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Feb, 17.
2015

Doctor Thomas Bernar performs fetus rotation

Katalin Winzer, Peter Zsapo with their daughter Liliane.

Dr. Bernar

HELIOS Hospital Pforzheim

External obstetric fetus rotation within the womb enables natural delivery – Doctor Thomas Bernar performs fetus rotation within the mother’s womb shortly before delivery and enables independent natural delivery.

Pforzheim, February 9, 2015. Smiling Mrs. Katalin Winzer is holding her newborn daughter Liliane in her arms and happily recalling the wonderful medical service at the Pforzheim HELIOS Clinic. “It is a real miracle that Doctor Thomas Bernar has been able to turn my daughter within my womb despite breech presentation. I felt absolutely safe and was surprised with the rapidity and absence of pain while turning our daughter within the womb. Right at the first attempt”, says the happy mother. Especially the fact that doctors did not perform a caesarean section immediately, without first trying other possibilities, is of special note and made little Liliane’s parents very happy. “It is great that the rotation within my wife’s womb allowed our little daughter to be born naturally. It was really worth it for us”, continues proud father Peter Zsapo happily.

Mrs. Katalin Winzer, diagnosed with breech presentation of the fetus, came to Doctor Thomas Bernar, Head of the Clinic of Gynecology and Obstetrics at the Pforzheim HELIOS Clinic, in the 36th week of her pregnancy. “We inform all women in detail about possible risks in case of breech presentation of the baby. When a fetus is in breech presentation, it is either possible to carry out external obstetric rotation to turn the baby into cephalic presentation, to have a planned caesarean section or to facilitate a natural delivery from breech presentation. After a thorough ultrasound examination we found no contraindications for trying an obstetric rotation”, Doctor Bernar explains the method.

When Mrs. Winzer revisited the Clinic of Gynecology and Obstetrics at the Pforzheim HELIOS Clinic in her 37th week of pregnancy, the Department was prepared to carry out the obstetric rotation. “Our whole team was ready to do the best to take care of Mrs. Winzer and her baby. After all necessary preparations, the baby was successfully turned into cephalic presentation within seconds, using the method of external obstetric rotation”, Doctor Thomas Bernar, Head of the Department, enthusiastically reports about his first external obstetric rotation at the Pforzheim HELIOS Clinic.

Further monitoring during the course of pregnancy was performed by a private gynecologist in Pforzheim until Mrs. Winzer began to feel labor pains in the 39th week of pregnancy and was brought to the maternity ward of the Pforzheim HELIOS Clinic. “The delivery of little Liliane lasted for three hours and had no complications. Despite Mrs. Winzer’s threatening circumstances, with which she came to us, we have made it possible for her to have a natural delivery, which has made us very happy”, adds Doctor Thomas Bernar.

The incidence rate of breech presentations at the expected date of delivery ranges between three and five percent. “Breech presentation can be due to first pregnancy, as well as preterm delivery, twin pregnancy, too much or too little amniotic fluid, cord entanglement, development abnormalities of the fetus or low position of the placenta. Overall, it is tough to determine causes for breech presentation. Both vaginal delivery from breech presentation and a planned caesarean section bear certain risks, so parents should be informed about the possibility of external rotation. The incidence rate of vaginal deliveries with breech presentation and deliveries performed using caesarean section can be lowered by trying external obstetric fetus rotation from a breech presentation into a cephalic one ”, ‒ explains Doctor Bernar.

After the exclusion of contraindications, experienced obstetricians make an attempt of external obstetric rotation. With the help of external careful pressure on the abdominal wall, the baby is turned into cephalic presentation. At the same time, the fetus is monitored via ultrasound examination. Generally, obstetric rotation lasts no more than five minutes. The success rate ranges between 50-60 percent. “We are very happy and we would like to thank the whole team working at the Clinic of Gynecology and Obstetrics with all our heart for their concern and excellent medical service”, ‒ say brand new parents Katalin Winzer and Peter Zsapo concluding.

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