WALA: Ms Kiefer, a woman can be attended by a midwife from the first weeks of pregnancy on. What is the difference between the care offered by the midwife and the care offered by a doctor?
A. K.: The midwife performs all the examinations prescribed by the antenatal guidelines. She will palpate the abdomen, measure blood pressure and test the urine. This is no different to an examination by the doctor. But the midwife has more time to talk to the mother-to-be and give advice, and she can visit her patient at home. Women who already have children, for example, find this very useful, as do women who are experiencing discomfort.
WALA: And what does the doctor do that the midwife doesn’t?
A. K.: In Germany, only a doctor can perform a scan. However, a scan is not a necessity, although most of the women I've looked after decided to have the scans, or at least one.
WALA: Does the midwife also give advice on the question of prenatal tests?
A. K.: Only the doctor can perform amniocentesis and certain blood tests. If the doctor suggests such tests, the woman will often ask her midwife for advice. In such cases I always asked the same question: "Will the result of the test have consequences for you?" This helps a lot of women with their decision. Many women like to visit to the doctor and the midwife alternately to discuss such questions. And I think it’s lovely when the doctor and the midwife don’t see each other as rivals, but work together to give the woman the support she needs.
WALA: Some midwives highlight that they are anthroposophically oriented. How does this affect the care they give during pregnancy?
A. K.: I know many midwives who work anthroposophically – i.e. they are interested in anthroposophical medicine. In my view, what is special about this is that the anthroposophical midwife sees the whole person. Also, the way the baby is treated, how he or she is given warmth and security, is very important from an anthroposophical perspective, both during pregnancy and after the birth.
WALA: In which cases do you advise a woman to go to a midwife for antenatal care?
A. K.: I wouldn’t tell any woman to go only to her doctor. Women with a high-risk or difficult pregnancy often need more support from their midwife than women whose pregnancy is progressing normally. The midwife is there for her and listens. She helps the mother-to-be relax and even occasionally massages her shoulders.
WALA: The statutory health insurances bear the costs of antenatal care by both doctor and midwife. Do they also pay for a combination of the two?
A. K.: Antenatal examinations at certain intervals are provided for. Initially these will be every four weeks, unless there are special circumstances. Towards the end of the pregnancy they will take place every two weeks. The health insurance will pay for these examinations. If the woman has symptoms between the visits, a full examination is not usually necessary. Instead, a decision will be made as to what this individual woman needs.
Natural relief from discomfort in the first three months:
Tiredness in the morning often indicates low blood pressure. In this case, it helps to hose the legs with cold water in the mornings, then massage Dr. Hauschka Leg and Arm Toner into the damp skin of the arms and legs, working towards the centre of the body. Taking 10 WALA Skorodit Kreislauf Globuli velati1 three times a day will stabilise the circulation.
Pregnant women often feel nauseous due to hormonal changes. To harmonise the activity of the digestive system, take 10 WALA Gentiana Magen Globuli velati2 three times a day, 15 to 30 minutes before meals. These globules contain nux vomica (Strychnos nux-vomica), and also help relieve nausea. In addition, a walk in the fresh air, a regular daily routine, and several small meals a day, including breakfast in bed before you get up, may prove beneficial.
The Second Three Months: A Time of Wellbeing
The Last Three Months: A Time of Burden
Required product information
1 WALA Skorodit Kreislauf Globuli velati
Indications are derived from the anthroposophical understanding of human beings and nature. They include: Stimulation of the interaction between the different constituent elements of the human being, e.g. in hypotensive circulatory dysregulation, states of exhaustion, convalescence, psychasthenia. Warning: Contains sucrose and lactose.
2 WALA Gentiana Magen Globuli velati
Indications are derived from the anthroposophical understanding of human beings and nature. They include: Harmonisation of motility and secretion in digestive disorders of the gastrointestinal tract, e.g. digestive weakness, nausea, vomiting, flatulence. Warning: Contains sucrose.
For information on risks and side-effects please read the pack insert and ask your doctor or pharmacist.