Monday, August 5, 2019

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What if he makes his baby poop?


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Pregnant women and their families receive a flurry especially when the pregnancy reaches the expected date of birth:
What if the baby poop, swallow?

To explain this topic, you first need to explain a few things
Baby's poo is called MECONIUM. Usually the baby after the day of birth is a dark green sticky poo. 70-80% of meconium water, the rest of their bowel epithelial cells, lanugo hairs, etc. forms. The water that the baby swims in (ie AMNION MAYI) consists of the baby's urine at the highest rate. Even if it is completely empty, it will completely reappear in a few hours. With this fluid, the baby finds an area to move, is protected from external influences and keeps the lungs and stomach open, by drinking and swallowing water.
The reduction of amniotic fluid is called OLIGOHYDRAMNI. For example, as the result of the mother's dehydration, the blood supply to the uterus decreases and amniotic fluid may decrease. It's simple enough to quench your mother's thirst.
BABY SHOULD be said to the public that the baby, the baby does not go to the state as much oxygen. Its medical name is HYPOXY. A baby who is in danger of staying hypoxic directs the incoming blood to vital organs. Because the less oxygen, the brain and heart want to use. It doesn't move as much as possible so the muscles don't waste oxygen. As a result, the blood supply to the kidneys decreases and the amount of urine it produces decreases. This doesn't improve with what your mother does.
Babies perform respiratory movements in the womb and breathe the amniotic fluid into their lungs as they breathe. These movements are reduced with the effect of prostaglandins when birth starts, but continue to be a little. In general, breathing reflex should be activated as a result of the baby's lack of oxygen in order for the baby to breathe during delivery. Babies do not stop or suddenly lack oxygen. Generally, the decrease in movement before, deterioration in NST, etc. findings are given.
The baby may suffer for many reasons and every gestational week. The normal gestation period is 38-42 weeks. On average, a pregnancy lasts from 9 months to 10 days. The day you are 40 + 0 is not the last day that the baby can stay inside, nor is it the last date to be born. How we call birth before 37 weeks premature birth and the baby is likely to experience some troubles, a 42-week-old baby is no longer talking about the risk of MİYAD and increase the likelihood of some problems. However, what is mentioned is “possibility.. As long as everything else is fine, just because the calendar shows a certain date, the baby does not easily get in trouble. Nevertheless, we check the baby frequently after 40 weeks, so that if there is a problem that has started to occur, we will notice it in time.
If the baby's amniotic fluid is transmitted by meconium, the baby becomes green. MECHONIUM MAYII may vary from water to light greenishness until the incoming water is completely similar to lentil soup. The water of one of the 5 babies born is light or dark green with meconium contamination.


We don't know exactly why the baby emptied his bowel before he was born. To explain this, it has been argued that theoretically there may be 3 reasons:
(It should be noted that all of this is theory and cannot be proved in animal experiments.)
1. The digestive system has matured and has started to work. This is the most common cause. 20% of out-of-term babies and 40% of out-of-term babies poop in the womb
2. During birth waves, the baby head is pushed towards the birth path. Pressure on the head of the baby creates some effects on the baby with vagal stimulation. For example, in some babies, this reflex will slow down the heartbeat during birth waves. This is expected and is considered normal unless there are long-term and serious reductions. The same reflex causes the baby's intestines to move (peristalsis). This is a physiological event. Doesn't mean the baby's in trouble. Since the highest pressure is on the baby's head, most of the time, the baby has a freshly made poo on the butt as soon as the baby is born.
3. The baby's lack of oxygen (fetal hypoxia) may theoretically cause the baby to poop by loosening the anal sphincter and increasing bowel movements. Fetal distress does not always occur with meconium, and not every meconium also means infant distress.


According to another theory, the baby constantly poops in the annex. However, because the amniotic fluid is constantly renewed, it becomes invisible soon. When the baby is in trouble, the reason for the water being meconium is that according to this theory, the water circulation decreases when the baby is in trouble. (As I mentioned above, oligohydramni occurs in distressed baby)

Most babies born distressed do not have meconium in their water
Most babies born with meconium are not in trouble.
That is not to say “MECONIUM equals BABY SHOULD”.
If there is a meconium in the baby which is thought to be in distress, this will strengthen the suspicion.


MECONIUM ASPIRATION SYNDROME may occur as a result of meconium going to the lungs in 2-5% of babies with meconium water, except that the baby is a marker of distress. In this case, consistency is more important than the presence of meconium. While a light green water can be easily removed from the lung, a viscous and sticky substance can cause obstructions in the airways. With meconium aspiration syndrome, the baby may have respiratory problems and infections, 3-5% of the baby will therefore die.


The possibility of amniotic fluid of the baby being meconium is 20%, ie 1 in 5 births.
5 babies will have meconium aspiration syndrome in 100 meconium births.
Five of 100 babies with meconium aspiration syndrome will die.

In other words, if the baby is pooped, the probability of loss is 0.06% or 1 in 1667 meconium births.
In addition, meconium is not the only cause of death due to additional problems such as prematurity and hypoxia in most of the babies who have problems with meconium aspiration.


“If the baby poops, swallows and dies”
We hear this sentence from most pregnant women. Pregnant women who have reached the expected date of birth (ie, have completed 40 weeks) cause serious anxiety by their families. It's like 39 + 6 when everything is normal, 40 + 1 baby poop will die and become! When I give a little explanation, I immediately ask the doctor: NO? If not, of course, let's wait!

Yeah, he could die by swallowing his poop before the baby's born. But the likelihood of this happening is one in 5000-6000 births. Nobody can guarantee you it won't happen. Now, if this possibility happens to you, don't you call the doctor, “Why didn't you intervene in time?” Even if it happens in 5000, it is the pregnant woman and her family who should take this risk. The pregnant who does not accept this possibility accepts the risks of starting birth artificially or having cesarean section under the name of guarantee, but she is not aware of it. If the decision is left to the doctor without responsibility, the doctor is obliged to act defensively. In other words, such unwarranted fears cause unnecessary inductions and cesarean sections.

Risks at birth are never zero. Even at the most trouble-free delivery, anything can happen at any moment. But this should not be a reason for us to approach birth with exaggerated fears. At least we can say that birth is as risky as life. On the one hand, it is time to consciously take precautions against these risks, while on the other hand it is time to get rid of unnecessary fears.

And as the moment of birth approaches, it's time to share the responsibilities of families with health professionals.

13Axx
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