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Smažím perník - (ne)peču na zuby

Růže - Erysipel

Biopsie a cirhóza jater

Višňák - dobrý sluha, ale zlý pán

Cesty buprenorfinu k injekční aplikaci

Zhodnocení mezinárodního projektu IMPACT

Infekční centrum pro drogové závislé při FN Motol

Metodické materiály k testování na infekce

Vliv pervitinu na dutinu ústní

Infekční endokarditida

Těhotenství, děti a drogy

Test znalostí o hepatitidě C

Bolest a co s ní

Léčba závislosti na alkoholu

Delirium tremens

Porod v terénu?

Záchranná služba a uživatelé drog

Klíšťata a jak na ně?

Virus Hepatitidy C

Zdravotní péče pro Slováky

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Hojivé masti

Mapování a metodika zvládání somatických komplikací injekčních uživatelů drog

Podávání léků v sociální službě: k další diskusi

Detoxikovat se sám nebo s pomocí?

HIV poradenství u vybraných rizikových skupin

Brouci pod kůží a v hlavě

Absces známý neznámý

Paraziti a jejich vnímání

Mýty o první pomoci

Neléčená žloutenka typu C

Omrzliny

Substituční programy v Praze

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Méně známé kousky - chlamydie a genitální opar

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Partneři

Porod v terénu?

23.09.2013 | Sekce: Zdravotní

Pokud by se to náhodou stalo, následujících pár rad se může hodit...

Pokud u těhotné ženy nastanou komplikace - předčasné stahy (kontrakce), předčasný odtok plodové vody, krvácení z rodidel, poruchy vědomí, křečové stavy, atd., je nutné co nejdříve zajistit vyšetření na gynekologickém pracovišti.

 

Důvody návštěvy porodnice u zdravé ženy v termínu porodu

  • pravidelné kontrakce dělohy, které zesilují a intervaly mezi nimi se zkracují
  • krvácení jasnou krví(špinění či narůžovělý hlen není nic závažného, je způsobeno otevíráním porodních cest)
  • odtok plodové vody
  • při jakékoli pochybnosti - např. ohledně pohybů plodu.

První pomoc:

  • Pokud je již porod v běhu, je důležité zachovat rozvahu. Vždy voláme záchrannou službu na tísňovou linku 155, a do jejího příjezdu se snažíme zajistit rodící ženě klid, teplo, možnost volby polohy, podporu.
  • Při kontrakcích ji podpoříme, aby netlačila předčasně (až při prořezávání hlavičky, jinak hrozí zbytečná porodní poranění) a klidem spolu s pomalým dýcháním lépe překonala bolest. Není vhodné v takovém případě transportovat rodičku do porodnice vlastními silami.
  • Pokud je porod bez komplikací, většinou proběhne sám za naší minimální asistence.
  • Snažíme se zajistit alespoň minimální hygienu, umyjeme si ruce a připravíme nejčistší
  • Po porodu hlavičky vyčkáme zevní rotace, během následujícího stahu se narodí raménka a tělíčko).
  • Po porodu je důležité se o dítě vhodně postarat. Pozor! Dítě je mokré a klouže!
  • Děťátku zajistíme „měkký dopad", můžeme jej podržet na předloktí s obličejem níže než tělo, aby z dýchacích cest odtekly zbytky plodové vody a hlenů, osušíme ho od plodové vody, aby neprochladlo.
  • Děťátko je zatím spojeno s maminkou pupeční šňůrou, která několik minut po porodu ještě tepe. Není třeba spěchat s přestřižením pupečníku. Po dotepání je možné podvázat pupečník na dvou místech improvizovanou tkanicí nebo třeba dvěma kapesníky, a mezi podvazy pupečník přerušit. Jsou-li záchranáři již na cestě, necháme tento úkon na nich.

Nejdůležitější je zajistit děťátku tepelný komfort, a to tím, že ho zabalíme do teplé přikrývky a položíme mamince na tělo. Je třeba zabalit i hlavičku, ovšem kromě obličeje, abychom mohli sledovat dýchání.

  • Nezapomeneme se postarat i o rodičku. Zajistíme ji pohodlí, teplo a krytí rodidel čistým savým materiálem (vložka, krytí, ručník), kontrolujeme krvácení a celkový stav.

Pokud nedorazí pomoc do porodu placenty, sami do tohoto děje nijak nezasahujeme. Pokud se placenta sama vypudí, uschováme jí do igelitového sáčku kvůli kontrole celistvosti.

 

-nalezeno ve starších dokumentech, bez uvedení autora-

Komentáře

 

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