God did not give the great opportunity to see her for the health of the persons
viernes, 11 de febrero de 2011
Immediate care to the newborn
Immediate care to the newborn
Immediatly after the birth and once the gynecologist cutting the umbilical cord, the priority of all the parents is to know if their son is normal and healthy. The neonatologist gives the answer when has finished the initial recognition. whose goal is to test the state of health of the baby and rule any lesion produced in childbirth.
All this should be done quickly to promote that the relation mother-son begin fast and the breastfeeding can begin.
immediate procedures after the birth:
The immediate cares includes ensuring that the area be free, take action to ensure of good body temperature of newborn, clamping and cutting the umbilical cord, and to put the newborn on the mother's chest as soon as possible.
The usuall procedures made are:
1.- Cleaning and prevention of the losing temperature: Is really important to keep the body temperature of the newborn.
the newborn is wet when he birth because of the liquid amniotic and can get cold easier. To avoid the losing heat, you should dry the bay very well, usually they must wear a bonnet.
once the baby is dry you can put in contact with the mother, this also help to keep him heat and for other reasons:
*They can meet better.*The breast-feeding should be quickly.
2.- aspiration of secretions in the mouth and the nose: When the head of the baby out the doctor aims the mouth and the nose to make easier his breathing. In the moment the baby aims the first time the air enters in the respiratory of the lungs, Before the birth, the lungs are not used by the baby to exchange oxygen and carbon dioxide.
When the baby begins to breath in the moment to birth, the change of presion in the lungs help to close the fetal connections and give a new directioon to the blood flow. In this moment the blood is pushed to the lungs to help to realize the exchange of oxygen and carbon dioxide.
3.- clamping or ligation of the umbilical cord: The doctor put the baby with the head below the mother's body, to recover all the possible blood for the baby and clamp the umbilical cord with two clamps put to 5 cm to the andomen's baby and then cut the cord.
It makes the baby stop relying on the placenta to feed for oxygen, the cord is cut when the baby has breath at least three times.
Before the ligature they get blood to knoew the type of blood.
4.- Apgar calification: The health's evaluation begins immediatly, once of the first things which are done is the Apgar test. It is a scoring system created by the Dr Virginia Apgar to assess the newborn's condition at the minute and at the five minutes fter the birth, they evaluated:
*Activity: muscle tone*Pulse*Gestures or grimaces, reflex irritability*Appearance: color of skin.*Respiration
The calification is:
*7 to 10: Normal*4 to 6: Need oxygen*1 to 3: The baby needs all the atention and help.
The Delivery
The delivery is one of the main concern of the pregnant women, especially for those who hasn't live this experience. Be a mom is a work that is learn with a lot of practice and getting ready for the delivery is question to inform to can be more quiet. although you don't know anything about the processes and delivery's stages, the cursos de preparacion can help you in this way. You also can know the alternative methods of delivery, and talk with your doctor about the delivery you most like or the needed for you.
Symptoms Of Delivery:
Don't wait to call your doctor up, either day or night, when:
1.- Contractions occur every 5 or 10 minutes.2.- When break the placenta and out a liquid dark brown with spots.3.- You can't walk or talk during the contractions.4.- Notes some dilatation
Opening the door to the baby in the delivery:
The delivery process usually last 8 to ten hours, clearly there are exceptions, all depends on the state of the mother and the baby. The delivery's work begins with the first contractions caused by the reduction of cervical until it disappears completely. Contractions usually occur every 20 or 30 minutes, during 15 to 20 seconds each one. Once the cervical has gone, the contractions increase because of the progresive dilatation of the neck that sould present an opening of 10 cm to can give pass to baby. Until the baby get out, this process usually last 6 to 8 hours, depending on if it is the first delivery of the mother.
Delivery's Contractions:
Once begining the dilatation's process of the cervix, you can feel soft contractions every 10 or 15 minutes, with a last of 20 seconds. In this moment the aperture of your utero will be of 2 cm, the contractions keep and usually obey the following rate
1.- Contractions every 5 minutes, lasting 30 to 40 minutes, dilatation of 5 cm.2.- Contractions every 4 minutes, lasting 40 to 45 seconds, dilatation of 6 cm.3.- Contractions every 2 or 3 minutes, lasting 45 to 50 seconds, dilatation of 8 cm.4.- Contractions every minute, lasting 1 minute, dilatation of 10 cm.
When you get to this stage, you will have little time between a contraction and other, you can feel a heat sensation, stretching and burning in the vagina.
When the neck has 10 cm of dilatation, the expulsion process of the baby begins. The contractions will disappears, and the most sure the doctor ask you to push the baby, in this moment the baby's head will be on the birth canal downing until the fibula making a rotation move.
The baby's expulsion:
When the doctor could see 3 or 4 cm of the baby's head, will practioce you the episiotomy ( Cut in the fibula) To make easier the expulsion of the baby, The doctor keep asking you to push the baby, and once the shoulders out all the bady will get out alone, in this moment you feel hurt but you will be relax because yor son was born.
miércoles, 9 de febrero de 2011
Nurses important in the history
Virginia Henderson author of the conceptual model based on the 14 basic needs of the individual.
Dorothea Orem, Author of the general theory of self-care deficit .
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