Your passion. But talents failed to determine its outcome. In negotiations lasting many years mediators succeeded in breaching agreement. It was the birth of modern diplomacy. Sixteen forty eight. Years starts october twenty fourth do you w. Welcome to be in good shape on d w heres your host dr constantly quote from the moment of fertilization until the big day today were going to look at the nine months that lead to the birth of a new orne child today in good shape its all about pregnancy and therefore im
going to meet dr Tina Dombrowski whos the chief gynecologist here at the even if i come from a house in britain. Welcome to. Pregnancy is a wonderful time in a womans life its not a disease but if there are complications today we can help. Or was it when you realize that youre pregnant. And that we have a happy accident yeah. Just happy and cannot wait he says if. You operate me and wonderful news for many couples. And with the
help of Ultrasound Doctors can follow the Fetal Development closely but there might be diagnosis and certain conditions being detected. And then the couple has to decide what is the next step. No is an active and clever four year old. But it didnt look like things would turn out that way. When his mother sorry i was six months pregnant with him test showed that the membrane between the left and right half of noahs brain was missing that can be a sign of a Genetic Disorder such as treme thirteen or eighteen doctor explained what that might mean when the kindle event we were helped of and we were told that when those babies survive top earth they usually just live a few days thats what they sent us away with so at that point he believed he wouldnt survive the tour. And if he did he might be completely disabled. And
a very uncertain of being told that we would lose our child and at such a late stage in the pregnancy felt like the world was caving am. An amniocentesis soon proved that the baby did not have a traditionally disorder but there was still the question of the missing membrane the doctors warned that the baby might be born blind or disabled suddenly sorrow and mark were being asked if they wanted to terminate the pregnancy. So immediately as having been we never considered it and certainly not for a disability if we thought hed be in pain or would have been suffering the maybe id have thought about it a little more life and. Know as father mark has now quit his job as a Laboratory Assistant and hes studying to become a pediatrician. You know its going to start soon and as we went through the various stages with the doctors they didnt really deal with us as human beings and
they didnt seem very understanding and we said we didnt want all of that thats why i thought medicine might need someone whos more focused on the patient someone with real empathy who will approach things on that human level of management its again when noah finally arrived it became clear he was a healthy child. So catarina has gone to the Delivery Room and weve got some time to talk and what do you think are doctors empathetic enough in such situations i hope so. Sometimes it may be thats not. Usually we know about the special situation of the couple and we tried to help them in this situation we just saw in the report that the couple decided to have the child despite of the poor diagnosis but i guess theres a lot of pressure going on for abortion so so whats your opinion of how much pressure is there on this kind of prenatal diagnosis i think lots of peter that i did know also make this pressure the change in the social values in our society
everybody wants to have a perfect product and i think the printed idea gnostic is a result of this development and its not the reason for this development is there some pressure on you as an o. B. G. Y. N. In performing the fetal prenatal diagnosis i by myself dont feel this pressure i see its my duty to live and why this couple what we can do today what possibilities of diagnosis exist and very important to do that before not idea this isnt done and to think about the consequences before you have to understand and why are women encouraged to have those tests just because of older age of the pregnant woman sometimes its because of old age because. Increasing. Means increasing risk of kinetic monkeys. More and more of the younger
women do or demand for. This they want to have. A perfect baby its a good vision its ok but they dont accept. Anything else and how accurate are those tests the tests can only show you the probability of getting a baby and if there is. A question of the baby is healthy or not then its necessary to do invasive tests like and thats and to use this. To prove that how fetus develops depends largely on what it is period says in the group take alcohol for instance especially if its consumed in large amounts by the mother could be dangerous to the child in germany up to Five Thousand babies born and nearly damaged by alcohol and that can take a long time to diagnose. But. Enough is a very special connection with animals. When shes playing with her friends dog she blossoms. But with people she has problems she often rubs them the wrong way. More aggressive than other people. I feel bad about it and it hurts even though i want to be friendly it doesnt always work. Im all. Cut up lena has Fetal Alcohol Spectrum Disorder her mother drank during her Pregnancy Cut to be in this condition isnt immediately apparent for a long time her foster mother susanna had no idea what was wrong she worried and doubted her Parenting Skills and often felt guilty. It was so hard to understand. Why doesnt she understand something shes already
learned why is she forgotten something again why cant she grasp a situation in many respects she seems very intelligent and empathetic in others it just doesnt work. We know lived with susanna her husband and their biological daughter deborah from the age of three months she was very active from the start and made a lot of demands on her Foster Parents. And im a quiet whenever we had to cross the road she would just refuse and throw herself on the ground id have to pick her up and carry her but shes also very affectionate he might have. Things got harder at School Catalina Couldnt Concentrate and was always trying to be the center of attention. She would talk a lot. And then shed start interrupting people during conversation. Shed
interrupt even louder and maybe start banging around and. Even turn in someones face toward her when they wouldnt listen things like that. Now doesnt. Mean i kept making the same mistakes. She either didnt understand rules or forgot them just like her times tables her teachers didnt believe she was trying to learn them they thought she was stubborn and lazy. This helps him and i told the teacher many times that some days id remember them but on others not. And he said fine. And. The next day hed forgotten how it is yes it was really dumb of him to pick on me. Confess my eyes what if he did that seems like he was picking on you. The one who said you can do it even though i told him so many times i couldnt even
though i was trying. But he kept going on at me. And then id lose my temper. Of you know was frustrated and her teachers were too even though they were all giving their best of you know ended up changing schools several times then when catalina was thirteen she was on a read an article about Fetal Alcohol Syndrome and realized that the description was a match. She was sent to a clinic for tests which showed that she had brain damage due to prenatal exposure to alcohol. I was shocked that she has a disability and its permanent no matter how many fantastic therapies i can find or how brilliant a parent i am. Certain things wont change. And thats one more time in the exact opposite when my mother told me i have fetal alcohol
syndrome i gradually began to understand why im so. And so different from the of those. Unless. The diagnosis helped catch a reno wasnt to blame nor was her family. Going to colleges like tom a good Options University clinic warned against even the odd glass of wine during pregnancy. One Nine Hundred Eighty s. And ninetys it was common to hear that its ok and that a little alcohol will help raise Blood Pressure again after the babys born things you can still hear some Gun Ecologist Say but women shouldnt drink at all during pregnancy because we just dont know how much if any alcohol is safe. But the experts know that many women drink alcohol when they dont even know theyre pregnant. Dr cooper says thats no reason to panic. Because when it
comes to Alcohol Doing serious damage very early in pregnancy its an All Or Nothing affair. The fertilized egg makes it or it doesnt if youre trying for a baby then it would be better to stop drinking. As soon as you know youre pregnant then you should definitely stop altogether. The Fetal Alcohol Syndrome happens in the womb but the effects are felt for a lifetime today caterina lives in a home for people with Developmental Disabilities and visitor Foster Parents on the weekends. And her husband knew they wouldnt be able to parent or alone in the long term. And like every young person catalina wanted to spread her wings she has plans for the future. Theres a few women id like to find my own apartment with someone who maybe comes by once
in the morning and in the evening check the time make a. Good. Time to also like to find a job i enjoy doing. I like working with animals thats why id like to do something with animals. As my home because. Many adults with Fetal Alcohol Syndrome struggle with the challenges of adulthood. Touch of the misfortunate that she has support and her special connection with animals. Dr dombrowski what do you think are patients and pregnant women informed enough about the risks if i call and theyre even got a clue just to say this occasional glass of wine doesnt hurt i think the couples today are very good informed they do it and usually they do it by internet. They can find all the information is important but surely it depends on the social
status of the couple so we have still those problems this. Happens next to a whole there are a lot of things a pregnant woman can do to harm their child because its nicotine thats a big problem with its abuse of drugs much as a problem and if you are exposed to radiation thats also a very very thing but there are a lot of things pregnant women can do right yes they can do they should live their lives before because pregnancy is not a disease so you can do all the things you have done before exercise and be fit each healthy this much which means. Its all the singles if the mother feels good the baby fields. So this is a hospital but not lets take a look how rebirth takes place. In a packing center. You know what it will be. A girl a girl ok shes in the right position pose it to an expectant mother is being examined by a midwife at a Birthing Center in berlin here she is in the baby moved over into the pelvis to get into a good starting position. This will be child number two for the mother and tania. Asked One Hundred Five centimeters. I think. I feel comfortable here and i have a lot of faith in the midwives. Most pregnant women dont get to enjoy an experience like. The midwife uses a wooden stethoscope to monitor the childs Heartbeat Christina Shopper has helped to deliver around a thousand babies in her thirty years in the profession spending the first five in the Maternity Unit at the hospital. There is a difference to a hospital where there might be three or four women giving birth but. You dont have as much time to attend to them. And sometimes they get
a hormone trip to speed the labor up. Birthing center the midwife provides even before. They have plenty of time to get to know their mothers starting with the prenatal classes. Or here its sort of like grit your teeth and lets get this done and if things get bad there is no option here for an anaesthetic or morphine based medication. As a midwife i believe that the best pain killer is a caring and attentive midwife. Praises and encourages you and keeps telling you well do this together. A. Little polish three years old today hes accompanying his mother and his Little Sister she was also born here the center in a relatively Speedy Delivery unlike her brother. Miami
athens or. About eleven and a half hours into things i spent a while in the boss and then late but just stalled. Somehow failed to find the exit. Most matches my brother not so much in what might have happened if id been out of hospital as kinds of unnecessary interventions i might have had you can see wouldnt have been necessary. But for midwives questions of liability are a growing burden. Midwives cant do their jobs if theyre constantly afraid they might get sued. Thats no way to work of course you do have to be aware and attentive but you cant constantly be afraid. More than Seven Thousand children have been born in this Birthing Center but a growing number of women prefer doctors to midwives. It when you go to the doctor and you prescribed a ton of vitamins as soon as youre pregnant you get the sense that without them
the baby wouldnt grow and be healthy unfixed. And then theres all the examinations during pregnancy it can be really stressful and make women more and more anxious. We get women here in the Birthing Center who say this is the first time that someones ever touched their belly. Some of us he meant to harm you first had that natural touch is what im tony appreciates that she gets to hear her babys heartbeat without high end technology. Great is the world i think its a good look if you smile i mean. I think this is. Pretty. And i think its because the station has spent as much time as possible with the woman and her baby afterwards and. In this close contact you just. Want a relationship with the woman and a baby and a father of course and then as you depend on each other so whats next. I think its to be a part of america every time the baby cries for the first time like went to see that parent smiling at the baby after get invested it i think this is one for yeah. And i think its obvious he. Gets. To see. The you see. The heartbeat of an unborn child half an hour before she enters the world my sister arean section. Of your book is the ill be doing the c. Section is going to be a screen between us but youll be able to talk to me commutes you just start the mother herself up to the c. Section for the birth of her first child was
a traumatic experience involving complications. Once in the Operating Room shes given an epidural an anaesthetic injection to numb her lower abdomen and legs during a non emergency c section the mother remains fully conscious. Of the growing number of parents ask for a c section even when the surgery is not a medical necessity. Many say its because they want the safest possible. And this would. Take we see the pregnancy and birth as a special event because if one month when people had six or seven children it was something that didnt get much attention but today everybody is a major event a lot of people see a c section as the safer option easier to plan for than a spontaneous delivery. But c sections have risks too its major surgery so there can be complications some mothers also round up without haitians
a kind of internal scar tissue. Found because labor helps clear the babys lungs of fluid the newborn is more likely to have breathing problems. If you. Do you know. Not every section is planned often the decision is made when labor is already underway. But there are ways to safely reduce the number of c sections. There are three important areas where we can help reduce the C Section Rate is first of all when there are changes to the fetal heart rate during birth. Its knowing which changes mean an intervention is necessary and which dont can help lower the C Section Rate. In these the next point is knowing that after a woman has had one c section it doesnt automatically mean all future births will
have to be c. Sections to. Another very frequent reason for c. Sections as when a normal labor appears to have stalled there are new studies that provide insights into labors that fail to progress. So these three areas and those insights can help us lower the C Section Rate without increasing the risk to mother or child. In twenty fourteen almost thirty seven percent of the facts that this hospital by c Section Three years later updated standards help reduce the rate to twenty nine percent putting the hospital below the average rate for germany. This mother and her new born daughter doing well after the c. Section. How is Caterina Fairing these baby was delivered by dr dombrowski. Just performed a c. Section on katrina and how did it go it was the fine everything was fine and the
baby is fine its another child ok yes mother tried are ok and the fossil to the father just very very hard of course thats right so what does a c section for mother and baby i mean its not the natural way of kids are born no its not the natural way its an ep to know surgery and with all the possible complications of an Afternoon Surgery but sometimes if you have a medical indication for it then its a better rate but most of the time its not the better way so there are medical causes for performing a severe inspection and there are no medical indications as well we do sometimes see sections on demand of women of the couple at once you have a Baby Person Section if youre in brazil the road at the top of the babies born in the country by syrians. Yes thats true brazil is a country of of the highest rate of c. Section in the world i think one of the reasons is that the Health System has
change. Now its necessary to have a presence of a doctor my wife during the whole birth and that needs some time of ten hours twenty hours and its very difficult to play so they do the reverse by c. Sections cause faster its faster you can plan it you can do it in the morning and not your of the night so thats one of the reasons but what is your opinion as an overage weigh in about this there are some reasons to do worse the sexual that thats clear the better way if possible it may and there might be even some problems with the microbiome of the baby after his section this is what all of you. From brazil wrote to us yes thats why its important for the baby to be colonised by bacterias of the badge of the mabo. They need this
to develop in this system. It needs to be. Colonised by his intestine and all these things are necessary for the baby. Is it ok for us to resist the new born child i said so i think so before we go should questions for me to ask our experts should write to me. On an upcoming show well be talking about drugs many people take psychoactive substances to relax or pop pills to boost their cognitive performance but is drug use bad for your health. Questions to be in good shape at d w dot com right drugs in the subject line we look forward to hearing from you. So you feel no. Better for the c. Section if anything. Because of his behavior. And. Distribute. Next week. He. Im going. To touch. My laundry go International Talk show for journalists discuss the topic of the week the fate of saudi journalist Jamal Khashoggi she has caused global outrage and has focused attention on all torture in regimes that increasingly use murder and abduction to silence star critics were talking about that straight ahead on fostering. Quadriga. W. Im not laughing at the germans well i guess sometimes i am but mostly im laughing with the damage to the german think deep into the german culture. Music scene taking this drama you know its all about who they know im rachel join me for me because im a bunch of course. Female candidates and then its a day for. Women all striving for power in the u. S. Military maximus. Right out there allocates blood to these women want. Us on this pink way. And to meet some of the candidates this week e. W. Mean. The armed forces are under pressure theyre battling Recruiting Problems outdated and broken down equipment and limited budgets. To his knowledge is a huge thats interesting enough plainspoken notion of Transport Helicopters or not enough tanks we have ten divisions that dont have tanks. So outsourcing and privatization are the border of the day in all areas but not composed dangers. To sleep close finish with the ones risk of becoming too dependent on private contractors who may not provide the services they promised to live on least slice them every day them all goes on the Profit Center businesses make more money with everything from reconnaissance drones to Laundry Facilities Firms are people treating people and forces female friends against germany. To tary
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