Chief Medical Officer MUDr. Milena Dokoupilová: Premature birth is just the beginning. It is necessary to find a common path with parents

27. 5. 2025

In an interview for the podcast MUDrování s Daniela, the head of the neonatal department and manager of the Hořovice Maternity Hospital, MUDr. Milena Dokoupilová, talked about how neonatology has changed in recent years, why it is important to involve parents in the care of the baby and how to cope with difficult moments after premature birth.

"Over the past five years, there have been many changes in maternity hospitals that have contributed significantly to a more natural approach to both mothers and babies. The progress is really great," says MUDr. Milena Dokoupilová.

According to her, a great emphasis is now placed on the management of childbirth, but often forgotten is the demanding period after childbirth, which can be physically and psychologically very burdensome for parents. According to her, a completely smooth start - the baby is born at term, is immediately latched on and the mother breastfeeds - is only the case in about 10 to 20% of cases.

Trust instead of blame

At the Hořovice Maternity Hospital we care for newborns from the 30th week of pregnancy. According to the head doctor, it is important to explain to parents that it is not always possible to find the cause of premature birth. "Mothers often look for the culprit - and that is often themselves. The hardest thing is to stop blaming yourself and accept the situation as it is, " says Milena Dokoupilová.

According to her, staying in the NICU is about overcoming small milestones - every step forward, every tube that is no longer needed represents progress. "We try to tailor the stay so that everyone can manage. It's one of the hardest times in a woman's life when something happens around the birth that is different from what her plans were, " says MUDr. Dokoupilová.

According to her, modern neonatology aims to be as minimally invasive as possible. "We used to think that we had to do everything for the children. Today we know that if we treat them gently and carefully, the results are often better," concludes the MD.

You can listen to the podcast here: MUDding with Daniela