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Old 06.05.2020, 02:03
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Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

While there is a number of treads on topic of giving birth most are old and practices and circumstances change in time. I was wondering if people could their experiences from last couple of years, what was good what was a cause for concern. Also recent months experience with the ongoing Covid situation would be particularly helpful

Some questions on my mind:
- what was your pre-delivery experience?
- were you assigned a separate room before the delivery?
- do you think you got sufficient aid with natural pain management, e.g. massage, acupuncture, etc.?
- did you feel rushed at any point?
- did you feel misguided on how to push?
- do you think there was unnecessary episiotomy done? (I know Switzerland in overall has too high statistics than could be medically justified.)
- was hospital personnel respectful towards your wishes?
- did they wait with cutting the umbilical cord until it stopped pulsing?
- do you think there were unnecessary things done or things that could have been managed better?
- did you receive later massages for prevention of blood clots?
- any language issues? (despite having a decent level of German I would not prefer to have to communicate in German in a tense situation)
- anything you would recommend to pay particular attention to?

Also if you have a recommendation for a good doctor for natural delivery recommendations are welcome
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Old 06.05.2020, 08:37
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

How do you know you won't need C-section?
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Old 06.05.2020, 11:41
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

Generally, you are locked in to wherever your Obstetrician works - if you are going to use an obstetrician.


My three births in Australia were all midwife-managed births. I only met the 'doctor' briefly during the admission to the labour ward - at that hospital the obstetricians were viewed as needed only if surgery may be required, planned or emergency - but that's a very special situation of a hospital where the head obstetrician was specifically brought in to drop the c-section rate and train doctors to be surgeons not midwives.


If you are really want a natural delivery then my advice would be to look for primary midwife care with doctors on hand for emergencies. Perhaps you are looking for a birthing clinic instead ?

https://www.delphys.ch/en.html
https://geburtshaus-zho.ch/?gclid=Cj...RoC2iUQAvD_BwE


I assume you have private insurance, double check as you will need it for some of the hospitals. Your insurance company may also have an opinion on which hospital you should use.
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Old 06.05.2020, 12:12
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

There never is a guarantee for a room of your own in the hospital no matter how you are insured. If they have no single room available you'll be tossed into the bigger rooms upfront and afterwards. We had the big room upfront for ourselves due to arriving at night, and got a single room afterwards even tho not insured for it since the shared rooms where full.

We've been to Frauenklinik Triemli and it was known way upfront that a C-section was demanded. (Kid 4.750grams, wife 1.57 mtrs), and had a good experience, not rushed, not misguided, all spoke English, no clue if the cord still was pulsating I was asked to cut it, but I was running high on coffee and had not slept for about 50 hours so nope let them do it. We also don't care for such things and also no mid-wife present since with a whole medical team what could she add?
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Old 06.05.2020, 12:48
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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We've been to Frauenklinik Triemli and it was known way upfront that a C-section was demanded. [..] We also don't care for such things and also no mid-wife present since with a whole medical team what could she add?
Never the less you can also have a mid-wife assisted natural delivery at the two city Hospitals Triemli and Waid.
https://www.stadt-zuerich.ch/triemli...urtshilfe.html

An other option is to have the natural delivery at a so called Geburtshaus. Unlike with a hospital there is no 24h medical team with all the technical she-bang nearby. In the end a birth is still a high risk to mother and child.

Btw. It is Hirslanden, not Hirschlanden.

I assume that the mentioned hospitals are chosen because of their geographic location. The quality of care should be comparable in all mentioned hospitals. If the mentioned things are important, I suggest to find first a trust worthy midwife which works in one of those hospitals. Also find out who the back-up midwife will be and if you will get along with this person as well.
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Old 06.05.2020, 13:02
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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Btw. It is Hirslanden, not Hirschlanden.
thx

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If the mentioned things are important, I suggest to find first a trust worthy midwife which works in one of those hospitals. Also find out who the back-up midwife will be and if you will get along with this person as well.
Normally I would prefer a doctor-midwife team that works together but seems it is not common in Switzerland. I am still intrigued by the extent of what the midwife does in Switzerland. Obviously she should lead most of the delivery but does she also help for example with pain management and if yes to what extent?

My concern with the doctor is that (unless there is a risky situation which is not very likely but if happens crucial) she/he does not do things I do not want, i.e. to let the delivery be as natural as possible and not do other things unless really necessary.
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Old 06.05.2020, 13:04
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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My concern with the doctor is that (unless there is a risky situation which is not very likely but if happens crucial) she/he does not do things I do not want, i.e. to let the delivery be as natural as possible and not do other things unless really necessary.

Perhaps the doctor would do that because he/she is the expert
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Old 06.05.2020, 13:15
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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Perhaps the doctor would do that because he/she is the expert
I am asking all these questions because I disagree I think that there are many many bad doctors. Have come across some in Switzerland and know people who also had lots of bad experiences in Switzerland (of course you have good and bad doctors everywhere, it is just that I do not have a good network in Switzerland).
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Old 06.05.2020, 14:24
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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Normally I would prefer a doctor-midwife team that works together but seems it is not common in Switzerland. I am still intrigued by the extent of what the midwife does in Switzerland. Obviously she should lead most of the delivery but does she also help for example with pain management and if yes to what extent?.
As far as I understand she does and you will do as well. You should be a team working together. Be aware that at certain point of the birth certain procedure can no longer be done. Like an epidural catheter. If you want the most control over your situation in a hospital setting than a midwife leaded birth (Hebammengeleitete Geburt) is what you are looking for. https://www.swissmom.ch/geburt/entbi...er-spitaelern/

A midwife and also a doctor should and hopefully do respect if you do not want an episiotomy but let it potentially rip naturally. Unfortunately that might not always be the case https://forum.wireltern.ch/beitraege...er-der-geburt/

If you want even more control a Geburtshaus can be an option, even a birth at home is possible (which might even happen unplanned).

If I am not mistaken one of the biggest forum to discuss such topics is the one from SwissMom https://www.swissmomforum.ch/

Three more thing and I am out .

- Be aware that things which for some person are elementary and uttermost important might for you be mundane and irrelevant (and vice versa).
- As Field Marshal von Moltke said: No battle plan ever survives contact with the enemy. Be prepared that things go differently than planned.
- Have a pleasant, healthy pregnancy and an enjoyful birth.
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Old 07.05.2020, 02:06
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

Gave birth twice at Klinik Im Park.

It was amazing. The doctor you pick will drive the choice of hospital as they only work with certain ones so if you have your mind set on a specific hospital ask them for their list of doctors.

You can ask for a visit at Im Park and see for yourself.

It has been a while and I don't remember all the details but I could choose and doctors and midwife's were supportive.

Had 2 completely natural births, second in the water.

Just one thing - you seem to have your mind set in having the birth in a very specific way.... You will hear this a lot during your pregnancy so I add to it - births have a way of their own. It may go as planned and it may not. And when you are there and doing it you will also care much less about many things such as whether the cord was pulsating or not when cut. I do understand why it seems important now, but please just consider things may be different then.
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Old 10.05.2020, 17:29
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

Thanks for replies so far. Another question regarding the midwives:

Anyone had a midwife who was doing the massages to help with the opening and pain management during the delivery?

Also if someone had such a midwife they were happy with in Zurich area could you share or pm me the name?
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Old 10.05.2020, 18:06
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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Thanks for replies so far. Another question regarding the midwives:

Anyone had a midwife who was doing the massages to help with the opening and pain management during the delivery?

Also if someone had such a midwife they were happy with in Zurich area could you share or pm me the name?
Can I ask, is this your first baby?

I respectfully suggest that you keep an open mind with regard to all types of pain management. I'm not sure that massages alone will do the trick.

Having said that, good luck with your birth. I hope you get the experience you want. And I will say this: It is your body, you know it best. Take advice from the medical professsionals but don't let them railroad you.
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Old 10.05.2020, 18:14
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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Can I ask, is this your first baby?

I respectfully suggest that you keep an open mind with regard to all types of pain management. I'm not sure that massages alone will do the trick.

Having said that, good luck with your birth. I hope you get the experience you want. And I will say this: It is your body, you know it best. Take advice from the medical professsionals but don't let them railroad you.
Yes I know personally people (from other countries) who consider that massages were very helpful for their deliveries. They do make sense to me and I would prefer that because most of other methods seem to have risks I do not prefer to take. I do understand that people have different preferences and the unpredictability of deliveries but I would like to know what is available in Switzerland.

Even though the birth-houses seem to be a pretty good solution, given it is the first baby I do not feel comfortable enough to not have enough contingency plans
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Old 10.05.2020, 21:14
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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Yes I know personally people (from other countries) who consider that massages were very helpful for their deliveries. They do make sense to me and I would prefer that because most of other methods seem to have risks I do not prefer to take. I do understand that people have different preferences and the unpredictability of deliveries but I would like to know what is available in Switzerland.

Even though the birth-houses seem to be a pretty good solution, given it is the first baby I do not feel comfortable enough to not have enough contingency plans
I personally wouldn't have wanted anyone massaging me but ymmv. I can't help re CH, had my kids in the UK.

Just be aware that the best laid plans etc...

Best of luck.
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Old 12.05.2020, 14:15
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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Thanks for replies so far. Another question regarding the midwives:

Anyone had a midwife who was doing the massages to help with the opening and pain management during the delivery?

Also if someone had such a midwife they were happy with in Zurich area could you share or pm me the name?
I don't even remember anymore... that's how it is. I did not specifically hire one to do that. Someone was down there doing "stuff" to help the baby and I was screaming and doing as told. Husband was doing best he could. Honestly there is not all this time as the pain is mindblowing. It is not like those movies with the candles and people humming...
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Old 12.05.2020, 15:49
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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- Be aware that things which for some person are elementary and uttermost important might for you be mundane and irrelevant (and vice versa).
I said I was out, but I had this one though: Sometimes this two person are you and your future self. Please do not scold your past self about what decision it made, nor be to cranky about your future self when it will not act how you though it should.

Regarding pain management, see, specially "Natürlich Schmerzlinderung" https://www.swissmom.ch/geburt/entbi...erleichterung/ (German)
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Old 12.05.2020, 17:02
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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I said I was out, but I had this one though: Sometimes this two person are you and your future self. Please do not scold your past self about what decision it made, nor be to cranky about your future self when it will not act how you though it should.

Regarding pain management, see, specially "Natürlich Schmerzlinderung" https://www.swissmom.ch/geburt/entbi...erleichterung/ (German)
So 100% this. You will have a plan. When you make that plan, you will be convinced it's what you want and defend it with all your "I will be a mom" fierceness.

Then will come the time. You will feel things you never felt. You may have complications you did not expect. It may be at a time you don't want. You will be able to bear the pain or not. Baby will require this or that. And at that time you may take different decisions, because your information base will change.

No matter what decision you make now just be open to make new ones.
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Old 13.05.2020, 08:56
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

We have just had a baby at Zollikerberg (January).

Everything was really good. My girl friend needed to be induced, and it happened all quite quickly from that point. I understand that when induced the contractions start at a higher level than if it comes on naturally.

I think she found the pain very intense. And she had already decided for an epidural before the birth. Once she had that at an early stage of the pain coming on, I have to say it was easy. And ok, thats a guy saying that, but she would say the same. The epidural meant she could feel but not be in pain.

About 9 hours after the epidural the baby was born. Language wasnt an issue for us. She speaks German, I do not, the doctors and midwives were really good and all spoke English. They are attentive and its not rushed, although they do have a time frame when they know the baby will arrive by.

Food water and anything the mother needs is provided. The dad should bring a 'packed lunch' as he doesnt get anything.

Our birthing plan was very high level. We said we would try various pain relief methods but on request and with no questions if we want epidural it is to be done. Absolutely last resort c section, tongs etc. It was a series of dos and dont bullet points, we both signed and dated, we kept one and gave the midwives one.

I have to say the birthing experience at Zollikerberg was very good. They do suggest having a resever hospital in case all the beds are taken up, so have a second choice. And also its worth joining the parenting course they run in English at the hospital prior to birth.

Good luck
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Old 13.05.2020, 11:36
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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- anything you would recommend to pay particular attention to?
Natural delivery at home is generally a fantastic experience if everything runs fine, a true horror story if things goes bad (how natural is to rush in an ambulance to an hospital to have a risky urgent C-section?).

Yes, risks are very low can be evaluated at <1% ... which is like 1000s times more likely than winning any lottery in the world. My pessimism tells me you are one, so you may be the unlucky couple over 10'000s happy parents.

You may have a drab experience in the hospital, but at least the surgery room is just behind the corner. So in the hospital it is likely to be just "beautiful" if it goes well, "distressing" when an emergency occurs.

There is so much more in giving birth than the material giving birth experience itself ...
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Old 13.05.2020, 11:44
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Re: Natural delivery in Zurich: Zollikerberg vs Bethanien vs Hirschlanden

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You may have a drab experience in the hospital, but at least the surgery room is just behind the corner. So in the hospital it is likely to be just "beautiful" if it goes well, "distressing" when an emergency occurs.

There is so much more in giving birth than the material giving birth experience itself ...
The prize is the baby.

But I would say Hirschlanden is great for giving birth the way OP plans to. If more complicated pregnancy etc - Zurich University Hospital.

All she needs is to keep an open mind....IMHO. She'd be no less of a mother if she'd have a C-section.
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