Each year, chickenpox affects just over 600,000 children. Although it is mostly benign, itching is feared. What you need to know to relieve the discomfort caused by the most contagious childhood diseases.
Chicken pox is most often not serious in children but it is recommended to consult a doctor when it occurs in a child under 6 months. It is particularly feared in babies less than one month old: neonatal chickenpox exposes to an increased risk of cutaneous, pulmonary and neurological complications.
A bath or shower a day with an antiseptic soap will however have a soothing effect and limit the risk of superinfection. It is then necessary to dry the child well, especially at the level of the folds. Not with a hair dryer as it has long been advised, but by dabbing gently with a towel. Each new vesicle, until it has not become a crust, must then be disinfected with an unstained antiseptic. Cicalfate Lotion can then be applied. Precaution essential to prevent the appearance of scars and the risks of superinfection: cut and file the nails of the small patient.
Only non-immunized pregnant women, infants, people who are immunocompromised or have a serious skin disease should avoid contact with people with chickenpox. But for young children, it is better not to try to protect them from the virus. On the contrary. Even if chicken pox is Baby Names Starting With M
unpleasant to live, better catch it early. The older you get, the stronger the symptoms and the more frequent complications. The virus must therefore circulate as much as possible among young children. This is why eviction from nanny, nursery or school is not mandatory.
What is childbirth in water?
Delivery in the water consists in giving birth in the aquatic environment. However, there are two situations:
the mother-to-be is only doing some of the work in the water. Some maternity wards, including the physiological poles, offer birthing baths or "baths of dilation" with water heated to 37 ° C. The mother-to-be can do some of her work, but she will get out of it at the time of the baby's push and birth.
the mother-to-be lives her delivery in the water from the beginning to the end of the work, including during the expulsion of the baby and the delivery. This case is much less frequent and very few structures practice it in France.
This type of delivery is reserved for uncomplicated pregnancies and healthy pregnant women. The future mother can not benefit from an epidural. Delivery in water also requires specific training for midwives because in the water, the gestures are different, especially at the time of expulsion of the baby.
Why give birth in the water?
Proponents of childbirth in the water advance different benefits to this practice:
greater freedom of movement thanks to buoyancy and hydrostatic pressure. Immersed in the water, the body does not do more than 30% of its weight, crying of a baby
which would allow a better muscular relaxation and a better relaxation.
the hydrostatic pressure would have an effect on the maternal cardiovascular physiology with notably a better venous return and a mobilization of the extravascular fluids (1) (2). These modifications would have the effect of reducing the pain of the contractions, a feeling of well-being, a better control.
giving birth in the water would reduce the duration of delivery (3).
immersion in water would improve the tissue elasticity and more specifically that of the perineum, thus reducing the risk of episiotomy (4).
for the newborn, crying of a baby
giving birth in the water would ensure a smoother transition between the utero and the ex-utero environment, moving it from amniotic fluid to warm water.
However, studies on the benefits of giving birth in water are contradictory.
In their joint report (5) published in 2014, the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics indicate that while individual retrospective analyzes and case series have confirmed one or more benefits, a 2009 Cochrane systematic review (6) including randomized controlled trials shows inconsistent results. Assessment Of Abdominal Pain
A decrease in the duration of the first part of work and a decrease in the use of the epidural were, however, noted.
The associated risks
According to the same report, several studies have highlighted different risks during childbirth in the water, and more particularly during expulsion:
an increased risk of infection for the mother and her baby, especially in case of rupture of the membranes
difficulties of thermoregulation of the baby
complications in the umbilical cord when the baby is handled in the water
respiratory distress and hypotranemia
In the end, if the report recognizes that immersion in the first phase of work can bring some benefits, however in the second phase of work, the safety and interest of immersion in water have not been demonstrated.