Printable View
Ne znam jel ovaj topic ide ovdje, ali ima veze s porodom pa pitanje ipak postavljam tu. Tanjaa vas sve lijepo pozdravlja i ima pitanje - bebica je u porodu progutala mekonijsku vodu, leukociti su povišeni i kažu da je to zbog toga pa mora na antibiotike.
Ima li netko iskustva s tim i koliko je to opasno?
Inače porod je bio malo teži, faza izgona trajala dosta dugo...ali sad se oporavljaju i prilagođavaju na dojenje.
Odra, evo vrlo detaljnog odgovora, al je na engleskom. Ako ti je engleski problem, javi.
Citiraj:
The Marvels Of Meconium
Dr. Greene, why was my baby born covered with meconium, and can this cause a urinary tract infection? Also, could this have been prevented by delivering the baby sooner, and not going past 40 weeks????? Help!
Kimberly Paulson
Mesa, Arizona
Citiraj:
Kimberly, by the end of your fourth week of pregnancy, your little baby already had a beating heart. By eight weeks she had toes and elbows, eyelids and ear lobes -- she even had nipples. All of the organs and systems of her body had already formed, even before you began to "show."
As she floated tranquilly in your uterus, all of the nutrition she needed came to her through the soft pipeline that tethered her to you -- the umbilical cord. That same umbilical cord carried away the waste products generated by her growing body. She didn't need to eat, she didn't need to poop, but nevertheless, by the time you were only 10 or 11 weeks pregnant, she began swallowing and peeing.
Even though the umbilical cord handled the task of waste management, her tiny kidneys made urine as an important part of the amniotic fluid. Even though she received all of her nutrition directly from your blood via the umbilical cord, her own digestive tract needed to get ready to assume responsibility from the moment of her birth.
Swallowing helps facilitate the intricate development of the digestive tract. Taste buds are already mature by 12 weeks and seem to encourage babies' swallowing -- they like the taste of amniotic fluid. When a sweetener is added to the fluid, babies swallow even more. When a bitter substance is added, they swallow less. In any event, by term, most babies swallow up to 750 mL of amniotic fluid each day -- about the volume of a bottle of wine (Human Embryology and Developmental Biology, Mosby-Year Book, 1994).
We might think of amniotic fluid as pristine, clear water, but your growing baby was already making a mess. Old skin cells and hairs (which would become dust in the outside world) began to build up in the fluid. Unlike later in life, your daughter cleaned up her own mess. As soon as she began swallowing, she removed the debris from the fluid. This sludge began to accumulate in her intestines. Called meconium, this dark-green tarry substance is a mixture of hair, cells, enzymes, blood, mucus, and other secretions. By the time of your daughter's birth, the meconium had filled most of her intestines. Meconium is sterile -- very unlike the bacteria-filled stools that will follow.
Most babies pass the first meconium stool in the first 12 hours after birth. I love watching new dads trying to change a sticky meconium diaper. Often they end up with tarry meconium everywhere. Within a few days, the meconium stools give way to soft yellow-green breast milk stools or yellow-tan formula stools. If no meconium stool has been passed within the first 48 hours, the baby should be evaluated.
Some babies, about 11% to 22%, pass a meconium stool even before they are born. This is a common response to fetal distress. Stress, especially decreased oxygen to the baby, causes the sphincter muscles to relax and stool to be pushed out. (It is possible to "scare the poop" out of a baby even before they are born.) Non-stressed, healthy babies also sometimes pass stools before they are born. They are more likely to pass a stool before birth the longer they go past their due dates.
If a baby passes a meconium stool before birth, the amniotic fluid is stained and the baby is covered with meconium (reminiscent of the mess dads can make changing diapers). The baby is also likely to swallow the meconium, which sounds disgusting but doesn't present a problem. The sterile meconium does not predispose to urinary tract infections, but meconium can cause significant problems if it is inhaled into the lungs.
In only about 2% to 5% of babies born in meconium-stained amniotic fluid will some of the thick, tarry meconium be inhaled, plug the small airways, and thus cause respiratory distress (Manual of Pediatric Practice, WB Saunders, 1998 and Nelson Textbook of Pediatrics, WB Saunders, 2000). Speedy delivery of distressed babies and suctioning the mouth and nose when the head has been delivered (before the expanding lungs take their first breath) can help prevent this meconium aspiration. Sometimes, more vigorous suctioning or even infusing extra amniotic fluid into the uterus before birth is needed.
Up to 30% of kids who develop meconium aspiration pneumonias need to go on mechanical ventilators. A few of these have some residual lung problems (wheezing, coughing) even 5 or 10 years later, and a small number die from meconium aspiration (Textbook of Pediatrics, WB Saunders, 2000).
Once your daughter made it safely through her first breaths, the meconium staining was nothing more than a mess to be wiped off. The next time meconium will be of significance to her is when her own baby is forming within.
Ovo mi se nekako čini najrelevantnijim - mekonij je sam po sebi sterilan, i ako ga je bebica samo progutala nije nikakav problem i ne može joj naškoditi. Probleme može imati jedino ako je mekonij došao do pluća.Citiraj:
If a baby passes a meconium stool before birth, the amniotic fluid is stained and the baby is covered with meconium (reminiscent of the mess dads can make changing diapers). The baby is also likely to swallow the meconium, which sounds disgusting but doesn't present a problem. The sterile meconium does not predispose to urinary tract infections, but meconium can cause significant problems if it is inhaled into the lungs.
In only about 2% to 5% of babies born in meconium-stained amniotic fluid will some of the thick, tarry meconium be inhaled, plug the small airways, and thus cause respiratory distress (Manual of Pediatric Practice, WB Saunders, 1998 and Nelson Textbook of Pediatrics, WB Saunders, 2000).
Ančice puno hvala na iscrpnom odgovoru, sve sam pročitala i malo odahnula. Nešto sam otprilike i ja našla u knjizi Klinike mayo, ali malo me muči što bebica ipak ima visoke leukocite. Nemam pojma jel udahnula ili samo progutala, nadam se ovo drugo, ali ne kužim čemu takva krvna slika. ili to jednostavno nema veze s mekonijem.
Mozda nema nikakve veze s mekonijem.
Odra, nasla sam ovo:
Citiraj:
The numbers of leukocytes changes with age and during pregnancy.
On the day of birth, a newborn has a high white blood cell count, ranging from 9,000 to 30,000 leukocytes. This number falls to adult levels within two weeks.
...
Zašto onda doktori kažu da je to povišen broj leukocita, valjda znaju da treba biti kod novorođenčeta...ipak mu daju antibiotike.
Tanjaa kaže da su joj rekli da je samo progutao mek. vodu, tako da je to ipak bolji slučaj.
Ančice, puno hvala na trudu!!! :heart:
A mozda je visi od ovih 30.000?
Nema na cemu. Prenesi tanji vibre od mene za sto brzi oporavak, i nje i bebe :heart:
Odra,preneis Tanjii pozdrave!I jel imas kakvih detaljnijih informacija sa poroda?