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Safety and listening in the first moments of life

The medical staff must know how to remain discreet and find its full meaning by respectfully paying attention to the individual needs of each family

The maternity ward of Les Grangettes has long experience in caring for new-borns. Our tradition has been enriched by the know-how of several specialists, including Dr. Pierre Klauser, who has instilled a spirit focused on family attention and to whom a special tribute should be paid. Today, Dr. Laurent Robert, paediatrician and specialist in neonatology, has medical responsibility for the neonatology ward. His wish? To continue and develop this precious heritage whilst ensuring the comprehensive medical care for new-borns. “I’m pleased to know that the patients and my colleagues will still have the opportunity to benefit from the experience and humanity of Dr. Pierre Klauser,” he said.

Personalised support

The story of a baby does not begin at birth. It is imagined and written in the heart of the parents for many months and sometimes years before. To be ready to welcome the baby in the best conditions, a wide range of practitioners (obstetricians, midwives, nurses, paediatricians, child psychiatrists and specialists in foetal and perinatal medicine in the broadest sense) are involved around the future birth and help define the families’ journey. “There’s a need for constant dialogue between specialists and families,” explains Dr. Laurent Robert.

Neonatal care

The Grangettes neonatology ward cares for pregnancies and new-borns over 34 weeks of age and over 2000 grams of estimated weight, when there is no particular risk or predictable severe difficulty at birth for the child or the mother. “At birth, and during the stay in the maternity ward, we need to identify children at risk of or having any complications,” says the specialist. “The medical care is then performed within our ward in close collaboration with the neonatology ward of the University Hospitals of Geneva.”

A specialist at the service of families and paediatricians

The neonatologist plays a central role during maternity. They offer a service for new-borns and families, but also to paediatric colleagues who remain the central links in long-term care. “The Clinique des Grangettes maternity ward is fortunate to benefit from the proximity of a team of paediatric generalists and specialists, and emergency and radiology departments entirely dedicated to paediatrics. It is a real foundation for the quality and development of our activity,” explains Dr. Laurent Robert.
Synergies are also developing with the outside world. In this way, the maternity ward relies on a group of ten paediatricians who work in shifts to be available 24 hours a day, 365 days a year. “Theirs is an essential collaboration that guarantees the safety of neonatal care if the child’s paediatrician cannot act in a sufficiently short time”, says the specialist.

Preserving the safety bubble

“It should never be forgotten that the maternity ward is first and foremost intended for healthy mothers and babies who are destined to remain so,” states Dr. Laurent Robert. “Pregnancy and childbirth are to be considered physiological stages of life and not diseases.” For a perinatal medical team in the broadest sense, the ultimate goal is to be able to offer future parents a bubble of safety and comfort in which the entire diverse range of choices of the families can be expressed. It is based on clear medical and technical rules where no quality concessions are acceptable.
“We act as co-ordinators, facilitators and guarantors of the child’s safety,” adds the specialist. The medical staff must know how to remain discreet and find its full meaning by respectfully paying attention to the individual needs of each family. It is not a question of imposing but rather of attempting to achieve the subtle balance between informing and supporting the family. Dr. Robert adds: “Let us never forget that the most important participants are not us but the family and their child.”