Universitätsklinikum AKH Wien
Facts and Figures
| Births per year | 2951 |
| Rate of episiotomy (perineotomy) in natural birth | 8.1 % |
| cesarean section rate | 46.2 % |
| Percentage of primary (planned) caesarean sections | 70.5 % |
| Percentage of secondary (unplanned) caesarean sections | 29.5 % |
| Rate of peridural/spinal anaesthesia (spinal block) during caesarean section | 88.6 % |
| Besides doctors, carers and midwives, which other salaried personnel does your team feature? | available |
|---|---|
| Psychologists | Verfügbar |
| Physiotherapists | Verfügbar |
| Dieticians | Verfügbar |
| Social workers | Verfügbar |
| Offer | available | free |
|---|---|---|
| Pregnancy exercises | Verfügbar | Kostenfrei |
| Birth preparation courses | Nicht verfügbar | |
| Psychological / psychosomatic walk-in clinic and counselling | Verfügbar | Kostenfrei |
| Acupuncture | Nicht verfügbar | |
| Homeopathy | Nicht verfügbar |
| What is the standard of equipment? | available |
|---|---|
| Birthing stool | Verfügbar |
| Birth wheel | Verfügbar |
| Pezzi ball | Verfügbar |
| Wall bars | Nicht verfügbar |
| own wetroom / WC | Nicht verfügbar |
| offer | available |
|---|---|
| Are midwives able to assist with delivery in your department? | Verfügbar |
| Are midwives of the patient's choice able to assist with delivery in your department? | Nicht verfügbar |
| Is there a neonatologist on site round the clock? | Verfügbar |
| Is a peridural or spinal anaesthesia possible at any time? | Verfügbar |
| offer | available | free |
|---|---|---|
| Clinical baby examination | Verfügbar | Kostenfrei |
| Hip ultrasound | Verfügbar | Kostenfrei |
| Listening test | Verfügbar | Kostenfrei |
| Laser treatment for sore nipples | Nicht verfügbar | |
| Social counselling | Verfügbar | Kostenfrei |
| Breastfeeding counselling | Verfügbar | Kostenfrei |
| Nutrition counselling | Verfügbar | Kostenfrei |
| Psychological care for post-partum problems | Verfügbar | Kostenfrei |
| Confinement exercises | Verfügbar | Kostenfrei |
| Back exercises | Verfügbar | Kostenfrei |
| Private groups | Verfügbar | Kostenfrei |
| Baby gymnastics | Nicht verfügbar | |
| Baby massage | Nicht verfügbar |
| general class | |
|---|---|
| Single or double rooms | 18 |
| Rooms with three or four beds | 0 |
| Five or more beds | 0 |
| special class | |
|---|---|
| Single rooms | 4 |
| Double rooms | 4 |
Beschreiben Sie bitte die geburtshilfliche Philosophie Ihrer Abteilung.
The Medical University of Vienna’s main work is research, teaching and advanced medicine. To that effect, we concentrate on pathological pregnancies, such as multiple pregnancies, premature waters breaking / dangerous premature birth; pregnant women with additional conditions such as diabetes, pre-eclampsia, abnormal placenta localisation, egg donation etc.
Beschreiben Sie bitte möglichst aus Sicht der Frau, wie eine problemlose Geburt an Ihrer Abteilung abläuft.
The pregnant woman comes with spontaneous labour and gives birth either only with a midwife, or with a midwife and a doctor. Very often the partner, or another caregiver, is also present for the birth. As we mainly care for patients with pathological births, we frequently use an epidural anaesthetic (EDA) for pain relief. In very rare instances, an episiotomy must be carried out.
Wie ist der Umgang Ihrer Abteilung mit dem Thema Wunsch-Kaiserschnitt?
We initially have a detailed discussion with the patient about the reasons as to why she wants a Caesarean section.
In the case of young patients whose main motivation for getting a Caesarean section is worry about pain, we try to encourage them to have a spontaneous delivery with the offer of an EDA.
Wie ist die Einbindung der Begleitperson während des Geburtsprozesses (auch bei Kaiserschnitt) organisiert?
Partners, or other companions, are present for 80-90% of deliveries. We also allow this for Caesarean sections.
Inwieweit kann die Frau die Gebärposition auswählen?
The patient can choose her own birthing position. The accompanying midwife will support her in this.
Beschreiben Sie bitte, wie der Umgang mit Schmerzen gehandhabt wird.
In order to help patients to better manage their labour pains, we support them with the help of a relaxation bath, as well as medical opportunities, such as administering Nalbuphine and EDA.
Wie wird dem "Wohlfühlfaktor" während der Geburt Rechnung getragen?
We try to get the feelgood factor right during the birth, through various measures such as a relaxation bath. Furthermore, we are aware how important it is that a partner or another person in a position of trust is present at the birth.
Wie steht Ihre Abteilung zur Anwendung von komplementärmedizinischen Methoden (Akupunktur, Homöopathie, Aromatherapie, etc.)?
Our midwives are trained in homoeopathic medicine. This means that we can offer both pregnant women and women giving birth the use of homoeopathic methods.
Wie wird an Ihrer Abteilung das Bonding (Beziehungsaufbau) nach Spontangeburt bzw. nach Kaiserschnitt unterstützt?
We are eager to support the earliest possible mother-child contact (bonding). This happens directly after a natural birth. However, it is even possible for bonding to occur during Caesarean section surgery.
Welche Unterstützung gibt es an Ihrer Abteilung für Frauen, denen es während oder nach der Geburt psychisch oder sozial nicht gut geht?
If the patient needs psychological or social support, we have 4 clinical psychologists available to help. However, medical staff and midwives will also be there to support patients.
Wie steht Ihre Abteilung zur Inanspruchnahme von Rooming in?
Rooming in is a very important measure which helps to support the bonding process. We try to support this as a standard practice, as long as there are no medical reasons against it.
Welchen Zugang hat Ihre Abteilung zum Thema Stillen?
We are aware of the long-term benefits of breastfeeding, and do everything we can to support the mother in this.
Inwieweit wird an Ihrer Abteilung auf kulturelle Wünsche/Anforderungen eingegangen?
Our patients come from all cultures and corners of the earth, and we try to meet a wide range of cultural requirements.
Wie geht Ihre Abteilung mit dem Thema Fremdsprachlichkeit um?
If there are language barriers, we manage to accommodate patients with the help of professional interpreters, and colleagues / midwives with foreign language skills.
Wie steht Ihre Abteilung zur ambulanten Geburt bzw. zur frühen ("vorzeitigen") Entlassung?
An inpatient birth (early discharge) after the child has been examined by a paediatrician, and the mother by a birth helper, is possible in principle.