Eye contact and skin contact despite surgery

Eye contact and skin contact despite surgery

Sources used: dpa news agency

A man made a riot in the Wuppertal job center. He is said to have threatened other visitors and was armed with a knife.

A 37-year-old man rioted in the job center in Wuppertal on Thursday and triggered the fire alarm. The building had to be evacuated, as the police announced. 

Previously, the 37-year-old is said to have threatened other visitors or employees with kicks and blows. Why he was so aggressive was initially unclear. The police searched for the man with great strength and secured the building. Finally, he was arrested in his apartment.

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Since the man had meanwhile armed himself with a knife and resisted the arrest, the officers used pepper spray. The 37-year-old suffered minor injuries.

Sources used: dpa news agency

After a woman was killed by a falling concrete slab, six more slabs are to be removed. They should also be attached incorrectly.

After the fatal concrete slab accident on the A3 near Cologne, six more slabs, which are also incorrectly attached, are to be removed on Thursday. Work should start in the morning. Between 9 a.m. and 3 p.m., three lanes in one direction of travel are to be closed, two lanes remain free.

A removed concrete slab is loaded onto the A3: after the fatal accident, noise barriers across the country are examined. (Source: Rolf Vennenbernd / dpa)

The concrete slab fell out of a soundproof wall onto the car of a 66-year-old Cologne woman on Friday and, according to the autopsy, had killed her.

An examination of the neighboring plates revealed that another six had also been illegally moored in 2007.

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According to the Ministry of Transport, the plates, which had turned out to be too large, had been attached with a deliberately improvised construction with a welded screw. The screw on the accident plate snapped.

Sources used: dpa news agency

During a ceremony in Wuppertal, Ernst-Andreas Ziegler was honored as an honorary citizen of the city. Who is behind the “all-rounder” from Wuppertal?

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As the 14th honorary citizen of the city of Wuppertal, Ernst-Andreas Ziegler received his honorary citizenship at a ceremony. As the city announced, Ziegler’s honor had already been unanimously decided by the council in November last year. Now he received the certificate from Mayor Andreas Mucke.

In his speech, Mucke praised the new honorary citizen as a “philanthropist, journalist, author, strategist, lateral thinker with staying power – a long-distance runner, networker, bridge builder, moderator, designer, visionary and all-rounder.”

Who is Ernst-Andreas Ziegler?

Ziegler was initially an editor at a local newspaper in Wuppertal before becoming head of the city’s press and advertising office in 1972, according to the press release. During his tenure, Ziegler was particularly concerned with town twinning – for example with Beer Sheva, Kosice and Schwerin. In addition, as a founding member of the Friends of the New Synagogue, Ziegler campaigned for the construction of a new synagogue in Wuppertal. He was also involved in the implementation of the aid organization “WIN – Wuppertaler in Not”.

But with the help of supporters, he did not realize his most important project until after his retirement: The foundation of the Junior Uni in Wuppertal in 2008. The non-profit educational institution for children and adolescents is known nationwide, last year even Chancellor Angela Merkel paid a visit to the institution.everyday arguments topics

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Honorary citizenship in Wuppertal is just one of many awards. Ziegler was honored with the Federal Cross of Merit, the Order of Merit of the Slovak President and the “Golden Suspension Railway”. 

Sources used: press release from the city of Wuppertal

Sometimes a birth arrest occurs during the expulsion phase, and the reasons for this can be varied. If there is a possible health risk for the child, for example due to insufficient oxygen supply, the delivery team consisting of midwife and doctor must act. The means of choice are often the suction cup or the pliers.

No instruments of torture but aids

Granted, tongs and suction cups are words that sound like instruments of torture. And you can hardly help but immediately think of a baby with a totally deformed head. In fact, these two vaginal surgical methods are important tools for quickly completing a birth process in an emergency. Even if the woman is very exhausted and or cannot do the pressing work alone due to a PDA, the birth can be made easier for mother and child with the help of pliers or a suction cup.

Midwife Roswitha Glimm is certain that “the forceps,” even if the procedure sounds much more brutal, is actually the gentler method for the unborn. ” However, only a doctor may perform the procedure. “The midwife assists and usually also protects the perineum. After the head is completely born using forceps or a suction cup, she takes over the birth again and ends it.” Before a child is delivered in this way, the gynecologist educates the woman about the possible risks. The bladder is emptied using a catheter, an incision is often made, and pain medication is given.

The intervention itself

The suction bell, which is also called vacuum, is a 40, 50 or 60 mm large bell, formerly made of metal, now mostly made of silicone. It is inserted into the vagina and placed on the child’s head in such a way that none of the woman’s tissue is caught. “Electrically, a suction is developed – a negative pressure is created and the bell sucks tightly to the child’s head. If the appropriate pressure is built up, the birth of the child can be accelerated and supported by pulling during the contraction and with the help of the woman pressing.” , says the native Austrian, who has already given birth to around 5000 children.

As for the obstetric forceps, which are also called forces in technical terms, there are different models from which the doctor can choose the right one. The forceps, which have been used since the 18th century, actually consist of two spoons that are inserted one after the other into the woman’s vagina and encircle the child’s head. “These spoons are placed individually, on the right and left of the unborn child, after which they are closed outside the vagina, the head is then firmly enclosed by the forceps. It is checked once again that it is correctly placed and then it is like the bell proceed. “

A built-in blockage prevents injuries

Ultimately, the forceps grip the unborn child’s head like two hands. “I could imagine that before there were forceps and vacuum, midwives also used their hands to support the birth in emergencies. The forceps and the suction cup, however, are far more gentle than if I were to penetrate the birth canal with both hands. When it comes to the life of the child, as a midwife I am very happy that there is vaginal surgical birth with forceps or vacuum. “

The fear that the child’s head could be squeezed together when handling the pliers, for example, is unfounded, because there is a so-called inhibition limit. This means that the spoons can only be closed up to a certain point. “Even during normal childbirth, the head is compressed to a certain extent. The forceps are designed so that they do not exceed the degree of the natural configuration.”

Not entirely without risk

Nevertheless, both methods involve risks. In addition to the swellings and bruises that can arise from the suction cup, further scalp injuries such as abrasions can occur in the event of a vacuum release. In the case of premature birth, there is even a risk of cerebral hemorrhage, which is why this method is not carried out in such a case. Premature babies are therefore delivered with forceps unless a caesarean section is performed anyway. But women can also suffer injuries, including to the vagina and labia, which, according to Roswitha Glimm, is rather rare. The use of forceps can be used to give birth more quickly and is therefore preferred in emergency situations.

In addition to a rupture of the vagina, a rupture of the cervix and even a rupture of the uterus, the child can suffer head injuries, bruises and, rarely, nerve paralysis. “With the forceps, however, there are more frequent pressure points on the chin and ear area of ​​the child. The injuries caused by the vaginal surgical methods are usually limited to the outer skull. If the operation is carried out carefully, carefully and calmly , there are hardly any risks. ” Based on her decades of experience, the midwife confirms that this damage usually heals within a few days.

The doctor’s experience is crucial

However, there are exceptions. “Incorrect use can of course lead to serious injuries through incorrect application. However, I have never seen an inexperienced doctor even use such a method.” The obstetrician is certain that a doctor will always consult an experienced colleague in such a case, for example in university hospitals.

“In addition, both the forceps and the vacuum are only used in emergencies, so the risks appear in a different light. The most important thing is always that the child is born healthy and that sometimes has to happen quickly. Minor injuries to the baby or the mother cannot always be prevented despite competent application. “

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Czech doctors kept the fetus of a brain-dead woman in the womb up to the 34th week of pregnancy – with unusual measures. 

In the Czech Republic, doctors have managed to save the unborn child of a brain-dead woman. The mother was artificially ventilated and kept alive for 117 days, doctors at the University Clinic in Brno (Brno) reported on Monday at a televised press conference.

In terms of duration, this is probably unique for such a case. The girl, named Eliska, was given birth by caesarean section in mid-August in the 34th week of pregnancy. At birth it weighed 2.1 kilograms and was 42 centimeters tall.

Legs moved to mimic walking

It was an uphill battle, said the doctors. To promote the development of the unborn child, nurses and relatives spoke to him. “Grandmother was reading fairy tales to Eliska all the time,” said intensive care doctor Robert Gal. The mother’s legs were moved to imitate walking. The 27-year-old suffered a cerebral haemorrhage in the 16th week of pregnancy. After the girl was born, life support for the mother was discontinued.

The relatives supported the continuation of the pregnancy, said Alena Tobiasova from the clinic’s legal department. Based on what the husband and other family members would have shared about the patient’s attitude to life, she would have decided that too. 

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In Germany in 1992, the so-called Erlanger Baby caused ethical and legal discussions. The fetus of a pregnant woman who was brain-dead after a car accident died despite weeks of intensive medical care.

Sources used: dpa news agency

New parents, in their eyes the happiness at the first glance at their own newborn baby during the birth – this photo of a happy cesarean birth was the trigger for the Berlin gynecologist Wolfgang Henrich to vary the traditional cesarean section and to introduce the “imperial birth” at the Charité.

The birth of the emperor changes the birth experience

No woman raves about her caesarean section, no one likes to tell young mothers who describe their contractions in detail about the operation. In Berlin, yes. Because here there is the birth of the emperor. It is neither a “natural” Caesarean section, nor a better one, emphasizes the eponym Professor Wolfgang Henrich, but one that breaks with tradition and creates a huge effect with a small detail that changes the entire birth experience.

Eye contact and skin contact despite surgery

The image that inspired Henrich for his method captures the parents’ happiness when their baby is delivered in the operating room. No hectic, no blood, a harmonious birth experience despite a caesarean section, but just like a colleague in England does: namely with eye contact between baby and mother. The idea for the birth of the emperor was born. The idea is as simple as it is ingenious, a drape plays an important role, not a magic drape, a sterile drape in the operating room that triggers a magical moment.

The method has established itself at the Charité

“For 23 years I practiced the caesarean section the way I learned it,” says the director of the Clinic for Obstetrics at the Berlin Charité, Professor Dr. Wolfgang Henrich, “without thinking about changing anything fundamental about the birth experience”. Then he saw the photo and read how the Australian Nick Fisk practices in London: He gives women a conscious birth experience that the traditional caesarean section withheld from them.

This experience of developing out of the uterus and the skin contact immediately after the child is slowly lifted out of the abdominal cavity under the gaze of the mother makes the difference. The birth process is actually not changed, just slowed down, a bit slow motion. Two minutes delay, but this has a lifelong positive effect./p

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