Nueva investigación: Partos vaginales para bebés de nalgas, más seguros que Cesáreas. / New research: traditional deliveries for breech babies often safer than C-sections
http://www.naturalnews.com/030388_breech_babies_C-sections.html
Saturday, November 13, 2010 by: S. L. Baker, features writer
(NaturalNews) Cerca de 4 por ciento de los bebés por nacer se presentan en "posición de nalgas" - es decir, los pies o las nalgas se presentan primero, en lugar de la cabeza. La medicina siempre ha considerado la presentación de nalgas como una indicación casi obligatoria para practicar una cesárea, que consiste en, literalmente, cortar para abrir a la madre y extraer al bebé. De hecho, después de un gran estudio internacional publicado en el 2000 donde se hizo hincapié en que la cesárea era la opción más cautelosa para los nacimientos con presentación de nalgas, ésta pronto se convirtió en la "única manera" de estos partos en hospitales.
Pero ahora investigadores de la Universidad de Tel Aviv han llegado con pruebas de que las cesáreas No son la mejor manera de asistir la mayoría de los bebés en posición de nalgas. Estudios recientes realizados por los científicos como Marek Glezerman de la Facultad Sackler de la Universidad de Tel Aviv de Medicina y el Centro Médico Rabin, que han sido publicados en importantes revistas obstétricas en todo el mundo se acaban de presentar en el Congreso Canadiense sobre Parto de Nalgas.
Las conclusiones? Estos bebés en general, No sólo NO tienen mayor riesgo durante un parto vaginal que por cesárea, pero además el parto vaginal natural es mucho más seguro para las madres.
Glezerman destacó en la reunión de Canadá que una cesárea no es simplemente otro método de parto para un bebé. Es un procedimiento quirúrgico Importante que lleva consigo algunos riesgos que amenazan potencialmente la vida, sino que también disminuye la probabilidad de que una mujer puede amamantar. Lo que es más, tener un parto por cesárea también aumenta los riesgos para las mujeres cuando se quedan embarazadas en el futuro. Eso es porque una vez que una mujer ha tenido una cesárea, se hace más peligroso y ocasionalmente imposible tener un parto vaginal, porque la cesárea aumenta el riesgo de ruptura de las paredes del útero y los músculos durante el parto.
Es mucho más fácil para un médico realizar una cesárea que un parto de nalgas por vía vaginal - y, por supuesto, en algunas situaciones de emergencia una cesárea está justificada. Pero Glezerman señaló en un comunicado de prensa que muchas mujeres pueden beneficiarse médicamente por el retorno a las técnicas tradicionales de asistir un parto vaginal con presentación de nalgas de forma segura y natural.
"Estamos tratando de unir a los obstetras y parteras en el ámbito de revivir el parto vaginal para la presentación de nalgas", afirmó. "La habilidad ha desaparecido. Ya no se enseña a los residentes estas técnicas, y los médicos mayores están haciendo cada vez menos. Tenemos que volver al pasado y re-aprender de nuevo lo que se ha olvidado."
Glezerman está haciendo campaña en todo el mundo para que los médicos vuelvan a retomar los conocimientos sobre el parto vaginal en bebés de nalgas y, para este fin, ha creado talleres en el Centro Médico Rabin en Israel para enseñar a la nueva generaciónes de ginecólogos y obstetras técnicas para el parto vaginal de los bebés de nalgas. Sus cursos incluyen técnicas de importancia crítica para el parto de nalgas, que incluyen la rotación de presentación de nalgas a presentación cefálica y el manejo de diferentes presentaciones de nalgas.
Para más información
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New research: traditional deliveries for breech babies often safer than C-sections
(NaturalNews) About 4 percent of babies about to be born are in the "breech position" -- meaning their feet or buttocks are positioned to be delivered first instead of their heads. Mainstream medicine has long seen this as a virtually mandatory reason to use an operation known as a Caesarian section (C-section) for breech births which involves, literally, cutting the mother open to remove the infant. In fact, after a large international study published in 2000 emphasized surgery was the most cautious approach to breech births, C-sections soon became the "only way" for those deliveries in hospitals.
But now Tel Aviv University researchers have come up with evidence C-sections are not the best way to deliver most babies in breech position. Recent studies by scientists including Marek Glezerman of Tel Aviv University's Sackler Faculty of Medicine and the Rabin Medical Center which have been published in major obstetric journals world-wide were just presented at the Canadian Congress on Breech Delivery. The conclusions? Not only are breech babies generally at no more at risk during vaginal delivery than if delivered by C-section, but natural vaginal delivery is far safer for mothers.
Glezerman emphasized at the Canadian meeting that a C-section is not simply another method of delivering a baby. It is a major surgical procedure that carries with it some potentially life threatening risks; it also decreases the chances a woman can breastfeed. What's more, having a C-section also increases risks for women when they become pregnant again in the future. That's because once a woman has delivered by C-section, it becomes more dangerous and occasionally impossible to deliver vaginally because the Caesarian section surgery raises the risk uterine walls and muscles could rupture during birth.
It is much easier for a doctor to perform a C-section than to deliver a breech baby vaginally -- and, of course, in some emergency situations a C-section is justified. But Glezerman pointed out in a press statement that many women can benefit medically by the return to traditional techniques of safely and naturally birthing breech babies.
"We are trying to unite obstetricians and midwives in the field to revive vaginal delivery for breech presentations," he stated. "The skill has disappeared. Residents are no longer taught these techniques, and senior physicians are doing it less and less. We need to go back to the future and relearn what has been forgotten."
Glezerman is campaigning worldwide for doctors to return to skilled vaginal delivery of breech babies and, to that end, he has founded workshops at the Rabin Medical Center in Israel to teach the newest generation of gynecologists and obstetricians techniques for vaginal delivery of breech babies. His courses include the critically important delivery techniques of breech delivery, which include changing presentation from breech to head and management of different breech presentations.
For more information:
http://www.breechbirth.ca/Research.html
But now Tel Aviv University researchers have come up with evidence C-sections are not the best way to deliver most babies in breech position. Recent studies by scientists including Marek Glezerman of Tel Aviv University's Sackler Faculty of Medicine and the Rabin Medical Center which have been published in major obstetric journals world-wide were just presented at the Canadian Congress on Breech Delivery. The conclusions? Not only are breech babies generally at no more at risk during vaginal delivery than if delivered by C-section, but natural vaginal delivery is far safer for mothers.
Glezerman emphasized at the Canadian meeting that a C-section is not simply another method of delivering a baby. It is a major surgical procedure that carries with it some potentially life threatening risks; it also decreases the chances a woman can breastfeed. What's more, having a C-section also increases risks for women when they become pregnant again in the future. That's because once a woman has delivered by C-section, it becomes more dangerous and occasionally impossible to deliver vaginally because the Caesarian section surgery raises the risk uterine walls and muscles could rupture during birth.
It is much easier for a doctor to perform a C-section than to deliver a breech baby vaginally -- and, of course, in some emergency situations a C-section is justified. But Glezerman pointed out in a press statement that many women can benefit medically by the return to traditional techniques of safely and naturally birthing breech babies.
"We are trying to unite obstetricians and midwives in the field to revive vaginal delivery for breech presentations," he stated. "The skill has disappeared. Residents are no longer taught these techniques, and senior physicians are doing it less and less. We need to go back to the future and relearn what has been forgotten."
Glezerman is campaigning worldwide for doctors to return to skilled vaginal delivery of breech babies and, to that end, he has founded workshops at the Rabin Medical Center in Israel to teach the newest generation of gynecologists and obstetricians techniques for vaginal delivery of breech babies. His courses include the critically important delivery techniques of breech delivery, which include changing presentation from breech to head and management of different breech presentations.
For more information:
http://www.breechbirth.ca/Research.html
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