Private Deliveries and Caesarian Sections
Private deliveries, attended by your Consultant Obstetrician, are part of our Obstetric Care Plan and can be arranged when requested.
The birth of your baby will be, no doubt, one of the most important moments of your live.
Our goal is to offer all the necessary care and support before, during, and after the delivery, so that the arrival of your baby is a safe as well as emotionally rewarding experience. Dr. Berral has conducted more 3,000 vaginal deliveries and over 1,500 Caesarean sections, both elective and emergency.. Whether you are having a natural delivery or, for any reason, a Caesarean section is to be performed, you will have the support and expertise of your Consultant and his dedicated team from the onset of labour; your baby will be welcomed into the world in the most warming and secure environment. Once your baby is born, private night nursing care and postnatal home visits can be arranged.
Personalised attention throughout labour and delivery.
Women who want to enjoy this personalized attention have the chance to raise any issues of concern during their antenatal controls.
This is the moment to know the views of your Obstetrician on relevant topics such as labour induction, episiotomies, instrumental deliveries, Caesarean sections, or others.
The questions on the types of analgesia available, the hospital, and the services on offer, must also be raised now.
It is advisable to schedule a visit to the hospital where your baby will be delivered to become familiar with the environment and meet other members of the Obstetric team that will take care of you.
This will help you to feel confident and relaxed at the time of the birth of your baby.
We welcome women to express freely their wishes and expectations for the time of delivery.
This allows us to plan ahead for every detail of the care that you will receive during your labour, delivery and postpartum. Our choice, unless contraindicated, is the natural onset and progress of labour. This is one of the reasons why we have managed a Caesarean rate of less than 5% for women in spontaneous labour. As an Obstetric team, we are also particularly sensitive to women requests, especially when it comes to deciding on pain relief, mobility and posture during dilatation and expulsive periods of labour. Gas-on-air is available, among other forms of pain relief.
When you book a private delivery with Dr. Berral and his team, our personnel make all the necessary arrangements for your Hospital stay and are by your side since the moment of your arrival.
You are informed on our availability and provided with contact numbers to get in touch with us as soon as any symptoms that might indicate the onset of labour appear. In the weeks prior to the delivery we offer 24 hour Consultant advice.
Dr. Berral conducts personally the labour and delivery of every pregnant woman requesting this service.
Like this you are attended by an Obstetrician of your confidence without the anxieties and worries of possible breakage of communication or misunderstandings at this delicate time.
Your wishes and privacy are respected, and the highest level of care is provided throughout the whole process.
The mother and her companions are always informed of the progress of the labour and the state of the baby.
We strive to ensure that all your needs, medical, affective and emotional are been looked after.
Dr. Berral and his experienced team work to ensure that you receive all the clinical support that you need.
You can also request private assistance during the nights of your Hospital stay.
This service must be booked in advance. Average hospital stay is 1 to 2 days after a vaginal birth and 2 to 3 days after a Caesarean section.
Emergency Caesarian Sections.
The ultimate goal of a vaginal delivery is to accomplish a vaginal birth with the lowest possible degree of intervention. However, at times, and due to incidences occurred during the progress of labour, it is necessary to perform a Caesarean section.
The unscheduled Caesarean section is known medically as "Emergency Caesarean Section".
We must resort to an emergency Caesarean section when:
- Labour is not progressing adequately, often because the baby's head is not in the right position or is too large in relation to the maternal pelvis (cephalo-pelvic disproportion).
- The maternal pushes and the instrumental support fail to bring the baby through the birth canal.
- A cord prolapse or a placental detachment occurs during labour.
- There are signs of accute fetal distress during labour.
- There is a maternal hemorrhage.
- Any other unforeseen circumstance occur that compromise the safety of the mother or the baby.
In these cases the situation can be critical, and we must act quickly.
Sometimes a few minutes are decisive and leave little time to explain in detail to the mother and her family what's happening.
Every pregnant woman should be aware before her labour that such emergencies may arise/happen, be mentally prepared to assume them, and rely on the team that is conducting her delivery.
It is important to understand that a Caesarean section is a surgical procedure that your Obstetrician can perform/is trained and skilled to perform, and that will be undertaken only when there is not any other choice.
This procedure is done personally by Dr. Berral with the assistance of his team, without any delay whatsoever.
Elective Caesarian Sections.
Sometimes Caesarean sections are not performed during a vaginal delivery but programmed in advance so that the mother, ideally, does not start labour spontaneously.
These are called Elective Caesarean sections.
Elective sections should be decided on the basis of medical criteria, but the fact is that a significant percentage of pregnant women request, for a variety of personal reasons, this procedure.
The Elective Sections are usually performed at around the week 38 of the pregnancy.
In any case most abdominal deliveries are performed when a vaginal delivery is not safe, and for reasons that have to do with pregnancy itself, the health of the mother or the anticipation of problems with the progress of labour or the delivery itself.
Some of these reasons are:
- Abnormal fetal position, breech or transverse.
- Placenta praevia (Placenta positioned 'lower' that the fetal head, blocking the birth canal).
- Multiple pregnancies (twins and triplets in which the baby that is coming out first is in a podalic -breech- position).
- Serious problems with the health of the mother (severe heart disease, unstable or poorly controlled hypertension, a history of stroke, pelvis or spine problems, and others).
- Certain maternal infections, such as active genital herpes infection.
- The existence of uterine surgery (miomectomies, two or more caesareans,?).
A previous Caesarean section, the presence of loops of the umbilical cord, the presence of a cephalo-pelvic disproportion, macrosomic babies (very large baby), or twin pregnancies, do not indicate in principle the need to programme a Caesarean section. But it is true that the incidence of these is higher in these cases.
Both emergency and programmed sections are performed under epidural or spinal anesthesia and you are awake when your baby is born.
The effectiveness of the analgesia and pain killing medicaments used nowadays make in the postoperative period, and the very low ratio of post-operative complications, help women enjoy a really fast recovery.
The mobilization of the patient is usually within 24 hours, and patients are normally discharged from hospital about 72 hours after the birth of their baby.
Caesarean sections are currently very safe procedures with an incredibly low rate of serious complications.
Nonetheless it is important to remember that a C-section is major surgery: it will require postoperative care and usually will lead to a somewhat slower recovery than after a vaginal birth.