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rossi79 kaže:
ja osobno ne znam koja žena, ali i doktor bi svjesno riskirali život djeteta nakon navršenog 42. tjedna ako se jako dobro znaju opasnosti kao što su mekonij u plodovoj vodi koji može lako dovesti do upale pluća u boljoj varijanti sve do sepse i trajnog oštećenja mozga u goroj varijanti, starenja posteljice i hipoksije koje se uslijed nedostatak kisika odražava na srčani ritam djeteta i njegovu aktivnost i može uzrokovati oštećenje mozga.
ja osobno ne bih bila spremna preuzeti odgovornost za ovakve posljedice. oštećenje mozga nije mala stvar. dijete ima trajne posljedice za cijeli život, a najčešća posljedica je mentalna retardacija. žena koja je spremna to riskirati po meni bi trebala obaviti razgovor sa psihijatrom jer to nije zezancija i pitanje želi li žena čekati ili ne. takvo čekanje predstavlja REALNU OPASNOST ZA TRAJNO OŠTEĆENJE DJETETOVOG MOZGA.
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ovo kaže Michel Odent:
If the baby has been in the womb for more than nine months, its condition is assessed on a day-to-day basis. As long as the baby is in good shape, it is possible to wait. From the time daily assessments have started, only the well-being of the baby is taken into consideration, whatever the duration of pregnancy. The most common scenario, by far, is that one day labor will start spontaneously and a healthy baby will be born. If the baby's skin is peeling, it means that it was already postmature.
Several methods may be combined to ascertain that the fetus is not in danger. Firstly, it is easy for a pregnant woman to evaluate daily the frequency of the baby's movements in the womb. When there is a dramatic change, this should be considered a warning. It is also easy for medical staff to perform repeated clinical examinations. However, the so-called non-stress test (electronic fetal monitoring) is useless.(3,4,5) If the size of the uterus is evaluated every day by the same experienced practitioner (using a tape measure), it is possible to detect a sudden reduction in the amount of amniotic fluid. Another option is a daily "amnioscopy"—a simple, cheap and safe way to check that the liquid is clear. A tube the size of a finger is introduced into the cervix and, thanks to an incorporated light, the color of the liquid can be evaluated. As long as the liquid is clear and contains some flecks of vernix, the baby is guaranteed to be in good shape. This test, which I have used extensively for many years, has never been popular in English-speaking countries and tends to be forgotten in continental Europe as well.
Today ultrasound scans may be repeated on a daily basis. As long as there is sufficient liquid in the uterus, the baby is almost guaranteed to be out of danger. These days, most women are offered a great number of ultrasound scans throughout their pregnancy; most of them are useless, compared with what an experienced practitioner can expect from a clinical examination after listening to the mother-to-be. It seems, on the other hand, that many doctors are paradoxically reluctant to repeat scans when the baby might be overdue. This is precisely the time when scans provide precious data that have huge practical implications. Individualized selective strategies might also lead to reestablishing the use of biochemical tests after the so-called due date; a sudden drop in the urinary estriol levels (and other hormones, such as human placental lactogen) is a sign of placental insufficiency. Routine strategies have largely displaced these non-invasive tests.
And what if, suddenly, the baby seems to be in danger before labor starts? In my view, in this case, it is wiser to perform a c-section right away. The priority is to avoid a risky, last-minute emergency intervention. With such a strategy, labor induction will become exceptionally rare and the number of c-sections related to postmaturity will be much lower than if all labors are induced at 41 weeks.(6)