Patient AdmissionHospitalizationDischarge ProcedureNeonatal ScreeningBaby’s Birth DeclarationInpatient Accounting DepartmentNewborn PhotographyBreastfeedingRooming In at IASO

Patient Admission

Admission takes place at the Reception Department. Upon admission you will be asked to provide the following personal details: name, occupation, home address, telephone number, marital status, Social Security Number and Social Insurance Fund. You will also be asked to produce both parents’ National ID Cards, and the Marriage or Civil Partnership Certificate, or the Family Status Certificate in the case of single mothers.

We suggest you leave any valuables at home. Our clinic assumes no responsibility for the loss of personal items. Alternatively, you can give them to your escort at the time of admission or deliver them to the Reception Department on level -1 for safekeeping in a deposit box.

At a later stage during the admission procedure, a healthcare plan (by obtaining your medical history, performing laboratory exams or imaging studies were needed) is implemented in accordance with the instructions given by the Attending Physician and the Clinic’s Procedures and Protocols.

Contact numbers: +30 210 618 5110, +30 210 618 5111 & +30 210 618 5109

At IASO you can select among various classes of room. More specifically:

  • Superior three-bedded room
  • Standard two-bedded room
  • Superior two-bedded room
  • Single room
  • Lux room
  • Suite

The Matron and the Nursing Staff provide you with quality and individualized nursing care and are always willing to offer you guidance and information at all times.

Should you wish, you can have your baby with you 24-hours a day in all patient room classes (Rooming In), at no additional cost.

Specialist midwifes provide guidance and support to mothers on Breastfeeding for the successful establishment of exclusive Breastfeeding. Advice and instructions regarding a successful Breastfeeding are included in IASO’s Breastfeeding Manual.

Parents are provided with information and training on issues relating to the care of the newborn, thus contributing to their smooth adjustment to the new situation.

Newborns are continuously monitored during their stay at the Clinic by experienced Pediatricians and other specialist physicians (Pediatric Surgeon and Pediatric Orthopedic).

All patient rooms have free wireless internet access, 20 NOVA satellite channels (4 movie channels, 6 sport channels, 2 kids’ channels, documentary channels and the largest international news channels).

Discharge Procedure

On your discharge day, please contact the Inpatient Accounting Office to receive information on your billing. The Charge Nurse will inform you on your discharge procedure. Having your discharge note signed by the attending physician, you then visit the Inpatient Cashier’s Office located on the first floor of the Clinic.

The settlement of your bill can either be made via the Alpha Bank branch, located on the first floor, in cash, via personal or bank cheque or any credit card (except Diners and American Express). Using the MyClub Card Visa issued by IASO Group, you can pay your bill in interest-free monthly installments.

The Inpatient Cashier’s Office on the 1st floor will provide you with all the necessary documentation for submission to your insurance fund.

The Inpatient Cashier’s Office (ext.4188) operates daily, Monday to Saturday, from 8:30 to 17:00. If you are discharged on a Sunday, your bill should be settled by Saturday (8:30 to 15:00)

Upon your departure, you should hold:

  1. Your baby’s Health book
  2. Your baby’s birth certificate
  3. IASO contract of cooperation with Ethniki Asfalistiki referred to as «Στοργή για μια Ζωή (Life-long affection)»
  4. The receipt for the provision of services along with the payment receipt issued by the Clinic
  5. Your discharge note

Contact numbers:

Inpatient Accounting Office: +30 210 618 4118, +30 210 618 4356 & +30 210 618 4105
Inpatient Cashier’s Office: +30 210 618 4188

IASO applies a series of screening tests on newborns as a package which includes Metabolic Diseases, Otoacoustic Emissions, Ophthalmological Examination, Ultrasound Hip Control, Cardiology exam & echocardiogram and Pediatric endocrinology assessment and developmental test for small – for – gestational age (SGA) newborns. Hip ultrasound is performed one (1) month after childbirth at IASO CHILDREN’S HOSPITAL, next to IASO Maternity Hospital, by making an appointment at the reception of IASO CHILDREN’S HOSPITAL and by calling at +30 210 638 3070 and +30 210 638 3072.

1) METABOLIC DISEASES

Screenings for metabolic diseases include: Cystic Fibrosis (IRT), Congenital Adrenal Hyperplasia (17-OH-Progesterone) Deficiency Biotinidase (partial and total), organic aciduria, Amino Acid Absorption Deficiency, Deficiency Fatty Acid Absorption. The overall incidence is 1:1500 children.

What is neonatal screening?

The neonatal screening takes place on the second to fourth day after birth. The purpose of the neonatal screening is to detect infants who are 'suspect' for the presence of serious diseases, where early diagnosis allows clinical improvement and/or avoidance of severe clinical symptoms such as neurological, digestive, respiratory and other disorders. The Institute of Child Health provides control for only four diseases: phenylketonuria, deficiency of glucose-6-phosphate dehydrogenase (G6PD), congenital hypothyroidism and galactosemia. Galactosemia is conducted under a pilot program.

What is the expanded neonatal screening?

The extended neonatal screening enables the detection of more serious diseases, some of which occur at a relatively high frequency in the Greek population, and some of which are rarer.

Specifically, high frequency diseases include cystic fibrosis, Biotinidase deficiency and congenital adrenal hyperplasia. Every year, 50-60 children are born suffering from Cystic Fibrosis -a disease affecting the function of many organic systems but the main clinical manifestations are detected in the respiratory and digestive system. Early diagnosis of this disease promotes the adoption of appropriate measures and the optimization of clinical symptoms in order to ensure the patient’s better quality of life.

As for the rarer diseases, it regards to 40 metabolic disorders (deficiency of amino acids, fatty acids and/or organic acids), the early diagnosis of which can prevent the onset of serious health problems such as mental retardation, hearing loss, visual disturbances, and seizures.

Only in case of pathologic findings are you informed by IASO and sent the results to the address specified upon admission. Otherwise (non-pathological findings), you are NOT informed and the test results remain in the infant’s medical file at the Department of Medical Records at IASO. A copy of these tests can be received from the Department of Medical Records at IASO (phone +30 210 6185238) by you in person, by showing your National ID card or passport, or by a legally authorized person from you.

2) OTOACOUSTIC EMISSIONS

It is a simple, fast, painless screening test conducted in all modern maternity clinics abroad. During the examination, continuous rhythmic sounds are emitted to the neonate and the ear’s acoustic response is recorded via a special device connected to a computer. The ideal time for the performance of this testing is during the first days after birth, when neonates are asleep for the biggest part of the day. The examination can also be carried out during sleep, so the baby is not aware of it. To a significant extent, the presence of otoacoustic emissions is indicative of normal hearing.

Neonatal hypoacusia (hearing loss) frequency accounts for 3-4‰ of all newborns whereas severe hypoacusia (deafness) is present in 1‰. It is worth mentioning that the aforementioned rates also include congenital hypoacusia family history-free children. Early detected and timely managed hypoacusia during the first weeks of a neonate’s life is of great importance to a child’s speech development and cognitive and mental progress.

For this reason, the OAEs screening test, performed in all neonates in the USA and the countries of West Europe, is similarly applied to all neonates born in IASO Clinic, for the past twenty years. All the above are according to WHO recommendations. The recording of the screening test remains in the hospitalization file and its results are written down on the personal child health record (p. 15).

References:

  1. American Academy of Pediatrics, Task Force on Newborn and Infant Hearing. Newborn and Infant Hearing loss: detection and intervention. Pediatrics 1999
  2. European Consensus Statement on Neonatal Hearing Screening. Audiology 1999.
  3. World Health Organization. Newborn and Infant Hearing Screening. Current Issues and Guiding Principles for Action. Geneva, Switzerland, 09-10 November 2009.
  4. S. Korres et al. Outcomes and Efficasy of Newborn Hearing Screening: Strengths and Weaknesses. The Laryngoscope 2008.

3) OPHTHALMOLOGICAL EXAMINATION

The ophthalmologic examination performed at IASO Maternity Hospital investigates the possible presence of congenital abnormalities of the eyes and eyelids of the newborn. It also examines the possible presence of congenital diseases such as congenital cataract, glaucoma, congenital optic nerve and retina anomalies or the existence of an inflammation in the ocular fundus (eye ground) (e.g., toxoplasmosis) or conjunctiva (e.g. conjunctivitis). Early diagnosis and treatment of some of these diseases can be life-saving for the baby's eyesight. The recording of the examination remains in the medical file and its results are recorded in the child’s Health Book (p. 15).

References:

  1. Eye Examination in newborn, infant and children, Study Reaffirmed May 2007 HOSKINS CENTER FOR QUALITY EYE CARE
  2. American Academy of ophthalmology Pediatric Eye Evaluation, PPP-September 2012
  3. Multiple Strokes in a newborn, OPHTHALMOLOGY Volume 116 Issue 4 April 2009

4) ULTRASOUND HIP CONTROL

The developmental dysplasia of the hip, formerly widely known as congenital hip dislocation is a common condition, present at 0.1% of births. It is a multifactorial condition; the treatment is simple, if detected early (before 6 months). At a significant proportion, it is diagnosed with clinical preventive control of the hips by a pediatrician or an orthopedic specialist, yet, a large proportion remains undiagnosed for several months.

Via the ultrasound, the morphology of the hip joint is depicted and the so-called “silent dysplasia” can be early diagnosed, leading to an early treatment. In the European countries that have implemented the universal screening of hip sonography in neonates, the rate of late diagnosed cases of dysplasia has almost disappeared and, by extension, complicated surgeries, too.

References:

  1. Diagnostic accuracy of static Graf technique of ultrasound evaluation of infant hips for developmental dysplasia . Arch ortho Trauma Surg. 2011; 131(1):53-8
  2. Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening. JBJS(Br):2004;86-B:585-9

5) CARDIOLOGY EXAM & ECHOCARDIOGRAM

Heart conditions (congenital and inherited) are not rare in neonates, since 10 to 12 in 1000 neonates are born with some type of heart defect. Most of these conditions (65%) will need to be treated (usually surgically) during the first year of their lives. Early diagnosis and treatment can improve dramatically the final outcome.

In the context of screening tests for neonates, IASO introduces the Cardiology Exam & Echocardiogram, performed by experienced and qualified Pediatric Cardiologists.

It is a simple exam that is carried out at the neonatal ward of the Hospital. It complements the prenatal cardiology exam, and offers parents and the treating pediatrician the chance to rule out neonatal heart problems.

If a heart problem is detected, the parents are fully briefed and are given suitable treatment and monitoring instructions.

References:

  1. Van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, Roos-Hesselink JW. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011; 58:2241–2247. doi: 10.1016/j.jacc.2011.08.025 [PubMed] [CrossRef] [Google Scholar]
  2. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39:1890–1900. [PubMed] [Google Scholar]
  3. Wren C The epidemiology of cardiovascular malformations. In: Moller JH, ed. Pediatric Cardiovascular Medicine 2nd ed. West Sussex, UK: Blackwell Publishing; 2012: 268–275. [Google Scholar]
  4. Marelli AJ, Ionescu-Ittu R, Mackie AS, Guo L, Dendukuri N, Kaouache M. Lifetime prevalence of congenital heart diseaseα in the general population from 2000 to 2010. Circulation 2014;130:749–756. doi: 10.1161/CIRCULATION AHA.113.008396 [PubMed] [CrossRef] [Google Scholar]

6) PEDIATRIC ENDOCRINOLOGY ASSESSMENT AND DEVELOPMENTAL TEST FOR SMALL-FOR-GESTATIONAL AGE (SGA) NEWBORNS

According to international literature, low birth weight newborns have a statistically higher chance of manifesting developmental abnormalities and metabolic disorders later on in life, including:

  • Shortness of stature
  • Weight disorders / Obesity
  • Puberty disorders (premature adrenarche / precocious puberty)
  • Insulin resistance
  • Cardiovascular disorders as adults

For this reason, they require regular monitoring and early treatment.

Monitoring is performed by a Pediatric Endocrinology Specialist and an experienced Pediatrician.

Bibliography:

  • CONSENSUS STATEMENT: Management of the Child Born Small for Gestational Age through to Adulthood: A Consensus Statement of the International Societies of Pediatric Endocrinology and the Growth Hormone Research Society The Journal of Clinical Endocrinology & Metabolism 2007
  • Children Born Small-for-Gestational Age: Postnatal Growth and Hormonal Status, Kerstin Albertsson-Wikland, Horm Res 1998
  • Childhood growth of singletons conceived following in vitro fertilisation or intracytoplasmic sperm injection: a systematic review and meta‐analysis, Bay B, BJOG 2019

The Registration of Birth must exclusively be carried out by both parents within 10 calendar days from the date following the birth, at the Birth Registration Office on the 1st Floor of the Maternity Hospital by appointment.

After the 10 days, a late registration fine is issued by the Tax Office you belong to, according to Law 4144/2013 Article 4(15) (replacing Article 49 of Law 344/1976).

Note

The Registration of Birth of a newborn may be carried out by one parent only, provided they have a signed and validated authorization from the other parent. The authorization must state whether the newborn will be insured under the mother’s or the father’s social insurance fund, provided both parents work. Irrespective of the social insurance fund of the newborn, the mother will need to authorize her spouse to claim the childbirth benefit.

The authorization may be obtained online through gov.gr.

If the mother is indirectly insured through the spouse, the mother must provide authorization that she consents to the spouse claiming the childbirth benefit.

REQUIRED DOCUMENTATION

  1. Both parents’ original national ID cards and photocopies thereof. An original and recent Certificate of Marriage (issued no earlier than 6 months) and a photocopy thereof; you can receive the Certificate of Marriage from the Registry Office your marriage was registered at or from a Citizens’ Service Center (KEP), in which case you must also provide a photocopy of the relevant application form, or from gov.gr. Both parents’ Social Security Numbers (AMKA) and Tax Numbers, and the mother’s IBAN are also required.
  2. In case there is no marriage, the Registration of Birth is solely carried out by the mother with her national ID card and a Family Status Certificate (issued no earlier than six 6 months). The Family Status Certificate may be obtained from the Municipality where she exercises her right to vote, from or a Citizens’ Service Center (KEP) or from gov.gr. The mother’s Social Security Number (AMKA), Tax Number and IBAN are also required.
  3. In case there is no marriage and the mother is divorced, the Registration of Birth is solely carried out by the mother with her national ID card, and an original and recent Marriage Certificate (issued no earlier than 6 months) stating the dissolution (i.e. the divorce). Please note that 300 days must have passed from the date the dissolution of marriage has been rendered irrevocable. A Family Status Certificate (issued no earlier than six 6 months) or a relevant certificate from a Citizens’ Service Center (KEP) or from gov.gr, as well as the mother’s Social Security Number (AMKA), Tax Number and IBAN are also required.
  4. In case a child is born in civil partnership, both parents must produce their national ID cards, an original and recent Civil Partnership Certificate (issued no earlier than 6 months), registered at the Registry Office, their Social Security Numbers (AMKA) and Tax Numbers, and the mother’s IBAN.
  5. Third-country nationals, instead of national ID cards, may produce their valid passports and photocopies thereof. In case their wedding took place in a foreign country, they must produce an original Certificate of Marriage and an original and official translation of it into Greek (translated no earlier than 6 months). The full names of both parents must be clearly indicated on the Certificate of Marriage, and these must also be translated into Greek. The translation may be carried out by the Translation Service of the Greek Ministry of Foreign Affairs or the corresponding Greek consular authority in the country where the certificate was issued, or by an authorized Greek attorney.

PUBLIC OPENING HOURS

MONDAY – FRIDAY, 07:30-13:00 by appointment

Birth Registration Office within IASO Maternity - Gynecology Hospital, 1st floor (tel: +30 210 6184178, +30 210 6184189, fax: +30 210 6184158)

HOW TO RECEIVE THE BIRTH CERTIFICATE AND SOCIAL SECURITY NUMBER OF YOUR NEWBORN

  1. The Birth Certificate of the newborn may be picked up (free of charge) from the Central Registry Office of the Municipality of Amaroussion (9 Vas. Sofias Street, within the City Hall) by either one of the parents or a 1st degree relative, upon presenting their national ID card, after contacting them over the phone.
  2. The Birth Certificate of the newborn may also be picked up at any Citizens' Service Center (KEP), provided the birth of your newborn has been registered at the Maternity Hospital and a relevant application is filed at the KEP.
  3. Online through gov.gr.

You will receive your newborn’s Social Security Number (AMKA) via SMS. This number is then written in your child’s Birth Certificate.

It is mandatory that you immediately notify IASO of this before being discharged so that you are entitled to use the public insurance fund – EOPYY (Greek National Organization of the Provision of Healthcare Services). Especially if the newborn is admitted to the Neonatal Intensive Care Unit (NICU) or a ward to undergo surgery, you must produce the baby’s AMKA prior to the newborn’s admission, so that they are entitled to use the public insurance find – EOPYY.

  1. Via e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
  2. By fax: +30 210 618 4158
  3. Over the phone: +30 210 618 4105 & 183

On your discharge day, please contact the Inpatient Accounting Office to receive information on your billing. The Charge Nurse will inform you on your discharge procedure. Having your discharge note signed by the attending physician, you then visit the Inpatient Cashier’s Office located on the first floor of the Clinic.

The settlement of your bill can either be made via the Ethniki Bank and Emporiki Bank branches located on the first floor, in cash, via personal or bank cheque or any credit card (except Diners and American Express). Using the MyClub Card Visa issued by IASO Group, you can pay your bill in interest-free monthly installments.

Contact numbers: +30 210 618 4118 (ext. 4118), +30 210 618 4356 (ext. 4356) and +30 210 618 4105 (ext. 4105)

Opening hours:

  • Monday-Friday 07:00 - 18:00
  • Saturday: 07:00 - 16:00
  • The department is closed on Sunday

Your baby’s first photographs will be taken in the Nursery, following informed consent by the parents. Our in-house photographer will show you the first photographs of your baby. Purchase is optional.

For information, please call Mr. Mathiou on +30 6972 313277

Advice on successful Breastfeeding

How is breast milk produced?

According to research, 97% of mothers are capable of successfully producing milk. The preparation of the breasts begins during pregnancy while the production of milk starts right after the delivery and the detachment of the placenta. As soon as the stimulus generated from the baby’s sucking movements reaches the brain, two hormones are secreted by the pituitary gland; prolactin and oxytocin. These hormones are transferred to the breast through the circulating blood. Prolactin helps the production of milk from the lobules of the breast. Through the oxytocin action the milk is advanced to the lactiferous ducts and the nipple.

The composition of breast milk varies between breastfeedings and changes day by day (colostrum in the first post-delivery days) and hour by hour (at the beginning of breastfeeding the milk has a light texture while the milk produced towards the end of breastfeeding is richer in fat and, consequently, in calories).

The first days

Many mothers often face difficulties with breastfeeding, especially in the first days. Care and support is required so that they do not get disappointed and give up on breastfeeding. Gaining self-confidence and faith will help you overcome any possible initial difficulties. The earliest the commencement of breastfeeding and the more frequently breastfeeding is subsequently performed, the earlier and faster the breast milk will be produced, based on the quality and quantity needs of the newborn.

How to get started with your baby

Environment. It must be supportive, the atmosphere must be calm and pleasant and your attention must be fully focused on your baby. Stress and tiredness are inhibitory factors for sufficient milk production, whereas, being relaxed, calm and self-confident, will positively influence the progress of breastfeeding.

Breast-nipple care. Wash your hands before breastfeeding to prevent the transmission of microbes. Make sure you bathe once a day and wash your breasts with soap and water; in between you can clean it with water before and after breastfeeding.

Position of the mother. At the time of breastfeeding choose a comfortable position which will make breastfeeding easier. If you prefer a sitting position, you can place a pillow on your knees and place your baby on it, positioning your baby closer to your breast.

Position of the baby. The baby should be lying down on one side and turned towards your breast. Use one hand to hold the underside of your breast and hold your baby with your other hand.

Breastfeeding position. When your baby opens its mouth searching for your breast, bring it towards your breast and make sure that your baby’s mouth covers the nipple and part of areola mammae (the pigmented area around the nipple). By doing this, the baby will receive a greater quantity of milk accumulating mainly around the areola mammae and, thus, injury to the nipple is avoided.

Correct breastfeeding. You should not feel pain during breastfeeding, because this means that the baby has not been placed in a proper position in relation to the breast. When a baby breastfeeds properly, it sits quietly at the breast, performs rhythmic sucking movements and its lips look like a "plunger".

The baby’s meals. Every baby differs and requires a different amount of time in order to receive a certain quantity of milk. Meals never last the same amount of time and the baby has the ability to adjust the quantity needed on its own. We recommend that the baby alternates between breasts during breastfeeding, so that both breasts are evenly emptied.

Post breastfeeding. Your baby will feel more comfortable if placed in a proper position, i.e. upright and resting against the breast, as it will be able to expel any accidentally swallowed air during breastfeeding (burp). The most appropriate position for a baby to sleep in a cot is on its side without a pillow.

If your baby cries, even just after breastfeeding, do not panic that you do not have enough milk. Instead, repeat breastfeeding and avoid giving your baby formula milk or other liquid supplements. This is usually a temporary problem, and frequent and disordered meals will probably improve after about the first 6 weeks.

Signs that milk production is adequate are: a stable increase in body weight, which should be measured every 10 days at the beginning and subsequently once per month, as well as the behavior of the newborn (crying, duration of sleep, etc.). Sometimes, a pediatrician must confirm that the milk production is adequate.

Twins: is it possible to breastfeed?

You may breastfeed them simultaneously if this is convenient for you. A good way to perform this is to place the babies on two pillows, place their legs towards your armpits and support their heads with your hands.

Nutrition for the mother.

Do not forget that you do not need to eat for two, but rather to appropriately satisfy your dietary needs. It is best to base your diet on fresh fruit and vegetables, meat, fish, eggs and cheese and avoid excessive sweets consumption. Drink as many fluids as you want, even during breastfeeding. There is no reason to increase your body weight beyond normal limits. Do not count calories. At the end of the breastfeeding period, you will have lost any extra weight gained during pregnancy and your breast will revert to its normal shape.

Avoid smoking and drinking alcohol, as they contain substances that pass into the breast milk and affect it.

At IASO you have the option to have your newborn in your room 24-hours a day, from its birth to your discharge date from the Obstetric Clinic, independently of your room class and at no additional cost.

The Staff is responsible for the daily provision of care and treatment to the newborn. However, if the mother wishes to, she may participate in the provision of care to her child.

In every case the ward staff will facilitate you in spending as much time with your baby as possible.

Patient Admission

Admission takes place at the Reception Department. Upon admission you will be asked to provide the following personal details: name, occupation, home address, telephone number, marital status, Social Security Number and Social Insurance Fund. You will also be asked to produce both parents’ National ID Cards, and the Marriage or Civil Partnership Certificate, or the Family Status Certificate in the case of single mothers.

We suggest you leave any valuables at home. Our clinic assumes no responsibility for the loss of personal items. Alternatively, you can give them to your escort at the time of admission or deliver them to the Reception Department on level -1 for safekeeping in a deposit box.

At a later stage during the admission procedure, a healthcare plan (by obtaining your medical history, performing laboratory exams or imaging studies were needed) is implemented in accordance with the instructions given by the Attending Physician and the Clinic’s Procedures and Protocols.

Contact numbers: +30 210 618 5110, +30 210 618 5111 & +30 210 618 5109