Keeping a midwife pregnant at the NFZ

Any woman whose pregnancy is physiological has the right to be guided by a midwife at the NFZ. The midwife, in accordance with the regulations of the Minister of Health, has the competence and knowledge to lead the pregnancy on her own.

Why choose a midwife?

  • A midwife’s physiological pregnancy gives the woman the certainty of professional and friendly care.
  • The midwife will also ensure continuity of care as she accompanies her mother both during the pregnancy and takes care of her and the baby during the first weeks after the birth.

In our facility, the midwife leading the pregnancy is Jolanta Petersen, MA.

Standard midwife’s visit

  • During the first meeting: putting on a pregnancy card, recognizing the needs of the pregnant woman, ordering laboratory tests according to the Standard of Perinatal Care.
  • Subsequent meetings: supplementation and analysis of laboratory tests, control of pressure, weight, vaginal pH, fetal movements, auscultation of the fetus’s heart rate, external examination, discussion of emerging ailments and natural ways of alleviating them, discussion of the correct diet, supplementation and physical activity, advice on alleviating anxiety and anxiety related to pregnancy/childbirth.

With the midwife at the end of the pregnancy, the birth plan is completed together and KTG tests are performed.

The midwife is obliged to refer a woman to a gynaecologist three times during pregnancy for ultrasound prenatal tests and always in case of abnormalities.

In our clinic, ultrasound examinations are performed by Dr Tomasz Michalik – an outstanding specialist in carrying out ultrasounds of the first, second and third trimester as well as high risk pregnancies.

Visits to the midwife usually take place once a month, at the end of pregnancy more often every 2 weeks.

What else falls within the competence of a midwife?

PREVENTIONAL CARE – the midwife can provide information on how to prepare the pregnancy properly, what tests to perform, what to look out for in terms of diet, supplementation and physical activity.

Pregnancy care – the midwife conducts, among others, free educational meetings for pregnant women.

CONSUMPTION OF AIR CONDITION – the midwife can carry out and accept a physiological birth on her own, both in hospital and at home.

PATHERSONAL VISITS – a postpartum midwife can take professional care of a woman in childbirth and her newborn baby. The midwife should visit the mother and child in their home at least 4 times. You can count on the midwife’s support until the baby is two months old.

SUPPORT FOR FIRST-feeding – the midwife also has the knowledge and competence to support the woman in breastfeeding, help solve problems, give lactation advice and promote natural feeding.

And also:

  • Post-gynaecological or oncological-gynaecological surgery care
  • SUPPORT during the menopause
  • EDUCATION at every stage of life in the field of pro-healthy lifestyle, prevention of HIV infection and sexually transmitted diseases, cancer, obstetric pathologies.

Pre-natal education programme
led by midwife Jolante Petersen, MA.

  • The course of pregnancy and development of the child from the beginning of pregnancy to delivery, lifestyle during pregnancy – diet, professional activity, physical activity, ailments of the pregnancy period and ways of coping with them, prevention of infectious diseases in the perinatal period, psychological and emotional problems of a woman and her family during pregnancy, delivery and postpartum.
  • Factors that herald childbirth, or how to choose the right moment to come to the hospital? How to pack a bag for delivery? Where to give birth? – discussion of hospitals in Wrocław and its surroundings.
  • Physiology of childbirth, active childbirth, family childbirth; positions used in the first and second period of childbirth (vertical positions) and equipment helpful during childbirth; relieving labour pain (non-pharmacological and pharmacological); Is breathing important in childbirth? How to calm down during childbirth and focus on working with the body? What is a delivery cocktail and intervention cascade?
  • Individual preparation of the Birth Plan, discussion of preferences and expectations of the parturient.
  • Caesarean section – benefits and risks for mother and child, how to ensure quick contact with the baby after surgery, what is “baby seeding”?
  • Midwifery – the course, symptoms, return of fertility after birth, psychological aspects of the postpartum; Why are the pelvic floor muscles so important and why do we have to work with them? Who is a urogynological physiotherapist and why is it worth visiting him already 3-4 weeks after the birth?
  • Care of the newborn baby and then of the infant – how to take care of the umbilical cord stump, what to do with the abscessing eye? Baby care: instruction in proper wearing, changing, dressing, massage and first aid show. How to properly complete a layette for your baby?
  • Breastfeeding and lactation support, including troubleshooting; lactation hemorrhage, warts, food stasis, and breast inflammation. When is it worth contacting a lactation counsellor? Translated with (free version)