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MAS if baby inhales either before or after birth. True meconium aspiration is often a
prenatal/prelabour event. There are several documented cases where babies were born with
Risk Factors:
overdue
diabetes
high blood pressure
difficult labor or delivery
fetal distress
decreased oxygen
Both the meconium and the aspiration are usually related to hypoxic events in utero. The
baby, if subjected to severe enough an hypoxic insult in utero, will gasp (sort of a last-ditch
reflexive effort to get oxygen) and will then get the meconium down below the vocal cords.
Many babies, despite lots of mec at birth, will be vigorous with no problems.
The presence of mec. and a truly sick baby are extremely rare in the home due to the lack of so
many interventions incurred in the hospital setting the aggravate or even precipitate mec.
I have had a lot of success by having someone hold the baby by it's feet upside down while I
suction with a 3 oz. bulb syringe......works great. It's amazing how much you can get out with
the help of gravity. No Deep Suctioning for Mec Reduces Caustic Pneumonia.
**If baby is born through thick meconium then only the mouth should be gently suctioned
(which can easily be done at home). Deep suctioning should only be done if the baby is
depressed, eg having trouble breathing, as deep suctioning can cause more problems than it
solves.
It is estimated to occur in 11-58% (mean 35%) of live births with mec -stained liquor, approx.
4% of all live births. MAS occurs in only 5-10% of infants with mec below the vocal cords.
There has never been a study that proved without a doubt that suctioning the trachea
prevented meconium aspiration. Ninety-five percent of infants with inhaled meconium clear
Most hospitals will not let you birth in the squatting position. Patience, privacy and no
interference either physically or mentally are key to a safe birth; you will
not get that in a hospital or with a midwife. Even animals know this; they
know any interference will kill them that’s why they seek privacy. Birth is a matter of letting it
There are 28 countries that have better infant morality rates than
the US - what do they have more of HOMEBIRTHS!!
Well actually to be honest with you the mec. is caused by stress and artificially breaking your
membranes causes more stress on the baby because it does not have a soft cushion
baby the way it was designed to. You can suction the bay with your own mouth. Since you
were in a hospital, you were stressing out you did not have any privacy your labor is going to
slow down, and artificially rupturing your membranes is another dangerous intervention
which forces your labor to speed up. Sometimes the water dosen't break till a few moments
before the baby is born, and sometimes babies are born in the caul(bags still intact). You just
have to trust your body, your body knows what it is doing. It is also extremly dangerous to
stick things up there once your waters have been broken due to infection. So don't play the "oh
I was glad I was in the hospital" game because more often than not those complications were
caused by the hospital and interventions. It's better to trust your body than some doctor or
machine. Yeah the truth hurts sometimes. Hospitals are not the way to go unless it's the rare
contract the uterus as would be used in hospital. If these do not control the haemorrhage, the
midwife would call an ambulance to transfer you to hospital, and undertake other emergency
measures in the meantime, such as giving intravenous fluids and manually compressing your
womb. (**Wood Betony tea, etc. ALSO causes contractions to expel placenta ... always a
natural remedy for the sorcery of pharmacy.) However, it is significantly less likely that you
would have a post-partum haemorrhage after a home birth than after a hospital birth,
because the risk of PPH rises with interventions such as assisted delivery and induction of
complications like shoulder dystocia) and the mother (severe tearing and/or bleeding).
caesarean' can be confusing, because in fact an 'emergency' caesarean just means one which
was not planned at the start of labour, regardless of whether mother or baby was in
immediate danger. What most people worry about is a 'crash' or 'true emergency' caesarean,
where the baby needs to be delivered urgently. This is more rare. In a dire emergency
situation like this, you would call an ambulance immediately, and would telephone ahead to
the hospital and ask them to have the operating theatre made ready and the surgical team
assembled. The ambulance team would take the mother straight to the operating theatre. So
how much time would you lose by having to transfer from home? Even if you started off in
hospital, the operating theatre would have to be prepared and a surgical team assembled. The
target for delivery by emergency caesarean is 30 minutes from decision to delivery, but
the time, it is not usually a major problem; some babies need some resuscitation such as
rubbing the skin, giving air by bag and mask, or oxygen, but most are fine. If the baby does
not show distress earlier in labour and its head descends, then the situation would be
managed in the same way, wherever you gave birth - after all, there would not be time for a
caesarean in hospital if your baby showed signs of distress only in the last 10 minutes of
labour.
part (usually its head, unless it is breech). As the head descends, the cord is compressed and
this can restrict the baby's oxygen supply. Cord prolapse is the next stage - when the cord
protrudes from the uterus in front of the baby, and can be felt in the vagina.
Sometimes you can push the cord up and out of the way, holding the baby's head up while
you do it. If a cord prolapse occurred at home, you would probably go on all fours, with your
head lower than your body and your bottom stuck in the air. This would take the pressure off
your cervix and hopefully off the cord, holding the baby's head up and off the cord by hand,
while waiting for the ambulance to arrive. Cord prolapse is a complication which could be fatal
in home or hospital.
In the home and hospital groups totalling 10,695 women, only one cord prolapse occurred, in
the home birth group - but no fetal death was reported*. Of planned home births reported on
the incidence of cord prolapse, cord prolapse occurs on average once in every 900 deliveries
(cord presentation once in every 300), but is much more likely in certain high-risk categories:
breech or transverse lie, small babies, polyhydramnios (excessive amniotic fluid). Very few
women planning a home birth have pregnancies which fall into these categories. Babies
sometimes die from this condition, wherever the mother is labouring - but the worry is that if
it happens when she was at home, somebody, somewhere will blame the fact that it was a
her pelvis.
ambubag or 'bag and mask', which is operated by hand, or by intubation, where a tube is
birth. Perhaps a crash caesarean is needed, and transfer to hospital is delayed. And the
converse is true - sometimes babies die after hospital births, when they might have survived
after a homebirth. This could happen because of breathing difficulties after caesarean section,
hospital-acquired infection, birth injuries from assisted delivery, severe reactions to drugs
given to the labouring mother, or stress or injury resulting from labour being induced or
augmented.