QUOTE(-chile- @ 2012 06 05, 15:15)
Pabandysiu "apginti" medikus, jeigu tinka cia tas issireiskimas

Buna situaciju, kada kad ir kateteri ivesti yra labai sudetinga, ypac kada gimdyve kencia jau stiprius saremius. Ir del kirpimu, jeigu viskas vyksta greitai, nera kada aiskinti, visaip kaip "paruosti"- yra daromi sprendimai staiga, pagal individualia situacija.
Kodėl tuomet Pasaulinės sveikatos organizacijos rekomendacijoje normalaus gimdymo priežiūrai parašyta:
Routine intravenous infusions interfere with the natural process and restrict women's freedom to move. Even the prophylactic routine insertion of an intravenous cannula invites unnecessary interventions.
Taip yra visas sąrašas, ko reikėtų vengti per normalų gimdymą:
6.2 Practices which are Clearly Harmful or Ineffective and Should be Eliminated
1. Routine use of enema (2.2).
2. Routine use of pubic shaving (2.2).
3. Routine intravenous infusion in labour (2.3).
4. Routine prophylactic insertion of intravenous cannula (2.3).
5. Routine use of the supine position during labour (3.2, 4.6).
6. Rectal examination (3.3).
7. Use of X-ray pelvimetry (3.4).
8. Administration of oxytocics at any time before delivery in such a way that their
effect cannot be controlled (3.5).
9. Routine use of lithotomy position with or without stirrups during labour (4.6).
Page 36 Care in Normal Birth
WHO/FRH/MSM/96.24
10. Sustained, directed bearing down efforts (Valsalva manoeuvre) during the
second stage of labour (4.4).
11. Massaging and stretching the perineum during the second stage of labour (4.7).
12. Use of oral tablets of ergometrine in the third stage of labour to prevent or
control haemorrhage (5.2, 5.4).
13. Routine use of parenteral ergometrine in the third stage of labour (5.2).
14. Routine lavage of the uterus after delivery (5.7).
15. Routine revision (manual exploration) of the uterus after delivery (5.7).
Šaltinis.
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