Wednesday, January 12, 2011

Airwalk Agressive Blades



thank Moon, our mother anesthesiologist, for having saved me a night to hack.
And I apologize to @ _ @ Calendimaia delay and if the arguments that I had promised to treat (episiotomy, squeezing of the uterus). So we will have more time to study the post:)
Public considerations of pain in childbirth on the Moon and the mysterious role of endorphins so sanctified.
Wanting takes a bit ' the theme of russell teapot (teapot filled with gravitational liquid endorphins) and I hope will make us all more aware of the reality of our bodies.


I read in a couple of comments saying that I do not want to deal with the 'fear of pain topic.
Tell anesthesia che non vuole parlare del dolore è come dire ad un informatico che non vuole parlare di programmi di computer. Non so se è chiaro.

Quando si parla di dolore del parto, spesso si assiste a commenti o sentenze di basso livello che rendono evidente la mancata sensibilità e considerazione dello stesso, oppure il suo diniego, o ancora viene messo sul piano di una gara agonistica dove chi lo affronta senza paura è brava e chi preferisce lenirlo con l’epidurale è una debole.

Ogni volta che leggo orrori simili rimango spiacevolmente basita. Sono lo specchio di una grande mancanza di rispetto ma soprattutto di una grave ignoranza (=ignorare) su questo tema, che diversamente from what many think, is quite complex.

labor pain includes both a sensory component, on the transmission of nerve impulses that affective variables related to more emotional, social, cultural and cognitive.
also is a pain:
a) acute, but to varying degrees from mild to moderate to extremely intense
b) dynamic in relation to obstetric conditions vary from moment to moment
c) variable and subjective, because in his determinism are recognized a number of obstetric factors such as weight of the fetus, rupture of membranes, induction of labor, gestational age, the conditions of the cervix and the position of the fetus, the characteristic contractions etc etc, but also environmental factors and the degree of empathy that healthcare staff reserves the parturient.

The fear of the pain of childbirth is a feeling. Therefore, it is subjective (and unquestionable) and when perceived, may be mild to major. The reasons can be many, eg:
a) fear of pain in general (in any situation)
b) previous negative experience
c) fear of the unknown (who has never given birth) or due to poor and unsatisfactory information received so far
d) fear aroused by stories read or heard and
) fear that is actually quite curious of something that still do not know but that he expects so much ..
f) fear of being treated badly or not to be understood by those who will in turn
g) fear of not being able to do what you must do
h) fear that some complication to happen ...


All these not are only fears of pain, but also of many other things, but certainly during labor increase the perception if present in the mother. The role of the midwife and origin of many of these issues are fundamental and make the difference. As well as a correct and comprehensive information to the mother before delivery to 360 °. If all these factors may place themselves in a positive way to slightly decrease the perception of much pain and fear, otherwise increase exponentially.

To these should be associated all variables described in the definitions above (particularly midwives), who in the course of labor also affect the perception of pain and fear.
The combination of maternal pathologies (from anxiety disorders, high blood pressure, asthma,. ... To the problems related to pregnancy) aggravated emotional state and fear.

Taking into account all these factors, none of which is negligible (!) clear how many women in the role of endorphins is almost nil. As they are the biggest some of the pain and its perception (including the feeling of fear).

Endorphins may help slightly (as is their job), but with the benefit of all the other points. From here to enhance the role of endofornire almost sanctifying them, I personally I think it's ridiculous.

The effects of intense pain on the woman are many. I already wrote some time ago in a comment, but again, because nobody ever talks about these things. Indeed, indeed, deliberately and knowingly IS FAILED.

anxiety and pain increases the secretion of catecholamines in severe way:
300-600 % With regard to the adrenaline noradrenaline

200-400% 200-300% cortisol

The consequences are
a) important changes in maternal cardiovascular,
b) reduction of placental blood flow with reduced trade maternal-fetal gas: ergo reducing oxygen supply to the fetus, abnormal uterine contractility, tissue acidosis, respiratory and metabolic changes.

If these changes are important and are associated with maternal disease or obstetric complications (such as an excessive increase in uterine activity, gestosis, etc.) or prematurity or low birth weight reduced fetal growth may create both maternal complications that fetal distress.

said conclude that this short and ultrasintetica (you could write pages and pages on ...) explanation (technical and non-philosophical) pain / fear of pain during labor / delivery, may be sufficient to understand how disrespectful, inappropriate and extreme ignorance (which I repeat is to ignore) are the comments that I mentioned above.

Every woman deals with her labor in a different way and must be respected.
Every woman feels pain in a very subjective (some hardly feel it, others will carry the trauma and therefore also for life) and it is unfair to judge it.
Every woman would like to give birth in a way rather than another and no one should interfere (except for medical problems).
Every woman should be properly informed on everything, especially what she wants to know in a timely and correct.

And the information must be sought in individual specialists.
The midwives are not as many people think spin doctors and how many of them want to look.

philosophies, rituals and beliefs let's leave them to various individual and respect it, but use these things to make money as healers or holy men ... I find it unconscionable.
first begin to respect the woman, her labor and her baby in all the forms it wants / needs. Doing so always maximum security and in full compliance. Add to this, and possibly only after the frills (philosophies).

frills in my opinion, if everything was done as it should be, would not provide any more! Well, almost.

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