The labor pains began on Friday, January 25.1. afternoon. It was a bit unexpected and uncertain. We still thought that our baby would not be born until a week later. The wives began to contract. We didn't know if they were contractions or not jen delivery. It came from the lower abdomen from the beginning in hourly intervals from about 14:00. The intensity and frequency gradually increased. It was half an hour from the clock and then gradually after 20 minutes, 10 minutes until we reached the frequency of 5 minutes.

Occasionally, contractions were irregular until 5 minute intervals occurred. Be sure to start writing down the paper when the last time came let you know after how many minutes they appear. I will ask you both midwives and maternity nurses.

Unfortunately, Maruska was on the third day apparently after another birth and was unable to arrive. So we excused ourselves either to wait until morning, or to go to the hospital.

It was about 1:00 after midnight, when the contractions were really strong. We gradually consulted the situation with Ivana Königsmarková, Jana Menčlová and Zuzana Štromerová. Ivana tried to reassure us that the real thing was still waiting for us, and although it hurts a lot, it is far from the real thing. She recommended us to relax, take a bath and especially calm, with the fact that Maruška will definitely sleep soon and arrive.

We tried to get somebody ukecatto come and see us. Jana did not know us and recommended that we go to the maternity hospital. Zuzana already knew us, but she also recommended a maternity hospital, even though we haven't seen each other for about a month, so she doesn't dare to give birth with us at home.

We had a chosen Mělník maternity hospital. Shortly before we left, we called to go on a journey. It is not a necessity, but it has come to be convenient. In addition, we have arranged to reserve a premium room immediately.

It is less than an hour's drive from Prague. It was about shortly after one o'clock when we set off. It is going well at night, only in front of Mělník there were thick fogs.

The area of ​​the Mělník Hospital is very large, so it is definitely good to plan your trip in advance. GPS can confuse you, because the hospital apparently had two entrances in history. One of the main streets, which is now impassable and mainly impassable, and the other "from behind" from Nemocniční street, where there is a main gate with a security guard. At night, the gate is still open, so no one will ask you what you want here.

The gynecological obstetrics pavilion (it has the visible marking "T") is the second block on the left. It is a block of flats. The entrance is closer to the other end of the block. The street is unfortunately one-way, but at 2 o'clock at night with a woman who is almost giving birth, this is really a detail.

 

Admission to the hospital

We stopped right in front of the entrance. At this time, the entrance to the building is locked and they must come for you. You ring. It is necessary to be patient, because the delivery rooms are only on the third floor and at 2:00 people are usually asleep.

A sleepy voice said in the speaker: "Please?!" I think I said something, "We called you, my wife is giving birth and it's probably running." No response, it just clicked like you hung up. Then nothing happened for about 5 minutes.

An older sister in a yellow hoodie crept up from the elevators: "Hello, come on!" My wife just caught another contraction. My sister didn't care much about it and, as in another world, she tried to lead us to the elevators. I had two pieces of luggage, still supporting my dear half. No support - nothing. We asked if they had a wheelchair. The answer was crazy: "We don't have him in the ward. They have the only thing in the ICU and it is closed. You can do it. ” With strong contractions every three minutes, my dear shuffled an ant step. No joy.

On the third floor, we went straight to the reception with a daisy door. We were accepted by another sister (age around 40 years, blond dyed hair, the approach was quite measured and uninvolved. Maybe her name is Jana.). She made my wife climb into a gynecological chair during a contraction. We defended against that. They didn't hear much about it, but they had a third challenge.

The nurse said that when the contraction crossed, she would look at how much my wife was open to. She put her finger in her vagina and said, "I'm pushing you into the abdominal wall to make a little jerk ..." The two of us were horrified as she began to recite the procedure for Hamilton's tone: "The doctor inserts the finger of one hand as deeply as possible into the vagina, while the other pushes the abdominal wall and swings the sac from the uterine wall in a circular motion inside the center of the cervix. Subsequently, prostaglandins (tissue-inducing) are released which have a positive effect on the delivery mechanism. "(Wikipedia source). I raised my voice and say I don't cut anything. Dare to make Hamilton's touch. The nurse was obviously startled and pulled out her finger. She said nothing more and asked us that she needed to turn on the monitor. So we had to get out of the gynecological chair in contractions (it was very high) and move to the other side of the room, where there was a bed and a monitoring device. My wife refused to climb on the bed because she was sick in lying on her side, and she didn't feel like lying on her side either. So she stayed at 4 like a cat on a cold line, writhing like a paragraph.

That monitor is a strange device. One probe measures your child's heart rate (you can even hear it beating) and the other measures contractions. Although the measurement does not hurt physically, it is quite stressful mentally. It's nice to hear the heartbeat (you know he's alive and well), but the woman is in contractions and needs maximum peace. In addition, after a while, Dr. MUDr. Irena Prázová, blonde short voices, quite measured. She started supplying my wife with papers that she "has to sign." I replied that he now had a contraction and that he would wait. In addition, he has other papers on his desk that we have already prepared for them. She insisted stubbornly. I objected, not now. There was silence, just the monitor beeping. My wife asked how long she had to be on the monitor that she was uncomfortable. The doctor replied that at least 20 minutes to know how the baby was doing. She began to describe what it was all about and again the moment my wife contractions.

The doctor asked the nurses if they had performed an examination. The blonde said no, that she hadn't been able to reach the womb. So after the monitor, we had to make our way to the gynecological chair again. There we found out that we were not open yet, so we then moved to the above-standard room number 309.

 

Accommodation at room 309

The room has an electrically adjustable bed, a sink with a sink, a kettle, plates, mugs, cutlery. Replacement area and next to a cot on wheels. Tables and armchairs that can be spread over the bed as an extra bed. The bathroom includes a spacious shower, a toilet including toilet paper and a sink. Missing towels and soap. Overall, a cozy and quiet environment.

Each hour the sister came and measured the baby's heart through the portable Dopler's device. Quite frankly enough, my wife was disturbed. She asked several times that no one would come here for wanting peace. After about three hours, the doctor came to see us and dragged us back to the monitor. It's supposed to be fast. Again we asked for a wheelchair that she has my dear strong contractions and she is miserable. Again, they explained that they did not have it, and the mobile bed was down - it would say it would do. We also tried to bring that device. It can not be said.

Overall, zero empathy by staff.

 

Water and local tea

Tap water smells of disinfection and I do not recommend drinking it directly, only after thorough boiling. We both had headaches. We originally thought it was after the pills my wife has. Then we agreed that we had similar conditions regardless of the chemistry my wife used for pain.

At one point, the tea smelled like alcohol. I attribute this to the misuse of disinfectant between individual batches of tea brewed in the cookhouse in combination with poor quality water.

 

Regular examinations and opening

So we got back to the daisy door, where they have a monitor. So there was further suffering on the cold ground, because my dear fact could not climb on the bed. The whole time there was a staff who didn't pay much attention to us. When it was about 5 minutes (so promised short), we asked if they could disconnect, that she was cold and not feeling well. The nurse said she couldn't do it, that the doctor had decided otherwise. I asked her to see a doctor and find out what was needed. Nobody went for a long time. Then the nurse appeared, but ignored us. So I asked again, can we disconnect now? She looked at the chart and said that it was not enough for the doctor to come, that it must be at least 20 minutes for it to be conclusive.

The doctor came, looked at the chart, and said something to the effect that it wasn't entirely ideal. I replied that the probes held badly (more precisely: I held them because they didn't hold on to their stomachs themselves.) That it fell out a few times, so the measurement is not accurate. She negated it, saying that it would be visible on the chart if it didn't work, and that we still have to wait a while to make sure that the child is OK. My wife started whining that she didn't want to. I told her that one word was enough and we would leave, that she didn't have to put up with it, because the monitor still sucks. The only one that made sense at the time we received, the others are useless. (That's how we learned it thanks to Ivana K.). When we protested for a while, the nurse finally turned it off. An examination in a gynecological chair followed. We learned that we got to 3 centimeters. At 5 o'clock in the morning it was very encouraging. Thus, the standard procedure at an average speed of 1 cm / h.

When we were at 3 centimeters, Dr. Irena Prázová told us that she respects our birth plan, but that according to the finding (she reached the woman's vagina) she has a hard placenta, and that she recommends it to rupture to speed up the birth and its smooth course. As a reason for this procedure, she stated that if this does not happen, the umbilical cord can float under the baby's head and this can then suffocate during childbirth. So she described exactly the situation that Ivana Königsmark mentioned in a situation where, on the contrary, the water is forgiven! For this reason, we have declined this offer. We had to sign the reverse.

Before 9 o'clock, the nurse came up with the idea that we were going to have another monitor, and that the doctor wished us to be in the delivery room by 9 o'clock. She came again at the most inopportune moment. My wife writhes in painful cramps for 4 hours and someone wants her to do something that is currently unnatural for her. I replied that the monitor was no longer a case, and that they should only bring Doppler here into the room. The nurse replied that the doctor had said, and I said that if the doctor came here, I would be happy to explain.

The doctor arrived in about 15 minutes, accompanied by another nurse. She was heading straight for my wife. I felt like a ghost he couldn't see, even though he said, "Can we talk outside?" Doctor: "No, I need to talk to your wife." She was in contractions again. My wife protested after the contraction that she didn't want to go anywhere anymore, that she didn't want a monitor anymore, that she wanted to stay here in the room, and she didn't want anyone to disturb her until she was giving birth. Dr. Irena Prázová started that it would be better in the delivery room. There's the same room as here, but there's the monitor, so he doesn't have to move. That he has to watch to see if the baby in his tummy is doing well, that he will have the same peace there as here and will not have to move. It is said that it is not possible to give birth directly in the room for hygienic reasons.

Finally, we came to the fact that we were going to the birth hall, but that we wanted to take it away. The wheelchair did not work again, but they had at least a mobile bed. They tried to put my wife on the mobile bed here. She refused to have strong pains. So she went to all the 4 at the birth box.

 

She gives birth to a box

The maternity hospital has a total of three maternity wards and one operating room. The delivery boxes are to the left of the main entrance. On the right are the staff areas and then the operating room. Maternity boxes can be closed with sliding doors. It's not acoustically sealed at all, so you can hear everything talking across the hall in the staff room - unfortunately.

The equipment of all boxes is identical. We were just on the first left. It is tuned to blue. From the door on the right is a toilet and bathroom. Furniture: small table, adjustable armchair with footrest, adjustable bed / gynecological chair in one. Furthermore, a complete technical background for the treatment and resuscitation of the baby after birth. I.e. lots of flashing and beeping boxes with lots of numbers. An analog clock is ticking loudly above the front door, which unfortunately cannot be removed. It seemed pretty scary to me. Against all this, they have a counter with various medical equipment. So it definitely doesn't look as cozy as room 309. Of course, I must not forget the "important" monitor.

We transferred a substantial part of our personal belongings to the box. Every 15 minutes, a midwife Jana Horáková (a creature other than Jana, a nurse) came and recorded the sounds of the baby's heart in her tummy. It always took a maximum of two contractions. We refused to measure the force of the contractions, saying that it was unnecessary, tedious and stressful. We had to sign the reverse for them.

The midwife was attending the midwife, and her assistant midwife Ivan, her short black hair, helped her sometimes. A special sign is the sign that two badges on the label are: one round and the other two with the symbol of medicine[1].

It was nice of Ivana that at my wife's request she was willing to spend time with us and hold my wife for a long time. She also tried very sensitively to explain what was happening and what should follow. She was nice to us, even though she talked about things that weren't always pleasant.

Over time we worked on 7 centimeters. So the child has continued relatively well. It was after 14: 00 on 26.1 when the water broke. So we called Jan and Ivan to come and check us out. Ivana shot the control monitor this time even with staggering (though only briefly). Jana conducted an internal examination. She said we were still on 7, but that water was running out.

 

Critical point

Without pre-warning, Jana squeezed the baby's head around the head and heard another flow of water. Between various commentaries on how she was doing well, she said she squeezed a little bit of amulet to make my wife feel relieved, and to give birth to it.

From the above moment, the birth did not develop significantly, only strong contractions continued. We tried to change positions, shower, balloon, delivery chair, etc. It didn't help. We agreed with the woman that we were disturbed again when someone kept pumping through the door. So I called on Jana to limit her measurements, because that disturbs us. She refused, saying that Dr. Irena Prázová said that she wanted monitors regularly to make it clear that she wasn't choking, she didn't want to die, or that my wife had no problems. At one point, I had to raise my voice on Jan and kick her out of the room. She insisted she had to, and I said, "No, you don't have to. When I say - NO - it's the final decision and you just leave and don't come back until I call you. We want peace here. If you want, bring a piece of paper, I'll sign it for you. " Jana left with an offended expression of personal vanity and brought a reverse in 2 minutes. We signed it and it was a holy calm for about 30 minutes.

Throughout the birth, phrases like, "What if he didn't succeed?", "What if your wife had internal bleeding?", "What if your baby stopped doing well?", "What if…",… and many the phrase ended with the words: "by it would mean that he could die and you don't want that!". They use these phrases especially when they want to force you to perform an operation or examination that is necessary according to their habits and ideas. However, in reality it is completely useless and disturbs the woman and the newborn child in their cooperation.

Unfortunately, our birth stopped. After 17 p.m. the birth of our darling it occurred to my wife that it would be nice to try an ultrasound and find out how our baby turned into the birth canal. We communicated the proposal to midwife Jana. Nothing for a long time. We asked her if she told Dr. Irena. Jana answered that yes, but that it was up to her (Irena) what would happen. Irena Prázová came in another 10 minutes or so. She stated that childbirth was not progressing and that we should consider some encouraging means to speed up the birth so that my wife would be relieved and everything would speed up, that there was a risk that the uterus might get tired - to stop contracting and the whole thing to stop, which would lead to a caesarean section. In their opinion, our birth is after 17 p.m. non-progressing, so we already fall into the category of births, where intervention is necessary because there is a risk of death of the mother / child.

The doctor looked lukewarm about the ultrasound, but arranged it. They took us to the ground floor, where they have a so-called "big" ultrasound. MUDr. Aleš Krch (Older man, gray-haired, heavy smoker. He does not normally occur on the 3rd floor.), Who performed an examination and stated that our baby is incorrectly filmed. He used a lot of Latin words. So we asked for a translation: "He turned his head with his back to the pelvic floor and pushed his shoulder / arm into the path." Unfortunately, we did not see any on the monitor.

 

Operations - Caesarean section

So we jumped in the operating room. The child was born on 26.1. The operation was led by MUDr. Aleš Krch. They are all physically healthy. The woman suffers from alienated birth syndrome and is being treated for pain after a caesarean section. All the while they watched us only with the help of devices. Not once did they perform palpations as we were used to from private midwives.

 

A lot of examination and little empathy

Hurray, our baby is in the world. Everything is behind us. Certainly? Enemies! Now, even harder bureaucracy is going on than before!

About an hour after "birth" we had our mums rescue from a plexiglass box called an "incubator". The reason was said to be hypothermia.

 

 

Vitamin K

At the door of the neonatology department I met a doctor (younger, short dark hair, maybe Michal Blažek, MD). Did he stop me to give vitamin K? I replied that I did not consider it so important, because the child would vomit anyway. He objected that this should be done with a probe into the header. I refused and insisted that it had no effect. He told me that it was an established practice and used the magic formula: "de lege artis" and referred to some statistics and regulations of the Ministry of Health. His performance obviously left me cold, so his output experienced a certain escalation in drama. "Vitamin K is given against internal bleeding. She could bleed to you within the hour. " I was quiet and composed. "It could be a week." Apparently it didn't change my aura either, so a heavy caliber came: "It could happen in three months, for example!". I admit that before he said the last sentence, I took it quite seriously. Now I had the desire to smile at least a little. I told him that I would consult with my wife in the ICU and then let him know. He was grumpy and maybe added something to that effect it's not about what to decide, it's about your child's life[2].

Vitamin K was then given orally. The baby then actually vomited it within an hour, along with amniotic fluid.

In the following days, various doctors gradually visited us. Firstly because of the examination of the scar after a caesarean section, but mainly because of our child. On these occasions, they haunted us with various possible diseases that the child could get and gave us various suggestions for examinations, which are important.

 

Eyes and Creation

One of the other ideas they tried on our child was so-called "creditation", which is disinfection of newborn conjunctivae as a prevention of ocular inflammation. In other words, for a hypothetical case that a child might have a conjunctival inflammation, it gets into the eyes of chemistry. We refused it.

Doctors (at least in this maternity hospital) have the idea that they can't see the baby after the birth, and that they don't mind the bright light. In fact, it responds to light and responds to people who come in direct contact with it. The bright light is unpleasant for the child. It was 9 months in the dark.

 

All newborns have slate gray eyes. Here, too, it remains a secret what their final color will be - that will be revealed later, after approximately three months. Newborns may have irritated eyes from eye drops that are applied to them after birth to prevent infection from the birth canal. Be patient, it will pass in two days! You will definitely notice how the baby looks at you when you feed him. Nature is amazing: right from birth, the baby can see well up to a distance of 30 cm, which is just enough to see your face - your mother's face.[3]

 

When I was carrying my baby at the maternity hospital, I tried to make a shadow. He could see his eyes shudder, or even closed his eyelids when it was in direct light.

 

Ear Test

The next evening, the nurse came up with the idea that we hadn't done an ear test yet. I was foolish when I thought he was just looking through an ear mirror to see if the eardrum was working normally. She pulled a huge digital device with a touch screen full of flashing curves and buttons on our baby. From the device led wire with a probe that fits into your ears.

When I asked what he was doing, I was told that it was only slightly rustling, and that it would not hurt the child, that they were trying on themselves. I accepted the suspicion, but I let it be, because it is said to be going fast. From that "fast" it happened that she tested her right ear for 5 attempts. The device constantly reported an error during testing. In my opinion, the nurse in question had no idea what she was holding in her hand and how it worked. She just mechanically pressed the buttons on the display because someone had told her. When the left ear could not be tested on the 5th attempt, I replied that we would leave it for another time, knowing that I would not allow this nonsense again. Personally, on one of my last attempts, I pushed my ear about 20 cm from the probe and heard such crazy loud noises that I groaned.

I consider this device one of the most useless. The reasons are as follows: Immediately after birth, an ear test was performed by snapping at the ear. The child responded normally. I repeatedly warned the nurse that our child could hear well because he was responding to outside sounds. In addition, after the test, the child was afraid of loud noises and noise one night. It bothered me a lot, because until then he didn't care - so he didn't let that decide. In addition, we agreed with other experts (not employees of Mělník) that it is nonsense, because even if the child has a hearing impairment, it is not possible at this age to perform any procedure that would reverse this phenomenon.

We therefore refused further testing, saying that he could hear well (we know from his reactions) and this is not necessary.

 

Infant jaundice

Another popular scarecrow is infant jaundice. In the Mělník maternity hospital, they have a hand-held mobile measuring device with which they can contactlessly determine the intensity of infant jaundice. It is necessary to realize infant jaundice is a natural phenomenon and in most cases children are able to break it down themselves only by daylight shining on them.

MUDr. However, Barbora Koubková was able to frighten us politely when, at 236 values, she stated that it was a critical value and that it was necessary to monitor it. If it rose, the baby would have to go to an ultraviolet lamp incubator. Personally, I had the opportunity to see this incubator in action over another child. It looks awful! The child is in a plexiglass box, screaming affectively, his eyes are blindfolded. So definitely don't put your child in something so crazy as a precaution.

We consulted Ivana Königsmarková by phone about the situation and she told us that if the value is 236 on the third day, then it is very likely that in the following days it will only decrease, which is what happened. Nevertheless, Dr. Barbora did not always evaluate the matter with optimism.

 

Scare of blood called foots

Another scarecrow is the so-called "blood sceening" or also called "heels", depending on the fact that blood is taken from the child's heels. Only a few drops are taken at a time and, as usual, it is done no later than 72 hours after birth. This test aims to diagnose predispositions to birth defects such as growth or digestive disorders. In addition, other rare diseases are being tested. I highly recommend finding professional studies on the Internet and evaluating for yourself whether something like this makes sense. The reason is the fact that the probability of occurrence of one of about 13 tested diseases is from 1: 100 to 1: 100. The tested subjects are then divided into three categories:

1. The test subject can not be determined either because it does not have the defects or because it simply can not be determined.
2. The test results are ambiguous, so called 50: 50 and requires further testing.
3. The test results are positive, so he has at least one positive finding from the tested symptoms. Unfortunately, even in this case, up to 25% error rate can occur for some symptoms.

Basically, this is a recent fashion trend. The informative value of sceening without further long-term monitoring is actually more a question of stress between parent and child.

At my request, I had the opportunity to look into a presentation describing the individual diseases tested and their probability of occurrence. The whole presentation was obviously taken from an American lecture, because it contained an incomplete translation of some slides. Some of the passages were really scary for me. E.g. about 3 slides urged the relevant ministries of the given countries to legislatively treat the inability of parents to refuse this examination. I have read on many slides that the occurrences are sporadic (1: 100 to 1: 100 depending on the type of disease), but their testing is recommended as a prevention. The cost is up to tens of thousands of USD per test subject. In addition, in the Czech conditions it is stated that in some tested diseases the probability of occurrence cannot be determined because there is not enough data for that. In other words, it is so rare in our territory that it has not been registered for a long time!

In contrast, several slides were devoted to how parents and their relationship with the child are affected by incorrect evaluation of results. In other words, aversion, stress, tension, disruption of the family's natural coexistence, etc. And what percentage of that can deal with it afterwards.

Personally, I perceive it as a very psychologically burdensome examination with an uncertain result, so we decided to sign them in reverse, with a possible examination performed by our chosen pediatrician, MUDr. Chládková, with whom we will consult the matter again. (I recommend Mrs. Chládková and her daughter, also a doctor, as a very understanding and helpful being.)

Before signing the reverse, the head of the neonatology department, MUDr. Lenka Doležalová (short black colored hair, from the point of view of the troublemaker). She asked us why we don't want to do a sceening? I replied that I had read the study, which she coincidentally held in her hand. She replied that I could not understand the abbreviations. I agreed and objected that although I do not understand technical terms, I do understand statistical probabilities - numbers, and that the probability of occurrence is very uncertain and the stress is high. She responded with the words: "You signed a lot of papers podeps You signed a paper that you don't care when your child dies!". We never signed anything like that, and from the doctor it was rude. I kicked her out of the room, saying she shouldn't threaten me, my wife, or my baby. In the last spasm between the doors, she tried: "You don't know that another 13 symptoms are being tested in Canada?" I didn't respond. I really don't care what they do in Canada.

 

Birth weight

Wednesday, 30.1. us MUDr. Barbora Koubkova said during a visit that if she cared for the baby only she would let her go home. But we had to stay still for the healing of my woman's scar after the cesarean section.

On Thursday, 31.1. we were looking forward to leaving the Mělník maternity hospital. Honestly, our feeling was that the longer we stay in the place, the more stupid we are trying to do.

When our baby was born, we refused weighing and measuring, but said it could be done later. That also happened. The birth weight was not determined until the second day after birth: 3,1 kg on a weight that is placed in the room. (Weighs to the nearest 50 g.) The following days, the child's weight dropped to 2,9 kg, the next day it increased to 3,0 kg (Wednesday). On Thursday (the day of release) she fell to 2,85 kg. In general, babies lose up to 10% of their birth weight after birth. This is due to the fact that they get rid of amniotic fluid and other impurities from the intestines from the time they were in the mother's womb. So, purely mathematically: a birth weight of 3,1 kg, anything up to 2,79 kg is the norm. Barbora evaluated the weight of 2,85 kg so that our child does not thrive and therefore it is not appropriate for him to be released from the hospital. The absurdity of the matter was added by the fact that it was she who had claimed the day before that everything was in perfect order and the child could go home.

In the neonatology department, they have their own weight, which can measure with an accuracy of 5 grams, unlike what is in the room - only with an accuracy of 50 g. De facto, they are able to measure how many grams (milliliters) . We took this test sometime on Tuesday. It was favorable, because the baby drank 20 ml (20 g increments) in one minute during one minute. When Barbora found out that our child was "underweight" and therefore invited us to repeat the test. We agreed. In about 20 minutes, the child drank 20 ml and would probably give even more if we did not have to see the head nurse Lenka Cimlerová. She provided training for parents who are released from the hospital. (So ​​we had to stop breastfeeding, go for weight and then for training, during which breastfeeding continued.)

During the run with the baby between my mother and the weight in the neonatology department, I was stopped by the headmistress, MUDr. Lenka Doležalová (the same being who threatened us in the room) with the proviso that we have to talk, because with such a weight the child cannot be released home under any circumstances. I said that right now we are finding out the weight before and after breastfeeding and we will see accordingly. Her actions confirmed me in the decision that the result of the test will not prevent us from going home - even in reverse. We subsequently signed the reverse, stating that another examination will be performed by our selected pediatrician, MUDr. Chládková the next day.

To determine the weight, I recommend a delay tactic. So consider the baby as late as possible. I have no doubt that if our baby was weighed just after delivery, the difference would be even greater.

 

Height

We never officially met this. Just by visiting our relatives, we measured a height of at least 50 cm using a tailor's meter. When Barbora wrote a medical report, she asked if we had a baby to measure: height, circumference of the head, ... and other parameters. I replied that no, and that the minimum height is 50 cm.

Measuring height can be painful for a baby after birth because it does not yet have relaxed muscles from a state where it was in a ball in the mother's abdomen. (Only at home after a week did we find out that it measures 54 cm.)

 

No smoking

During the whole stay, we were in room 309. Several times I had to warn the staff that from the opposite door of the service staircase, thanks to the draft, a strong smell of smoke emanates into our room. Sometimes the room felt like a pub. I always asked the staff to make amends. I was told that no one smoked here, as it was forbidden in the building. Only the station nurse admitted to me during one visit that she knew about the problem, but that she could not solve it.

I believe that the service staircase (or perhaps the adjoining balcony) serves as an unofficial smoking room. Unfortunately, the smell spreads through the corridors of the entire maternity ward. It's most like feeling in the morning when changing shifts and so-called "winds" - leaving open doors to the service staircase.

Strong smokers are MUDr. Krch and sister / doctor in a yellow sweatshirt.

 

MUDr. Lenka Doležalová and MUDr. Barbora Koubková

Mrs. Dolezalova, 2x, surprised me with its inappropriate and inconvenient behavior. Personally, I think a person of this nature should do another job. Her behavior was always cool and unprofessional.

On the other hand, her subordinate Doctor Koubková has always retained a professional face. It has often been seen to her that she does not share our opinion, yet she has always tried to clarify everything. Subsequently, without unnecessary emotionally tuned speech, she delivered the revers, which we signed together.

 

Lenka Cimler and the lactation advisor

Lenka is a head nurse, midwife and lactation consultant in one person. The last of these roles helped us a lot, because my wife had a big problem with breastfeeding from the beginning. Thanks to Lenka and her colleagues, we were able to solve the problem.

We are happy to rent an electric suction cup that helped my wife to wake up milk for our baby.

There are reportedly a total of 7 lactation consultants in the department. We met at least 3 (including Lenka). True, what a person's opinion. Each of them advised us with something and added a useful shard to the mosaic. I recommend not taking anyone literally and taking a healthy middle: Breastfeeding so long and as often as a baby wants.

We like Ivana Königsmark's approach: As soon as your baby wakes up, put your knuckles in his chest.

It is good to have an explanation for the proper hold of babies in the breast, how to do it well. It is also useful to know more than one breastfeeding position.

These little children have only four basic requirements: love, food, sleep and overpack.

 

Baby friendly hospital

The maternity hospital strives for the status of "Baby friendly hospital", ie a hospital friendly to children[4].

It is definitely nice to know that they are against the use of pacifiers and breastfeeding from a bottle. What is no longer pleasant is the fact that even though you have birth plan, so the staff will let you know: "We know you have a birth plan, we will try to follow it, but we will still offer you our solution.". So the birth plan will not save you from confronting things that you plan according to the birth plan you do not want to. They will not give you it automatically, they will be offered to you by similar vendors. In their offers, they are sometimes very insipid when they get up. It often requires a strong dose of assertiveness and a strong expression of disagreement.

Unfortunately, sometimes a simple NO-consent is not enough for them. In this case, ask the staff to record your decision in the medical report and have you sign the reverse. He can also be signed by the partner as a person close to the partner, who is needed in the middle of the contraction.

Your "NO" is Absolute! If you do not agree with something, they have no right to act against your will, except in the case of a demonstrable threat to the life of the mother or the newborn child.

There will be situations where you will try to "kick" you. They will defend yourself by choosing their maternity ward, so you have to respect their rules. They will also try to declare that they have had to take the Hippocrates oath, and that they can not allow a child or a woman to have anything to do.

The reality is that they are service providers (a private limited company) and you are in the role of a customer of the service. It's up to you what you approach. The only exception is the already mentioned state of acute threat to life, when the law requires them to act against your will. No internal regulation obliges you to agree to something that is contrary to your beliefs. This also applies if you have signed an agreement to comply with internal regulations when entering the maternity hospital. You can change your decision - reject the procedure in reverse.

 

They have to scare you

If you do not agree to an examination or medical procedure, they are obliged to inform you of the consequences of your decision. They also have a duty to explain clearly to you what they really want to do.

The practice is to scare you to death, because the word "death" is heard several times. Many doctors proceed with this act without a hint of empathy and tact. It always felt like: We could not convince you, so we have to scare you. In a situation where a woman is giving birth or a child is just a few hours in the world, it is quite an inappropriate way of communication.

In terms of clarifying concepts and facts: Mostly other Latin terms explain the original concepts. In the final you do not know much more than before. Nevertheless, insist that they speak Czech to explain the situation so long as you can not be sure that you fully understand the nature of the problem.

We got out of them that our baby was badly filmed in the birth canal on the third try.

 

Agreement on father's participation in childbirth

I recommend that you pick up this document in the maternity hospital in advance and read it carefully. It is in a way a form of contract between a person close (father) giving birth to a woman and a maternity hospital.

As with any contract, both parties must agree on its validity. It is therefore up to you whether you agree to the terms of the contract or whether you come up with your own version.

Personally, I chose the second option - I prepared my own version[5] agreement. In particular, I have removed from the document the provision that I agree to pay the amount of CZK 300 for the necessary expenses associated with participation in the birth. This request is illegal, unless you sign it in the agreement.

Act No. 372 / 2011, §28, paragraph (3), letter (e) clearly gives the right to a patient (in this case, a parent woman) to have a close person or a person designated by a patient[6] without any additional fees.

In Mělník maternity hospital, they even admit two people. If they refuse to accede to this version of the agreement, then simply do not sign it. You are protected by law and it has a higher weight than their internal regulations. The only thing that can change is your written consent.

Despite the fact that this fee was not in the agreement and the agreement was signed by both parties, they tried to smuggle the fee to me in the final statement. I objected that I did not agree with anything like that. They objected that I had signed it for them, and said no. They argued that they had internal regulations. I replied that this was illegal and I do not intend to pay it to have the bills redesigned.

I asked what the fee was for. I was told to wear and wash clothes. I objected that it would not seem realistic to me that disposable clothes cost CZK 300 and they will definitely not wash them, because they are made of paper. I was interested in a closer breakdown of items. I received the answer: "… and other costs associated with your stay.". When asked, "What other?", The nurse just gasped, while the other said, the doctor will overwrite it.

 

Billing

Because we lived in the above-standard room, it was necessary to charge the services provided. I asked for the billing to be made on the invoice, without the aforementioned 300 CZK fee.

 

The document (in three copies) is written as Tax document invoice). After reading it, I was very angry, because the so-called invoice contained, in addition to the bill, additional contractual provisions, which I saw for the first time in my life. Behind these provisions was a box for signature and date. In other words, a rather obscene contract emerged from the tax document.

 

Formal and legal shortcomings of document: "TAX DOCUMENT (invoice)"

Due date was set to less than 7 days. It is a good habit to give at least 10 days, at most 30 days.

Additional contractual provisions in the so-called invoice were as follows:

1. By accepting this invoice, the patient confirms that the information provided in it is correct, free from error.
2. The participants agreed that in the event of the patient's delay in paying his obligation, the supplier is entitled to demand a contractual penalty of 10% of the amount due for each day of delay.
3. In the event of the patient's delay in fulfilling his obligation, the patient gives in accordance with the provisions of §55, paragraph 2, letter d) of Act No. 20/1966 Coll. - on the care and health of the people, as amended, consent to the extent necessary for the data on their person and provided health care to be communicated to a third party for the purpose of exercising the supplier's right to payment of the regulatory fee and related other claims.
4. Furthermore, in the event of a delay in fulfilling his obligation, the patient agrees in accordance with the provisions of §55, paragraph 2, letter d) of Act No. 20/1966 Coll. - on the care and health of the people, as amended, with the assignment of the supplier's claim to a third party.

 

The provision in point 1 is without reservation. The invoice contains an agreed statement of items. But provision 2 is wrong. De facto, they want about 1000 CZK / day for you if your payment is delayed. This is immoral and illegal. It is necessary to realize that the invoice is paid only on the day the money is credited to the recipient's account. So it doesn't have to be your fault either. Terms 3 and 4 state that you agree to your personal information being passed on to someone who is involved in debt collection.

I have withheld all three versions of the document and crossed out the signatures on them, stating that we will not give them this, as we do not agree with the additional provisions mentioned above. We are willing to take over an invoice that will be real and only an invoice, ie without that contractual note. We were told that only the doctor, who is somewhere in the delivery room, can change the invoice. So I replied that let them remake and solve with whomever they wanted, but I would not take this from them.

After about 15 minutes, a lawyer representing the hospital arrived. I explained the situation to him and showed the invoice / contract. After reading the document, he apologized to me for seeing this for the first time, did not approve of something like that, and I definitely should not sign something like that. We broke up by sending me a clean invoice by post without all the 30-day notes.

As a curiosity, I was told by a lawyer that Act No. 20 / 1966 no longer exists, ie it does not apply.

It should be added that the so-called invoice was brought by my sister to my wife with the words: "you have to sign it". My wife objected that I should see it (I was in the next room at the time). The nurse refused, saying that my wife had to sign it now. In a situation where my wife underwent a difficult operation, I consider the conduct to be a disgusting hyenism and an attempt to abuse the situation. (It's as if the drunk / dazed man had a bill signed.)

 

Personal experience

A woman during childbirth (from the first contraction) is not really able to make rational decisions. All the logical actions cancel her and distract her from the most important - childbirth.

I am of the opinion that a woman should have 24 hours by her side. continuously accompanied (partner, doula, private midwife), who will be on her side in all circumstances and will protect her from external influences. The partner is ideal as a close person. He has the right to represent the woman when signing various documents. This is especially useful in situations where my partner has contractions and doctors stubbornly cling to the fact that now she must sign the lady here.

It should be borne in mind that the doctors in the maternity hospital tend to follow the style of childbirth, as if the baby and the mother were in danger of death at any moment.

 

záver

And how does I feel about the Mělník maternity hospital?

My wife might be telling you a slightly different story. It's alright. She was under the influence of the love hormone (oxytocin), I was under the influence of stress and a kind of combat deployment. My role was to protect her from the crazy ideas of doctors. Her job was to give birth.

It can certainly be said that there are good people in the Mělník maternity hospital. Unfortunately, there are also people who spoil the overall picture, and in situations such as the birth of a child, any unkindness is a painful blow to the back.

If we are to give birth once more in the future, then in Mělník only if I sign a general reverse in advance of what I do not want in any case. I also wish there was only one midwife with us at all times and no one else disturbed us.