Dr. Anat Rabinowitz Lavie, director of the delivery rooms at Lis Hospital for Maternity and Women, on everything women need to know before giving birth (Walla system)
In most episodes of the podcast "Expert Clinic" we talk about diseases and treatments, but this week we have a conversation about a much less scary and much more joyful subject - childbirth.
We invited Dr. Anat Rabinovitz-Lavia, director of the delivery rooms at Lis Hospital for Maternity and Women, to the studio to hear how this operation goes behind the scenes. Throughout the conversation,
Dr. Rabinovitz-Lavia described what was happening in the delivery rooms with a big smile, and said that she Also in the hospital corridors.
"The day I don't smile and my eyes don't shine, I'll know something is wrong," she said, "It's exciting every time, a little different of course, but always exciting. To be present in these moments when a new family is born - I think I have the best job in the world." .
When should you go to the maternity ward?
Dr. Rabinowitz-Lavi explained in which cases it is important to go to the maternity emergency room. "There are several reasons to go to the emergency room: A pregnant woman should contact you in case of regular contractions, water loss or any bleeding.
If the woman feels less the movements of the fetus in the womb, or if the attending physician referred for any reason," she explained, adding that "I tell every pregnant woman that if she feels disturbed for any reason, to come to us, we are in the emergency room 24/7.
If it is before week 20, to the women's screening, and after week 20 to the obstetric screening.
We are always there, there are always doctors there."
Dr. Rabinowitz-Lavi clarified that it is important to be aware of water loss. "10 percent of births on time, after week 37, begin with water loss," she said, "Immediately with the water breaking, you should take the bag and come to be checked, because after the water breaks there are some complications Obstetrics that can happen, from placental abruption to an infection that can go from the vagina to the uterus.
Therefore, every time a woman thinks she has some kind of drip and is not sure, or she is sure and has no doubts - immediately come to us, we will check and decide what to do next."
What happens when you get to the delivery room?
"Upon arrival at the emergency room, a midwife checks indicators and connects to a monitor so that we can see the health of the fetus and the number of contractions," explained Dr. Rabinowitz-Lavie, "then we go to the doctor who does an ultrasound and a physical examination.
If there is labor, he checks how much opening there is, and if the woman in labor is fit to go up to the delivery room or if she is still in the latent stage." If a woman comes to the hospital in advanced labor, she will sometimes go straight to the delivery room.
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In the delivery room, a midwife is waiting, who will connect her to the monitor and, if necessary, make sure she feels pain.
And from this stage the birth is divided into 3 parts.
Dr. Rabinowitz-Lavie explained that "the first stage is divided into the latent stage, the initial stage from which irregular contractions began and the cervix undergoes preparation for birth, it softens and opens a little, up to an opening of 4-5 centimeters.
During this phase, the woman in labor goes up to the delivery room, and upon reaching 5-6 cm and water receding, the active phase begins, which ends with a full dilation, an opening of 10. Receiving an epidural will usually be during the active phase of labor, because this is the phase where the most rapid changes are made in the rate of opening and effacement of the cervix and the descent of the head into the birth canal. The second stage begins with an opening of 10 cm until the baby comes out, and it can last up to two or three hours.
And the third stage is the placental exit stage."
She added that women who report a lot of hours in the delivery room are "mostly women who entered the latent phase of labor, which is longer, and wanted an epidural, and then the progress of labor was slow. Usually if women arrive in the active phase - things move faster. Of course it matters Whether it's a first birth or not, the progress of a repeat birth is much faster. The body already remembers."
From the second birth, things happen a little faster.
A woman and her baby in a delivery room (Photo: ShutterStock)
It is important to note that the delivery rooms also have 3 operating rooms for cesarean sections, and if necessary, emergency operations are performed.
It should be noted that when it comes to elective surgeries, today we try to simulate the process as much as possible to a normal birth - from a transparent drape that allows the woman to feel smooth, to the possibility of a full birth that was not possible in the past for cesarean births.
The hospital also has natural birth rooms, which simulate as much as possible a home birth with less intervention.
Dr. Rabinowitz Lavia said that she is "against home births.
I think giving birth at home is a huge risk taking.
Birth can become complicated from 0 to 100 in seconds, both unexpectedly and in women whose pregnancies are low risk.
It's an unthinkable risk, certainly today there are natural birthing rooms that allow for a very good experience."