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Prof. Dr. med. Bettina Kuschel image

Department of obstetrics and perinatal medicine

Prof. Dr. med. Bettina Kuschel
obstetrics and perinatal medicine, medical genetics

About the department

The department of obstetrics and perinatal medicine at University Hospital rechts der Isar of the Technical University (TUM) Munich offers a personal atmosphere, created with the help of individually adjustable light, music and scents in the rooms. Pregnant women can choose the delivery position themselves, and water birth is also possible. In addition to numerous nurses and midwives, at least one senior obstetrician and two assistant doctors are on-site round the clock to care for pregnant patients. The department also has a neonatal unit with six intensive care beds and eight monitoring beds. Furthermore, there is a modern operating room near the delivery room where all obstetric operations, including fetal surgery, can be performed. In addition, an intensive care unit for premature babies is located in the same building as the maternity ward. The scientific focus of the department is "fetal programming" - research on the influence of the changes in the mother on the unborn child and the child's development over the next few years after birth.

Medical care, such as high-risk pregnancies management, different types of deliveries, prenatal diagnosis, and obstetric surgery, is provided at the department. The department is one of the few centres in Germany offering fetal surgery (surgery on the fetus in the womb). Diagnostic options include various devices for pre-, and intranatal (before and during delivery) examination of the fetus and mother. 

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Treatment and diagnostic focus of the department

Diagnosis:

  • High-resolution ultrasound (visualization of the fetus)
  • Doppler (visualization of the fetal and maternal vessels)
  • Chorionic villus sampling (genetic testing)
  • Amniocentesis (testing of the surrounding fluid around the fetus)
  • Umbilical cord puncture, Cordocentesis (testing of the fetal blood)
  • Biochemical analysis
  • Cardiotocography, CTG (recording of the child's heart sounds)

Treatment and management priorities:

  • High-risk pregnancies management
  • Prenatal diagnostics and treatment of various organ malformations, growth retardation, and chromosomal abnormalities.
  • Fetal surgery surgical procedure in the womb for particular questions - e.g. B. Laser therapy for twin pregnancies with feto-fetal transfusion syndrome.
  • Gentle birth (standing, sitting, on the birthing stool, in the birthing pool, or lying down. For pain relief, we use homoeopathy, acupuncture, IV painkillers, regional anaesthesia such as peridural, spinal, or pudendal blocks)
  • Gentle cesarean section (cesarean section by Misgav-Ladach)
  • External cephalic version (version of the baby in the womb to allow for a less risky natural delivery)
  • Prevention of premature births (cerclage in addition to classic non-surgical therapy; total occlusion of the cervix or pessary insert)
  • Intensive care for the newborns
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Doctor profile

Education

  • Board certification in internal medicine
  • Board certification in gynecology
  • Habilitation

Experience

  • 2017 Heads the Department of Obstetrics and Perinatal Medicine, University Hospital rechts der Isar Munich

Awards, memberships, publications

  • Working group on obstetrics and prenatal medicine of German Society for Gynecology and Obstetrics
  • Member of Bavarian Society of Obstetrics and Gynecology
  • Teaching Excellence Prize
  • Author of more than 100 publications
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