Natural childbirth (program ID: 147645)
University Hospital of Ludwig Maximilian University of Munich
Sven MahnerSpecialized in: obstetrics, adult and pediatric gynecology
Department of Obstetrics, Adult and Pediatric Gynecology
The program includes:
For 2 weeks before birth:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- indicators of inflammation (CRP, ESR)
- indicators blood coagulation
- pelvic ultrasound
- gynecological examination:
- transvaginal ultrasound
- scraping with subsequent analysis
- fetal examination:
- 4 D sonography
- determine fetal position before delivery
- nursing services
- observation by chief physician and all leading experts
- maintaining an obstetrician until birth
Day of birth
- gynecological examination
- fetal examination
- childbirth natural
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
- maintaining an obstetrician after birth
- examination during the postnatal period (during the first three weeks)
- control gynecological examinations during the postnatal period
- the first pediatric examination of the newborn
- Medical records, obstetric history
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About the department
The Department of Obstetrics, Adult and Pediatric Gynecology at the University Hospital of Ludwig Maximilian University of Munich offers the full range of preventive, diagnostic, and therapeutic services for girls and women. The department treats general gynecologic diseases, precancerous conditions, and cancers of the female reproductive system. It also provides medical care to patients with hormonal disorders caused by gynecologic diseases and infertility. The medical facility also offers top-class obstetric services for pregnancy, childbirth, and postpartum care. In addition, the department's gynecologists admit girls and young women with gynecologic problems and puberty disorders. The medical team specializes in conservative and surgical treatment, while almost all surgical procedures are performed using minimally invasive techniques. The department is awarded quality certificates for the treatment of endometriosis, cervical dysplasia, ovarian cancer, and other pathologies. More and more women entrust their health to the department's gynecologists every year, which also indicates the highest level of medical service. The Head Physician of the department is Prof. Dr. med. Sven Mahner.
The specialists in general gynecology admit patients with infectious lesions of the reproductive system, uterine fibroids, polyps, condylomas, ovarian cysts, gynecologic bleeding, irregular periods, and other pathologies. Depending on the severity of the detected pathology, a patient may receive drug treatment or undergo invasive procedures. For example, in the case of uterine fibroids, a woman may be indicated for drug therapy with hormones, birth control pills, etc. However, such a treatment is not always effective enough, so patients may require interventional procedures or a full-fledged operation such as uterine artery embolization, focused ultrasound therapy, uterine fibroid enucleation, and a hysterectomy. The optimal type of therapy is determined individually based on a particular clinical case.
Cancer diagnosis is a common thing in the department's clinical practice, so doctors have many effective methods to treat uterine, cervical, ovarian, vulvar, and vaginal cancers. A treatment regimen is developed for each patient individually at regular interdisciplinary tumor boards. As a rule, the treatment consists of surgical resection of the tumor or removal of the affected organ and adjacent anatomical structures (in advanced stages). The operation can often be performed with laparoscopic techniques without extensive skin and soft tissue incisions. In some cases, a transvaginal approach may be used. Uterine and cervical cancers can be treated with a robot-assisted intervention using the da Vinci surgical system. Such surgical procedures are characterized by minimal trauma rates and high efficiency. In addition, patients quickly recover and practically do not experience any pain in the postoperative period. When treating cancers in young women, the department's gynecologists do their best to preserve the reproductive function and give a woman the opportunity to become a mother in the future. The surgical intervention is usually supplemented with conservative treatments such as chemotherapy, radiation therapy, hormone therapy, etc. In addition, all patients are provided with qualified psychological care.
The department also admits girls and women with various gynecologic diseases and disorders. Here one can get a consultation and the necessary medical care for abnormalities in the development of the female reproductive system and mammary glands, infections of the reproductive system, tumors and cysts, vaginal bleeding before the onset of puberty, puberty disorders, irregular periods in girls, etc. Depending on the complexity of the clinical case, conservative therapy or surgical intervention may be the option of choice.
In the field of obstetrics, the department offers comprehensive medical care for pregnant women and young mothers. Doctors have rich and successful experience in managing high-risk pregnancies. The department is the Level I Perinatal Center, which indicates the highest quality of obstetric services and maximum safety for a mother and a child. More than 2,400 babies are born in the department every year. All delivery rooms are equipped with a special delivery bed and assistive devices such as balls, mats, wall bars, hanging ropes, etc. There is a special room for bath delivery. Thus, a patient receives all the possibilities for childbirth in any position convenient for her. Pain management is also of great importance. The most popular methods of pain management include homeopathy, acupuncture, and epidural anesthesia.
The department's range of medical services includes the following:
- Diagnostics and treatment of common gynecologic diseases
- Uterine fibroids
- Cervical dysplasia
- Ovarian cysts
- Fallopian tube obstruction
- Inflammatory and infectious diseases of the female genitourinary system
- Female genital condylomas
- Internal bleeding due to gynecologic diseases
- Hormonal disorders due to gynecologic diseases
- Diagnostics and treatment of malignant gynecologic diseases
- Uterine cancer
- Cervical cancer
- Ovarian cancer
- Vulvar cancer
- Vaginal cancer
- Diagnostics and treatment of urogynecologic diseases
- Urinary incontinence
- Pelvic organ prolapse
- Diagnostics and treatment of gynecologic disorders in girls and young women
- Inflammatory and infectious diseases of the genitourinary system
- Malformations of the female reproductive system
- Puberty disorders
- Irregular periods, including too abundant or too scanty menstruation
- Tumors and cysts of the genitalia and breast in young girls and women
- Vaginal bleeding before the onset of puberty
- Presence of a foreign body in the vagina
- Genetic syndromes: Mayer-Rokitansky-Küster-Hauser syndrome, Ullrich-Turner's syndrome, and androgen insensitivity syndrome
- Obstetric services
- Prenatal diagnostics and treatment
- High-risk pregnancy management
- Obstetric operations
- Pain management during childbirth: homeopathy, acupuncture, and epidural anesthesia
- Postpartum care for a mother and a baby
- Intensive care for premature newborns and babies with congenital pathologies
- Diagnostics and treatment of other diseases of the reproductive system in women
- Since 09.2015 Head of the Department of Obstetrics, Adult and Pediatric Gynecology, University Hospital of Ludwig Maximilian University of Munich.
- 2015 Acting Head of the Department of Gynecology, University Hospital Hamburg-Eppendorf.
- 2012 - 2015 Managing Senior Physician of the Department of Gynecology at the University Hospital Hamburg-Eppendorf.
- 2009 - 2012 Senior Physician of the Department of Gynecology at the University Hospital Hamburg-Eppendorf.
- 2008 Board certification in Gynecology and Obstetrics.
- 2003 - 2008 Advanced training in Gynecology and Obstetrics, University Hospital Hamburg-Eppendorf.
Higher Education and Postgraduate Training
- 2003 State examination and admission to medical practice, Heidelberg University.
- Clinical training abroad: Harvard Medical School (Boston, USA), Icahn School of Medicine at Mount Sinai (New York, USA), University of Zurich (Switzerland), and University of Manitoba (Winnipeg, Canada).
- Habilitation. Subject: "Prognostic factors associated with surgical treatment and biological properties of the tumor in ovarian cancer."
- Thesis defense. Subject: "Expression and localization of proteins with multiple drug resistance 2 and 3 in the intestines (rat testing)", Department of Internal Medicine IV, Heidelberg University, note: excellent.
- 100 publications in international peer-reviewed journals.
- 200 published national and international congress reports.
- 20 articles in books.
Awards and Scholarships
- 2012 Staude Pfannenstiel Award from the North-German Society of Obstetrics and Gynecology.
- 2010 Niall O'Higgins Award from the European Society of Surgical Oncology.
- 2009 Georg Ernst Konjetzny Award from the Hamburg Cancer Society.
- 2009 American Society of Clinical Oncology (ASCO) Merit Award.
- 2009 Translational Research Award, Association of Society of Gynecologic Oncology.
- 2006 Award from the North-German Society of Obstetrics and Gynecology.
- 2001 Scholarship from the German Academic Exchange Service.
- 2001 Carl Duisberg Scholarship.
- 2001 Scholarship from the International Academy of Life Sciences.
Memberships in Professional Societies
- American Society of Clinical Oncology (ASCO).
- Working Group on Gynecologic Oncology (AGO).
- Working Group on Cervical and Colposcopy Pathology (AG CPC).
- Bavarian Society for Obstetrics and Gynecology (BGGF).
- German Society for Gynecology and Obstetrics (DGGG).
- German Cancer Society (DKG).
- European Society of Gynecologic Oncology (ESGO).
- Obstetrics Society of the Hamburg Working Group on Gynecologic Oncology.
- International Academy of Life Sciences (IALS)
- International Gynecologic Cancer Society (IGCS)
- North-German Society of Obstetrics and Gynecology (NGGG)
- Northeast German Society of Obstetrics and Gynecology (NOGGO).
- Commission for Ovarian Diseases of the Gynecologic Oncologist Working Group (AGO-OVAR).
- Head of the Gynecologic Oncology Research Group (AGO-SLG).
- Acta Obstetrica et Gynecologica Scandinavica.
- Annals of Oncology.
- Archives of Gynecology and Obstetrics.
- BMC Cancer.
- Breast Cancer Research and Treatment.
- British Journal of Cancer.
- Cancer Management and Research.
- Cancer Research UK.
- Cancer Treatment Reviews.
- European Journal of Cancer.
- European Journal of Cancer Care.
- European Journal of Nuclear Medicine.
- Journal of Obstetrics & Gynecology and Reproductive Biology.
- European Journal of Surgical Oncology.
- Guy’s and St. Thomas’ Charity.
- Gynecologic Oncology.
- International Journal of Gynecological Cancer.
- International Journal of Gynecology and Obstetrics.
- OncoTargets and Therapy.
- The Lancet.
- The Lancet Oncology.
Photo of the doctor: (c) LMU Klinikum