Medical Support

In Brazil, medical accompaniment for foreign women in labor and mothers after childbirth can be provided through several channels.

Medical support for women in labor includes a wide range of services and support at all stages of pregnancy, childbirth and postpartum. Even in the same country, medical support can vary from one hospital to another.

Let's look at the main components of such accompaniment using the example of the maternity hospital Hospital Regional de São José in Florianopoli, Brazil, which include:

1. Prenatal care:

Regular medical checkups for pregnant women in maternity hospitals include many important procedures and tests to monitor the health of the mother and fetus.

Familiarize yourself with the list of prenatal care:

1. Initial examination

Collection of anamnesis (medical history, previous pregnancies).
Determination of gestational age.
General examination (weight, height, blood pressure).

2. Tests

Clinical blood test. Determination of hemoglobin, leukocyte and platelet levels.
Biochemical blood test. Check liver function, kidney function, sugar and electrolyte levels.
Urinalysis. For protein, glucose, and infections.
Screening for infections: HIV, syphilis, hepatitis B and C, chlamydia.
Genetic tests: if necessary (e.g. if there are risks of inherited diseases).

3. Ultrasonography (ultrasound)

Initial ultrasound to determine gestational age and number of fetuses.
1st Morphological ultrasound between 11-14 weeks to check the risk of pre-eclampsia and chromosomal abnormalities, such as Down syndrome
2nd Morphological Ultrasound between 20-24 weeks to assess fetal anatomy.
Monitoring of fetal development, fetal positioning and other important parameters.
Additional ultrasounds if necessary (e.g., if abnormalities are suspected).

4. Monitoring the fetal heartbeat

Checking the fetal heart rate at each appointment.

5. Measuring height and weight

Regular tracking of weight and abdominal growth to assess fetal growth.

6. Measuring blood pressure

Monitor for hypertension or other problems.

7. Examination for edema

Check for swelling of the extremities and face, which may indicate kidney or heart problems.

8. Consultations of specialists

If necessary, referral to other specialists (endocrinologist, cardiologist, etc.).

9. Discussion of nutrition and lifestyle

Recommendations on diet, physical activity and lifestyle.

10. Psychological support

Assessment of psycho-emotional state, discussion of fears and anxieties.

11. Preparation for childbirth

Information about childbirth, discussing birth plan and pain management techniques.

Regular medical check-ups during pregnancy at our clinics play a key role in ensuring the health of the mother and fetus. It is important to keep your appointments on schedule and follow your doctor's recommendations.

2. Counseling and training:

A list of topics and issues that can be discussed with obstetricians and gynecologists during maternity visits to pregnant women:

1. General health

Discussion of general well-being.
Clarifying the presence of pain, discomfort, or other symptoms.

2. Pregnancy history

Discussion of previous pregnancies and births.
Clarification of the presence of complications in past pregnancies.

3. Tests and examinations

Results of blood, urine and ultrasound tests.
Discuss the need for additional tests or examinations.

4. Nutrition and lifestyle

Recommendations for a healthy diet and vitamins.
Discussion of physical activity and exercise.

5. Psycho-emotional state

Discussing stress, anxiety, or depression.
Support and advice on psychological well-being.

6. Childbirth plan

Discuss birth preferences (natural birth, cesarean section).
Pain management and anesthesia options.

7. Preparation for childbirth

Information about the birthing process and stages.
Discussion of possible complications and actions to take in such cases.

8. Feeding and care of the newborn baby

Breastfeeding guidelines.
Discuss newborn care (hygiene, bathing, etc.).

9. Postpartum period

Discussing recovery from childbirth.
Possible physical and emotional changes.

10. Vaccinations and immunizations

Vaccination recommendations for mother and newborn.

11. Family support

Discuss the role of the partner or other family members in caring for the pregnant woman and newborn.

12. Alarms

Signs that you should seek immediate medical attention.

Discussing these topics with obstetricians and gynecologists helps pregnant women feel more confident and prepared for labor, and ensures their health and the health of their unborn child.

3. Teaching self-care skills

Self-care training for pregnant women in maternity hospitals includes a number of important aspects aimed at preparing expectant mothers for pregnancy, childbirth and the postpartum period. The components of such training include:

1. Nutritional basics

Recommendations for healthy eating and a balanced diet.
Discussion of essential vitamins and minerals.
Menu Planning Exercises.

2. Physical activity

Teaching safe exercise for pregnant women.
Recommendations for physical activity and stretching.
Muscle strengthening exercises that are good for labor.

3. Hygiene and self-care

Teaching basic personal hygiene during pregnancy.
Skin and hair care recommendations.
Exercises to manage swelling and discomfort.

4. Psychological support

Relaxation and stress management techniques.
Discussion of self-help techniques for anxiety and fears.
Positive thinking exercises.

5. Preparation for childbirth

Training in breathing techniques and anesthesia techniques.
Information about the stages of labor and how to behave in each.
Visualization and mental preparation exercises.

6. Caring for a newborn baby

Basics of newborn care (feeding, bathing, diaper changing).
Teaching breastfeeding techniques.
Guidelines for recognizing signs of child health and well-being.

7 Space planning and organization

Tips for preparing your home for the arrival of your baby.
Discussion of necessary supplies for a newborn baby.

8 Communication with medical staff

Learning how to ask questions and discuss your concerns with your doctors.
Information on which symptoms require immediate medical attention.

9. Postnatal care

A discussion on recovering from childbirth and taking care of your own health.
Recommendations on psycho-emotional state in the postpartum period.

Teaching self-care skills helps pregnant women feel more confident and prepared, which helps improve their health and the health of their newborn.

4. Childbirth Preparation:

Preparation for childbirth in Florianopolis, as in the best maternity hospitals in the world, is focused on creating a comfortable and safe environment for the laboring woman and her baby.

Become familiar with some of the common practices and services that upscale birthing centers provide:

1. Individualized approach to patients:

Each birthing center offers personalized birth plans that take into account the mother's preferences and health.
Psychological support and counseling in preparation for childbirth.

2. Supporting a comfortable environment:

Comfortable, well-equipped rooms to ease the stress of labor.
Ability to choose the ambience (colors, lighting, music) to create a relaxing atmosphere.

3. Qualified medical staff:

Experienced midwives and nurses who are highly trained and ready for emergencies.
Availability of specialists in anesthesia and other necessary areas.

5. Modern technologies and methods:

Modern medical equipment for monitoring the condition of mother and child.
Utilization of innovative birthing techniques, including the option of hydrotherapy (e.g., water birth).

6. Variety of anesthesia options.

A wide range of pain management methods (epidural anesthesia, medication anesthesia, alternative methods such as breathing techniques or acupressure).

7. Breastfeeding support:

Breastfeeding counselors who help women start breastfeeding immediately after giving birth.
Training and support to help manage possible difficulties in the feeding process.

8. Affiliate Programs:

The possibility of having a partner or significant other present at the birth.
Partner participation in childbirth preparation classes.

9. Postpartum support:

Postpartum care and monitoring of the mother and newborn.
Rehabilitation programs and counseling for postpartum depression.

10. Educational courses.

Offering childbirth preparation, newborn care and breastfeeding courses for both mother and partner.

11. Respect for personal space and safety:

Patient safety and confidentiality policy, controlled access to wards.
The ability to choose who will attend the birth and what medical interventions are allowed.

Florianopolis' birthing centers are committed to offering women all the support and attention they need to make the birthing process as positive and safe as possible. If you need more information about our birthing centers, follow the links and get to know them.

5. Individualized birth plan.

An individualized birth plan is a document that describes a woman's preferences and wishes regarding the birthing process and postpartum care. It is designed to create a comfortable environment for the woman in labor and to ensure her rights and preferences during this important event.

What is included in an Individualized Childbirth Plan?

General Information. The woman in labor's name and contact information, as well as information about the doctor who will be delivering the baby.
Preferences for therapy and anesthesia:
- Selection of pain management techniques (e.g., epidural anesthesia, drug therapy, breathing techniques).
- Suggestions for alternative methods of pain relief (hydrotherapy, acupressure, etc.).
Body position during labor. Preference for birthing position (upright, horizontal, kneeling, etc.).
Human Participation:
- Willingness to be present at the birth (partner, family, doula).
- Wishes for privacy issues.
Interventions and Procedures:
- A clear expression of consent or refusal to certain medical procedures (induction of labor, episiotomy, cesarean section, etc.).
- Request for non-conductors of certain interventions, if possible.
Postpartum:
- Request to delay cord cutting.
- Wishes for newborn care (skin-to-skin contact, breastfeeding).
- Postpartum care plan (e.g., access to breastfeeding specialists, support with child care).
Special Requests:
- Requests for a themed environment in the delivery room (music, smells).
- Wishes for additional services (e.g., no bystanders, support program).

How is an Individualized Childbirth Plan made?

Preconception meeting. An initial meeting with the doctor or obstetrician to discuss the details and preferences of the woman.
Questionnaire or questionnaire. Some maternity hospitals offer a questionnaire or questionnaire where the woman in labor can indicate her preferences.
Discussion with the team. It is important to discuss the plan with the medical team to make sure that everyone has a full understanding of the wishes of the woman in labor.
Subscription. An individualized birth plan can be recorded in the form of a document that is signed by the woman in labor and the doctor.
Your expectations. Openness to change, as the birthing process can develop unpredictably and sometimes changes in the plan may be necessary depending on the condition of the mother and baby.

Important points:

Flexibility. An individualized birth plan should remain flexible, as the actual situation may require changes based on medical indicators.
Communication. Make sure everyone involved in the process (doctor, midwife, nurses) is aware of your wishes and is willing to support them.

An individualized birth plan helps to create a more comfortable and safe environment for the woman and the newborn, taking into account their needs and preferences. If you need more information or have additional questions about the individualized birth plan in our clinics, you can contact our consultants on WhatsApp (contact number) and our consultant will answer any of your questions on this topic.

All preliminary consultations with us are free of charge and do not oblige you to anything. Therefore, contact us right now and you will get answers to all possible questions.

6.Discussion of pain control

In birthing centers, the approach to pain control during labor and delivery is determined based on current medical practices, women's preferences, and individual patient needs.

This process is usually carried out in the following way:

1. Before childbirth: discussing preferences

Counseling. Women are encouraged to have prenatal consultations with obstetricians and anesthesiologists. During these meetings, the various pain control options and approaches that are available at the particular maternity hospital are discussed.
Childbirth plan. Patients can create an individualized birth plan that includes pain preferences. This document may include a preference for epidural anesthesia, medication and non-medication methods of pain control.

2. Pain control methods

Non-medicamentous methods:
- Breathing techniques;
- Hydrotherapy (e.g., water birth);
- Acupuncture and acupressure;
- Massage;
- Using hypnosis or relaxing music.
Medication methods:
- Epidural anesthesia is one of the most popular methods used to significantly reduce pain during labor.
- Spinal anesthesia may also be used, especially in the case of cesarean section.
- Pain control systems such as PCEA (patient-controlled epidural analgesia), where the patient can control the dose of anesthetic.

3. Support team

The pain control discussion stage often involves not only health care providers but also the laboring woman's partners in order to accommodate and support her preferences and expectations.

4. During childbirth: flexibility in approach

Continuous monitoring. During labor, medical staff assesses a woman's pain level and her response to pain control techniques, offering adjustments as needed.
Feedback. It is important that the patient be able to report how she feels and adjust the plan as labor progresses.

5. Education and training

Many birthing centers also offer childbirth preparation classes and seminars that discuss pain control topics and the various methods available.

6. Awareness of risks and benefits:

Deciding on pain control methods involves discussing all the possible risks and benefits. This helps the woman to make an informed choice.

Quality of care and attention to women's preferences in pain control processes makes labor more comfortable and safer. If you need more information about specific methods or birthing centers, let us know!

7. Direct support during childbirth:

Direct labor support includes a range of services and support provided by medical professionals, as well as the possible involvement of outside professionals such as doulas or partners.

The main elements that can be part of such an accompaniment are:

Medical Support:
- A team of doctors and midwives. Professional assistance of doctors and midwives who supervise the birth process, provide medical procedures and monitor the condition of mother and child.
- Anesthesia and analgesia. Ability to obtain various methods of anesthesia, such as epidural anesthesia or other forms of medication-assisted anesthesia.
Psychological support:
- Emotional support. The presence of a professional, such as a doula, or a partner who helps to create a calm atmosphere and supports the woman in labor during difficult moments.
- Counseling and information. Providing information about the processes a woman in labor faces and answering any questions she may have.
A personalized approach:
- Individualized birth plan. Inclusion of the mother's wishes, such as birthing positions, use of water (water birth), music and other aspects that will help to make the process more comfortable.
- Cultural and personal preferences are taken into account. Support in accordance with individual norms and traditions.
Direct services during childbirth:
- Birthing center and living conditions. Modern and comfortable facilities such as private rooms, possibility to use comfortable equipment (e.g. birthing ball, birthing chairs, etc.).
- Twenty-four hour access to staff. Availability of medical staff and supporting professionals at all times.
Postpartum support.
- Postpartum care. After delivery, care is provided for the mother and newborn, including monitoring of their condition and assistance in initiating breastfeeding.
- Training in newborn care. Counseling on child care, breastfeeding, and assistance in adapting to new conditions.
Feedback and workflow:
- Documentation and tests. Compilation of medical records of the birth, tests and recommendations for the future.

Labor support in the best maternity hospitals in the world is a comprehensive approach that aims to create a comfortable and safe environment for mother and child, as well as to meet their needs during the birthing process

7.Monitoring of mother and child's condition

Maternal and infant monitoring in maternity hospitals is a critical process that ensures the safety and health of both mother and newborn. This process involves several steps and monitoring methods that take into account both clinical and physiological aspects.

Key points regarding monitoring:

1. Prenatal stage:

Maternal health assessment:
- Regular history taking, including medical history of the pregnant woman, presence of chronic diseases and complications of pregnancy.
- Measuring blood pressure, heart rate and temperature.
Fetal monitoring:
- Ultrasound to assess fetal development and measure fetal size and amniotic fluid status.
- Auscultation of the fetal heartbeat with a stethoscope or Doppler to check the heart rhythm and general condition.

2. The labor process:

Cardiotocography Monitoring:
- The use of cardiotocography (CTG) to monitor the fetal heartbeat and uterine contractions at the same time. This allows the detection of possible abnormalities in the fetus and mother. It
Assessment of labor and delivery:
- Regular checking of cervical opening, condition and frequency of contractions.
- Monitoring the intensity and frequency of labor pains.
Support in childbirth:
- Providing the necessary conditions for a comfortable labor, including body positioning, use of myorelaxants or other methods to relieve pain.

3. Postpartum phase:

Maternal monitoring:
- Measurement of vital signs: blood pressure, pulse, temperature, inspection of stitches (if stitches have been placed), assessment of discharge.
- Assessment of possible complications such as postpartum hemorrhage or infections.
Monitoring the newborn:
- Checking the newborn's condition through the Apgar score (the first test done immediately after birth).
- Observation of heart rate, respiration, body temperature, amniotic fluid, jaundice or other signs of malaise.

4. Documentation and communication:

All observations and assessments are recorded in the medical record.
Regular communication between health care providers to discuss the condition of the mother and child and plans for future care.

5. Utilization of technology:

Some maternity hospitals may use special monitoring systems to continuously monitor the condition of the mother and fetus, such as electronic monitoring charts.

Monitoring the condition of mother and child in maternity hospitals is a complex and multifaceted process that requires highly qualified medical staff and the use of modern technologies. This helps to minimize risks and ensure a safe course of labor and postpartum period.

8. Postpartum care:

Postnatal care includes a set of services and activities aimed at restoring the health of the mother and newborn after delivery. This care is provided by the medical staff of the maternity hospital and includes various aspects such as physical, emotional and psychological health. Here are the highlights:

1. Postpartum care:

Observation of the mother's condition:
- Monitoring vital signs (blood pressure, temperature, pulse).
- Monitoring of postpartum conditions (blood discharge, stitches if there were tears).
- Assessment of uterine condition and recovery.
Newborn Care:
- Examination and assessment of the newborn.
- Performing required immunizations and testing.
- Teaching the mother the basics of newborn care (feeding, bathing, changes in care, etc.).
Feeding:
- Providing breastfeeding counseling, assistance in becoming lactating.
- Providing support for feeding difficulties.

2. Postpartum follow-up:

By whom is it carried out:
- Obstetricians, gynecologists, perinatologists (if there are complications) and nurses do the examinations and monitoring.
- Throughout the stay in the maternity hospital, doctors and medical staff monitor the condition of both mother and newborn.
How it is carried out:
- Regular checkups on a set schedule (usually several times a day).
- Performing necessary tests, if necessary.
- Assessment of recovery progress and the presence of complications (e.g., postpartum depression, infectious diseases).

3. Psychological support:

Medical support. A doctor or nurse practitioner can talk to the mother to discuss her emotional state, issues related to labor, and potential fears or concerns.
Psychological counseling. Many birthing centers may have psychologists on staff to help you cope with the emotional and psychological aspects of the postpartum period. They can provide individual or group sessions.
Support groups. Some health facilities organize support groups for women after childbirth where they can discuss their experiences with other mothers.
Training and information. Instruction and information on how to cope with life changes after childbirth can also be a form of psychosocial support.

Postpartum care is an integrated approach that ensures both the physical and emotional well-being of mother and baby. Support programs can vary from one maternity hospital to another, so it is important to familiarize yourself with what is offered at the facility of your choice in Brazil.

9. Additional Services:

Physical therapy and family planning counseling are standard complementary services in maternity hospitals and health care facilities offering childbirth and postpartum care. This is how each of these services is usually provided and what is included:

1. Physiotherapy

Implementation of services:

Physical therapy for pregnant women may begin later in pregnancy and continue into the postpartum period.
Classes can take place individually or in groups, and may include the use of specialized equipment or exercises.

What's included:

Exercises to prepare for childbirth. Special breathing techniques and physical activities to strengthen the pelvic muscles and prepare for childbirth.
Pain Relief Therapy. Learning techniques to reduce pain in the back, pelvis or other areas that occur during pregnancy.
Rehabilitation after childbirth. Exercises aimed at restoring physiological functions of the body after childbirth and strengthening muscles.
Counseling. Assessment of the patient's physical indicators, development of an individual physical activity program.

2. Counseling on family planning issues

Implementation of services:

Family planning counseling may be provided by nurses, midwives, or physicians specializing in reproductive medicine.
These counseling sessions can be individual or group and often include information sessions.

What's included:

Selection of contraceptive methods. Discussion of different methods (oral contraceptives, IUDs, barrier methods, etc.) and help in choosing the appropriate method.
Postpartum counseling. Information on when and how to safely start trying to get pregnant after childbirth.
Premedication. Discussing and, if necessary, providing birth control medications.
Educational materials. Hand out booklets or informational resources on health and family planning.

These services help keep women and their families healthy by providing the physical support and information needed to make informed health and family planning decisions.

The health care package for a pregnant foreign woman expecting to give birth in Brazil may include various additional services depending on the patient's health condition, her needs, and the policies of the health care facility.

Maternity hospitals in Florianopolis usually practice some additional services, such as:

1. Prenatal examinations:

Ultrasound (ultrasound examination) at various stages of pregnancy.
Laboratory tests (blood, urine, and other tests).
Genetic testing (e.g., for chromosomal abnormalities).
Consultations with subspecialists (e.g., cardiologist, if indicated).

2. Counseling Services:

Obstetrician-gynecologist consultations.
Advice on breastfeeding and newborn care.
Psychological support or counseling (if needed).

3. Nursing visits:

Regular visits by a nurse to monitor the health of the mom and fetus.

4. Childbirth Preparation:

Participation in childbirth preparation courses.
Counseling on pain management techniques and birth plan selection.

5. Generic services:

Anesthesia (epidural anesthesia or other methods of anesthesia).
Cesarean section services (if indicated).

6. Postpartum care:

Observation of the mother's condition after delivery.
Physical rehabilitation (e.g., physical therapy classes).
Help with lactation and feeding.

7. Vaccinations and prevention:

Get preventive immunizations if necessary (e.g., flu or whooping cough).

8. Inpatient treatment:

Hospitalization may be required in case of complications or need for observation.

9. Postoperative care:

If the delivery was by cesarean section, specialized care for the stitches may be needed.

Each medical facility in Brazil may offer different packages, so it is important to discuss all the details in advance and get full information about what is included in the package offered. This will help you better prepare for your trip and ensure that all necessary medical services will be provided.

Important points.

Individualized approach. Every woman in labor is unique, and medical support should take into account her personal preferences, medical history and needs.
Family involvement. Including a partner or other family members in the support process can be important in creating a positive experience.

Medical support for women in labor aims to ensure safety and comfort for both mother and baby, and to create a positive experience at all stages of motherhood. If you have specific questions about any aspect, you can ask us in the feedback form or on or WhatsApp (contact number) and our consultant will answer any question you may have.

All preliminary consultations with us are free of charge and do not oblige you to anything. Therefore, contact us right now and you will get answers to all possible questions.