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Maslacak15 -> RE: Carski rez (25.6.2013 12:35:58)
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Evo i pasusa iz ovogodisnje publikacije American College of Obstetricians and Gynecologists (ACOG) - americkog udruzenja ginekologa:
Even when cesarean deliveries are medically indicated, clinicians should make every effort to perform them after the 39-week gestation mark, unless conditions such as preeclampsia/eclampsia, fetal growth restriction, placental abruption, multiple gestation, or poorly controlled diabetes are present. According to ACOG, suspicion of macrosomia is not an indication for early induction or surgical delivery, nor is fetal lung maturity, because other organs may require further development.
In fact, those last few weeks can be critical: Babies born at 37 and 38 weeks are at 2.3- and 1.4-fold increased risk for neonatal death relative to 39 and 40 weeks. Infant mortality rates are likewise elevated by factors of 1.9 and 1.2, respectively, as surviving neonates find their young lives complicated by respiratory distress, respiratory failure, pneumonia, and other conditions requiring intensive care.
Narocito mislim da je vazno obratiti paznju na recenicu da indikacija da je veliko dete nije dovoljan razlog za raniji carski. Zato sto se to cesto cuje: beba je krupna. I da se rodi sa 4 kg sa 37 nedelja krupno nije isto sto i bioloski zrelo. I dalje moze imati vise problema da se adaptira nego beba od 2, 900 koja je rodjena u terminu spontanim porodjajem.
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