take it personally you work with little. to make the game so special. for all true for. more than football online. welcome to in good shape on t.w. here's your host dr constantly. from the moment of fertilization until the big day today we're going to look at the 9 months that lead to the birth of you own child today in good shape it's all about pregnancy and therefore i'm going to meet dr the team. who's the chief gynecologist here if that even if i come from

a house in britain. welcome to. the. pregnancy is a wonderful time in a woman's life it's not a disease but if there are complications today we can help. or was it when you realized that you're pregnant. with that very happy accident yeah he. just happy and cannot wait he says if. you operate me and wonderful news from many couples and with the help of ultrasound doctors can follow the fetal development closely but there might be diagnosis and certain. mission's

been detected. and then the couple has to decide what is the next step. now is an active and clever 4 year old. but it didn't look like things would turn out that way. when his mother sorry i was 6 months pregnant with him test showed that the membrane between the left and right half of know his brain was missing that can be a sign of a genetic disorder such as tresor me 13 or 18 doctor explained what that might mean when the kindle event we were helped of and we were told that when those babies survive to a birth they usually just live a few days that's what they sent us away with so at that point we believed he wouldn't survive the tour. and if he did he might be completely disabled. and again. being told that we would lose our child and at such a late stage in the pregnancy felt like the world was caving am. an amniocentesis

soon proved that the baby did not have a tristen a disorder but there was still the question of the missing membrane the doctors warned that the baby might be born blind or disabled suddenly sorrow and mark were being asked if they wanted to terminate the pregnancy. so immediately as having been we never considered it and certainly not for a disability if we thought he'd be in pain or would have been suffering the maybe i'd have thought about it a little more had lived and. now as father mark has now quit his job as a laboratory assistant and he's studying to become a pediatrician. it is going to start soon and as we went through the various stages with the doctors they didn't really deal with us as human beings and they didn't seem very understanding and we said we didn't want all of that that's why i thought medicine might need someone who's more focused on the patient someone with

real empathy who will approach things on the human level of management it's again when no one finally arrived it became clear it was a healthy child. so catarina has gone to the delivery room and we've got some time to talk and what do you think are doctors empathetic enough in such situations i hope so that they are. sometimes it may be that's not. usually we know about the special situation of the couple and we try to help them in this situation we just saw in the report that the couple decided to have the child despite of the poor diagnosis but i guess there's a lot of pressure going on for abortion so so what's your opinion of how much pressure is there on the strength of prenatal diagnosis i think not support or not i did not also make this pressure it's a change in the social values in our society everybody wants to have a perfect product and i think the present idea of not sick is

a result of this development and it's not the reason for this development if there is some pressure on you as an o.b. g.y.n. in performing the fetal prenatal diagnosis i by myself don't feel this pressure i see it's my duty to have lied and why this couple what we couldn't do today what possibilities of diagnosis exist and very important to do that before. this is done and to think about the consequences before you have to understand yourself and why are women encouraged to have those tests is just or because of older age of the pregnant woman sometimes it's because of old age because the. increasing. means increasing risk of kinetic monkeys. more and more the younger women do. for. most of all they want to have. a perfect baby it's

a good vision it's ok but they don't accept. anything else and how accurate those tests the tests can only show you the probability of getting a baby. if there is. a question what will the baby is healthy or not it's necessary to do invasive tests like moves and to use this. to prove that how fetus develops depends largely on what it is period says in the group take alcohol for instance especially if it's consumed in large amounts by the mother could be dangerous to the child in germany up to 5000 babies born and nearly damaged by alcohol and that can take a long time to diagnose. enough is a very special connection with animals. which is playing with

a friend's dog she blossoms. but with people she has problems she often rubs them the wrong way. i guess i'm a bit more aggressive than other people. i feel bad about it and it hurts even though i want to be friendly it doesn't always work. i'm all. cut a female has fetal alcohol spectrum disorder her mother drank during her pregnancy catalinas condition isn't immediately apparent for a long time her foster mother susanna had no idea what was wrong she worried and doubted her parenting skills and often felt guilty. and it was so hard to understand. why doesn't she understand something she's already learned why is she forgotten something again why can't she grasp a situation in many respects she seems very intelligent and empathetic in others it

just doesn't work. that we know lived with susanna her husband and their biological daughter from the age of 3 months she was very active from the start and made a lot of demands on her foster parents. which comes out i'm not quite so whenever we had to cross the road she would just refuse and throw herself on the ground i'd have to pick her up and carry her but she's also very affectionate you might have. things got harder at school catalina couldn't concentrate and was always trying to be the center of attention. she would talk a lot. and then she'd start interrupting people during conversations. she'd interrupt get even louder and maybe start banging around and. even turning someone's face toward her when they wouldn't listen things like that. yeah doesn't

. mean i kept making the same mistakes. she either didn't understand rules or forgot them just like her times tables her teachers didn't believe she was trying to learn them they thought she was stubborn and lazy. subsidy ma'am i told the teacher many times that some days i'd remember them but on others not. and he said fine. and. the next day he'd forgotten how it is yes it was really dumb of him to pick on me. unfasten my what if he do that seems like he was picking on you. and those are the one who said you can do it even though i told him so many times i couldn't even though i was trying. but he kept going on at me. and then i'd lose my temper.

much of you know was frustrated and her teachers were too even though they were all giving their best cut of you know ended up changing schools several times then when catalina was 13 susanna read an article about fetal alcohol syndrome and realized that the description was a match. she was sent to a clinic for tests which showed that she had brain damage due to prenatal exposure to alcohol and just 5 i was shocked that she has a disability and it's permanent no matter how many fantastic therapies i can find or how brilliant a parent i am. certain things won't change. the hearts and that's one more time with us exact opposite when my mother told me i have fetal alcohol syndrome i gradually become to understand why i'm so gross of. and so different

from the of. the diagnosis helped catch her we know wasn't to blame nor was her family going to colleges like thomas at athens university clinic warned against even the odd glass of wine during pregnancy. 1980 s. and ninety's it was common to hear that it's ok and that a little alcohol will help raise blood pressure again after the baby's born things you can still hear some gun ecologists but women shouldn't drink at all during pregnancy because we just don't know how much if any alcohol is safe. but the experts know that many women drink alcohol when they don't even know they're pregnant. dr cooper says that's no reason to panic. because when it comes to alcohol doing serious damage very early in pregnancy it's an all or nothing affair. the fertilized egg makes it or it doesn't if you're trying for

a baby then it would be better to stop drinking. as soon as you know you're pregnant then you should definitely stop altogether. the fetal alcohol syndrome happens in the womb but the effects are felt for a lifetime today caterina lives in a home for people with developmental disabilities and visitor foster parents on the weekends. susana factor and her husband knew they wouldn't be able to parent or alone in the long term. and like every young person catalina wanted to spread her wings she has plans for the future. there's a few woman i'd like to find my own apartment with someone who maybe comes by once in the morning and in the evening to check the time make a. good. time to also like to find

a job i enjoy doing. i like working with animals that's why i'd like to do something with animals soon with my home. many adults with fetal alcohol syndrome struggle with the challenges of adulthood. my touch of the misfortunate that she has support and her special connection with animals. dr dombrowski what do you think are patients on pregnant women informed enough about the risks if i call and they're even got a clue just to say this occasional glass of wine doesn't hurt i think the couples today very good informed they do it usually they do it by internet. they can find all the information is important. but surely it depends on the social status of the couple so we have still those problems this. happens next to a whole there are a lot of things a pregnant woman can do to harm their child yes it's nicotine that's

a big problem it's abuse of drugs much as a problem and if you are exposed to radiation that's also a very very odd thing but there are a lot of things pregnant women can do right yes they can do they should live their lives before because pregnancy is not a disease so you can do all the things you have done before exercise and be fit healthy. much which means. vegetarians foods all these things if the mother feels good the baby feels good. so this is a hospital but no let's take a look at our birth takes place. in a birthing center. you know what it will be. a girl a girl ok she's in the right position pose it to an expectant mother is being examined by a midwife at the birthing center in berlin here she is the baby moved over into the

pelvis to get into a good starting position who's this will be child number 2 for the mother and tania . asked 105 centimeters. i think. i feel comfortable here and i have a lot of faith in the midwives. most pregnant women don't get to enjoy an experience like. the midwife uses a wooden stethoscope to monitor the child's heartbeat christina shopper has helped to deliver around a 1000 babies in 30 years in the profession spending the 1st 5 in the maternity unit at the hospital. there is a difference to a hospital where there might be 3 or 4 women giving birth. you don't have as much time to attend to them. and sometimes they get a hormone trip to speed the labor up. birthing center the midwife provides care even before the buff they have plenty of time to

get to know the mothers starting with the prenatal classes. or here it sort of like grit your teeth and let's get this done. if things get bad there is no option here for an anaesthetic or morphine based medication. as a midwife i believe that the best pain killer is a caring and attentive midwife. who was time for you praises and encourages you and keeps telling you we'll do this together. a. little polish 3 years old today he's accompanying his mother and his little sister she was also born here the center in a relatively speedy delivery unlike her brother. miami athens or. about 11 and a half hours into things i spent a while in the past and then late but just stalled. somehow failed to find the exit

. most met my brother not imagine what might have happened if i'd been out of hospital as kinds of unnecessary interventions i might have had you can see wouldn't have been necessary. but for midwives questions of liability are a growing burden. midwives can't do their jobs if they're constantly afraid they might get sued. that's no way to work of course you do have to be aware and attentive but you can't constantly be afraid. more than 7000 children have been born in this birthing center but a growing number of women prefer doctors to midwives. their months mob's it when you go to the doctor and you prescribed a ton of vitamins as soon as you're pregnant you get the sense that without them the baby wouldn't grow and be healthy unfixed. and then there's all the examinations during pregnancy it can be really stressful and make women more and

more anxious. we get women here in the birthing center who say this is the 1st time that someone's ever touched their belly. so some of us he meant to harm you 1st had . that natural touch is what i'm tony appreciates that she gets to hear her baby's heartbeat without high end technology. ok great is the world i think it's a good look if you smile. i think this is. the look 5 print. and i think it's because the station has spent as much time as possible with the woman and her baby afterwards and. in this close context you just. want a relationship with a woman and a baby and a father of course. as you depend on each other so what's next. i think

it's to be a part of america every time the baby cries for the 1st time like to see that parents smiling at their baby after giving birth it i think this one for yeah. and i think it's always. good. to see you. see. the heartbeat of an unborn child half an hour before she enters the world but says very inception. if you please the i'll be doing the c section 0 be a screen between us but you'll be able to talk to me. the mother has so opted for the c. section for the birth of her 1st child was a traumatic experience involving complications. once in the operating room she's given an epidural an anaesthetic injection to numb her lower abdomen and legs

during a non emergency c section the mother remains fully conscious. of the growing number of parents ask for a c section even when the surgery is not a medical necessity. many say it's because they want the safest possible. this would. take we see the pregnancy and birth as a special event because one month when people had 6 or 7 children it was something that didn't get much attention but today every birth is a major event a lot of people see a c section as the safer option easier to plan for than a spontaneous to livery. but c. sections have risks too it's major surgery so there can be complications some mothers also wonder up with artesian a kind of internal scar tissue in pounds because labor helps clear the baby's lungs

of fluid the newborn is more likely to have breathing problems. if. you are. not every section is planned often the decision is made when labor is already underway. but there are ways to safely reduce the number of c sections. and there are 3 important areas where we can help reduce the c section rate is 1st of all when there are changes to the fetal heart rate during birth. it's knowing which changes mean an intervention is necessary and which don't can help lower the c section rate. in these the next point is knowing that after a woman has had one c section it doesn't automatically mean all future births will have to be c. sections to. another very frequent reason for c. sections as when a normal labor appears to have stalled there are new studies that provide insights

into labors that fail to progress. so these 3 year ears and those insights can help us lower the c section rate without increasing the risk to mother or child. in 2014 almost 37 percent of the past this hospital by c section 3 years later updated standards help reduce the rate to 29 percent putting the hospital below the average rate for germany. this mother and her new born daughter doing well after the c. section. is how is caterina fairing these baby was delivered by dr dombrowski . just performed a c. section on katrina and how did it go it was fine everything was fine and the baby is fine it's another child ok yes mother tried and the foster. father does very well as a very moderate let's right so what does

a c section for mother and baby i mean it's not the natural way of kids are born no it's not the natural way it's. done no surgery and with all the possible complications of an afternoon surgery but sometimes if you have a medical indication for it then it's a better rate but most of the time it's not the better way so there are medical courses for performing a severe inspection and there are non-medical indications as well we do sometimes see sections on demand. of women of the couple once you have a baby person section if you're in brazil the road at the top of the babies born in the country by a syrian section yes that's true brazil is a country over the highest rate of c. section in the world i think one of the reasons is that the health system has change. now it's necessary to have a presence of

a doctor my wife during the whole verse and that need sometimes 10 hours 20 hours and it's very difficult to play so they do the reverse by c. sections costs or it's faster you can plan it you can do it in the morning and not you know the night so that's one of the reasons but what is your opinion as an overage weigh in about this there are some reasons to do worse the section that's that's clear the better way if possible it may and there might be even some problems with the microbiome of the baby after his section this is what all of you . from brazil to us yes that's why it's important for the baby to be colonized by of the bacteria's of the bad no smear of the mabo. they'd need this to develop its . own system. it needs to be. colonized

by his intestines and all these things are necessary for the baby. is it ok for us to resist the new born child i said so i think so before we go if you've got questions or like me to ask our experts should write to me. on the not coming show we'll be looking at all simers disease the human brain is numb mentally complex organ brain disorders can affect memory language and the entire personality what do we know about the causes of all timers and can it be cured send your questions to shape at d w dot com the keyword is also timers we look forward to hearing from your. side in the future no. c. section anything. because of his behavior. it is very interesting. this. week.

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plague. played . this is d w news a life of from but a blow to indian attempts to put a brave on the thing engineers at mission control have lost communication with their live in atlanta signal from the chadri onto spacecraft disappear as a 1st entity. it's final descent to the surface also coming up more than 70000 people are in need of food and water in the bahamas off of their homes and communities were completely destroyed by harlequin dorrian authorities say the final death toll will be staggering.