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Pregnancy and Childbirth in Germany

German obstetrics is rightly regarded as a guarantee of safety and comfort for the expectant mother and her newborn. Maternity units form part of the gynaecology departments, alongside the prenatal diagnostics sections. The company msp group germany offers its patients pregnancy care and childbirth only in hospitals certified to the highest standards of quality and hygiene and equipped with state-of-the-art medical technology. Most German gynaecology and obstetrics centres are distinguished by the outstanding professionalism of their doctors and nurses. We recommend that you arrive in the country no later than the 36th week of gestation, and preferably earlier, so that you are under the care of experienced obstetrician-gynaecologists.

The company msp group germany offers a package of services for organising childbirth for international patients. The highest standards of medical care, the professionalism of the obstetrician-gynaecologists and nursing staff and the welcoming attitude of the maternity ward team will make your delivery as comfortable and safe as possible. During labour a person close to you may stay with you, including in the operating theatre during a caesarean section.
Another advantage of giving birth in Germanypostnatal support for the mother. New mothers are visited by neonatologists, breastfeeding consultants and postnatal exercise instructors. Midwives give dedicated advice on caring for the newborn, teach the new mother how to handle her baby correctly and help her establish breastfeeding or choose the right formula for bottle feeding.

Strong arguments in favour of antenatal care and giving birth abroad are:

  • impressive overall rates of successful pregnancies carried to term;
  • the highest survival rate for premature babies;
  • low maternal and infant mortality rates;
  • reasonable prices for medical services;
  • the option of a natural delivery after one previous caesarean section;
  • vaginal delivery in cases of malpresentation of the foetus or umbilical cord entanglement;
  • the option of having a loved one present at the birth and during a caesarean section;
  • placing the newborn on the mother's abdomen straight after birth;
  • early initiation of breastfeeding;
  • the fullest possible consideration of the mother's needs and an individual approach to every patient.

Antenatal care is particularly advisable

  • after IVF in Germany, so that you stay in constant contact with your treating doctor and can receive timely, qualified help if it is needed;
  • if there is a risk of miscarriage or premature birth;
  • if you wish to undergo modern prenatal diagnostics, especially where there is a risk of genetic disorders;
  • in the case of a complicated obstetric history;
  • where a condition has been diagnosed in the baby in utero, in order to confirm the diagnosis and plan specialised care immediately after birth, including surgery;
  • if surgery is required during foetal development;
  • if the expectant mother has chronic conditions.

In Germany you will have all your routine and regular check-ups with a gynaecologist, and in the case of a complicated pregnancy you will be able to consult specialists in other fields (cardiologists, nephrologists, endocrinologists, ophthalmologists, etc.).

 

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RECOMMENDED SPECIALISTS

Gynaecology, gynaecological oncology and breast cancer treatment Professor Dr. med. Elmar Stickeler

Gynaecology, gynaecological oncology and breast cancer treatment Professor Dr. med. Elmar Stickeler

Aachen

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Gynaecological oncology, gynaecology and obstetrics Honorary Professor of Medicine I. Meinhold-Heerlein

Gynaecological oncology, gynaecology and obstetrics Honorary Professor of Medicine I. Meinhold-Heerlein

Giessen

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Gynaecology, gynaecological oncology and breast cancer treatment Professor Dr. med. Nicolai Maass

Gynaecology, gynaecological oncology and breast cancer treatment Professor Dr. med. Nicolai Maass

Kiel

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Gynaecological oncology, gynaecology and obstetrics Professor, Double Doctor of Medicine, Klaus Rainer Kimmig

Gynaecological oncology, gynaecology and obstetrics Professor, Double Doctor of Medicine, Klaus Rainer Kimmig

Essen

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Fetal surgery and perinatal medicine  Professor Dr. med. Michael Tchirikov

Fetal surgery and perinatal medicine Professor Dr. med. Michael Tchirikov

Halle

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IMPORTANT INFORMATION

Luisenhospital (Queen Louise Hospital)

Luisenhospital (Queen Louise Hospital) in Aachen enjoys an exceptionally high reputation thanks to its efficient approach to organising treatment and medical support. The hospital has extensive experience in treating international patients. Excellent organisation, the prompt handling of every question that arises and a wide range of services — from hotel bookings to arranging interpreting support — have earned it an outstanding reputation among international patients. By choosing to be treated at Luisenhospital, you place your trust in advanced German medicine, in the qualifications of the hospital's specialists and, not least, in the quality of its services.

Luisenhospital in Aachen — at a glance:

  • a modern multidisciplinary hospital with a comfortable inpatient unit and two VIP wards, including family rooms;

  • innovative medical equipment and specialists of the highest qualification;

  • English-speaking obstetrician-gynaecologists, anaesthetists and nursing staff;

  • the highest standards of service and hygiene;

  • an individual care programme for international patients;

  • round-the-clock admission.

We offer maternity care in one of the oldest hospitals — Luisenhospital in Aachen (Germany), a city situated where the borders of three countries meet — Germany, Belgium and the Netherlands — not far from the international airports of Cologne/Bonn, Düsseldorf and Brussels. Aachen offers plenty of leisure opportunities and a huge choice of entertainment. Museums, fine-dining restaurants, concerts, a casino, the thermal baths of Emperor Charles Carolus Thermen, boutiques, outlets and the shops of the famous Aachen cosmetics brand Babor will help you to vary your leisure time and lift your spirits. The proximity of major cities such as Cologne, Düsseldorf, Brussels and Frankfurt provides convenient links to international airports and opens up excellent opportunities for tourism. Nearby tourist destinations include Brussels, Luxembourg, Amsterdam, Antwerp, Utrecht, Paris, Rouen, Bruges, Maastricht and Ghent. The mild climate, the calm and unhurried rhythm of a small medieval spa town, an excellent environment (there is no polluting industry in the town or the surrounding area), high-quality food and comfortable hotels and apartments will all have a beneficial effect on the emotional and psychological well-being of the expectant mother. Our experienced interpreters and managers will help to remove all the language and cultural barriers that sometimes worry young mothers. We provide transfer services, help you communicate with the doctors, nurses and hospital administration, find a midwife to visit the mother after discharge from hospital, deliver groceries, provide a personal driver, a carer and a cook, and deliver fresh fruit and vegetables from local farmers. We will also help you register your baby with your country's consulate in Germany. Luisenhospital in Aachen is a multidisciplinary hospital and a clinical and academic base of University Hospital Aachen, its cooperation partner in the management of complicated pregnancies, which has an ultra-modern neonatal intensive care unit to which all newborns with diagnosed conditions are referred. All departments of the hospital are regularly certified in accordance with international standards of quality management in healthcare. This means diagnostics and childbirth with impeccable adherence to diagnostic and treatment protocols and, at the same time, a strictly individual approach. It means respect for medical ethics and patient confidentiality, honesty and a human approach, kindness and a high level of professionalism.

Maternity care package from the 36th week

The service package for childbirth includes everything you need, from the 36th week until discharge from hospital:

  • an initial appointment and examination with an obstetrician-gynaecologist (professor) no later than the 36th week of pregnancy;

  • an ultrasound scan appropriate to the trimester of pregnancy;

  • laboratory tests;

  • drawing up an individual plan for pregnancy care and delivery in line with the expectant mother's wishes;

  • all medical check-ups from the 36th week of pregnancy (as a rule, once a week);

  • functional examinations (CTG/ultrasound) as an inpatient during delivery (where medically indicated);

  • a stay in a pre-delivery room / private delivery suite;

  • hospital clothing for the whole stay (hospital gown, compression stockings);

  • three or four meals a day (depending on the level of comfort of the room and ward chosen), light snacks and drinks;

  • induction of labour where indicated;

  • planned vaginal delivery or caesarean section (for urgent medical indications or planned);

  • inpatient medical care for the newborn (vaginal birth - 4-5 days, caesarean section - 8-9 days);

  • pain relief during labour, as well as the cost of anaesthesia for a caesarean section;

  • hospital clothing for the whole stay (hospital gown, compression stockings);

  • three or four meals a day (depending on the level of comfort of the room and ward chosen), light snacks and drinks;

  • all necessary medicines and consumables;

  • postnatal monitoring of the mother by doctors and midwives, including a consultation with an obstetrician-gynaecologist after the birth and at discharge;

  • examination and monitoring of the newborn by a neonatologist (paediatrician), routine examinations of the baby (blood group determination, ultrasound of the internal organs, neonatal (heel-prick) screening on the third day after birth, hearing screening, laboratory tests, cranial ultrasound of the newborn);

  • restorative physiotherapy for the mother;

  • swaddling cloths, nappies and hygiene products for baby care;

  • infant formula (baby food), vitamin D;

  • help with establishing breastfeeding;

  • a postnatal stay in a single or family room* with full board (up to 5-6 days);

  • examination of the baby by a paediatrician before discharge.

If the parents wish, after the birth the baby can stay in the room with the mother or in the children's unit under the supervision of midwives, or the baby's time can be divided between the room and the neonatal unit. If the parents wish, after discharge from hospital a contract is concluded with a midwife in private practice, who visits the mother and the newborn at home. If additional diagnostic or treatment measures and procedures that are not covered by the package become necessary, their scope is agreed separately with the patient and paid for in accordance with the current state tariffs for medical services.

The cost of the package depends on the type of delivery:

The cost of the initial appointment and examination of the expectant mother — from 1000 € The cost of a vaginal delivery — from 7500 €

Total: from 8,500 €

The cost of the initial appointment and examination of the expectant mother — from 1000 € The cost of a planned or emergency caesarean section — from 9500 €

Total: from 10,500 €

Charged separately

  • the service fee for organising the birth in Germany;

  • an interpreter-coordinator;

  • a midwife making home visits after discharge from hospital;

  • a carer;

  • a nanny;

  • a cook;

  • the purchase and delivery of medicines, groceries and other goods;

  • a personal driver.

Diagnostics and perinatal screening

Diagnostics and perinatal screening in the obstetrics department of Luisenhospital

  • state-of-the-art ultrasound scans, including 3D and 4D ultrasound;

  • NIPT test (from the 9th to the 15th week of gestation);

  • foetal MRI (where indicated);

  • amniocentesis;

  • chorionic villus sampling;

  • cordocentesis — umbilical cord blood sampling;

  • foetal cardiotocography (CTG);

  • fetoscopy;

  • laboratory diagnostics;

  • wireless streaming of the baby's heartbeat;

  • diagnosis of any particular features of the pregnancy.

Antenatal therapy

  • prevention of premature birth;

  • management of breech presentation of the foetus;

  • treatment of all kinds of antenatal abnormalities;

  • prevention of any risks associated with pregnancy.

Care during childbirth in Germany

  • epidural anaesthesia during delivery;

  • delivery in multiple pregnancies;

  • delivery in breech presentation of the foetus;

  • gentle caesarean section using the Misgav Ladach method;

  • homeopathy, acupuncture and aromatherapy to support labour;

  • relaxing baths to support labour;

  • training in the correct breathing technique for childbirth in Germany;

  • the option of choosing an individual position during labour (semi-reclining on a special bed, upright on a birthing stool or in water).

Room and hospital amenities

Room amenities

  • a flat-screen television and a telephone with a personal number for every patient;

  • free German and international television and radio channels (including English, Russian and Arabic);

  • comfortable electrically adjustable beds;

  • a safe;

  • spacious wardrobes;

  • a sitting area with armchairs and a table;

  • a desk with a lamp and a safe for a laptop;

  • a refrigerator;

  • individually adjustable lighting in the room;

  • free internet;

  • a telephone;

  • air conditioning (in the VIP wards only);

  • a fully equipped bathroom with a shower;

  • premium-quality terry towels;

  • a set of shower and body-care products;

  • a daily change of towels and bed linen;

  • a hairdryer (in the VIP wards only)

  • a terry bathrobe (in the VIP wards only);

  • a lounge area with a coffee machine and a wide selection of teas;

  • mineral water, juices, fruit, snacks and sweets.

Hospital amenities

  • lifts with wheelchair-accessible controls, voice announcements and/or Braille markings;

  • a lift for transporting patients lying down;

  • 2 car parks (open-air and covered) for visitors and patients;

  • barrier-free areas for wheelchair users and patients with reduced mobility (entrance, lift, accessible toilet);

  • modern single and twin rooms;

  • family rooms;

  • 2 VIP wards;

  • a cafeteria;

  • a kiosk selling various goods and newspapers;

  • a cash machine;

  • help with accommodation for patients' relatives and loved ones;

  • Protestant and Catholic chaplains;

  • an interdenominational chapel at the hospital;

  • a social work service;

  • a pastoral care service;

  • information events;

  • patient self-help groups;

  • volunteer services;

  • lounge areas on every floor.

Included in the price

  • appointments with an obstetrician-gynaecologist from the 36th week of pregnancy;
  • a stay in a room in the delivery unit;
  • delivery (vaginal birth, planned or emergency caesarean section);
  • postnatal accommodation for mother and baby in a room for up to 5 days;
  • inpatient care for the mother after the birth (examinations by an obstetrician-gynaecologist, laboratory tests, ultrasound, help with establishing lactation and caring for the baby);
  • a daily examination of the baby by a neonatologist;
  • routine examinations of the baby (blood group determination, ultrasound of the internal organs, neonatal screening, hearing screening, laboratory tests, cranial ultrasound);
  • an appointment with an obstetrician-gynaecologist including an ultrasound scan after discharge from the maternity unit;
  • all accessories and care products for mother and baby.

The company msp group germany offers pregnant women in weeks 10-15 of gestation the opportunity to fly to Germany to get to know the clinic and the doctors and to undergo a unique non-invasive perinatal test for genetic abnormalities of the foetus, the so-called NIFTY™ or NIPT test (non-invasive prenatal testing). In Germany it is known both as the Harmony® Prenatal Test and as NIPT. Between weeks 10 and 15, at the patient's request, an NT test is performed – a non-invasive perinatal examination for conditions such as Down syndrome, Patau syndrome and Edwards syndrome. If the test results are abnormally high, the gynaecologists order additional examinations, which can be carried out by invasive or non-invasive means. The invasive method, or chorionic villus sampling, involves a puncture of the abdomen in order to take a biopsy of the placenta and examine the chromosome structure for trisomy. The procedure is painless and poses virtually no risk to the health of the woman or the baby. Such an analysis makes it possible to rule out even the slightest abnormalities in the development of the foetus. The non-invasive method is performed on a sample of the pregnant woman's venous blood and is an innovative technique for examining the chromosomes of the foetus. The cost of this analysis is quite high, but it gives the most accurate results and makes it possible to rule out many risks. This test is known as the Harmony® Prenatal Test. There are three versions of the Harmony® Test

  • for the detection of trisomy 21;

  • for the detection of trisomies 21, 18 and 13;

  • for the detection of trisomies 21, 18 and 13 with X/Y chromosome analysis (XO, XXX, XXY, XYY, XXYY);

More about non-invasive prenatal testing with the Harmony® Prenatal Test The mother's blood contains both her own genetic information and that of her baby, even at the early stages of pregnancy. The so-called “cell-free foetal DNA” cffDNA can now be tested for chromosomal disorders in the unborn child (for example, trisomies) by means of a simple blood test of the mother. The test is recommended in weeks 10-11 of pregnancy. The results of the largest clinical study to date, which set out to compare the effectiveness of non-invasive prenatal testing (NIPT) using the Harmony™ prenatal test with combined first-trimester screening (FTS) in the testing of a general population of pregnant women, were published in the online edition of The New England Journal of Medicine (NEJM). The NEXT (Non-Invasive Examination of Trisomy) study demonstrates significantly greater effectiveness of the Harmony™ prenatal test compared with FTS in accurately assessing the risk of trisomy 21, which causes Down syndrome. This innovative study shows that it makes sense to use NIPT as the first-line option when screening any pregnant woman, regardless of the risk group she belongs to. The false-positive rate of the Harmony™ test, at 0.06%, was more than 90 times lower than the corresponding FTS figure of 5.4%. The Harmony test correctly identified 99.5% of trisomy 21 cases, whereas with the FTS method this figure was only 79%. Indications for the basic NIPT test

  • age of one of the parents >35 years;

  • exposure to toxins, occupational hazards;

  • an unfavourable environment in the city of residence;

  • a burdened family history (genetic abnormalities in blood relatives or older children, previous miscarriages).

Which conditions are detected? Non-invasive prenatal diagnostics offers the highest accuracy in detecting the following common abnormalities:

  • trisomy of chromosome 21 – Down syndrome – accuracy > 99 %;

  • trisomy of chromosome 18 – Edwards syndrome – accuracy > 95 %;

  • trisomy of chromosome 13 – Patau syndrome – accuracy > 80 %.

In addition, the basic NIPT test detects sex chromosome abnormalities:

  • triple X syndrome;

  • Turner syndrome;

  • Klinefelter syndrome;

  • Jacobs syndrome;

  • triploidy.

The extended NIPT test also detects microdeletion syndromes (the loss of chromosome segments):

  • 1p36 monosomy;

  • DiGeorge syndrome;

  • cri-du-chat syndrome (Lejeune syndrome);

  • Prader-Willi syndrome;

  • Angelman syndrome.

Unlike Down syndrome and some other conditions, in which the risk of having a child with a genetic syndrome increases with the mother's age, a 20-year-old mother has the same risk of having a child with a microdeletion syndrome as a woman of 45. Extended testing also makes it possible to determine the baby's sex reliably. Advantages of the NIPT test

  • the test is completely safe for mother and foetus and carries no risk of miscarriage or risk to the baby;

  • the test is non-invasive, unlike invasive examinations such as amniocentesis, cordocentesis and chorionic villus sampling;

  • convenient to perform – the NIPT test can be carried out on any day from the 9th week of pregnancy;

  • the test is also suitable in cases of multiple pregnancy and after IVF;

  • the test results are available after 10 days;

  • the NIPT test is versatile and makes it possible to detect not only common aneuploidies (abnormalities) but also rare chromosomal disorders;

  • the test is based on next-generation genome sequencing technology;

  • there are only a few contraindications to the test;

  • no preparation for the test is required.

Contraindications to the NIPT test

  • stem cell treatment;

  • one of the partners being a carrier of balanced chromosomal rearrangements;

  • ultrasound markers of chromosomal abnormality in the foetus, such as increased nuchal translucency or malformations.

Important! The non-invasive prenatal test is a screening test, not a diagnostic one. Not every woman found to be at high risk by NIPT will necessarily give birth to a child with a genetic disorder. For this reason, following the screening results, a consultation with a geneticist and invasive prenatal diagnostics are recommended in order to confirm the diagnosis. Cost of the screening test: Test for the detection of trisomy 21 with sex determination: 249 Test for the detection of trisomies 21, 18 and 13 with sex determination: 269 Test for the detection of trisomies 21, 18 and 13 with X/Y chromosome analysis (XO, XXX, XXY, XYY, XXYY) and sex determination: 299

For a consultation or to order medicines, message our operator.

If the messenger did not open, add us via the phone number:
+4915208811019