Ghidul A Naţional de Perinatologie - Ministerul Sănătăţii

nalului, cât şi din partea rudelor care vizitează lăuza. De cele mai multe ori, oboseala şi stresul pot
cauza reducerea calitativă şi cantitativă a secreţiei laptelui.
Durata spitalizării cuplului “mama - copil” depinde de starea sănătăţii ambilor, vaccinările copilului,
de modalitatea acceptată în maternitate şi de disponibilitatea localului. În condiţiile noastre
externarea este recomandă în zilele 3-5 după naştere.
bibliografie:
1. Carroli G, Belizan J, Stamp G. Epysiotomy policies in vaginal births.
2. Enkin M., Keise M., Renfrew M., Neilson J. A guide to effective care in pregnancy and childbirth,
2nd ed. Oxford: Oxford University Press, 1995.
3. Induction of Labour. Evidence-based Clinical Guideline, Number 9. Royal College of Obstetrician
and Gynecologists, June 2001.
4. Managing Complications in Pregnancy and Childbirth: A guide for midwifes and doctors.
Geneva, Switzerland, WHO; 2003.
5. Managing Newborn Problems: A Guide for Doctors, Nurses and Midwifes. Geneva, WHO;
2003.
6. Ramin, Susan M. et. al. Randomized trial of epidural versus-intravenos analgesia during labor.
Obstetrics and Gynecology. 85(5), 1995, p.783-9.
7. Simkin Penny. Reducing Pain and Enhancing Progress in Labor: A Guide to Non-pharmalogic
Methods for Maternity Caregivers, Birth 22(3), 1995 p.161-171.
8. Руководство по безопасному материнству. Москва «Триада-х». 2000.
9. Gupta JK, Hofmeyr GJ. Position in the second stage of labor for women without epidural anaesthesia.
The Cochrane Database of Systematic Reviews 2003, Issue 3. Art. No.: CD002006.
10. Nordstrom L, Achanna S, Naka K, Arulkumaran S. Fetal and maternal lactate increase during
active second stage of labor. BJOG. 2001 Mar;108(3):263-8.
11. Guidelines for operative vaginal birth. SOGC Clinical Practice Guidelines No. 148, August
2004.
12. Hansen SL, Clark SL, Foster JC. Active pushing versus passive fetal descent in the second stage
of labor: a randomized controlled trial. Obstet Gynecol. 2002 Jan;99(1):29-34.
13. Menticoglou SM, Manning F, Harman C, Morrison I. Perinatal outcome in relation to secondstage
duration. Am J Obstet Gynecol. 1995 Sep;173(3 Pt 1):906-12.
14. Cohen WR. Influence of the duration of second stage of labor on perinatal outcome and puerperal
morbidity. Obstet Gynecol. 1977 Mar ;49(3):266-9.
15. Saunders NS, Paterson CM, Wadsworth J. Neonatal and maternal morbidity in relation to the
length of the second stage of labor. Br J Obstet Gynecol. 1992 May;99(5):381-5.
16. Janni W, Schiessl B et al. The prognostic impact of a prolonged second stage of labor on maternal
and fetal outcome. Acta Obstet Gynecol Scand. 2002 Mar;81(3):214-21
17. Carroli G, Belizan J. Episiotomy for vaginal birth (Cochrane Review). In: The Cochrane Library,
Issue 4, 2003.
18. McCandlish et al. A randomised controlled trial of care of the perineum during second stage of
normal labor. Br J Obstet Gynaecol. 1998 Dec;105(12):1262-72.
19. Gary L. Darmstadt, Zulfiqar A Bhutta, Simon Cousens, Taghreed Adam, Neff Walker, Luc
de Bernis. Evidence-based, cost-effective interventions: how many newborn babies can we save?
The Lancet. Neonatal Survival. March, 2005.
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