Abdominal signals: The CTG – the wire to the unborn baby
1 June، 2020 Y Y 0
Abdominal signals: The CTG – the wire to the unborn baby
Lufthansa recommends that pregnant women take such a certificate with them from the 28th week, says spokesman Michael Lamberty.
In addition to the expected due date, the certificate must contain confirmation that the pregnancy will be uncomplicated and will not prevent the patient from traveling by air.
Pregnant women must consider this when entering the USA
Basically, just because the airline gives the okay doesn’t mean that you can travel to the holiday country. The individual states may have different regulations. The US border agency, for example, states that pregnant women must prove that they have adequate health insurance during their trip and that they intend to return to their home country.
Risk of thrombosis, nausea and radiation
On long flights the risk of thrombosis is increased. “That is why the pregnant woman should definitely wear compression stockings and light, non-constricting clothing,” advises Scharrel. Also important: drink a lot and do anti-thrombosis exercises. Mothers-to-be should always get up and walk up and down the aisle, advises midwife Ursula Jahn-Zöhrens. It is best if pregnant women discuss thrombosis prophylaxis with their doctor in advance.
“If a woman suffers from nausea and vomiting during pregnancy, flying can be very uncomfortable,” says Scharrel. She recommends acupressure bands in these cases. In exceptional cases, medication recommended by a doctor can be useful.
When taking off and landing, the uterus, which is filled with amniotic fluid, has its own dynamic, similar to the filled stomach in an elevator, explains Scharrel. “It’s sometimes uncomfortable, but harmless.” The pressure in a flight cabin corresponds to an altitude of around 2000 to 2500 meters. “This does not result in the often feared lack of oxygen for mother and child and thus also in no critical pressure changes in the fruit cavity.”
The radiation is higher in the air than on the ground. Scharrel reassures, however: The danger from radiation is not of importance on occasional long-haul flights.
Reasons not to travel by air during pregnancy
In these cases, women should not fly while pregnant:
In the case of multiple pregnancies, a history of premature births, miscarriages, bleeding, or a misalignment of the placenta, it is also advisable to stay on the ground. If in doubt, always speak to the doctor.
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“Count the Kicks” is a campaign in the US that aims to save babies from dying in the womb. Pregnant women should regularly document the movements of the unborn baby using a table or smartphone app. Is this useful advice for pregnant women or scare tactics? We asked a midwife.
Pregnancy Calendar – This happens after fertilization
That happens after fertilization
Behind the campaign is an organization founded by mothers, which is committed to the prevention of stillbirths and infant deaths. According to statistics from the World Health Organization (WHO), there are three stillbirths for every 1,000 births in the USA; in Germany it is 2.4. The counting method can reduce the risk, it is said.
Pregnant women in the third trimester – from the 28th week of pregnancy – should therefore pay close attention to the activity of their baby once a day. At best always at the same time, for example after a meal. Have the woman sit down with her feet up or lie on her side and count until she has noticed ten movements.https://123helpme.me/argumentative-essay-topics/ This should be the case within an hour, at most within two hours, is the rule of thumb of the US organization.
If it remains quiet for a suspiciously long time, the pregnant woman should try to wake the baby by tapping gently on the stomach or by drinking cold water. If the baby moves little or not at all after that, it is urgently advisable to go to the doctor and have the unborn child examined, according to the website of “Count the Kicks”.
Midwife: “Perceive movements – but not with the stopwatch”
Ursula Jahn-Zöhrens from Bad Wildbad, chairwoman of the Midwife Community Aid Association, considers the formula “at least ten movements in one hour” to be exaggerated. “There is no run-of-the-mill model for the normal number of movements. It is important to sensitize women to the movement patterns of their babies and to perceive clear changes – but not with a stopwatch.” She advises to pay attention to the gut feeling in the truest sense of the word, to fill out tables or to monitor the baby’s movements with a smartphone app.
It is crucial that the pregnant woman builds a bond with the unborn child at an early stage and seeks contact again and again, for example by caressing the stomach, patting or talking. “A pregnancy diary is great,” says the midwife. How often and how intensely an unborn baby moves is very individual. Some are lively from the start, others are calmer. “The child sleeps too sometimes.” Even in the womb, every child develops a sleep rhythm, which can, however, also change towards the end of the pregnancy.
Basic rule: “Take the pregnant woman’s perceptions seriously”
All midwives know the situation where a pregnant woman calls in panic because she has the feeling that something is wrong with the unborn child. First-time women are quickly confused when they sense something they cannot classify. And women who have suffered a miscarriage or stillbirth are extremely sensitive to their baby’s well-being and often suffer from fears and nightmares. “I find it critical to put such women under pressure with a program like ‘Count the Kicks'”, says Jahn-Zöhrens.
She emphasizes: “A basic rule is to always take pregnant women and their worries seriously, not to ignore their perceptions, but to clarify the causes. The woman knows best when something is wrong with the baby.” The midwife or doctor will usually check the child’s heartbeat first. In general, it makes sense to check the heartbeat at different times of the day so that you don’t always catch a sleep phase.
There can be many reasons for suspicious sluggishness in the unborn child: For example, insufficient supply from the placenta, decreasing amount of amniotic fluid and thus less space for the child to move, or an infection in the mother, which also weakens the baby in the stomach. Usually one can find out the cause and react accordingly. The worst possible case – infant death in the womb – is fortunately very rare.
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This case alarmed pregnant women: A Canadian woman whose baby was unexpectedly premature while on vacation in the United States was supposed to pay nearly a million dollars for a stay of several weeks in hospital and delivery. Your health insurance did not want to cover the costs because such an emergency was not covered. Could this also happen to pregnant women from Germany on a trip abroad? We inquired.
Pregnancy Calendar – This happens after fertilization
That happens after fertilization
The Canadian had complications two months before the expected due date. Because of the acute risk of premature birth, the woman was hospitalized in a clinic and was prescribed strict bed rest. The baby was born six weeks later and had to stay in the clinic for another two months due to health problems. An extreme situation that could occur with any pregnancy. For Birgit Dreyer, travel expert at Europäische Reiseversicherung (ERV), such a case is not an absolute rarity. Medical treatment in the USA could be very costly, as in Canada.
Traveling outside of Europe with just your health insurance card is reckless, and not just on vacation in America.
The limits of the European health insurance card
The AOK points out that the benefits of the statutory health insurance generally extend to Germany. However, the electronic health card is now also the European Health Insurance Card (EHIC). The corresponding identification is on the back of the card. This enables insured persons in the countries of the European Union, Iceland, Liechtenstein, Norway, Macedonia and Switzerland to claim medical services.
However, the statutory health insurances do not cover the costs of a medically necessary return transport to Germany. For this reason alone, it makes sense to take out travel health insurance for all trips abroad.
In addition, there are bilateral agreements on performance assistance with some countries. “For trips to these countries, you can get a certificate of entitlement to receive benefits in kind from the statutory health insurance,” explains AOK press officer Michael Bernatek. But: “These agreements do not exist for the USA.”
It is best for pregnant women to inquire about insurance coverage for the destination country with their health insurance company. Information is also provided by the National Contact Point for Cross-Border Health Care on the eu-patienten.de website.
Attention: the cash register only pays up to the 36th week of pregnancy
“Travel health insurance can be very valuable for mother and unborn baby in an emergency,” emphasizes Dreyer. ERV, for example, reimburses
Medical treatment of pregnancy complications Costs for childbirth or miscarriage up to and including the 36th week of pregnancy Medical treatment for premature infants up to and including the regular 36th week of pregnancy medically related interruptions of pregnancy
Important to know: deliveries after the 36th week of pregnancy are excluded from the protection of travel health insurance. They are no longer classified as premature babies and are not an unexpected event, explains the insurance expert. But if complications arise after the 36th week of giving birth abroad, the treatment costs will be covered.
Got pregnant abroad?
The following applies more to longer stays abroad than to vacation trips: If you can prove that you were abroad at the beginning of your pregnancy, the travel health insurance reimburses costs for preventive examinations, treatment of pregnancy complications, obstetricians and midwives, childbirth and medical care for the mother and the newborn .
There is no upper limit for treatment costs in connection with pregnancy and childbirth.
First pay the invoice for treatment costs yourself
AOK spokesman Bernatek points out that benefits in kind in the event of treatment abroad – this includes the treatment of pregnancy symptoms and the medical care of spontaneous births – are always provided as is customary in the respective country. This could lead to patients being issued an invoice on site that they first have to pay out of their own pocket. After returning, you can have the costs reimbursed proportionally by the responsible health insurance company in Germany.
Travel ban for high-risk pregnancy?
“We are not aware of a legal basis for a travel ban for high-risk pregnant women,” says Bernatek. But he advises pregnant women to clarify with the gynecologist in their own interest whether certain risks speak against a trip. Some airlines require a doctor’s clearance certificate from a certain month of pregnancy.
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Brexit will come – but what will come after that? Millions of immigrants from the EU have to apply for a residence permit in the UK. It is unclear whether they will all succeed.
Great Britain will most likely leave the EU after the end of January. A lot will change for EU citizens in the country after that, so they should take action soon.
What will happen in the transition phase until the end of 2020?
During the transition phase, in which the EU and Great Britain negotiate their future relations, nothing will change for the estimated 3.6 million EU citizens and travelers living in Great Britain. You can still enter the country with your identity card and without a visa, you do not have to register or you can see a doctor free of charge.
What do EU citizens have to do now?
Those who have not already done so or who are only moving to Great Britain during the transition phase should apply for a residence permit in the next few months (so-called EU Settlement Scheme). EU citizens have until the end of June 2021 for this.
The application is free of charge via a website; identification works via smartphone. Those who did not apply in time risk deportation.
What are the requirements for a residence permit?
There are two titles: the “pre-settled status” and the “settled status”. The prerequisite for both is that applicants move to the island before the end of the transition phase at the end of December 2020. Anyone who has lived in Great Britain continuously for less than five years by this period is granted “pre-settled status”. Anyone who has been in the country for more than five years receives “settled status”.
What do the residence permits include?
Both titles largely guarantee the same rights as before. Successful applicants are allowed to work in the UK, see a doctor for free, study on local terms, apply for social benefits and travel in and out of the UK without a visa.
Those who receive “pre-settled status” are allowed to leave the country for two years in a row without losing their title