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Posts Tagged ‘Meir Hospital’

The following is a comparative list of the natural birth facilities at hospitals in Israel. It’s far from comprehensive, but gives an exact rundown of basic amenities and availability of natural birthing suites and costs! It was published in Ha Aretz newspaper this weekend 8/10/10 – I thought an English version might be helpful to someone out there. (p.s. I’d love it if WordPress would have an option to create an easily readable grid, but until I figure that out, this will have to do, bear with me!)

Ziv Hospital, Tsfat. Number of beds: 7. Private midwife: no. Private doula: yes.Private doctor: no. Cost: agreed privately between doula and client. Special pain relief options: Jacuzzi in the natural birthing suite, massage, reflexology, aromatherapy etc. Anesthesiologist on call for delivery suite: no. Number of private rooms: 4, free, subject to availability. *

Ha Emek Hospital, Afula. Number of beds: 7. Private midwife: no. Private doula: yes. Private doctor: no. Cost: agreed privately between doula and client. Special pain relief: shiatsu and massage by a certified midwife. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 4, free.

Rambam Hospital, Haifa. Number of beds: 9. Private midwife: no. Private doula: yes. Private doctor: no. Cost: agreed privately between doula and client. Special pain relief options: Jacuzzi in the natural birthing suite, oil for massage, birth ball, no extra cost. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 4, free subject to availability.

Carmel Hospital, Haifa. Number of beds: 8. Private midwife: no. Private doula: yes. Private doctor, no. Cost: agreed privately between doula and client. Special pain relief options: Massage and Reiki by a trained midwife, free. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 4, free.

Halel Yafet Hosptial, Hadera. Number of beds: 8. Private midwife: no. Private doula: yes. Private doctor: no.Cost: Either private hire agreement between doula and client, or through the “B’reshit” program: 900 NIS per birth, or birth plus 3 treatments 1,500 NIS. Special pain relief options: Birth ball, aromatherapy massage and reflexology by a certified midwife. Anesthesiologist on call for delivery suite: yes, during the day only. Number of private rooms: none.

Laniado Hospital, Netanya. Number of beds: 10. Private midwife: yes, from the list of Laniado midwives. Private doula, yes. Private doctor, yes. Cost: Private midwife- 3,400 NIS, For one on one midwifery care in the natural birthing suite – 1,050 NIS, Private doctor – $300 to Laniado hospital and the remainder payable to the private doctor’s agreement, Doula – agreed privately. Special pain relief options: water therapy in the natural birthing center, birthing balls and other props for aiding active birth. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 6, at the cost of 450 NIS. Shvil Ha Leida website (There is no English website option, but you can use google translate, and they do often provide English translation on a hospital tour if requested.)

Meir Hosptial, Kefar Saba. Number of beds: 9. Private midwife, no. Private doula: yes. Private doctor: no. Cost: agreed privately between doula and client. Special pain relief options: Jacuzzi in the natural birthing rooms, most of the certified midwives are trained to provide alternative therapies such as shiatsu, massage etc for free, as well as availability of TENS machines for pain relief. Anesthesiologist on call for delivery suite: yes. Number of private rooms: none. Virtual tour of natural birthing room found here; there is also information on birthing classes in the Meir For You page.

Liss Hospital (also known as Sourasky or Ichilov), Tel Aviv. Number of beds: 16. Private midwife, no. Private doula, yes. Private doctor, no. Cost: agreed privately between doula and client. Special pain relief options: A variety, from water therapy and massage with oils, to use of  a Dutch chair and ball pit, free. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 12, free. **

Sheba Hosptial, Tel Hashomer, Tel Aviv. Number of beds: 12. Private midwife: yes. Private doula: yes. Private doctor: no. Cost: midwife- 3,300/4,300 NIS, Hospital doula – 2,300 NIS, Private doula – agreed privately. Special pain relief options: Jacuzzi (in some of the rooms), acupressure, free. Anesthesiologist on call for delivery suite: yes. Number of private rooms: None. **

Ma’ayanei Yeshua Hospital, Bnei Barak. Number of beds: 11. Private midwife: yes. Private doula: yes. Private doctor: yes. Cost: Private doctor – 8,000-9,200 NIS, Private anesthesiologist – 1,200 NIS, Private midwife – 2,900 NIS, doula – agreed privately. Special pain relief options: Massage with essential oils, birthing ball, volunteer support from the hospital’s Tamar project. Anesthesiologist on call for delivery suite: yes. Private rooms: 2, $80 per night.

Rabin Hospital (also known as Bellingson), Petach Tikva. Number of beds: 11. Private midwife: no. Private doula: yes. Private doctor: no. Cost: agreed individually between doula and client. Special pain relif options: Shiatsu, Reiki, essential oils, free depending on how busy the delivery suite is. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 8, free.

Wolfson Hospital, Holon. Number of beds: 9. Private midwife: no. Private doula: yes. Private doctor: no. Cost: agreed individually between doula and client. Special pain relief options: Massage, Shiatsu, reflexology – free. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 6, free.

Asaf Ha Rofe Hospital, Tzrifin, near Rishon Le Tsion. Number of beds: 11. Private midwife: yes. Private doula: yes. Private doctor: no. Cost: Private midwife – 3,300 NIS, Birth assistant – 2,300 NIS, Therapy given by an alternative medicine specialist – 2,300 NIS. Special pain relief options: Jacuzzi, water, warm compresses, birth ball etc. Alternative therapies in the birthing room by specially trained hospital staff. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 4, free.

Hadassa Har Hatsofim, Jerusalem. Number of beds: 7. Private midwife: no. Private doula: yes. Private doctor: yes. Cost: Private doctor – 8,500 NIS-21,500 NIS, Private doula – agreed individually between doula and client. Anesthesiologist on call for birthing suite – no. Number of private rooms: none.

Hadassa Ein Kerem, Jerusalem. number of beds: 9. Private midwife: only in the natural birthing suite. Private doula – yes. Private doctor: yes. Cost: Private midwife – 3,500 NIS, Private doctor – 8,477-12,750 NIS. Special pain relief options: Jacuzzi in both natural birthing rooms, essential oils, wireless waterproof monitoring equipment, massage, guided meditation, TENS machine, birth ball and gas and air (nitrus oxide), free. Anesthesiologist on call for delivery suite: yes, until 11 pm. Number of private rooms: 2, free. **

Shaarei Tsedek, Jerusalem. Number of beds: 13 (+10 in triage). Private midwife: no. Private doula, yes. Private doctor: yes. Cost: Private doctor – 7,000-14,000 NIS, Private doula – agreed individually between doula and client. Special pain relief options: Showers, massage, free. Anesthesiologist on call for delivery suite: Yes. Number of private rooms: none.

Bikur Holim, Jerusalem. Number of beds: 6. Private midwife: no. Private doula, yes. Private doctor: yes. Cost: Private doula – agreed individually between doula and client, Private doctor 9,522-14,173 NIS, Epidural daytime – 2,500 NIS, Epidural nighttime – 3,500 NIS. Special pain relief options: none. Anesthesiologist on call for delivery suite: no. Number of private rooms: none.

Kaplan Hospital, Rehovot. Numberof beds: 9. Private midwife: no. Private doula: no. Private doctor: no. Special pain relief options: Alternative active birth practices that were developed at Kaplan hospital, free of charge. Anesthesiologist on call for delivery suite: yes. Number of private rooms: 8, free.

Souraka Hospital, Beer Sheva. Number of beds: 10. Private midwife: no. Private doula, yes. Private doctor: no. Cost: agreed individually between doula and client. Special pain relief options: Shiatsu, reflexology, guided meditation, offered by midwives for free. Anesthesiologist on call for delivery suite: yes. Private rooms: yes.

Yoseftal Hospital, Eilat. Number of beds: 2. Private midwife, no. Private doula: yes. Private doctor: no. Cost: agreed individually between doula and client. Special pain relief options: Water birth –  free, must be scheduled ahead of time. Anesthesiologist on call for delivery suite: yes. Private rooms: none.

Special notes: At Sheba (Tel Ha Shomer) Hospital there are two kinds of private midwife – the more expensive cost is for the natural birthing suite, and the lower cost is for a private midwife in the regular birthing rooms.  At Bikur Holim Hospital the cost is according to the type of birth – the least expensive is for a normal daytime birth, the more expensive is for a nighttime cesearean section. At Shaarei Tsedek the cost differs according to the time of day of the birth, the type of birth and the doctor’s standing. At Hadassa Ein Kerem the cost for doctor’s services is according to the type of birth.

*I’m assuming this refers to the postnatal ward. **These hospitals have a post-birth mother/baby/father Maternity Hotel option. Price not listed in this article.

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Babies are often in breech position until 36 weeks, and even later for second or subsequent births, when they suddenly feel the call of the wild and turn head down on their own.  Many mothers have been panicked by ominous warnings from physicians about cesareans and exterior turning, only to discover on the day that the child has turned and the threatened procedures caused angst for naught. However, there are some things you can do to encourage a reticent baby to turn on his/her own!

AT HOME

At 35 weeks you can use the breech tilt position, as follows:

  1. Three times a day, when your stomach is not full and baby is awake and active, lie on the floor on your back with knees bent and feet flat. Raise your hips some inches off the floor and slide some cushions beneath to hold your body in a tilted position. You will be lying with your head and shoulders on the floor and hips and knees raised. Remain there 10 minutes. The aim of this position is to help a partially engaged baby to become unengaged from the pelvis and free to move. However, if you feel faint or uncomfortable, stop the exercise at once.
  2. As you consciously relax tension in your abdomen, visualize your baby’s head pressing “down” against the top of your uterus, and watch in your imagination the baby trying to get his head “up” again.

MUSIC: If you have high blood pressure or cannot tolerate the breech tilt position, avoid it and concentrate on using music for the same purpose. Place stereo headphones low on your tummy and play rhythmic music moderately loud. Some people believe babies particularly like baroque music. The baby may try to move his head closer so he can hear the music better. The music can also be used in the breech tilt position.

WATER: Go for a gentle swim (no backstroke- it strains the stomach muscles.) If you are uncomfortable going to swim at a public pool, try a bath or shower. Babies seem to like the sound of water and the feeling of weightlessness that they experience when we are taking a bath. Get into the bath or shower when the baby is a wake and especially active, and concentrate on lengthening your torso, imagining more room in your abdomen. Speak soothing, encouraging words and talk to him, encouraging him to turn. I know that he doesn’t really understand speech yet, but the tones of voice are understood and your positive hormones cross the placenta and he feeds on your feelings as well.

Obviously, whenever you feel the baby being active try to adopt an open position that encourages him to have the space to turn over. Check out the Optimal Fetal Positioning post for postures that encourage movement.


EXTERIOR TURNING

When the doctor attempts to turn your baby, he or she will put you in the above breech tilt position for 20 minutes, all the time monitoring your blood pressure, in order to un-engage the baby from your pelvis.  Afterwards, they will do an ultrasound to make absolutely certain that the baby is actually breech, and that they are not making a mistake. Then your tummy is slathered with lubricant, and gently but firmly the doctor will stroke your belly in circular movements until the head is downwards and the bottom up. If you are scheduled for an exterior turning of the baby, don’t be scared by stories of how much it hurts. There are a few good tricks that help the experience to be easier and more successful:

  • Don’t eat too much or drink anything acidic (like orange juice) beforehand to avoid uncomfortable heartburn. Do have a light breakfast.
  • Bring someone along with you who will make you laugh! Chat and joke the entire time. If you are laughing, you are not tensing your stomach muscles and holding them in, which will work against the doctor’s attempts and cause pain to your sensitive uterus. The massaging movements of your laughing will jiggle the baby and endorphins may help him feel positive and more willing to be manipulated too.
  • Take 4 drops of Bach’s Rescue Remedy beforehand, available at all pharmacies in Israel.  I even spotted them on the counter top by the till at Superdrug recently.  This mild distillation of flower extracts is safe to use in pregnancy and does not have any known adverse side effects.  It will help you feel calmer.

*Note: Meir Hospital in Kfar Saba in particular has quite a high record of successes with exterior turning (hipuch) of babies.

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