One-to-one care

At the birthing centre, every woman giving birth is entitled to her own midwife. The high-quality, personalised, one-to-one care of the midwife creates the optimal conditions for undisturbed and therefore safe childbirth.

 

Is it important to have your own midwife?

Yes, it is!

Giving birth means opening yourself up and allowing the birth to happen.This opening-up during the birth requires time and a protected setting with no or minimal disturbances so that an atmosphere of trust can develop.

At Geburtshaus Zürcher Oberland, a midwife will be there to assist you at all times during the birth and will be exclusively responsible for you (hence the term one-to-one care).

 

A protected setting as the basis

At Geburtshaus Zürcher Oberland, we guarantee a protected, low-stimulus setting, in part thanks to the one-to-one care we provide.

All mammals including humans react in the same way to disturbances or stress during childbirth. The body activates an automatic protective reaction and stops the birth process, because the mother-to-be cannot defend herself. This healthy and understandable protective reaction enables the mother to look for a new place in which to give birth undisturbed and therefore safely.

You can trust in us to protect your privacy. Nobody will enter the birthing room without prior agreement except your midwife and your loved ones.

Sources:

Less pain relief needed

Women who are cared for, encouraged and empathetically supported by a midwife throughout the birth cope with the pain of childbirth better and need less pain relief. Time and time again, it is confirmed that machine-based monitoring, for instance using a foetal monitor (also known as a cardiotocograph or CTG), is no substitute for one-to-one care.

Options for pain relief

In addition to continuous one-to-one care and professional guidance from midwives, the following options are available at Geburtshaus Zürcher Oberland:

  • Movement and changes of position
  • Warmth, e.g. compresses or in the birthing pool
  • Massages, acupuncture and acupressure
  • Homoeopathy
  • Scents/aromatherapy
  • Music
  • The presence of loved ones
  • Craniosacral therapy
  • Herbal pain relief
  • Conventional pain relief such as Buscopan

Good to know

Undisturbed natural birth leads to a trance state in which pain is felt less intensely. As midwives, we too are regularly surprised to see how little pain relief women who give birth under these circumstances actually need; often, none at all is required. By contrast, warmth and water are all the more important. In 2015, 71% of children born here were delivered in the birthing pool.

 

Further advantages of one-to-one care

  • Continuous one-to-one care reduces the risk of childbirth injuries and operative interventions in the birth (findings from our many years of experience). Serious childbirth injuries are extremely rare at the birthing centre and the caesarean section rate after the birth has commenced in the birthing centre is low.
  • An additional advantage of one-to-one care is that it allows you to build up a relationship of trust with the midwife, enabling her to give you emotional support during psychological crises. The key at such moments is usually the concentration of the mother and the perseverance of an experienced midwife who can expertly assess the situation and the need to act.
  • Women who enjoy continuous one-to-one care are more satisfied with their birth experience overall.

A short digression: privacy versus control

The paradox of obstetrics is the fact that safetyarises precisely when we give up all claim to any (supposed) control…

The American midwife Ina May Gaskin compares hospital birth and the expectation most people associate with it of having the process under control at all times with the idea of having sex in public. A truly paralysing thought for most of us…

At her antenatal courses, Gaskin always offers to pay 100 dollars to anyone who is prepared to pee in a pot in front of the other participants. Sounds like easy money, doesn’t it? To date, however, she has always been able to take the 100 dollars back home with her, as most people are held back by their inhibitions. Which makes it all the more astounding how in many places, women giving birth are expected to open up completely in a totally unprotected setting…

The video “The Performance – Sex Like Birth” satirises the hospital environment with its many disturbances:

Sources:
  • Comparison with sex in public in Ina May’s Guide to Childbirth by Ina May Gaskin.
  • The above video is a campaign by the FreedomForBirth RomeActionGroup