As soon as the midwife cuts the umbilical cord, the baby's body gets full autonomy. From this moment, those organs and systems that did not work while the baby was in the mother's stomach begin to fulfill their mission. Respiratory function is improving immediately, because it is one of the key ones. But in order for the lungs to work, cardinal changes must occur in the body of the crumbs.
Instant transformation
In the intrauterine period, the walls of the lungs are pressed against each other, and the space between them is filled with amniotic fluid. The organ itself is almost not supplied with blood, because it does not work in the aquatic environment: oxygen enters the baby exclusively through the vessels of the umbilical cord. As soon as the doctor cuts it, the concentration of carbon dioxide in the blood increases sharply, and a signal about increasing hypoxia immediately enters the brain. The lungs receive a command to urgently get involved in the work, and the child takes his first breath, which is accompanied by a welcome cry. A cry is needed in order for the muscles to move. They stretch the lungs, which immediately fill with air. At the same time, the amniotic fluid is displaced, and the surfactants (surfactants) lining the bronchi “spread” along the walls of the lungs, which makes them stop sticking together and gain volume.
Wider circle!
The first breath includes not only the respiratory system: thanks to it, the circulatory system begins to rebuild and even the structure of the heart changes. In the womb, we have a three-chambered heart: venous blood mixes with arterial blood, in order to then enter the aorta, bypassing the lungs. But as soon as the baby makes its first cry, it becomes four-chambered. From now on, arterial and venous blood cease to mix, and blood from the right atrium rushes straight to the lungs. This is how permanent small and large circles of blood circulation are established.
emergency measures
If 40 seconds after birth, the child did not scream, then he is experiencing asphyxia - a severe lack of oxygen. In this case, urgent resuscitation measures will be required.
If there is no breathing for 5 minutes, brain cells die, so the main task of the doctor is to fix it as soon as possible. The algorithm of actions in this situation is very strict and is determined by the order of the Ministry of Health. To awaken the nervous system, the neonatologist first tries to influence the nerve endings located on the skin. To do this, he strokes the back and heels of the baby with his palm. If nothing has changed after the second attempt, artificial lung ventilation is performed. After breathing improves, additional examinations are prescribed (lung x-ray, echocardiography, blood test, etc.) to find out the cause of asphyxia.
Perinatal encephalopathy is a series of diseases of the central nervous system that occurs in newborns in the prenatal period, during childbirth or in the early neonatal period. Due to its various manifestations, the diagnosis of this pathology is of great difficulty, especially in infancy. Often, the symptoms of encephalopathy are regarded by pediatricians as a manifestation of other diseases. For this reason, due attention is not paid to the treatment of this disease, although it is in early age most likely a full recovery. During the growing up of the child, most often, the manifestations of the disease are treated symptomatically, which does not allow to completely get rid of the problem.
The most common cause of this pathology is birth trauma, but PEP can also be the result of hereditary factors, or the result of an unfavorable pregnancy, namely: exposure during this period to occupational hazards, bad habits, and taking certain medications.
Let us dwell in more detail on PEP as a result of birth trauma.
From an osteopathic point of view, the whole complex of CNS diseases is the result of mechanical disorders. The causes leading to the manifestation of this disease are: dysfunction of internal organs, circulatory disorders, dysfunction of the spinal column, or its individual sections, prolonged fetal hypoxia (oxygen starvation).
Even under the condition of a normal pregnancy, it is at the time of childbirth that the child is likely to be injured, since passing between the pelvic bones, the fetus makes a complete turn around its axis, which, sometimes, entails structural disorders of the skeleton and muscle tissue. Deviations in the position of the cervical vertebrae are the most common violation. In the first weeks of a child's life, the consequences of damage are sometimes completely eliminated by the body on their own. Unfortunately, this does not always happen, and all kinds of deviations in the development of the child can lead to complications in the future.
Symptoms of the disease, depending on the period of a child's life, have different manifestations. There are three periods in the development of PEP:
At the time of the acute period of the development of the disease, symptoms such as tremor of the extremities, increased intracranial pressure, followed by the development of hypertensive-hydrocephalic syndrome, general lethargy of the newborn, convulsions, tremors, spontaneous motor reflexes, sleep disturbance, muscle tone, frequent regurgitation are noted.
During the recovery period, these symptoms may be accompanied by motor disorders, characterized by complete or partial uncontrolled movements of the child, delayed mental and physical development, epileptic seizures. The symptoms may appear singly or in combination.
The outcome of the disease can be: recovery, cerebral palsy, mental retardation, attention deficit disorder, epilepsy, hydrocephalus. In the absence of timely diagnosis and treatment of all the above signs, it is possible for them to turn into all sorts of deviations in the state of health in both older children and adults. Most often, these deviations manifest themselves in the form of frequent respiratory diseases, headaches, posture disorders, and poor school performance.
Taking into account the complexity and course of the disease, the effects of an osteopath are primarily aimed at damaged areas of the body to eliminate pain and spasms. At the same time, the doctor takes a number of measures to normalize brain activity. The osteopathic doctor, with the help of special techniques, removes the deformations of the body remaining after childbirth, they are invisible to the eye, but tangible by his sensitive hands. The osteopath normalizes the functioning of the internal organs and the functioning of the nervous system, removes the tone of the skeletal muscles. As practice shows, the probability of complete recovery in mild forms of PEP is quite high. Especially when connecting the right osteopathic treatment.
In the presence of a more severe form of the disease, a longer treatment will be required, but, unfortunately, it may not give a complete recovery. Some problems with attention, memory, coordination of movements can persist in a child not only for a long period of time, but throughout his life. Nevertheless, osteopathy leads, if not to a complete recovery, then to a significant reduction in the symptoms of perinatal encephalopathy.
The golden rule in the treatment of any pathology is timely treatment. Therefore, the sooner violations are identified and eliminated, the greater the likelihood of their complete or at least partial elimination.
Santina A Zanelli, Dirk P Stanley, David A Kaufman. Hypoxic Ischemic Encephalopathy.
Bryce J, Boschi-Pinto C, Shibuya K, Black RE. WHO estimates of the causes of death in children. Lancet. Mar 26-Apr 1 2005;365(9465):1147-52.
Lawn J, Shibuya K, Stein C. No cry at birth: global estimates of intrapartum stillbirths and intrapartum-related neonatal deaths. Bull World Health Organ. Jun 2005;83(6):409-17.
05-01-2008, 23:31
05-01-2008, 23:34
Mine didn't scream either. She was given special actions, after which she screamed! Developing well! Experts do not see any potalogues! We do vaccinations according to the schedule, as expected, there are no problems after them!
05-01-2008, 23:36
When my daughter was born, they cut the umbilical cord, she did not immediately scream. I remember the pediatrician took her, examined her (slowly), then took her somewhere and after a few minutes I heard my baby scream. I had meconium water, Apgar 7/8. When I asked later, the pediatrician replied that it was good that she didn’t scream right away, otherwise she would have swallowed meconium. And I'm worried that something will be wrong with my daughter in the future. Who had the same situation. Which specialists should be shown? What to pay attention to? I read somewhere that such children should be vaccinated under the supervision of an immunologist, and we will soon have DTP. I'm waiting for answers
All children should be approached with care and attention to vaccinations.
The fact that the baby didn't cry doesn't mean anything. He doesn't have to yell at all. Shriveled and wonderful. I didn't scream.
Special observation on the basis of this fact alone is clearly not required.
05-01-2008, 23:37
My son didn't cry right away either. He lay quietly on his stomach. And then, when the pediatrician took him away, only then he screamed. When he lay on his stomach, I asked him why he was not crying. The obstetrician and pediatrician only smiled and said that everything is fine, the child is healthy, on a scale of 8/9.
Now he is 9.5 months old. It's all right, TTT
05-01-2008, 23:39
When my daughter was born, they cut the umbilical cord, she did not immediately scream. I remember the pediatrician took her, examined her (slowly), then took her somewhere and after a few minutes I heard my baby scream. I had meconium water, Apgar 7/8. When I asked later, the pediatrician replied that it was good that she didn’t scream right away, otherwise she would have swallowed meconium. And I'm worried that something will be wrong with my daughter in the future. Who had the same situation. Which specialists should be shown? What to pay attention to? I read somewhere that such children should be vaccinated under the supervision of an immunologist, and we will soon have DTP. I'm waiting for answers
Maybe just meconium got into his mouth and he couldn't scream. Cleaned the mouth and nose and screamed immediately. It's not always an indication. Most likely nothing will happen after this, but if you are worried, just pay the attention of a neurologist to this so that he takes a closer look and does not miss anything. It should be all right.
05-01-2008, 23:46
This was spanked before everyone ...
05-01-2008, 23:53
Mine didn't scream either. The doctor said it's normal. It is enough to make at least some sounds (groaning, coughing, etc.). This means that the air passes - breathes ..
This was spanked before everyone ...
+1
They didn’t even let us scream. They put me on my stomach, and he sniffed pretty :)
Masenka
06-01-2008, 00:02
My daughter didn't scream either. Until they began to process and dress her, she was silent. Apgar score 8/9. The pediatrician and the midwife said we were both tired from labor. Rest, scream. And so it happened :)) We even have photographic evidence. All friends are surprised. Sometimes it seems to me that when she was born, she looked around, she liked everything, and she did not find a reason to cry. ;) All specialists are satisfied with us (ТТТ) Don't worry. IMHO If she had not screamed due to asphyxia or other problems, you would have been informed immediately. And yes, there would be problems. It's just that your daughter liked you and she decided not to cry :)
06-01-2008, 00:19
Mine screamed after 3 minutes. She is completely healthy.
06-01-2008, 09:50
Apgar score 8/9. The pediatrician and the midwife said we were both tired from labor. Rest, scream.
:010::010::010:
Which specialists should be shown? What to pay attention to? I read somewhere that such children should be vaccinated under the supervision of an immunologist, and we will soon have DTP. I'm waiting for answers
1. None.
2. no matter what
3. it's not
Summary: Your child suffered mild asphyxia during childbirth. Now it is the same child as everyone else. Do not worry.
Elena Malysheva
06-01-2008, 12:25
He didn't scream right away.
DPT was not done at 3 months, the neurologist gave a medical tap.
06-01-2008, 13:53
the situation is similar. only we still had the 3rd entanglement of the umbilical cord. They are watching all the children.
06-01-2008, 14:01
Now it is such a foal, like everyone else.
:)):)):))
06-01-2008, 14:24
Mine didn’t scream right away either, they plopped down on her stomach, she was silent, then they took it to be processed, that’s when we yelled ... 7/8 Apgar, the neuropathologist did not see any violations in a month ...
06-01-2008, 14:27
all my children did not cry right away, the son with a double entanglement of the umbilical cord, the daughter and the second son - large and quick births - but everything is developing normally, and there are no deviations ....
As soon as they are born, newborns behave differently. From the first seconds of life, babies demonstrate their temperament and mental characteristics.
Your child may immediately announce his appearance with a loud cry. Perhaps it comes from the pain as air rushes into his lungs for the first time, expanding them dramatically. Or he is frightened by the too bright light of the maternity room and the mass of sounds that appear too abruptly ... Leaving the warm and safe mother's womb, the newborn inevitably experiences the shock of encountering a noisy, bustling world. Your care and love will help the baby survive this shock ... The child takes the first breath. His nostrils flare, his face wrinkles, his chest rises, and his mouth opens. Not so long ago, the absence of a baby's cry at birth was a cause for concern: it was believed that the cry indicates the viability of the child, and the medical staff did everything to cause this cry. But in fact, the first cry is completely unrelated to the health of the child. In this case, it is important that after the first breaths the skin color of the child becomes pink. Therefore, do not worry or worry if your baby did not cry at birth.
After all, it may happen that your baby does not want to do this at all.
Most often this happens if the baby is gently and quietly accepted by the hands of the midwife and then immediately transferred to the mother's breast. Then, immediately feeling mother's warmth, the child begins to sniff softly and look for your breasts. Therefore, the environment in which they meet the baby, in many ways, greatly affects the reaction of the child ...
Coming out of the mother's womb wet, the child will immediately feel cold, a very unpleasant feeling that he has never experienced before, he can easily freeze.
It is almost impossible to describe the feeling that a mother experiences when her baby appears. Probably, this is the simultaneous experience of several feelings and sensations at once: satisfaction, happiness, pride and tiredness. It's great if in the hospital where you give birth, the baby will immediately be placed on your chest. Then you will feel a connection with the child, realize the reality of his existence.
For some time after the baby is born, you can rest a little and prepare for the final stage of labor - the birth of the placenta.
Mother and child are still connected by the umbilical cord. At these moments, a lot depends on the mother, how much she will make this connection rich and perfect - from this moment a dialogue begins between them.
This is the first meeting and getting to know each other, so try not to miss it.
Skin-to-skin contact between mother and child stimulates female hormone secretion, which is necessary to induce contractions for spontaneous expulsion of the placenta. The less haste at this point, the less risk for subsequent bleeding. Use this moment to breastfeed your baby for the first time and squeeze colostrum, the best immune defense, into his mouth. It is quite possible that your baby will reach for the breast on his own, find it and, snoring softly, will begin to suck his first milk ...
Actions of doctors
While you communicate with the child, the doctor fixes the exact time of his birth.
He then bandages the umbilical cord and cuts it. This procedure is absolutely painless - there are no nerves in the umbilical cord. In a healthy child, at the time of birth, the diameter of the umbilical cord is 1.5-2 cm, and the length is approximately 55 cm. The umbilical cord is not recommended to be cut immediately, but after about half an hour, when it stops pulsing, it becomes flat and pale, having already fulfilled its function.
From the moment of cutting the umbilical cord, the independent life of your baby begins.
The remaining umbilical root will fall off in a week, and a wound will form in its place, which heals within a few days.
You will just need to take some precautions:
Make sure that the skin around the navel is clean and dry, and that damp diapers do not come into contact with it.
After bathing, blot the navel area with a sterile cotton swab.
If the skin gets wet, use chlorphyllipt, hydrogen peroxide or brilliant green.
If redness has formed on and around the navel, show the child to the doctor. And as a first aid, use a gauze bandage moistened with a solution of ordinary table salt (1 tablespoon per glass of boiled water).
