Childbirth in norway

Childbirth in Norway 8 4.8

Tales of childbirth

Childbirth in Norway

Olga Krabberyod


If you open a book about Norway, you will probably see the phrase: "The child here is the king and God." And indeed it is. All visits and tests, ultrasound, all kinds of painkillers at delivery are free - however, only if you use the services of public medicine. And since July 2002, the Norwegian state has paid for IVF attempts for childless parents. In addition to three weeks of leave before childbirth and six after childbirth that the mother receives, and four weeks to the father of the child, one spouse is entitled to long paid leave to care for the baby. At the discretion of the spouses, it can last a year (with a payment of 80% of the salary) or 42 weeks (payment 100%). If a young mother is breastfeeding and she has a certificate from the doctor about this, she has the right to come to work an hour later or leave an hour earlier (although this hour is not paid for). Women, whose earnings before birth were below average (or they did not work) receive a lump sum (not taxed) allowance from the state; its size is 32 138 NOK per child. The money is given about a month before the birth. If a woman gives birth at home, and not in a hospital, she is given a sum of 1 765 kroons. From the first month of birth to the age of 18 the child receives "child" 972 kroons a month. From year to three, this amount is added "an increase for small children" of 657 kroons per month. A child who is brought up by one parent receives an additional fee of 657 kroons per month from 0 to 3 years (this increase is given as a whole, and not for each child in this family). Residents in the northern regions of Norway are paid a surcharge of 316 kroons per child per month.

A pregnant woman can be seen with her doctor, a midwife at a "health station" or a gynecologist. The treating, or home, doctors work in medical centers. The gynecologist usually takes the same place. "Health Station" is a medical institution where healthy children are observed. They also take a midwife.

If pregnancy is the first, a woman visits the doctor 10 to 12 times for the entire time. If the previous pregnancy was without any problems, then the number of visits can be reduced. In the first 30 weeks you will be asked to visit the doctor every month, then twice a month until the 36th week, and then every week until the day of delivery. Women over 38 are offered a test of amniotic fluid. When you first visit you get a card, which you should always take with you to the doctor. You are given magazines and brochures for pregnant women, promotional gifts from different companies and without fail give a pocket sized book "My Little Pregnancy Book", where for weeks the development of the fetus is recorded, changes that occur in the female body are given useful tips and answers to frequently occurring questions.

There you can also record your feelings and questions to the midwife. And of course, this booklet must contain a weekly description of what the doctor should do during the reception. On the first visit, a woman gives blood tests to determine the group, Rh factor, iron level. Then tests for syphilis, rubella, toxoplasmosis, HIV and hepatitis are given. During pregnancy, the woman several times take a swab from the vagina and measure the level of hemoglobin in the blood. At each visit, the pregnant woman gives an urine sample, weighs it, measures the pressure and volume of the abdomen.

If the pregnant woman is observed with her doctor or a midwife at a "health station", she will be given the opportunity to visit ultrasound only at week 17, whereas a gynecologist has the apparatus in his office, and he examines the woman during each visit, making up a scheme of ultrasound data on the development of the child. Although it is assumed that the visit to the attending physician should not differ from the visit to the midwife, in practice this is not always the case. Since in Norway many medical institutions work mainly four days a week, and in small towns two of these four days - from 10:30 to 16:00, then the appointment to the doctor must be recorded at best in a month. After you spend an extra half hour (my doctor never took me on time) among the coughing and sniffing people, the doctor can quite quickly deal with measuring your pressure, listening to the fetus through the tube and measuring the heart rate and, without going too far into your sensations and not answering your questions, will send you home. Therefore it is better to be observed at the midwife. Usually, the midwife's office is located next to the nurses' offices, on a regular basis the healthy kids arrive to 2 -3 years old. Mostly there is peace and quiet, everyone comes to their appointed time. Receiving a midwife lasts an hour, you can in a spiritual setting ask her all her questions and share fears and feelings. In addition, a midwife can call at any time and consult on any issue. Unfortunately, not all communes (communes in Norway - something like our districts) can offer midwife services.

After some reflection I preferred to be observed at the gynecologist, and also visited the midwife three times and asked her all the questions that had accumulated in me.

When the term of childbirth approaches, you will have to register for courses for pregnant women and choose a maternity hospital. True, in our commune the courses were so badly advertised that even many doctors and midwives did not know about them. But at 5 month I still wrote down for myself and my husband. They told me that they would call me when the group was typed, but now my daughter is a year old, and I did not wait for the call. If you are going to have a child in the summer, you need to keep in mind that the doctors you hoped for can go on vacation and their colleagues - the so-called vicar physicians (which means "deputies") from Denmark, Sweden or Norway. I learned only through third parties that during my birth my gynecologist will go on vacation, and it was not known who would take delivery. If you give birth in a small town, it is possible that your hospital does not have a children's ward, and if the newborn has health problems, you will be taken by car or helicopter to a nearby city where the hospital has a children's ward. In Norway, the patient has the right to choose free of charge any clinic throughout the country. Therefore, it is better to immediately choose a hospital with a children's ward and a family room, where you can stay with a newborn and husband. Choosing a maternity hospital, you have the right to examine it in advance. You just need to call there and arrange a meeting. The midwife will show you the family department, talk about the types of pain relief that they offer (for example, a bath, acupuncture, pudendalnaya  blockade and epidural anesthesia using the latest pain medication). Generally, in Norway they are striving to ensure that births are as natural as possible. In this case, it is often delayed with episiotomy and the mothers are very "torn".

You can agree in advance that you want to be in the ward with your husband. Because of the upcoming caesarean section, we could not be provided with a family room (family wards are usually in the far wing, and women after surgery should be under the constant supervision of nurses ), then we asked to roll into my solitary room an extra bed for my dad. There were not so many women in childbirth, and we were allowed to do it. After the hospital is selected and the doctor sent all your documents there, you receive a questionnaire with various questions regarding your pregnancy, chronic diseases and religion (in each ward of the hospital there is a volume of the "New Testament"). This questionnaire will have to be given on arrival at the hospital. Last month, I went to a nearby city in a hospital I chose, where I was first examined by a midwife, and then by a gynecologist. As a result, two weeks before the birth, I was prescribed cesarean: the baby was in a pelvic presentation.


For childbirth, I chose the regional hospital in Drammen to not give birth at the local small hospital in Kongsberg, where we live. The operation was scheduled for August 16, but, since ultrasound showed that my daughter is "running" for development for a week ahead, I asked to postpone childbirth on August 2, fearing that otherwise the cesarean section would have to be done urgently - and how into the water looked. At first, everyone convinced me that this was not necessary. But on July 30, at the next ultrasound, the doctor called the head physician and talked with him about something for a long time. And suddenly I hear: "Your girl is developing quickly, so we decided to get her two weeks earlier. August 2 is suitable as a birthday?

However, the question is rhetorical. Do not answer. Congratulations, in two days you are a mom. " All day I was shaking with fear and impatience. On August 1, early in the morning, my husband and I arrived at the hospital. After all the usual procedures for preparing for surgery and talking with an anesthetist who offered me general anesthesia or spinal anesthesia, I chose spinal anesthesia.

In the morning at 8:00 I was in the operating room. Poor anesthesiologist! He tells me: "Bend the letter G", but I can not relax, and the head of the child in this situation is pressing. At some point, a treacherous thought flashed: "Or maybe I should ask for general anesthesia?" Finally, at least a third, I tried to relax. And before that, my hands were shaking with excitement, I was even asked a couple of times if I was cold.

We started the operation. My husband sat down on my left, the anesthesiologist began to tell me what was happening to me. I asked him not to tell me, because, frankly, I did not really like to hear what kind of layer I was being cut. Instead, I asked my husband to tell me what he did at work yesterday, how things are with our friends, etc.

And all the operating personnel, 10 people, listened to his nervous, confused story. After five minutes I felt the emptiness in my stomach. Immediately I whisper to my husband that my daughter got it, and he says: "No, it's too early." I scream: "Get out, look at the clock!" - and I hear the doctor's voice: "We got it, got it. 8:55. Girl". I suddenly burst into tears-evidently, because the tension was asleep. The husband cut the remainder of the umbilical cord (cutting it, the doctors deliberately left a larger end so that the father could also participate), took his daughter in his arms, and she and the midwife went to measure and weigh it. It turns out that the children born in the pelvic presentation, after birth, do not stretch the legs, and measure the growth without legs, so our data in the card data of my daughter looked like this: weight 3000, height 33 cm (if with the leg mi, then on the eye - 4849), the head 33 cm, 8/10 points on Apgar.

I began to sew a cut. All this time I roared like a beluga from a huge feeling of happiness, love and tenderness that flowed over me to my daughter. By the end of the operation sensitivity began to return to me, and I felt how the bandage was bandaged and fixed with plaster. For the whole operation, I was amused by two things: the sound of the apparatus sucking the amniotic fluid (just like in the treatment plants) and three nurses who thought the bandages and instruments together in chorus so as not to leave them in me.

After childbirth

During the first ten minutes of my stay in the postpartum ward, I evidently got it all so when they brought my daughter, that the nurse called somewhere and told me that my father would come with my daughter in five minutes.

And finally, she was lying in my arms! The folder rushed to everyone to call. And my daughter and I never parted.

The first night we spent together - dad, mom and daughter. Every morning I was given an injection in the stomach and checked for uterine contractions. Milk came on the third day, the uterus contracted magnificently.

At discharge, the midwife after the examination began to give me brochures, and suddenly: "And I will not give you this, as I see, you do not need it, and you do not need to read it to you." I asked what this brochure is about. It turned out that this brochure was for mothers who had given birth through cesarean and psychologically suffering because of this. And I had everything wonderful. Postpartum chambers are well equipped, above each bed hangs its own lamp on a mobile tripod, and it can be moved anywhere, anywhere. A telephone is attached to the lamp. You ask to include your number in the reception and pay it at the check-out. The phone works from 7 am until the quiet hour and then until 11 pm. Above each bed there is a call button for medical staff, who will always be happy to come to your rescue or answer any question you have. In the postpartum period, the specialist on breastfeeding is constantly on duty. If necessary, she will sit with you for hours, from the first day teaching the baby to properly grasp the nipple. Each hospital has a separate changing room, where everything you need is prepared: diapers, diapers, body, ryoshonki, creams, powders, etc. The first days, while you are weak, the baby is swaddled by nurses (you should only press the button and call them), then, when you want, you and your husband will be shown how to do it. Food is brought to the ward. Dishes should be selected every day from the menu offered in the morning. Hospitals have breast pumps and special pillows for breastfeeding. These pads are stuffed with small balls and in shape resemble a large arched banana. When you put a child on such a pillow, it takes the right position for feeding. Once a week, a physiotherapist comes in to show you the exercises that are necessary for a successful recovery. If you have twins or triplets, then you will be given addresses and phone numbers of support groups and will necessarily hold additional talks with you, and the nurse will help you during the feeding. If you want to go down to buy newspapers or just go out for a walk, then you can leave the baby to a nurse. You can also give her a child for the night. Dad and older children can be with you from 8 to 22 hours. All other guests can only come in specially designated hours, or you can go to their meeting room at any time.

If you have problems with milk and the child must be supplemented, then first you will be advised about this. On the third or fourth day after birth, the child takes blood from the heel and weighs it before and after eating. Also, usually on the fourth day, a pediatrician comes to the hospital, who conducts a full examination of the child. People from countries with a high incidence of tuberculosis are offered BCG vaccination. If you do not know the language well enough, the hospital will contact an interpreter who, by phone or in person, will translate your conversation with a doctor or nurses.

At home

At discharge, the chief midwife will give you a paper confirming the fact of your birth. She will also explain where to apply for a birth certificate, ask how you survived the birth, what feelings you have now, did not offend and did not touch you with something. If you had a cesarean and you are worried because of this, then you will be offered brochures on this topic. In addition, you will receive standard promotional gifts, the address of the breastfeeding specialist closest to your home, which you can call day and night, and a bunch of additional pamphlets about the first month of a child's life and care. If the child was born in a pelvic presentation, then you are prescribed ultrasound to examine his hip joints. Only healthy children go to the "health station", and if your child is sick, then you should contact your doctor. A health visitor will inspect your child every month during the first year of life, measuring the height, weight, and volume of the head. If she suspects that your child has some kind of health problems, she can prescribe a referral to a doctor. The doctor at the "health station" will examine your child at 3 months, then at 6 months and 1 year. We were offered to attend a swimming course for babies, which we enjoyed with pleasure, having received at the end of the course a real swimmer's diploma. The courses cost 100 NOK   for the lesson. We also received an offer to attend so-called "parent meetings", where the parents of babies meet once a month, share their impressions and ask questions to specialists. We were given a schedule of vaccinations so that we could think everything over beforehand. After 14 days after discharge, we went to the ultrasound of the hip joints - this is the usual procedure for children born in pelvic presentation. Everything turned out perfectly. A month has passed, there are no deviations in development, which, as I once read, appear in "Caesar", we do not. And I jumped a week after the operation like a saigas, now there are no unpleasant sensations, as if they did not operate.

By the way, before the operation in one room with me lay a woman who had a third pregnancy and a second cesarean, and everything happened in such a sequence: the first birth - Caesarean (wrong position of the fetus), the second birth - natural and third birth - Caesar (was big fruit, that at first I thought she had twins). Since the woman lived in the same city and she had a second cesarean, she was allowed to come to the hospital an hour before the operation, even offered to give her a syringe so that she could inject herself at home, but she was frightened and asked him to do it in the hospital. Then I learned that in Norway there are hospitals in which, with a normal pregnancy and the right position of the child, they are allowed to give birth themselves after two caesarean. This is done, for example, in the central hospital (in Oslo) and in Trondheim.