bullet1 Shock and blood loss, which is true to hasty umbilical cord clamping

Shock to the Newborn, the Neonate by early umbilical cord clamping and blood from 20 to 50 percent total blood volume deprived.  This research was by Donna Young

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We need support, Internationally, to help Canada correct or investigate present training of all medical persons who will or intend to be at a mother's birth.

We need support for informed choices, of both parents, that our babies are not being harvested by methods of Active Management.


How well are the medical doctors doing maternity care treatments trained and to know of deprived blood to the newborn can produce shock?  Here is information that is known that has been taught to the medical persons, so there is no good excuse for any doctor or midwife or ambulance medic to risk shock to any newborn child by doing hasty umbilical cord clamping:


Shock is a life-threatening condition that requires immediate medical treatment. Some degree of shock can accompany any medical emergency. Shock can get worse very rapidly. Be prepared to begin rescue breathing or CPR as needed.


From The American Medical Association Family Medical Guide, Revised and Updated, 1987


"A person is in shock when, for some reason, blood pressure drops and body tissues and organs receive an inadequate supply of blood.  The brain first tries to compensate by constricting the blood vessels in non-essential areas of the body such as the skin.  This causes paleness and speeds up the heartbeat rate.  


However, if these measures fail and pressure remains low, the brain can do nothing more to help.  Muscles in the blood-vessel walls relax and blood pressure drops even further.  If this condition is not treated, the body's vital organs quickly die from lack of oxygen.


What is the treatment?

In most cases the first goal of treatment is to restore blood pressure to normal, so that body organs get enough blood to stay alive.  To achieve this, fluids may be infused into the circulatory system through a fine tube inserted into a vein, and drugs may be given to strengthen the heartbeat and raise blood pressure.  If the brain is not already damaged, it responds by regaining control of blood-vessel tone and diameter.  In many cases, the kidneys receive particular attention to prevent the onset of kidney failure.


...The prospects for a full recovery usually depend partly on the underlying cause and partly on the swiftness and effectiveness of whatever emergency treatment is given during the crucial minutes when the body is in shock.


This book generally contains excellent information, but on page 649, they may contribute by this information to children after, birth going into shock by blood deprivation, to quote:  "After the baby is delivered, the umbilical cord that connects the baby to the placenta while it is inside the uterus is clamped shut and then cut."  They continue, to speed up third stage of labor and to try to stop bleeding, the physician pulls gently on the cord while pressing on your abdomen with the other hand."  


Most women regard that as assault and battery, the pulling on the cord can invert her womb and was endangering, and the child was likely clamped and taking off the pulsating cord without informed consent.  That is assault (endangering the child) and battery as the child was deprived from 20 to 50 percent of total blood volume, of which both the doctor and the nurse intend to walk away from fact finding what they deprived the child.  


They both intend to put the placenta with the clamp on the cord and put it in an red environmental bag, and that's that, what is done with it.  They do not want to know, they will ask no questions, and they do not record the timing of the clamping of the cord, or the condition of the cord when clamped, red, firm and pulsating.


The authors did report for an emergency birth for the proper care to the woman who births outside of institutional care as to wait until the pulsation in the cord stops. . .page 816.  They do fail to allow the woman choice of birth positions, such as squatting, standing, or sideways.  They have put the woman in a sexists position of flat on her back.  That is not necessary to control the woman in labor, she can manage herself.  All she needs is encouragement and warmth for herself and the child.


Other Definitions of Shock:

A serious condition that occurs when the cardio-vascular system is unable to supply enough blood flow to the body, usually associated with low blood pressure and cell or tissue damage.  

   http://www.thirdage.com/health/adam/ency/article/000039.htm

 Considerations:

Shock is caused by any condition that dangerously reduces blood flow, including heart problems (such as heart attack or heart failure), low blood volume (as with heavy bleeding or dehydration), or changes in blood vessels (as with severe allergic reactions or infection).


Major classes of shock include: cardiogenic shock (associated with heart problems), hypovolemic shock (caused by inadequate blood volume) , anaphylactic shock (caused by allergic reaction), septic shock (associated with infections), and neurogenic shock (caused by damage to the nervous system).


Causes:

Bleeding (hypovolemic shock)  

Dehydration (hypovolemic shock)

Heart attack (cardiogenic shock)

Heart failure (cardiogenic shock)

Trauma or serious injury

Infections (septic shock)

Allergic reactions (anaphylactic shock)

Spinal injuries (neurogenic shock)

Toxic shock syndrome

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Excerpt from Shock, Hypovolemic


Synonyms, Key Words, and Related Terms: inadequate perfusion, rapid blood loss  

http://www.emedicine.com/emerg/byname/shock-hypovolemic.htm

Please click here to view the full topic text: Shock, Hypovolemic

Background: Hypovolemic shock refers to a medical or surgical condition in which rapid fluid loss results in multiple organ failure due to inadequate perfusion . Most often, hypovolemic shock is secondary to rapid blood loss (hemorrhagic shock).

Acute external blood loss secondary to penetrating trauma and severe GI bleeding disorders are 2 common causes of hemorrhagic shock. Hemorrhagic shock also can result from significant acute internal blood loss into the thoracic and abdominal cavities.


Two common causes of rapid internal blood loss are solid organ injury and rupture of an abdominal aortic aneurysm. Hypovolemic shock can result from significant fluid (other than blood) loss. Two examples of hypovolemic shock secondary to fluid loss include refractory gastroenteritis and extensive burns. The remainder of this article concentrates mainly on hypovolemic shock secondary to blood loss and the controversies surrounding the treatment of this condition. Refer to other articles for discussions of the pathophysiology and treatment for hypovolemic shock resulting from losses of fluid other than blood.


The many life-threatening injuries experienced during the wars of the 1900s have significantly affected the development of the principles of hemorrhagic shock resuscitation. During World War I, W.B. Cannon recommended delaying fluid resuscitation until the cause of the hemorrhagic shock was repaired surgically. Crystalloids and blood were used extensively during World War II for the treatment of patients in unstable conditions. Experience from the Korean and Vietnam wars revealed that volume resuscitation and early surgical intervention were paramount for surviving traumatic injuries resulting in hemorrhagic shock.


These and other principles helped in the development of present guidelines for the treatment of traumatic hemorrhagic shock. However, recent investigators have questioned these guidelines, and today, controversies exist concerning the optimal treatment of hemorrhagic shock.


Pathophysiology: The human body responds to acute hemorrhage by activating 4 major physiologic systems: the hematologic, cardiovascular, renal, and neuroendocrine systems.


The hematologic system responds to an acute severe blood loss by activating the coagulation cascade and contracting the bleeding vessels (by means of local thromboxane A2 release). In addition, platelets are activated (also by means of local thromboxane A2 release) and form an immature clot on the bleeding source. The damaged vessel exposes collagen, which subsequently causes fibrin deposition and stabilization of the clot. Approximately 24 hours are needed for complete clot fibrination and mature formation.


The cardiovascular system initially responds to hypovolemic shock by increasing the heart rate, increasing myocardial contractility, and constricting peripheral blood vessels. This response occurs secondary to an increased release of norepinephrine and decreased baseline vagal tone (regulated by the baroreceptors in the carotid arch, aortic arch, left atrium, and pulmonary vessels). The cardiovascular system also responds by redistributing blood to the brain, heart, and kidneys and away from skin, muscle, and GI tract.


The renal system responds to hemorrhagic shock by stimulating an increase in renin secretion from the juxtaglomerular apparatus. Renin converts angiotensinogen to angiotensin I, which subsequently is converted to angiotensin II by the lungs and liver. Angiotensin II has 2 main effects, both of which help to reverse hemorrhagic shock, vasoconstriction of arteriolar smooth muscle, and stimulation of aldosterone secretion by the adrenal cortex. Aldosterone is responsible for active sodium reabsorption and subsequent water conservation.


The neuroendocrine system responds to hemorrhagic shock by causing an increase in circulating antidiuretic hormone (ADH). .....


Please click here to view the full topic text: Shock, Hypovolemic

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Alternative names:

shock - hypovolemic

http://www.healthcentral.com/mhc/top/000167.cfm#Alternative%20names :

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Definition:

A form of shock; a condition where the heart is unable to supply enough blood to the body because of blood loss, circulatory failure, or inadequate blood volume.

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Causes, incidence, and risk factors:

Loss of approximately one-fifth of the normal blood volume from any cause can cause hypovolemic shock. This includes bleeding from the intestine or stomach, other internal bleeding, external bleeding (from cuts or injury), or loss of blood volume and body fluid (such as can occur with diarrhea, vomiting, intestinal blockage, inflammations, burns, and so on). Cardiogenic shock is a similar form of shock where there is adequate blood volume, but the heart is unable to pump the blood.

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Prevention:

Prompt treatment of related disorders may reduce the risk of development of hypovolemic shock.

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Symptoms:

rapid pulse

pulse may be weak ("thready")

rapid breathing

anxiety, nervousness

cool skin

weakness, excessive tiredness

skin color pale

sweating, moist skin

decreased or no urine output

blood pressure, low


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Signs and tests:

An examination indicates the presence of shock. There is low blood pressure, and body temperature may drop.


Angiography/heart catheterization may show low cardiac output (pumping action), confirming shock.

Tests may be required to determine site and cause of volume depletion, including a CT scan, an MRI scan, or an X-ray of suspected areas.

Laboratory tests include a CBC; other tests may be performed depending on the suspected cause of the loss of volume.

This disease may also alter the results of a BUN test.

______________________

Treatment:

Treatment focuses on replacing blood and fluid volume. Treatment may also include determination of the cause of blood loss and control of bleeding to prevent recurrence of hypovolemic shock.


Dopamine, dobutamine, epinephrine, norepinephrine, and other medications may be required to increase blood pressure and cardiac output.


Intravenous fluids, which may include blood or blood products, are used to maintain volume in the circulatory system.


Other interventions that may be used to control shock include:

cardiac pacing (pacemaker)

cardiac monitoring, including Swan-Ganz (used to guide treatment)

Intra-aortic balloon counterpulsation (IABP) or ventricular assist device (VAD) to decrease the workload on the heart

EMERGENCY MEASURES

Obtain professional medical care immediately! Keep the victim warm. Have the victim lie flat. Do not give fluids by mouth.

______________________

Expectations (prognosis):

The probable outcome is poor. Death is likely even with immediate medical attention, but survival is possible.

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Complications:

kidney damage

brain damage

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Calling your health care provider:

Hypovolemic shock is a medical emergency! Go to the emergency room or call the local emergency number (such as 911) if symptoms indicate hypovolemic shock.

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contact:   Donna Young, Mother and Grandmother

Home:   www.lotusbirth.com

References of research:   www.lotusbirth.com/doc/FEB2003Lotusbirth-110.htm

A medical web site to visit:  

  www.cordclamping.com