Prenatal care

In our practice, we offer you the entire spectrum of pregnancy care in accordance with the maternity guidelines - tailored to your personal and medical needs. In order to optimally care for and plan your pregnancy and birth, we work with competent midwives and all well-known hospitals in Munich and the surrounding area. We carry out the necessary ultrasound examinations using the most modern, high-end ultrasound machines.

We care for your pregnancy at the highest level

Regular check-ups

The most important thing for you as a pregnant woman: A pregnancy, like a birth, is not an illness, everything usually goes well and you have a wonderful and healthy baby. Our task as your caring practice is not to worry you with unnecessary examinations, but rather to inform you specifically and individually about possible risks and to care for you according to your wishes.

However, comprehensive and regular prenatal care is important in order to identify high-risk pregnancies and, fortunately, rare complications at an early stage.

During your pregnancy, we will provide you with competent and thorough care in accordance with the applicable maternity guidelines . The minimum scope of care for a pregnancy is determined here.

You can also find helpful information here .

meaningful investigations

In addition to the basic examinations paid for by statutory health insurance companies, there are a number of useful and important additional examinations that we recommend depending on the exact circumstances of your pregnancy. Many of these examinations are recommended by specialist societies, but unfortunately are not routinely covered in full by all health insurance companies. We will discuss with you in detail which examinations make sense for you.

In particular, these include blood tests for cytomegaloly, toxoplasmosis and rubella. These maternal infections can cause serious damage to your baby cause.

A vaginal swab for B streptococci is also recommended to avoid unnecessary antibiotic treatment during childbirth.

Prenatal screening examination with NIPT

All of our doctors have special additional training in genetic counseling as part of the NIPT procedure as well as in carrying out the first trimester screening (neck fold measurement). That's why we can offer you both procedures directly in our practice.

The NIPT (Non-Invasive Prenatal Test) is a non-invasive procedure for screening for chromosomal disorders during pregnancy. The test has recently been reimbursed by all statutory health insurance companies.

Although the NIPT is a reliable screening test, according to official recommendations from professional societies, it should not be carried out as the sole screening test, but should always be combined with a differentiated ultrasound. More about this here .

These are the basic steps of the NIPT procedure:

  • Blood draw:

The pregnant woman gives a blood sample. This contains cell-free DNA (cfDNA), which comes from the placenta and also contains genetic information from the fetus.

  • DNA analysis:

The isolated fetal DNA is examined in our partner laboratory for genetic abnormalities, in particular for chromosomal errors such as trisomies (e.g., trisomy 21 for Down syndrome).

  • Result notification:

We will communicate the results of the NIPT to the pregnant woman. In the event of an abnormal result, we will discuss with you in detail the other possible diagnostic tests, such as an amniocentesis (amniocentesis) or a chorionic villus sampling. FAQ about the NIPT procedure can be found here

First trimester screening (neck fold measurement)

All doctors who work with us are certified through specialized training to carry out first trimester screening. First trimester screening is a proven and safe screening method that we have been carrying out in our practice for a long time.

What does the examination involve?

First, a specialized ultrasound examination is carried out. In this way, the risk of chromosomal disorders is calculated by measuring the nuchal translucency, if necessary in combination with a blood sample and measurement of the placental hormones ß-HCG and PAPP-A.

The term NT (nuchal translucency) refers to a collection of fluid in the neck area of ​​the fetus. The NT measurement between weeks 11+0 and 13+6 of pregnancy aims to identify statistically increased risks for trisomy 21, 18 and 13. The combination with biochemical laboratory values ​​(PAPP-A and ß-hCG) increases the detection rate to 90%.

If there is an increased risk, we discuss possible invasive (amniocentesis and chorionic villus sampling) diagnostic options, taking your individual preferences into account. A wider NT may also indicate other health problems, so comprehensive organ diagnostics and cardiac evaluation may be recommended.

High-risk pregnancies and older pregnant women

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Our patients say

  • I have been a long-time patient of Dr. Hannes Herold and his team.
    They are always friendly, courteous, helpful and empathetic!
    They also accompanied me very well during my pregnancy, explained everything in detail and professionally, and knew that I was always in good hands and warmly cared for!
    A big compliment to Dr.Herold and his great team of women 🍀

    Sandra M.
  • Dr Herold looked after me during my difficult pregnancy and supported me with excellent professional expertise. Every concern, no matter how banal, was taken seriously and answered in detail and sensitively. Even with more complex questions, he always took the time and I was well informed. So I never had the feeling of being left alone with my fears and worries, which is particularly important in SS.
    His incredibly lovely women's team should also be mentioned.

    Rating on Jameda
  • Dr Herold looked after me during my difficult pregnancy and supported me with excellent professional expertise. Every concern, no matter how banal, was taken seriously and answered in detail and sensitively, even though my concerns as a patient were definitely not always “easy”. Even with more complex questions, he always took the time and I was well informed. So I never had the feeling of being left alone with my fears and worries, which is particularly important during pregnancy. I really felt like I was receiving excellent care and I have great trust in Dr Herold and his team. His incredibly lovely team of ladies in the practice also deserves special mention; they have never been looked after as warmly as in this practice

    Anna B.
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