Dr. Adam Paer

Dr. Paer

  • Born in New York City February 4th, 1965
  • Grammar school in New York and San Diego, California
  • Graduated from Escuela Juan Rafael Mora, San José, Costa Rica 1977
  • High school – Colegio Los Angeles – Graduation 1982
  • Medical school – University of Costa Rica 1984-1989
  • Social service – Clínica de Monteverde and Hospital Escalante Pradilla San Isidro de El General 1990
  • Residency in Obstetrics and Gynecology 1991 – 1994 Hospital México, San José, Costa Rica
  • Post medical advisor U. S. Embassy San José, Costa Rica 1995-2000
  • In private practice since 1994 in Clínica Bet-el Heredia, Hospital Clínica Bíblica, Hospital La Católica and Hospital CIMA San José

Services provided:

  • General Gynecology
  • Thin layer prep PAP smear
  • Gynecological ultrasound
  • High risk pregnancy
  • 3D and 4D ultrasound including color Doppler
  • Prenatal care
  • Genetic amniocentesis
  • Natural and traditional childbirth including waterbirth
  • Gynecologic surgery
  • Early detection of cervical cancer and precancerous lesions
  • Colposcopy

Dr. Adam Paer is the pioneer of waterbirth in Costa rica. The practice of waterbirth began in Hospital Clínica Bíblica in the year 1998. Dr. Paer became interested in this form of delivery due to the fact that most of the deliveries in Costa Rica were done in the conventional lithotomy position, with many interventions. After coming into contact with several midwives who brought to mind different logical ways of attending childbirth, Dr. Paer began attending deliveries where a more homelike atmosphere was created.

Currently, Dr. Paer attends most deliveries in the main private hospitals in Costa Rica, but the practice of waterbirth is done in Hospital La Católica ( This hospital allows the patient to be admitted into a normal room where the patient can choose who she wishes to accompany her during her labor and delivery. She can have freedom of movement, low lights, soft music, eat fruits or drink fluids and have no medical interventions unless they are really necessary.

The fetal heart rate is monitored intermittently and Dr. Paer has an Aqua Doppler for listening to the fetal heart while the patient is in the birthing pool. For waterbirth, a portable pool is se up in the room and towards the end of labor the patient is encouraged to get in the pool for 1 ½ to 2 hours. If she wishes to have the baby in the pool that is perfectly feasible and if she wishes to get out, there is a birthing stool that she can squat on to give the benefit of gravity to the birthing process. Dr. Paer also encourages early maternal infant bonding and skin to skin contact, so as soon as the baby is born he puts the baby on the mothers chest and waits for the cord to stop pulsating and also encourages the husband or partner to cut the cord if he wants to.

The pediatrician then takes care of the baby and the patient is recommended to leave the pool for estimation of blood loss, extraction of the placenta and to check for and repair any vaginal tears.