Re: Parto humanizado

From: Ricardo Savaris (savaris@orion.ufrgs.br)
Sun, 12 Dec 1999 12:09:41 GMT


Mensagem anterior datada de 11/12/99, 17:28:52 Autor: "elpidio" <elpidio@fortalnet.com.br> Assunto: Re: Parto humanizado

José Jacyr,

Parto humanizado aquele em que mãe, médico, familiares ficam felizes e contentes de terem passado pela experiência do parto, enquanto que o feto nasce com APGAR >7. Então, parto humanizado é o resultado de um debate entre o médico e a sua paciente em primeiro lugar, depois com a familia. Se isso significa fazer uma cesárea eletiva para a paciente primigesta, explica-se os prós e contras, e se ela deseja, usa-se analgesia peridural com Dimorf, técnica cirúrgica o menos traumatica possível para evitar a dor no pós-operatório, faz ela andar precocemente, inicia-se a via oral mais cedo.

Depois na revisão eu faço a pergunta, recomendaria a tua amiga a ter parto? Qual foi a tua impressão do parto? Ricardo Savaris, MD, TEGO

Estive um tempo fora e acho que não fui o único. É sempre um prazer "conversar" nessa Lista. Fui convidado a acompanhar os trabalhos do Comitê de Mortalidade Materna na Secretaria de Saúde do Paraná e aliás fiquei impressionado com o que desenvolvem. Mas após muitos debates, gostaria de ter a opinião dos colegas: O que é para cada um de vocês um "Parto Humanizado", ele realmente existe ? pode ser oferecido ? e o que poderia ser melhorado à nossa tão sofrida população.

Abraços pré natalinos !!!

José Jacyr Leal Júnior Centro de Avaliação Fetal Batel SC Ltda. Curitiba - Paraná - Brasil caf@jacyrleal.com.br http://www.jacyrleal.com.br

e1xydGYxXGFuc2lcZGVmZjANCntcZm9udHRibHtcZjBcZnJvbWFuXGZwcnEyIFRpbWVzIE5l dyBSb21hbjt9e1xmMVxmcm9tYW5cZnBycTJcZmNoYXJzZXQwIFRpbWVzIE5ldyBSb21hbjt9 e1xmMlxmcm9tYW5cZnBycTEgQ291cmllciBOZXc7fX0NCntcY29sb3J0YmxccmVkMFxncmVl bjBcYmx1ZTA7XHJlZDEyOFxncmVlbjBcYmx1ZTA7XHJlZDBcZ3JlZW4wXGJsdWUxMjg7XHJl ZDI1NVxncmVlbjI1NVxibHVlMjU1O1xyZWQxMjhcZ3JlZW4xMjhcYmx1ZTEyODt9DQp7XHN0 eWxlc2hlZXR7XHMxXHNuZXh0MSBQYWRyXCdlM287fQ0Ke1xzMlxzYjI0MFxzYTI4M1xrZWVw blxmMVxmczE0XGJcc2Jhc2Vkb24xM1xzbmV4dDEyIFRcJ2VkdHVsbyA2O30NCntcczNcc2Iy NDBcc2EyODNca2VlcG5cZjFcZnMyMFxiXHNiYXNlZG9uMTNcc25leHQxMntcKlxzb3V0bHZs NH0gVFwnZWR0dWxvIDU7fQ0Ke1xzNFxzYjI0MFxzYTI4M1xrZWVwblxmMVxiXHNiYXNlZG9u MTNcc25leHQxMntcKlxzb3V0bHZsM30gVFwnZWR0dWxvIDQ7fQ0Ke1xzNVxzYjI0MFxzYTI4 M1xrZWVwblxmMVxmczI4XGJcc2Jhc2Vkb24xM1xzbmV4dDEye1wqXHNvdXRsdmwyfSBUXCdl ZHR1bG8gMzt9DQp7XHM2XHNiMjQwXHNhMjgzXGtlZXBuXGYxXGZzMzZcYlxzYmFzZWRvbjEz XHNuZXh0MTJ7XCpcc291dGx2bDF9IFRcJ2VkdHVsbyAyO30NCntcczdcaVxzYmFzZWRvbjFc c25leHQ3IFJlbWV0ZW50ZTt9DQp7XHM4XHNhMjgzXGJccWNcc2Jhc2Vkb245XHNuZXh0OCBU XCdlZHR1bG8gZGUgdGFiZWxhO30NCntcczlcc2EyODNcc2Jhc2Vkb24xMlxzbmV4dDkgQ29u dGVcJ2ZhZG8gZGUgdGFiZWxhO30NCntcczEwXHNhMjgzXGJyZHJiXGJyZHJkYlxicmRydzE1 XGJyZHJjZjRcYnJzcDB7XCpcYnJkYm94MFxicmRyYlxicmRsbmNvbDRcYnJkbG5pbjFcYnJk bG5vdXQxXGJyZGxuZGlzdDIwfVxmczEyXHNiYXNlZG9uMVxzbmV4dDEyIExpbmhhIGhvcml6 b250YWw7fQ0Ke1xzMTFcc2IyNDBcc2EyODNca2VlcG5cZjFcZnM0OFxiXHNiYXNlZG9uMTNc c25leHQxMntcKlxzb3V0bHZsMH0gVFwnZWR0dWxvIDE7fQ0Ke1xzMTJcc2EyODNcc2Jhc2Vk b24xXHNuZXh0MTIgQ29ycG8gZG8gdGV4dG87fQ0Ke1xzMTNcc2IyNDBcc2EyODNca2VlcG5c ZjFcZnMyOFxzYmFzZWRvbjFcc25leHQxMiBUXCdlZHR1bG87fQ0Ke1xzMTRcdHFjXHR4NDgx OVx0cXJcdHg5NjM5XHNiYXNlZG9uMVxzbmV4dDE0IENhYmVcJ2U3YWxobzt9DQp7XHMxNVx0 cWNcdHg0ODE5XHRxclx0eDk2Mzlcc2Jhc2Vkb24xXHNuZXh0MTUgUm9kYXBcJ2U5O30NCntc czE2XGxpNTY3XHJpNTY3XGZpMFxzYTI4M1xzYmFzZWRvbjFcc25leHQxNiBDaXRhXCdlN1wn ZTNvO30NCntcczE3XGYyXGZzMjBcc2Jhc2Vkb24xXHNuZXh0MTcgVGV4dG8gcHJlZm9ybWF0 YWRvO30NCntcczE4XGxpNTY2XHJpMFxmaTBcc2Jhc2Vkb24xXHNuZXh0MTggQ29udGVcJ2Zh ZG8gZGEgbGlzdGE7fQ0Ke1wqXGNzMjAgU1wnZWRtYm9sbyBkZSBub3RhIGRlIHJvZGFwXCdl OTt9DQp7XCpcY3MyMVxjZjFcdWwgTGluayBJbnRlcm5ldCB2aXNpdGFkbzt9DQp7XCpcY3My MlxjZjJcdWwgTGluayBJbnRlcm5ldDt9DQp7XCpcY3MyMyBTXCdlZG1ib2xvIGRlIG5vdGEg ZmluYWw7fQ0KfQ0Ke1xpbmZve1xjcmVhdGltXHlyMTk5OVxtbzEyXGR5MTJcaHIxMFxtaW4z fXtcb3BlcmF0b3IgUmljYXJkbyBTYXZhcmlzfXtccmV2dGltXHlyMTk5OVxtbzEyXGR5MTJc aHIxMFxtaW45fXtccHJpbnRpbVx5cjE2MDFcbW8xXGR5MVxocjBcbWluMH17XGNvbW1lbnQg U3RhcldyaXRlcn17XHZlcm41MTcwfX1cZGVmdGFiNzA5DQp7XCpccGdkc2N0YmwNCntccGdk c2MwXHBnZHNjdXNlMTk1XHBnd3N4bjExOTA1XHBnaHN4bjE2ODM3XG1hcmdsc3huMTEzNFxt YXJncnN4bjExMzRcbWFyZ3RzeG4xMTM0XG1hcmdic3huMTEzNFxwZ2RzY254dDAgUGFkclwn ZTNvO30NCntccGdkc2MxXHBnZHNjdXNlMTk1XHBnd3N4bjExOTA1XHBnaHN4bjE2ODM3XG1h cmdsc3huMTEzNFxtYXJncnN4bjU2N1xtYXJndHN4bjU2N1xtYXJnYnN4bjU2N1xoZWFkZXJ5 MHtcKlxoZWFkZXJ5YjI4M1xoZWFkZXJ4bDBcaGVhZGVyeHIwfXtcaGVhZGVyIFx0cm93ZFx0 cnFsXGNlbGx4OTE1MFxjZWxseDEwNTYwDQpccGFyZFxpbnRibFxwYXJkXHBsYWluIFxpbnRi bFxzOVxtYXJndHN4bjBcbWFyZ2JzeG4yODNcZnMyMCBUXCdlZHR1bG86IA0KXGNlbGxccGFy ZFxwbGFpbiBcaW50YmxcczlcbWFyZ3RzeG4wXG1hcmdic3huMjgzXGZzMjBccXIgMTItMTIt MTk5OQ0KXGNlbGxccm93XHBhcmQgXHRyb3dkXHRycWxcY2VsbHg5MTUwXGNlbGx4MTA1NjAN ClxwYXJkXGludGJsXHBhcmRccGxhaW4gXGludGJsXHM5XG1hcmd0c3huMFxtYXJnYnN4bjI4 M1xmczIwIFVSTDoge1xmaWVsZHtcKlxmbGRpbnN0IFxcZmlsZW5hbWUgfXtcZmxkcnNsdCBD OlxcV0lORE9XU1xcVEVNUFxcc29mZmljZS50bXBcXHN2OWdrLnRtcFxcc2RtYWk5aDUudG1w XFxtYWlsOWg2Lmh0bX19DQpcY2VsbFxwYXJkXHBsYWluIFxpbnRibFxzOVxtYXJndHN4bjBc bWFyZ2JzeG4yODNcZnMyMFxxciAxMDowMzo1OA0KXGNlbGxccm93XHBhcmQgXHBhcmRccGxh aW4gXHMxIA0KXHBhciB9DQpcZm9vdGVyeTB7XCpcZm9vdGVyeXQyODNcZm9vdGVyeGwwXGZv b3RlcnhyMH17XGZvb3RlciBccGFyZFxwbGFpbiBcczFcZnMyMFxxYyBQXCdlMWdpbmEge1xm aWVsZHtcKlxmbGRpbnN0IFxccGFnZX17XGZsZHJzbHQgfX0gZGUgMQ0KXHBhciB9DQp7XGNi cGF0M31ccGdkc2NueHQxIEhUTUw7fX0NClxwYXBlcmgxNjgzN1xwYXBlcncxMTkwNVxtYXJn bDExMzRcbWFyZ3I1NjdcbWFyZ3Q1NjdcbWFyZ2I1Njdcc2VjdGRcc2Jrbm9uZVxwZ3dzeG4x MTkwNVxwZ2hzeG4xNjgzN1xtYXJnbHN4bjExMzRcbWFyZ3JzeG41NjdcbWFyZ3RzeG4xMTMz XG1hcmdic3huMTEzM1xoZWFkZXJ5NTY3e1xoZWFkZXIgXHRyb3dkXHRycWxcY2VsbHg5MTUw XGNlbGx4MTA1NjANClxwYXJkXGludGJsXHBhcmRccGxhaW4gXGludGJsXHM5XG1hcmd0c3hu NTY2XG1hcmdic3huODQ5XGZzMjAgVFwnZWR0dWxvOiANClxjZWxsXHBhcmRccGxhaW4gXGlu dGJsXHM5XG1hcmd0c3huNTY2XG1hcmdic3huODQ5XGZzMjBccXIgMTItMTItMTk5OQ0KXGNl bGxccm93XHBhcmQgXHRyb3dkXHRycWxcY2VsbHg5MTUwXGNlbGx4MTA1NjANClxwYXJkXGlu dGJsXHBhcmRccGxhaW4gXGludGJsXHM5XG1hcmd0c3huNTY2XG1hcmdic3huODQ5XGZzMjAg VVJMOiB7XGZpZWxke1wqXGZsZGluc3QgXFxmaWxlbmFtZSB9e1xmbGRyc2x0IEM6XFxXSU5E T1dTXFxURU1QXFxzb2ZmaWNlLnRtcFxcc3Y5Z2sudG1wXFxzZG1haTloNS50bXBcXG1haWw5 aDYuaHRtfX0NClxjZWxsXHBhcmRccGxhaW4gXGludGJsXHM5XG1hcmd0c3huNTY2XG1hcmdi c3huODQ5XGZzMjBccXIgMTA6MDM6NTgNClxjZWxsXHJvd1xwYXJkIFxwYXJkXHBsYWluIFxz MSANClxwYXIgfQ0KXGZvb3Rlcnk1Njd7XGZvb3RlciBccGFyZFxwbGFpbiBcczFcZnMyMFxx YyBQXCdlMWdpbmEge1xmaWVsZHtcKlxmbGRpbnN0IFxccGFnZX17XGZsZHJzbHQgfX0gZGUg MQ0KXHBhciB9DQp7XGNicGF0M31cZnRuYmpcZnRuc3RhcnQxXGZ0bnJzdGNvbnRcZnRubmFy XGFlbmRkb2NcYWZ0bnJzdGNvbnRcYWZ0bnN0YXJ0MVxhZnRubnJsYw0KXHBhcmRccGxhaW4g XHMxMlxzYTI4MyANClxwYXIgXHBhcmRccGxhaW4gXHMxMFxzYTI4M1xicmRyYlxicmRyZGJc YnJkcncxNVxicmRyY2Y0XGJyc3Awe1wqXGJyZGJveDBcYnJkcmJcYnJkbG5jb2w0XGJyZGxu aW4xXGJyZGxub3V0MVxicmRsbmRpc3QyMH1cZnMxMiANClxwYXIgXHBhcmRccGxhaW4gXHMx MlxzYTI4M1xxbCBNZW5zYWdlbSBhbnRlcmlvciBkYXRhZGEgZGUgMTEvMTIvOTksIDE3OjI4 OjUyDQpccGFyIEF1dG9yOiAiZWxwaWRpbyIgPGVscGlkaW9AZm9ydGFsbmV0LmNvbS5icj4N ClxwYXIgQXNzdW50bzogUmU6IFBhcnRvIGh1bWFuaXphZG8NClxwYXIgXHBhcmRccGxhaW4g XHMxMFxzYTI4M1xicmRyYlxicmRyZGJcYnJkcncxNVxicmRyY2Y0XGJyc3Awe1wqXGJyZGJv eDBcYnJkcmJcYnJkbG5jb2w0XGJyZGxuaW4xXGJyZGxub3V0MVxicmRsbmRpc3QyMH1cZnMx MlxmczIwIA0KXHBhciBccGFyZFxwbGFpbiBcczEyXHNhMjgzXGZzMjAgSm9zXCdlOSBKYWN5 ciwNClxwYXIgDQpccGFyIFBhcnRvIGh1bWFuaXphZG8gYXF1ZWxlIGVtIHF1ZSBtXCdlM2Us IG1cJ2U5ZGljbywgZmFtaWxpYXJlcyBmaWNhbSBmZWxpemVzIGUgY29udGVudGVzIGRlIHRl cmVtIHBhc3NhZG8gcGVsYSBleHBlcmlcJ2VhbmNpYSBkbyBwYXJ0bywgZW5xdWFudG8gcXVl IG8gZmV0byBuYXNjZSBjb20gQVBHQVIgPjcuDQpccGFyIEVudFwnZTNvLCBwYXJ0byBodW1h bml6YWRvIFwnZTkgbyByZXN1bHRhZG8gZGUgdW0gZGViYXRlIGVudHJlIG8gbVwnZTlkaWNv IGUgYSBzdWEgcGFjaWVudGUgZW0gcHJpbWVpcm8gbHVnYXIsIGRlcG9pcyBjb20gYSBmYW1p bGlhLiBTZSBpc3NvIHNpZ25pZmljYSBmYXplciB1bWEgY2VzXCdlMXJlYSBlbGV0aXZhIHBh cmEgYSBwYWNpZW50ZSBwcmltaWdlc3RhLCBleHBsaWNhLXNlIG9zIHByXCdmM3MgZSBjb250 cmFzLCBlIHNlIGVsYSBkZXNlamEsIHVzYS1zZSBhbmFsZ2UNCnNpYSBwZXJpZHVyYWwgY29t IERpbW9yZiwgdFwnZTljbmljYSBjaXJcJ2ZhcmdpY2EgbyBtZW5vcyB0cmF1bWF0aWNhIHBv c3NcJ2VkdmVsIHBhcmEgZXZpdGFyIGEgZG9yIG5vIHBcJ2Yzcy1vcGVyYXRcJ2YzcmlvLCBm YXogZWxhIGFuZGFyIHByZWNvY2VtZW50ZSwgaW5pY2lhLXNlIGEgdmlhIG9yYWwgbWFpcyBj ZWRvLg0KXHBhciANClxwYXIgRGVwb2lzIG5hIHJldmlzXCdlM28gZXUgZmFcJ2U3byBhIHBl cmd1bnRhLCByZWNvbWVuZGFyaWEgYSB0dWEgYW1pZ2EgYSB0ZXIgcGFydG8/IFF1YWwgZm9p IGEgdHVhIGltcHJlc3NcJ2UzbyBkbyBwYXJ0bz8NClxwYXIgUmljYXJkbyBTYXZhcmlzLCBN RCwgVEVHTw0KXHBhciANClxwYXIgXHBhcmRccGxhaW4gXHMxNlxsaTU2N1xyaTU2N1xmaTBc c2EyODNcYnJkcmxcYnJkcnNcYnJkcncyMFxicmRyY2YwXGJyc3AyOHtcKlxicmRib3gyOFxi cmRybFxicmRsbmNvbDBcYnJkbG5pbjBcYnJkbG5vdXQyMFxicmRsbmRpc3QwfVxmczIwIEVz dGl2ZSB1bSB0ZW1wbyBmb3JhIGUgYWNobyBxdWUgblwnZTNvIGZ1aSBvIFwnZmFuaWNvLg0K XHBhciBcJ2M5IHNlbXByZSB1bSBwcmF6ZXIgImNvbnZlcnNhciIgbmVzc2EgTGlzdGEuDQpc cGFyIEZ1aSBjb252aWRhZG8gYSBhY29tcGFuaGFyIG9zIHRyYWJhbGhvcyBkbyBDb21pdFwn ZWEgZGUgTW9ydGFsaWRhZGUgTWF0ZXJuYSBuYSBTZWNyZXRhcmlhIGRlIFNhXCdmYWRlIGRv IFBhcmFuXCdlMSBlIGFsaVwnZTFzIGZpcXVlaSBpbXByZXNzaW9uYWRvIGNvbSBvIHF1ZSBk ZXNlbnZvbHZlbS4NClxwYXIgTWFzIGFwXCdmM3MgbXVpdG9zIGRlYmF0ZXMsIGdvc3Rhcmlh IGRlIHRlciBhIG9waW5pXCdlM28gZG9zIGNvbGVnYXM6IE8gcXVlIFwnZTkgcGFyYSBjYWRh IHVtIGRlIHZvY1wnZWFzIHVtICJQYXJ0byBIdW1hbml6YWRvIixcfmVsZSByZWFsbWVudGUg ZXhpc3RlID8gcG9kZSBzZXIgb2ZlcmVjaWRvID8gZSBvIHF1ZSBwb2RlcmlhIHNlciBtZWxo b3JhZG8gXCdlMCBub3NzYSB0XCdlM28gc29mcmlkYSBwb3B1bGFcJ2U3XCdlM28uDQpccGFy IFxwYXJkXHBsYWluIFxzMTZcbGk1Njdccmk1NjdcZmkwXHNhMjgzXGJyZHJsXGJyZHJzXGJy ZHJ3MjBcYnJkcmNmMFxicnNwMjh7XCpcYnJkYm94MjhcYnJkcmxcYnJkbG5jb2wwXGJyZGxu aW4wXGJyZGxub3V0MjBcYnJkbG5kaXN0MH1cfg0KXHBhciBccGFyZFxwbGFpbiBcczE2XGxp NTY3XHJpNTY3XGZpMFxzYTI4M1xicmRybFxicmRyc1xicmRydzIwXGJyZHJjZjBcYnJzcDI4 e1wqXGJyZGJveDI4XGJyZHJsXGJyZGxuY29sMFxicmRsbmluMFxicmRsbm91dDIwXGJyZGxu ZGlzdDB9XGZzMjAgQWJyYVwnZTdvcyBwclwnZTkgbmF0YWxpbm9zICEhIQ0KXHBhciBccGFy ZFxwbGFpbiBcczE2XGxpNTY3XHJpNTY3XGZpMFxzYTI4M1xicmRybFxicmRyc1xicmRydzIw XGJyZHJjZjBcYnJzcDI4e1wqXGJyZGJveDI4XGJyZHJsXGJyZGxuY29sMFxicmRsbmluMFxi cmRsbm91dDIwXGJyZGxuZGlzdDB9XH4NClxwYXIgXH4NClxwYXIgXHBhcmRccGxhaW4gXHMx NlxsaTU2N1xyaTU2N1xmaTBcc2EyODNcYnJkcmxcYnJkcnNcYnJkcncyMFxicmRyY2YwXGJy c3AyOHtcKlxicmRib3gyOFxicmRybFxicmRsbmNvbDBcYnJkbG5pbjBcYnJkbG5vdXQyMFxi cmRsbmRpc3QwfXtcZnMyMCBKb3NcJ2U5IEphY3lyIExlYWwgSlwnZmFuaW9yXGxpbmUgQ2Vu dHJvIGRlIEF2YWxpYVwnZTdcJ2UzbyBGZXRhbCBCYXRlbCBTQyBMdGRhLlxsaW5lIEN1cml0 aWJhIC0gUGFyYW5cJ2UxIC0gQnJhc2lsXGxpbmUge3tcZmllbGR7XCpcZmxkaW5zdCBIWVBF UkxJTksgIm1haWx0bzpjYWZAamFjeXJsZWFsLmNvbS5iciIgfXtcZmxkcnNsdCBcKlxjczIy XGNmMlx1bCBjYWZAamFjeXJsZWFsLmNvbS5icn19fVxsaW5lIHt7XGZpZWxke1wqXGZsZGlu c3QgSFlQRVJMSU5LICJodHRwOi8vd3d3LmphY3lybGVhbC5jb20uYnIvIiB9e1xmbGRyc2x0 IFwqXGNzMjJcY2YyXHVsIGh0dHA6Ly93d3cuamFjeXJsZWFsLmNvbS5icn19fX0NClxwYXIg fX==


busca recomendada...
Google
OBGYN.net somente forums endozone.org Web
Entre as palavras-chaves para a busca:
Mensagens por tela: Mostrar apenas as mensagens que incluam todas as palavras-chave:

Voltar para  OBSTET-L World Wide Web page


Administrador da lista: flavio.monteiro.desouza@obgyn.net
Solicitações à lista: obstet-l-request@obgyn.net
Última atualização: Mon May 19 16:38:51 2008