Hospital Birth - Registration For Birth In Hospital

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Hospital Birth - Registration For Birth In Hospital
Hospital Birth - Registration For Birth In Hospital
Video: Hospital Birth - Registration For Birth In Hospital
Video: Birth Registration 2023, February
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Hospital birth

When giving birth in hospital, the pregnant woman is usually looked after by a team of doctor and midwife. If complications arise during childbirth, the appropriate infrastructure for treatment is available in the hospital. Especially with so-called high-risk pregnancies, the birth should definitely take place in a hospital.

Many hospitals offer information events and delivery room tours so that the pregnant woman can get to know the premises, the staff and the equipment before the birth.

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  • Continue reading
  • more on the subject
  • Advice, downloads & tools
  • Hospital birth or home birth?
  • Hospital birth: inpatient or outpatient?
  • How is midwifery cared for during a hospital birth?
  • How is mother and child cared for after the birth?
  • ">How do I register for a hospital birth?
  • ">
  • Whom can I ask?
  • How are the costs going to be covered?
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Hospital birth or home birth?

In pregnancies where there is an increased risk of birth complications, the delivery should definitely take place in a hospital. This is the case with, for example

  • chronic diseases of the mother (e.g. diabetes, cardiovascular diseases),
  • Diseases of the unborn child,
  • premature labor,
  • Multiple pregnancies,
  • Premature births,
  • Complicated or childbirth impossible child position (breech position, lateral position),
  • Placenta previa.

If nothing speaks against it from a medical point of view, the delivery can in principle also take place at home or in a birthing center or midwifery practice.

Note The majority of doctors and clinic midwives, however, are critical of home obstetrics. This is due to the limited monitoring and intervention options and the increased risks for mother and child during childbirth. In the event of an emergency, the emergency transport to a clinic must first be arranged, in which valuable time is lost for the mother and / or child. Due to the sometimes incalculable risks, the German Society for Gynecology and Obstetrics, for example, has spoken out against home obstetrics, although it is generally legally permitted if the medical requirements are observed.

Hospital birth: inpatient or outpatient?

In principle, inpatient or outpatient birth is possible in the hospital. Outpatient delivery means that the mother and her baby go home a few hours after the birth. The prerequisite for this is that no further care in the hospital is necessary for medical reasons. In the case of inpatient delivery, mother and child stay in the hospital for around four days (usually longer in the case of a caesarean section) and also spend the time of childbed there. More on the topic: Postpartum: Aftercare and care.

How is midwifery cared for during a hospital birth?

According to the Austrian Midwifery Act, every birth must be looked after by a midwife. She supports the woman throughout the entire birth and monitors and controls the birth process at regular intervals. A doctor must be called in if complications arise or if the woman in labor wants special pain treatment such as epidural anesthesia (cross stitch). Otherwise, the presence of a doctor during the individual birth phases is handled differently by the hospitals.

More on the topic: Care of the birth process

The Austrian Midwifery Committee recommends contacting the midwife of your choice as early as possible. In the case of a planned outpatient birth, two home visits are planned during pregnancy. Open questions can be discussed and the midwife gives tips on what precautions should be taken for the first few days with the newborn at home.

How is mother and child cared for after the birth?

Mothers who have decided to have an outpatient birth in a hospital are monitored in the delivery room or in a room for a few hours after the birth to ensure that no complications occur. If there are no medical reasons against it, mother and child can leave the hospital after a few hours.

Mothers who spend their puerperium in the hospital are moved to a room in the maternity ward after being monitored in the delivery room. Most hospitals now offer so-called "rooming-in". This means that the newborn is housed with the mother around the clock. In this way, the mother can breastfeed her child at any time and change the diaper herself. She is supported and advised by midwives. If the mother so wishes, the child can also spend the night in a nursery. Rooming-in is also possible after a caesarean section; the woman may need a little more support in the first few days.

Many hospitals today also have so-called family rooms in which the child's father (or another person accompanying the woman) can spend the night with the mother and child; Inquire in advance at the hospital of your choice whether this is possible. If nothing speaks against it, mother and child usually leave the hospital around the fourth day after delivery, and after a caesarean section the hospital stay sometimes takes a little longer.

Midwifery care at home

The following applies to both outpatient and inpatient birth: every woman has the right to be looked after by a midwife at home after the birth. A midwife visit is planned daily for the first five days after the birth; up to the sixth day for caesarean, premature and multiple births. If necessary (e.g. in the event of breastfeeding problems, birth injuries, etc.), the health insurance provides seven further visits up to the eighth week of the child's life. Midwives with a health insurance contract charge the health insurance company directly; for midwives by choice, the health insurance company reimburses 80 percent of the health insurance tariff. More on the subject: midwives

The first visit to the pediatrician is planned for the first week of the child's life. In the case of an outpatient birth, it can be helpful if the pediatrician comes home for it. Find a pediatrician in good time before the birth to carry out such home visits.

How do I register for a hospital birth?

You should register as early as possible for the birth in the hospital of your choice. Since every hospital has its own time limits, you should inform yourself in good time. The registration mode is also different, some hospitals offer online registration, others have special outpatient times for this.

In Vienna there has been a central registration facility for hospital births since the beginning of 2019. The pregnant woman can specify three clinics of their choice and by the 22nd week of pregnancy will find out in which clinic she will get a place. You can register online or by phone, more information can be found at geburtsinfo.wien.

Whom can I ask?

Planned births are carried out in hospitals with a maternity ward. You can find hospitals in your area under Services (hospital search). You can find a comprehensive midwifery search on the homepage of the Austrian Midwives Committee

How are the costs going to be covered?

The cost of delivery in a hospital is covered by social security. All necessary medical services and obstetric offers can be used. For a normal delivery without complications, care in a hospital must be granted for a maximum of ten days (cf. § 161 ASVG).

Midwifery care at birth is also a health insurance benefit. The birth accompaniment in the hospital by a midwife of choice is a private service and must be paid for yourself. A reimbursement by the health insurance is not possible.

Midwives with a health insurance contract bill the health insurance company directly for care during pregnancy as well as during and after the birth. For services by midwives that are outside the catalog of services of the social insurance providers (such as breastfeeding groups, post-natal massage, baby massage), the costs must be borne in full. With a midwife by choice, you bear the costs yourself; you can submit them retrospectively to the health insurance company. 80 percent of the respective cash tariff will be refunded.

Information on costs and current health insurance rates can be found on the homepage of the Austrian Midwives Committee

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