid and very strong hormonal changes that occur immediately after birth. Therapy is usually not necessary – conversations often already help with people you trust.
With prolonged persistence of this increased sensitivity, different forms of therapy can help to cope better with the hormonal changes. These include, for example, psychotherapeutic accompaniment involving the family, the intake of dietary supplements or – in special cases – also drug therapies.
The exact causes of insatiable screaming of so-called "cry baby" are still not fully understood. Some babies have difficulty calming down to their own age. You have not yet mastered this development task. Experts speak here of an early regulatory interference. Writing babies cry a lot, can fall asleep by themselves and sleep longer. They are therefore usually over-tired.
Originally it was assumed that writing-babies suffer from stomach-fighting. However, radiographs have shown no difference in the amount of gas in the gut between “healthy” and writing babies. Although milk intolerance and heartburn (the so-called gastro-oesophageal reflux) can make babies scream, they are not the cause. Presumably, writing-babies are “more sensitive” and faster overwhelmed by the stimuli of their environment. They are increasingly suffering from lack of sleep, which in turn makes them more sensitive. Studies on writing babies prove that there are writing babies all over the world. The risk in smoking households seems to be increased. Even increased body contact does not help with writing babies. Whether a child is breastfed or over the "bottle" is nourished, has no influence. Both the breastfed children and the “bottle children” have writing babies.
When is my baby a writing baby??
Writing babies scream more than three hours a day, more than three days a week and more than three weeks. The screaming usually begins at the age of two weeks and lasts about three months. Two-thirds of babies lose their lives until the fourth month of life, rarely until the sixth month.
What should you do with a writing baby??
Our expert team advises in any case to visit the pediatrician. In addition, there are “Schreiambulanzen” in Hamburg. If your baby has difficulty sleeping, is difficult to feed or has not gotten better at six months, the pediatrician should examine the child. If the child screams and shows other signs of illness (fever, diarrhea, constant belly, irregular stool), then you should in any case immediately seek medical attention.
Writing babies are particularly at risk to suffer a shaking trauma according to studies. Parents shake it in desperation. But this can cause serious damage to the baby within a very short time. Since the neck muscles are still very weak and the head in babies makes up a large part of the body weight, the small head flings forward and backward. The brain mass moves back and forth and blood vessels and nerve tracts can tear. The risk of cerebral hemorrhage and brain injuries and also bleeding on the retina is very large.
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