www.stayathomemum.com.au |
The potential
risks associated with practice of vaginal seeding (VS) in Cesarean Delivery
outweighs the hypothetical benefits and consequently we do not recommend it at
present says the national recommendations released by Danish Society of
Obstetrics and Gynaecology at the national meeting on 19 January 2017.
The
recommendation along with a commentary was published online 22 AUG 2017 in
British Journal of Obstetrics and Gynecology.
“We could
not identify any other national or international society that had
systematically investigated the clinical approach to VS,” write Thor Haahr, MD,
PhD, from the Department of Obstetrics and Gynaecology at the Institute for
Clinical Medicine, Aarhus University Hospital, Skejby, Denmark.
The
recommendations are aimed at providing fellow obstetricians and midwives with the
basic information about VS so that it can be discussed with couples and
families opting for it.
The recommendations
state that:
Maternity
wards should not take part in screening, guiding or encouraging women for
Vaginal Seeding.
Vaginal
seeding is contraindicated in infants born before 37 weeks, born to mothers who
meet national criteria for group B streptococci(GBS) prophylaxis during
delivery, situations in which the cesarean section is done to prevent vertical
transmission of infection such as—primary vaginal herpes infection, HIV
infection with HIV-RNA >50 copies/ml and any other situations in which the
VS will cause potential harm to the fetus.
Parents who
still wish to perform VS, can do so provided “it does not interfere with or
delay other procedures.” They should be informed about insufficient evidence in
favor of any potential benefit and should be provided with patient information
booklet. They should also be educated about signs of infection in neonates
should any infection occurs after the procedure.
Interest in
VS sparked after Dominguez-Bello and colleagues published the results of their pilot study in 2016 stating that Neonatal colonization can be partially restored in
cesarean born babies by VS. Several
other studies have since followed involving VS which stress the importance of
more research and publications on this topic.
Although, the
risk associated with VS is very low, the immediate concern after VS is early
onset neonatal sepsis (EOS) with Escherichia coli or GBS.
David A.
Eschenbach, MD, from the Department of Obstetrics and Gynecology, University of
Washington, Seattle raised several questions in his accompanying commentary that need to be addressed before
VS becomes a routine practice.
His major
concern was our current inability to identify that which vaginal bacteria/gut
bacteria will produce potential benefit while minimizing the harm. Choosing
between ‘harmful’ and ‘helpful’ bacteria is expensive procedure and it is here
the cost -benefit analysis comes in.
"We
simply are too far behind in knowledge to start this practice without heeding
the Society's recommendations," he concluded.
The authors
suggest that clinicians whose patients want to adopt the practice should be
told about the risk involved and other ways of that have an effect on neonatal
colonization, including early skin-to-skin contact, breast-feeding, and diet
during pregnancy.
Nice post dear.Thanks for sharing
ReplyDeleteWhy Is It Important To Choose A Right Obstetric Doctor?
Do you know that there is a great herbal doctor who can cure any deadly disease like herpes, hiv/aids, cancer, syphilis, madness, hepatitis b, STD e.t.c. well my main purpose of wACriting this to the whole world is about the great deeds DR ODOMA did for me. I was diagnosed of a deadly disease called HIV/AIDS since the year 2000, ever since then i have been taking medications on till i met a great herbal doctor. though i never believed in Herb medicine, i saw many testimonies on how he cured so many people and i decided to contact him. so i contacted him through his email, he gave me a form to fill, i filled it and send it back to him and then he told me that he would require some items to prepare a herbal medicine for me. i did'nt know were to find the items, and he told me that the only alternative is to help me get the items and he helped me purchase the items from the items seller. i promised my self to do anything to get cured, so i sent him the money and he prepared a medicine for me and he told me how i will be taking it. he asked me to have faith and believed in him which i did, 7 days latter he asked me to go for a check-up, when i did the check-up i was tested HIV Negative. All thanks to DR ODOMA. if you are passing through suffering and hardship and you need a way out , i advice you kindly contact him via his email on drodomasolutionhome20@gmail.com . you can also WhatsApp +2348100649947
Deletehe is a specialist in all kind of sickness and he can bring your EX back with his great spell.
CURES,CASTING SPELL
HIV/AIDS,
CANCER,
HERPES,
HEPATITIS B AND C,
HERB FOR PREGNANCY,
PROTECTION,
EX BACK,
GOOD LUCK,
PROMOTION,
ETC.
EMAIL: drodomasolutionhome20@gmail.com
or whatsapp +2348100649947
I find realy amazing information by this post, nice and quality blog, i appreciate.
ReplyDeletei also wrote on "best gynecologist in dubai, you can check my blog and give me your review.
thanks
Cm hospital lets you Best Gynecologist in Chennai for Normal Delivery where today’s generation has several impacts over their health which would be guided with the best experts to have safer pregnancy.
ReplyDeleteGood post...
ReplyDeleteThis comment has been removed by the author.
ReplyDeleteVery interesting Article thank you for providing nice information about Obstetrics and Cesarean births.Now a days women facing different types of many health problems this topic was definetely useful for pregnancy .Avi clinics is one of the Best obstetrics clinic has dedicated all its resources to providing superlative equipment and services.
ReplyDeleteI really like this post; it makes my mind to be a gynecologist. I want to became a doctor but i was confused that which area of medical should i choose. one of my friend told me to be a gyne/obs; and due to her advice i search about gyne on internet. i found this blog on first and i makes my mind to be a gynecologist.
ReplyDeleteI found out, that taking herbal treatment is the best to get rid of hpv as soon as i feel the symptoms of hpv is appearing, i took the healing process by contacting Dr onokun for natural treatment it works wonders, amazingly ever since I had the herbal treatment i have not feel these horrible disease anymore and my doc told me the virus is gone, i am glad i finally got cured out from this horrible disease. every hpv or herpes patients should also get in touch with this herbalist Dr to get ride of these disease forever his email address; dronokunherbalcure@gmail.com
ReplyDeleteThank you so much for posting this important information. This is great.Infertility Treatment Centre
ReplyDeleteThanks for sharing the information on such delicate and important topic. Truly, be it any gynecological issues or pregnancy care, it is very important to consult with a right obstetrics and gynaecologist with whom one can discuss all the issue that women face. Interestingly, even we deal in same services. At Arete Health, Dr. Chan is an experienced female consultant obstetrician, gynaecologist and advanced laparoscopic surgeon and has admitting rights to Norwest Private Hospital, Bella Vista and Westmead Private Hospital. To know more, visit us at https://www.aretehealth.com.au
ReplyDeleteAwesome blog...Gynecologist in Bangalore | IVF Treatment Centre in Bangalore | Gynaecology Hospitals in Bangalore | Testtube Baby in Rajajinagar
ReplyDeleteI was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.
Awesome blog, it's very halpful and knowledgable. Dr. Ripal Madnani is the most trusted, skilled and experienced laparoscopic surgeon in Dubai. Contact her now.
ReplyDelete