03/08/2022
Chto tochno ne nado delatj vo vremya rodov i posle nih
Lotosovoe rozhdenie, otkaz ot akushera, kulinarnie manipulyacii s placentoj i drugie praktiki, nesuschie boljshe opasnostej dlya materi i rebyonka, chem poljzi.
1. Otkazivatjsya ot medicinskoj pomoschiDomashnie rodi — s douloj ili bez neyo — vibirayutHome birth: Know the pros and cons / Mayo Clinic dlya togo, chtobi uberechj sebya ot nenuzhnih medicinskih vmeshateljstv i akusherskoj agressii. Navernoe, rozhatj v znakomoj atmosfere s blizkimi lyudjmi i pravda komfortnee, chem v rodzale, no vryad li riski togo stoyat.V nekotorih stranah, takih kak SShA i Velikobritaniya, estj specialjno obuchennie akusherki, kotorie mogut uchastvovatj v domashnih rodah, no dazhe tam chastota oslozhnenij visheA. Grünebaum, L. B. McCullough, K. J. Sapra, B. Arabin, F. A. Chervenak. Planned home births: the need for additional contraindications /, chem v boljnicah. Akusherka mozhet vovremya zametitj plohie simptomi, no ne zamenit operacionnuyu i reanimaciyu. Tem bolee ne spravyatsya doula ili sama rozhenica.Chem eto mozhet bitj opasnoU materi mozhet nachatjsyaMaterinskaya smertnostj / VOZ krovotechenie, kotoroe ne poluchitsya ostanovitj doma. Bivaet, chto zdorovie zhenschini istekayut krovjyu i umirayut menjshe chem za dva chasa. Eto samaya chastaya prichina materinskoj smertnosti.Rebyonok tozhe mozhetH.Bastian, M.J.N.C. Keirse, P.A.L. Lancaster. Perinatal death associated with planned home birth in Australia: population based study / BMJ (Clinical research ed.) umeretj vo vremya i posle rodov. Krome togo, visoka veroyatnostj serjyoznih nevrologicheskih problem i nizkih ballov po Apgar, kotorie pokazivayut sostoyanie novorozhdyonnogo.2. Rozhatj v vodeRechj o tomShould You Make Water Labor Part of Your Birth Plan? / Cleveland Clinic, chto chastj ili vesj process projdyot v vode. Takoj sposob vibirayut ne toljko dlya domashnih, no i dlya boljnichnih rodov — dlya etogo nekotorie roddoma oborudovani specialjnimi vannami.Tyoplaya voda dejstviteljno mozhetImmersion in Water During Labor and Delivery / American College of Obstetricians and Gynecologists pomochj na etape shvatok. Po nekotorim otzivam, ona uspokaivaet rozhenicu i umenjshaet bolj, poetomu chasto mozhno obojtisj bez anestezii. Konechno, etot variant podojdyot toljko pri neoslozhnyonnoj beremennosti.EstjI gave birth to my new baby in the ocean — because I wanted to be free / New York Post takzhe varianti rodov v okean i drugie estestvennie vodoyomi, no takie ekstremaljnie sposobi luchshe ne rassmatrivatj nikogda.Chem mozhet bitj opasnoV vode vishe risk infekcii i u rebyonka, i u materi, a takzhe distressa, kogda malish perestayotWater Birth Risks and Safety Concerns / OHSU spravlyatjsya s rodami. Iz‑za etogo on mozhet oporozhnitjsya mekoniem i zaglotnutj vodi s nim ili u nego mozhet narush*tsya serdechnij ritm vo vremya ili posle rodov. V tom chisle eto mozhet bitj svyazano s pereohlazhdeniem ili peregrevom.Poetomu Amerikanskij kolledzh akusherstva i ginekologii ne sovetuetImmersion in Water During Labor and Delivery / American College of Obstetricians and Gynecologists nahoditjsya v vode vo vremya samih rodov. No esli vi vsyo zhe reshilisj na eto, pomnite: bez kvalificirovannoj akusherki tut nikak neljzya. Delo v tom, chto v vode legche propustitj obiljnoe krovotechenie posle otdeleniya placenti i slozhnee vivesti rebyonka tak, chtobi pupovina ego ne zadushila ili ne porvalasj.Krome togo, akusherka dolzhna sleditj, chtobi mezhdu vuljvoj i vodoj ne bilo dazhe neboljshoj vozdushnoj proslojki. Inache mladenec nachnyot dishatj ranjshe vremeni i pri daljnejshem prodvizhenii i popadanii v vodu sluchajno eyo vdohnyot.3. Vibiratj lotosovoe rozhdenieTak nazivayut praktiku, kogda pupovinu posle rodov ne perevyazivayut. Cherez 3–10 dnej ona visihaet i otlamivaetsya, a do etogo rebyonok ostayotsya svyazan s placentoj — organom, kotorij nuzhenPlacenta / Cleveland Clinic dlya gazoobmena i pitaniya rebyonka v utrobe, formirovaniya ego immuniteta.Vozmozhno, storonniki etoj praktiki, kak i predstaviteli raznih kuljtur, nadelyayutE. Burns. More Than Clinical Waste? Placenta Rituals Among Australian Home‑Birthing Women / The Journal of Perinatal Education placentu misticheskimi duhovnimi svojstvami. Vozmozhno, nadeyutsya, chto posle rodov placenta uspeet sdelatj rebyonka zdorovee. A vozmozhno, tak oni traktuyut rekomendaciyuDelayed umbilical cord clamping for improved maternal and infant health and nutrition outcomes / WHO VOZ o tom, chto pupovinu nado perevyazivatj ne srazu.Delo v tom, chto, poka pupovina puljsiruet, v nej estj krovj, kotoruyu ona mozhet peredatj mladencu. Dlya novorozhdyonnogo dazhe takoj objyom znachit mnogo, poetomu, esli podozhdatjDelayed umbilical cord clamping for improved maternal and infant health and nutrition outcomes / WHO hotya bi minutu, mozhno snizitj risk togo, chto u rebyonka razovjyotsya anemiya na pervom godu zhizni. Krome togo, issledovaniya pokazaliPrivodit li otsrochennoe perezhatie pupovini ili «scezhivanie» pupovini k uluchsheniyu zdorovjya detej, rozhdennih ranjshe sroka? / Cochrane, chto nedonoshennie deti, kotorim perevyazali pupovinu cherez paru minut, luchshe vizhivayut.Chem mozhet bitj opasnoOstavlyatj pupovinu i placentu na neskoljko chasov, a tem bolee dnej, opasnoRCOG statement on umbilical non‑severance or “lotus birth” / Royal College of Obstetricians and Gynaecologists dlya novorozhdyonnogo. Kak toljko v nih perestayot techj krovj, oni nachinayut portitjsya i stanovyatsya mishenjyu dlya mikroorganizmov. Esli v placente razovjyotsya infekciya, ona budet ugrozhatj zhizni rebyonka.Naprimer, v 2016 godu vrachi soobschiliA. Tricarico, V. Bianco, A.R. Di Biase, L. Iughetti, F. Ferrari, A. Berardi. Lotus Birth Associated With Idiopathic Neonatal Hepatitis /Pediatrics & Neonatology ob infekcii, kotoraya soprovozhdalasj tyazhyolim porazheniem pecheni novorozhdyonnogo. A v 2018 opublikovali informaciyu o tryoh drugih sluchayah — infekcionnom endokardite (vospalenii vnutrennej obolochki serdca) s povrezhdeniem tryohstvorchatogo klapana, sepsise i omfalite (vospalenii kozhi i podkozhno‑zhirovoj kletchatki vokrug pupka i sosudov pupovini).4. Estj placentuKto‑to est placentu siroj, gotovit smuzi ili zharit. No chasche iz neyo delayut pischevie dobavki: ochischayut, rezhut, visushivayut, peremalivayut i upakovivayut v zhelatinovie kapsuli.Schitaetsya, chto ona predotvraschaetS.K. Johnson, J. Pastuschek, J. Rödel, U.R. Markert, T. Groten. Placenta — Worth Trying? Human Maternal Placentophagy: Possible Benefit and Potential Risks / Geburtshilfe Frauenheilkd anemiyu i poslerodovuyu depressiyu, uluchshaet samochuvstvie materi, nalazhivaet laktaciyu. A poroshkom ili eyo obolochkami mozhno dazhe lechitj ozhogi i rani. No uchyonie ne uvereni, sohranyayutsyaA. Farr, F.A Chervenak, L.B McCullough, R.N. Baergen, A. Grünebaum. Human placentophagy: a review / American journal of obstetrics and gynecology li kakie‑libo poleznie veschestva posle inkapsulyacii.Chem mozhet bitj opasnoV svezhej ili prigotovlennoj placente mogut bitj sobstvennie mikrobi, lekarstva i toksini. OsobennoS.K. Johnson, J. Pastuschek, J. Rödel, U.R. Markert, T. Groten. Placenta — Worth Trying? Human Maternal Placentophagy: Possible Benefit and Potential Risks / Geburtshilfe Frauenheilkd esli matj kurila vo vremya beremennosti, prinimala nekotorie medikamenti (v tom chisle poluchila narkoz pri rodah) ili u neyo razvilsya laktostaz i mastit.Situaciya s kapsulami ne siljno otlichaetsya. Oni toljko kazhutsya ochischennim, bezopasnim i poleznim produktom. Poka net zakonov dlya proizvodstva dobavok i ih mozhet delatj kto i kak ugodno, v nih mogut popastj virusi, bakterii i gribki. Ob etom govoryatS.K. Johnson, J. Pastuschek, J. Rödel, U.R. Markert, T. Groten. Placenta — Worth Trying? Human Maternal Placentophagy: Possible Benefit and Potential Risks / Geburtshilfe Frauenheilkd dazhe storonniki kapsulyacii. Takogo zhe mneniya priderzhivaetsya Centr po kontrolyu i profilaktike zabolevanij SShA. V odnom iz otchyotov govorilosjNotes from the Field: Late‑Onset Infant Group B Streptococcus Infection Associated with Maternal Consumption of Capsules Containing Dehydrated Placenta — Oregon, 2016 / CDC o rebyonke s pozdnim sepsisom novorozhdennih, vizvannom streptokokkom gruppi B. Posle rassledovaniya, lechaschij vrach ustanovil, chto istochnik bil v kapsulah.
