Sports During Pregnancy Shorten The Time Of Delivery
Stop exercising during pregnancy is not worth it, say scientists. Studies show that regular exercise can reduce the time of delivery, as well as reduce pain. Experts came to this conclusion as a result of an experiment in which 500 women participated. Participants were divided into two groups. In the first group, future mothers trained three times a week under the supervision of a professional, giving their moderate body exercise. Pregnant women from the second group did not play sports on an ongoing basis; they were only given standard recommendations on nutrition and physical activity when they came to the reception.
In the group where women trained regularly, childbirth on average lasted less. The first stage lasted on average less than 53 minutes, the total duration of labor was reduced by about an hour. Also, mothers from this group were less likely to need epidural anesthesia during labor. They also gained less weight on average. The experts who conducted the study emphasized that in any case it is necessary to practice sports while carrying a child in consultation with the doctor to avoid possible complications, but if the woman is healthy in general, physical activity will make her childbirth somewhat easier. Such an event can be walking, yoga or dancing. Scientists recommend at least half an hour of exercise every day, while these half-hours can be divided into smaller time intervals – for example, devoted to training for 10 minutes three times a day.
Cesarean Section Is Increasingly Being Performed Unnecessarily.
The number of deliveries using cesarean section has doubled in the last 15 years. The results of the study, publisher of the authoritative journal The Lancet, indicate that a significant part of the operations was performed unnecessarily — women could have naturally given birth. In the meantime, specialists take note of that for many developing countries, cesarean sections are not shown even when they are needed – this is due to the low qualification of health workers or the lack of necessary skills.
The researchers studied data on childbirth in 169 countries, analyzing, as they claim, information about 98% of births in the world. They found that in 2015, every fifth birth ended in a cesarean section. This operation was necessary only in 10-15% of cases.
Marlene Time ran (Marlene Time ran) and her colleagues found that in some countries, every second woman is under the Caesarean section. So, in the Dominican Republic, this figure was 58%, and in Egypt and Brazil – 55.5%.
Women often choose surgery for fear of pain, tears, and cuts at birth. The authors of the publication note that carrying out a cesarean section without the need may trigger the development of complications for both the mother and the child. Cesarean section is believed to increase the risk of ectopic pregnancy, premature birth and abnormal placental development in the future.
At the same time, scientists found that in 47 countries, cesarean section was performed much less frequently than the average in the world. For example, in Sudan, the share of operations was only 0.6%. This means that many women who need a cesarean section due to health conditions or emergencies arising during childbirth are forced to give birth on their own, which often results in death or injury of the mother or newborn.
How to keep breastfeeding: feeding on demand and breast milk bank
WHO has developed programs for medical institutions to support breastfeeding, training courses for doctors, there is an excellent WHO / UNICEF initiative “Baby Friendly Hospital,” but, unfortunately, in the USA, they use very little. Today there is a lot of scientific research, but USA recommendations are often based on outdated traditions or personal experience. At the time of birth, about 90% of mothers are set to feed, but not all manage to maintain this attitude when confronted with the first difficulties and a large number of conflicting recommendations. Over the past few years, breastfeeding statistics in the USA has not changed, everything remains at a low level.
How To Organize A Home Bank Of Breast Milk
The idea to make a supply of your milk is prevalent now; many mothers ask specialists about it. If a nursing mother plans to occasionally or regularly leave home, a so-called “milk bank” may be useful to preserve breastfeeding. This is a stock of frozen breast milk, which will allow the pope or another relative who remains with the child to feed him.
The moment lactation is established, express milk 1-2 times a day and freeze it in the freezer. Usually, the morning time is right for collecting milk “in reserve,” when the breast is fuller after the night, but you can choose another convenient time. You can give one breast to the baby, and express the milk from the other for storage.
Freezing and defrosting: It is advisable to freeze fresh milk in the nearest time after decanting. Before freezing it is better to cool it in the refrigerator. It is most convenient to freeze in small portions, you can be different, from 40 to 80 ml. Before you give the milk to the baby, it is enough to defrost the milk smoothly (first it is desirable to move to the refrigerator, you can overnight), and then warm it in warm water. If time is short, a container with warm water or limited heaters will do. But slow defrosting in the refrigerator leads to less fat loss.
Storage: Special bags or containers made of safe plastic are suitable for storage. The shelf life of breast milk is quite large – from 3 to 6 months in the freezer of a two-chamber refrigerator (-18 0 С). For a short time, the fluid cannot be frozen but stored at room temperature (4-6 hours) or in the refrigerator (24-72 hours).
When pumping, it is essential to maintain hand hygiene and properly handle parts of the breast pump. According to many scientific studies, breast milk has some properties that protect it from bacterial contamination, allowing it to be stored for a long time. It practically does not lose its features, except a small decrease in the activity of some components.
When Pumping Is Especially Important
Modern mothers are active, they are not sitting at home, and they do not always have the opportunity to take the baby with them and apply it to their breasts. Then rescues breast pump, which allows you to collect breast milk effectively. But this is not of the only situation where pumping may be required. Mom, who is preparing for HB, it is essential to know in what cases it may be necessary.
A personal earlier recommendation to decant after feeding “to the end” is becoming a thing of the past. Modern recommendations prescribe to feed the baby on demand, according to the “free” schedule. By the end of the second or third week after delivery (maximum to the fifth or sixth) lactation is established in full. Baby and mother adapt to each other, and the woman’s body produces as much milk as the baby needs. A relatively stable supply-demand balance is formed.
However, there are situations when you need to express milk. For example, in the case of premature birth, the baby is born prematurely and for some time eats expressed breast milk before it can begin to suck the breast actively. A full-term baby also cannot always be thoroughly fed from the breast if there was a difficult delivery, operations are required, there are various pathologies, etc. Resuscitation, surgery, and pathology of newborns in the Center. Kalakos is equipped with individual pumping rooms, and the opportunity to express breast milk is a real salvation for mothers of such babies.
Mothers of healthy babies also need to express milk, for example, in the first days after birth, when milk “comes.” Often, women experience discomfort: the breast is full, and the baby is more difficult to cope. Without additional pumping cannot do and separate staying after childbirth. Then the breast pump in combination with a gentle massage allows you to lactate quickly. Breast pumps are becoming more modern – they do not hurt the breast, they will enable you to collect milk directly into a bottle or storage container. Now moms can choose between more straightforward but functional manual breast pumps and electronic ones that mimic the process of natural sucking the baby. These devices include, for example, the Philips Avant Ultra Comfort breast pump, created by a child’s sucking physiology research results. When establishing breastfeeding, it is important for mom to believe in herself and not be afraid of difficulties, seek support and help, read more about breastfeeding before giving birth. This process is very flexible, and there are no irreversible situations and dead ends. Almost always there is a chance to establish exclusive breastfeeding, even in severe cases.