I am breathing!
Immediately after birth, the baby begins to breathe on his own - this means that not only the lungs but also the entire cardiovascular system have been involved in the work. Respiratory reflex manifests itself in most children within 10-15 seconds after birth. A small organism needs this small time interval for perestroika to breathe on its own, because for nine months Mama breathed for him. It is not at all necessary that the kid loudly screams - my middle son, for example, quietly purred immediately after birth. Do not forget to greet the crumb: "Hello, our dear, as we have been waiting for you for a long time! As we are happy that you were born! "The respiratory apparatus of crumbs, supplying oxygen to the blood, works very actively: in a newborn it is about 14% of the body weight, in an adult - no more than 6% .That is why the baby's breathing is initially uneven and deep, it becomes more frequent with any excitation or lack of oxygen.The pulse in a calm state is 120-140, and when screaming it is up to 200 beats per minute.With the end of the first hour of life, physiological cardiac "overloads" (cardiac enlargement and muffling, heart rate), then the cardiovascular system gradually comes to the age norm.
A nodule for memory
After the first inhalation, both halves of the baby's lungs unfold, and the blood supply changes the "orientation" - the blood, poor in oxygen, flows now from the heart to the lungs, and not to the umbilical cord, as before. The function of the umbilical cord, which for many days exchanged blood between mother and baby, delivering oxygen to the child, nutrients, vitamins, and rid the small organism of "excess", fades to nothing.When and who cuts the umbilical cord? In the births, this mission is sometimes performed by the pope, but most often - a midwife (imposes a special clamp-clamp.) But wherever the baby is born, it is very important that the cord be cut only after it stops pulsating: the pulsating cord gives the baby an oxygen-enriched and immune body placenta (even if the time of his first inhalation is prolonged) and prevents dangerous complications (oxygen starvation, anemia, pathological jaundice of newborns) due to the created additional supply of iron in the body.In clinics that adhere to modern views, clamps are put and bandaged the umbilical cord is not after the child's first inhalation, but only after the blood pulsation stops (after 5-7 minutes after birth): this does not cause stress in the baby. And you should not have negative emotions: there are no nerve endings in the umbilical cord, so this procedure is painless.
Sound, light, heat
Starting to breathe independently, the child immediately tries to adapt and to the temperature change of his environment (in the maternal tummy it was always warm and comfortable), and to the presence of new sounds (previously he heard only affectionate mother or father's voice) and a completely different degree of illumination space around. Let's not forget that gravity and the force of gravity act on the crumb that swam for 9 months in a friendly water environment without experiencing such sensations - it's also difficult to get used to it in 5 minutes. That is why, for a harmonious transition of the child to our material world, optimal muffled light, quiet voices and careful attitude when carrying out the "necessary" procedures.Why in quotes? Still, it is not very clear why in our clinics the crumb is immediately carried to the scales and measures the growth , sharply unbending his arms and legs, which is completely unphysiological, because after 15 minutes and an hour later his height and weight will be the same as at birth. Also it is known that the antibacterial properties of the original grease are similar to the similar qualities of the thoracic milk, so the early removal of lubricant (immediately after delivery, as is customary in clinics) can provoke infection of the baby.It is certain that premature babies usually have more lubrication than those born on time - thus, wise nature prudently protects the weaker. Therefore it is undesirable to wash or wipe away the crumb immediately after birth, and the newborn will warm up better (the thermoregulation is far from perfect because of the peculiarities of metabolism) if it lies on the mother's abdomen.
Nesterilno!
The barrier function of the skin and mucous membranes at the time of birth is very imperfect. It can not be otherwise, because a minute ago the child was absolutely sterile! Although the word "absolutely" is hardly appropriate, the skin and mucous membranes of the child occupy the flora of the mother's birth canals at the time of birth, but the bacterial environment of the mother is already familiar to the baby, the mother and the baby have the same immune antibodies. after the birth of the child needs to contact only with his mother.We will also remember that the early attachment to the breast (during the first hour of life) and getting a few drops of colostrum help to establish the ideal intestinal flora of the baby, then the EU in fact, form the individual characteristics of your child's organism for the rest of his life, and for the mother this procedure is very useful: feeding immediately after childbirth (and stimulation of the nipple area as well) contributes to a rapid increase in the volume of breast milk and has a reflex effect on the reduction the uterus (its return to normal, pre-pregnancy, size), which is very important for the harmonious restoration of the female delivery field.
More important than air
Do not believe that the newborn does not see anything, does not hear, does not feel that he is deafened and dumbfounded by what happened. Perhaps the body does not work at full strength, but the child now is a unity, a cluster of unusual feelings, sensations and experiences. And the warmth of my mother's body, the sense of intimacy with her will make it possible to adapt more quickly and easily to new conditions of life. In children who are in the first minutes of life next to their mother in dim light and relative silence, breathing, blood circulation and skin temperature stabilize faster. Having breathed out and having had a rest after sorts, the child starts to turn a head, to move handles and legs. It is advisable to immediately put it to the naked mom on the stomach - this turns on the search reflex, and the kid can find your mother's breast without help, and actively suck it. These are the first minutes of acquaintance, recognition of each other by the two halves of the recent single whole - mother and baby. And it is important that the first attachment to the breast is not formalized (quickly applied, quickly removed, as often happens). In advance, discuss this point with the medical staff, making an accent on this. Both for the baby and for the mother, applying to the chest during the first 30 minutes after birth is a signal that "everything is fine, normal flight, all systems are operating in normal mode." There is a so-called imprinting (instantaneous imprinting) - a fast and irreversible form memorization, which is observed only in the first hours of life. Right now, close ties are established, on which depends the child's attachment to the mother and the mother's sense of motherhood.
First manipulations
Here's what the standard set of what the staff of the maternity home looks like to a newborn:
■ cleansing of the respiratory tract, mouth and nasopharynx from mucus and amniotic fluid with a special catheter;
■ the attachment of a clamp (clamp) to the umbilical cord, and then cutting it;
■ removal of the excess original-age lubricant from the baby's skin with a sterile wipe;
■ measurement of body weight and height, chest circumference and baby's head;
■ wrapping (swaddling) the newborn with a warm diaper to avoid overcooling;
■ prophylaxis of blenorrhea (infectious eye disease) - instillation of albucid or levomecitin drops into the eyes or use of ophthalmic ointment with antibiotics;
■ instill 1-2 drops of 1-2% solution of silver nitrate to girls in the genital gaps;
■ evaluation of the baby's state on the Apgar scale;
■ and, of course, before, after or even during the baby's medical activities show you - the heroines of today!