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Everything about childbirth >> Unconventional childbirth >> Non-standard delivery. The risk and benefits of non-standard delivery.

Translated from the original executed by the robot. Оriginal text baby-team.su

Non-standard delivery. The risk and benefits of non-standard delivery.

Note This article describes the advantages and disadvantages of certain types of non-standard delivery. Wherein you should be aware that non-standard deliveries have the support of a very limited number of specialists, and opt for a non-standard delivery very responsible decision.

Among the main types of non-standard delivery are: a water birth, vertical births, home births. Since birth at home in a separate article in this article, we look at the first two cases.

Water birth (BIRTH UNDER WATER)

The term "water birth" appeared recently. And this question can be viewed from two sides. In the first case, it is rather a method of natural pain relief during the first stage of labor. In the second - on the immediate birth of a child in the water. Many studies confirm that the presence of water in the first stage of labor significantly helps reduce the painful contractions and often eliminates the use of analgesics. Water treatments facilitate the woman's condition and often eliminates the need for medical intervention.

Thanks to Igor Charkovsky - a native of Moscow, now the honorary doctor of the University of California (USA). After the first publications in the West "water birth" became very popular in Europe and the United States. Their study involved eminent scientists, was written many books (among the most famous - "Rejuvenated birth" Michel Auden, "For generations without violence" Frederick Lebuaye, "The Secret Life of the unborn child," Thomas Verny). There were his adepts "water birth" in Russia.

In the late '70s the movement for a water birth in the Soviet Union has become widespread. If given the opportunity, couples are expected to appear heir, went to the Crimea. There on the beach was pitch their camp, which rested and waited for the promised hour mums and dads. Sacrament of birth was performed directly in the Black Sea waters. When the pair tried to be closer to the habitat of dolphins. Proponents of water births were convinced that the child in the womb has a telepathic bond with dolphins, understands their language better than the mother tongue. Baby and mother fall into the protective field of the mammals, and the baby is born quietly. If you believe the women giving birth at sea, during childbirth, they were in an altered state of consciousness, meditate, do not feel pain. As for the "water" of children, in the future they are more sensitive than peers perceive the world, we have a strong power, large mental and physical disabilities. Informal camp giving birth in the water lasted until the mid-80s.

As for the official medicine, it is very long perceived birth in water in a largely hostile reception from the fact that "the families of the house, though" dry ", though the water are dangerous for both mother and baby." Thus the fact that a water birth women were often not very healthy, which prenatal warned about the likelihood of caesarean section, and nothing quite safely give birth, doctors chose to ignore. In fairness it should be noted that sometimes a home birth women brought to the state medical institutions in serious condition, and doctors had to join in the fight for their lives. Gradually, however, the ratio of Russian doctors to leave in the water become more loyal, largely under the influence of western colleagues. Now some maternity hospitals in Moscow, St. Petersburg and other advanced cities offer all wishing to give birth in the water.

Specialists involved in non-traditional midwifery, however, try not to disappoint their parents solely on water scenario. In their view, not every child "go" in the aquatic environment. As practice shows, there are cases when the mother tuned exclusively "on the water" gives birth to "dry." This usually happens because: a woman sits, sitting in a bathtub, and all the baby does not want to be born. But a woman decides to leave the water, take a break, walk around the apartment - and please begin the fight, and the child is born somewhere on the couch. Perhaps the opposite situation, when my mother, convinced of the correctness of delivery "dry", decides to relax in a warm bath, and then that kid declares itself. So in the end the choice is for the baby.

A warm bath, naturally relaxes the body, the woman is resting between contractions more efficient, improving the generic activities, the pain of contractions felt not so much (brake transmission of impulses in the central nervous system), which eliminates the need painkillers. In addition, water removes the feeling of gravity, reduces the secretion of adrenaline and relaxes the muscles, creates a state of mental relaxation.

At birth in water is very important to observe the temperature. The water temperature should not fall below 34 degrees or rise above 36 degrees - too warm water acts on the uterus relaxing that leads to a weakening of labor. At a water temperature of 37 degrees and above can cause complications related to premature detachment of the placenta and bleeding.

Absolutely contraindicated in this way to women with narrow hips or pelvis and the size mismatch of the head of the fetus, placenta previa, preeclampsia, and new mothers with diabetes, diseases of the cardiovascular system. Out of the water should be completed in the birth of cervical pathology, fetal hypoxia, large fruit, have disturbed women.

Research on leave in the water in Russia showed that such deliveries took place fairly quickly and no woman took the drug anesthesia. But all of them were carried out in experimental conditions: in a special pool, a special technique and careful observation of specialists. Failure to comply with all these conditions there is a risk to the health of mother and baby because of the possibility of infection. Also, when lack of control increases the risk of severe perineal tears, bleeding and injury to a child. Complications or multiple pregnancy, breech baby is a contraindication to birth in water. Therefore, choosing a birth in the water, make sure the reliability of the clinic, where you will give birth, and the professionalism of its doctors. Or perhaps you will come to a reasonable compromise by staying in the water only in the first stage of labor.

If we talk about foreign experience, there really common maternity hospitals that offer to take birth in the water. They are equipped properly and have a staff of professionals specialized in this type of delivery. However, even in facilities Switzerland supporting this technique bears directly in water of less than 30% of women.

vertical birth

Speaking of vertical childbirth, many are willing to treat them as a kind of innovation, a relatively new invention and invade traditional obstetric practice. In fact, the situation is quite the opposite.

This birth in a sitting or standing position should be considered as the traditional, proven many generations in all parts of the world. Births squatting are traditional for the North, Central Asia, many countries in Africa, South America, Asia, to Mexico and China. In Europe, the birth in an upright position actively practiced in the Netherlands and Germany. At the beginning of the last century in the Dutch trousseau included a special chair designed for delivery.

In Moscow, the official permission for the "vertical" genera have only one maternity hospital - №4. His observations and thoughts on this mode of delivery with our readers share this hospital doctors, who took more than 3,000 'vertical' birth.

The arguments of the vertical position of mothers are quite convincing.

1. First of all, it is that the vertical position of female uterine pressure decreases for large vessels. What happens when horizontal mothers compression of blood vessels, including the aorta, departing directly from the heart and the carrier to the organs and tissues of blood rich in oxygen, and the inferior vena cava, through which all the blood from the lower half of the body back to the heart, bad for mother and for the child. Squeezing causes the aorta, in the uterus begins to flow enough blood and therefore oxygen.

2. In addition, when the vertical birth mothers talk about much less intense pain (pain their new mothers in both groups were asked to rate on a 10-point scale). A time less pain, thus eliminating the need for application of anesthetics, which can be unsafe for a child. During attempts upright mothers also preferably horizontal. When the vertical length of the second period of labor increases slightly compared to the "traditional" birth, but this increase is for the good and the mother and child.

3. When vertical childbirth is almost never a need to "pull" the baby with forceps, he moves easily through the birth canal with the lowest energy consumption for themselves.

4. Blood loss during labor is also reduced, because the placenta is faster than with conventional, horizontal sorts.

However, let us recall once again that any complications in childbirth, both from the mother and from the fetus require care that is more convenient to have a doctor in the horizontal mothers. The same applies to the possibility of using the equipment required for complicated births. So any complications during labor can be considered as contraindications to the vertical labor management. In the case of the normal course of childbirth vertical childbirth, as we see, we have many advantages over the horizontal.




 
 

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