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nulliparous births over 30 years

nulliparous older than 30 years, based on the older first-time mothers reliever sinus reviews liquid pain gels and medicine aleve arthritis review cold migraine. During childbirth, thus they characterized by the occurrence of the most common complications 500 reliever otc cold dosage arthritis amazon mg medicine sinus aleve reviews pain and. There are primary and secondary uterine inertia forces discoordination labor, the rigidity of the cervix caplet many gels 1000 220 liquid 250 200 how aleve in 500 dosage mg. Lack of stretch fabrics soft birth canal contributes to their frequent breaks information cost is mg 220 take can how naproxen much 500 does aleve of. Injury to the uterine activity and significant stiffness (dystonia) of the cervix and soft tissue can contribute to hypoxia and fetal brain damage it much in you will sodium aleve how day is can much overdose too naproxen kill safe take.

Management of work take how off one can get kill much at you getting aleve safely addicted pregnant time high. Older first-time mothers in the presence of complications in pregnancy and childbirth (narrow pelvis, a large fetus, breech presentation, prolonged pregnancy, and so on. Etc ..) If the request for a planned caesarean section. In the case of premature rupture event on the excitation of work should be carried out closer to the time after opening the amniotic sac. Immediately after the rupture of membranes produce estrogen-glucose-vitamin and calcium background and begin 5-6 hours, drug stimulation of labor. If it has no effect, shows a caesarean section. Importance of timely diagnosis and treatment of uterine inertia forces. Discoordination labor, stiff neck are the indications for the use of muscle relaxants. If treatment failure arise indications for cesarean section.

artificially induced labor

In the complicated pregnancy threatens the mother's health (treatment available in severe forms of abortion pregnant, not) or fruit (if perenashivanie, maternal diabetes , Rh-conflict), it is necessary to artificially induce labor earlier than the date of termination of the pregnancy. Activities that. Excitation of the work carried out by the willingness of the body for childbirth It should be noted as the cervix, its "maturity", the response of the uterus to oxytocin, picture of vaginal smears.

The first thing to determine the state of the cervix. As attention to the length of the vaginal part of the cervix, the state of internal and external operating system, the position of the neck relative to the axis of the basin. When specifying the cervical canal determine the extent of its reduction, softening and extensibility of the cervix.

prepared for the birth as a soft cervix, stored expandable (length 3.5-4 cm) or shorter (up to 2-2 5 cm) of 2 cm or more revealing. The cervix is ​​thick, rigid, inextensible, is not ready to be considered abandoned.

There is a certain correspondence between the state of the cervix and uterine contractility, so when deciding on the willingness of pregnant women for childbirth should be taken into account, all the tests. If the observed reaction IV vaginal swab, soft and stretchy cervix, good contractility of the uterus (the test sensitivity oxytocin - 0.01-0.03 U). Assume leave, Can we pregnant ready,

Oxytocin test. After 15 minutes a relaxing position lying pregnant intravenously administered oxytocin solution: 100 ml 5% glucose solution, 0.2 ml oxytocin, vol ie an IV ... This concentration in 1 ml of the prepared solution containing 0.01 IU oxytocin. 5 ml syringe and injected gain in the antecubital vein at a rate of 1 ml per 1 minute, ie. Ie. 0.01 IU oxytocin for 1 min prior to the first meeting. The test is considered positive if the contractions occur within the first 3 min from the start of administration.

children of any age who have developed the sucking reflex can to drink milk from a cup.

art of cup feeding following:

1) took the damsel by the hand, the lower edge of the cup on the bottom lip baby should be based, touch the corners of the mouth;

2) cup gently inclined, while the fluid level should just touch the lips and tongue (milk should not pour into the mouth are) ;.

3), if the first two conditions is made, the child is drinking milk itself

The obvious advantage of such feeding:

1) does not apply to perform the task of the breast,

2) cup is easier to handle and sterilize

3) is the process controlled feeding (when the baby sucks from a bottle, he suffocate can.)

Care of chest

The visual size of the breast depends on the thickness of the subcutaneous fat layer, and a number of glandular tissue (tissue which causes the secretion of breast milk) practically is the same for all women. The glandular tissue is 15-20 segments, each of which resembles a grape represented. Breast milk produced in the lobules and then the excretory ducts of the surface of the nipple can be achieved (the channels on the nipple end holes). The entire process is controlled by the endocrine system of the body. Proper hygienic care specifically for nursing mothers is essential for a successful infant feeding and prevention of various diseases of the breast. Care tips:

1) can not be interrupted abruptly, breastfeeding, so as not to interrupt breast-feeding (in this case it is necessary to express milk);

2) in the peripapillary region are special glands that produce fluid for drying the nipple and prevent the development of cracks.

3) is not recommended for a variety of aerosols, creams, solution of boric acid, aromatic scented gels and imported, on the basis of this declaration should not before breast-feeding (especially with soap) and use be washed by antiseptics such as furatsillina soap because of the risk of allergic dermatitis (pregnant and lactating women in everyday life, it is necessary to use soap, since there is less preservatives and not conducive to the development of allergies),

4) after each feeding on the nipple should be a small amount of milk, so that they automatically dried in the air,

5) is necessary as long as possible to keep the nipples outdoors, make air baths for breast,

6) dry nipples should always,

7) in a bra should not be waterproof seals, and it is better to ensure that each tissue between the nipple and breast airspace prevents contact,

8) Bra should have wide straps and good support of breast ,.

9) sunbathing is strictly forbidden for nursing mothers

Sometimes a woman can make the problem of inverted or flat nipples. This anatomical structure hinders breastfeeding. In this case, you need to be patient and try to teach the child to feed gradually. Application breasts immediately after the moment when the child woke up better; if he starts to cry, he should be calm and to continue breastfeeding

From the menu, the nursing mother should be excluded :. all alcoholic drinks, strong coffee, spices (.. vinegar, pepper, mustard, and so n), drugs without prescription, because they affect the quality and the taste of breast milk. First breakfast in 11-12 hours - - Lunch in 14-15 hours - lunch in 18-20 hours - dinner 8-9 hours:

Food breastfeeding mother should 5-6 times per day in 21 days - (. yoghurt, buttermilk, etc. .. claim) fresh juice or fruit or dairy products. Foods that take rich in protein (meat, fish, whole grains) longer to digest up in the gastrointestinal tract, so it is advisable to take them in the morning, and in the second half -., The preference for vegetables and to give dairy products

Example menu for week to a nursing mother

T onedelnik

The first breakfast: salad of seasonal vegetables (fresh cabbage with apples, salad with sour cream, sour cabbage with vegetable oil, carrots, pumpkin or turnip with sour cream or vegetable oil and sugar, grated carrots with raisins and honey ;. radish with sour cream or vegetable oil, baked or pickled beets, a mixture of a variety of vegetables, and so on and so on ..) herring with potatoes; Tea with milk; Bread with butter and cheese

The second breakfast. Cottage cheese with sour cream or yogurt; Rosehip tea with milk; . bun

Dinner: cucumber (vegetarian or meat broth); Meat zrazy with buckwheat; Lettuce; Cream cheese or jelly with milk

Dinner :. Potato pancakes with meat and mushroom sauce; fresh fruit or compote or broth hips

in 21 hours.:. a cup of yogurt or sour milk (with or without sugar)

Tuesday

The first breakfast: cottage cheese with sour cream (yogurt, kefir); rather weak tea or coffee with milk; . peklevanny or rye bread with butter and honey

Lunch: salad of seasonal vegetables; Broth hips with milk, bread and butter

Lunch: soup (vegetarian marinated beets) ;. fresh or canned fruit (plums, apples, pears and so n.).

Dinner :. Carbon meatballs with milk sauce; lazy dumplings with sugar or cheese curd

In 21 hours: an apple or a pear, or any jams

Wednesday

The first breakfast.:. boiled fish; Beet salad; Porridge of oatmeal "Hercules" (or other grains) in the milk; rather weak coffee with milk; Bread with butter and egg

The second breakfast. Quark with grated carrots (or cottage cheese and carrot pudding); green tea (or broth hips) with milk; . Rye toast with butter

Lunch: soup with semolina and vegetables; grilled fish with potatoes; Salad of seasonal vegetables; . Compote

Dinner: boiled beef with peas and salad; Broth hips

in 21 hours.:. Buttermilk or yogurt with honey

Thursday

The first breakfast: (.. hake, cod and so on n) cold-water fish; Potato salad with onions and peas; Black bread with butter and cheese (feta cheese, cottage cheese); Tea with milk

The second breakfast.:. Cottage cheese with cream and sugar (or jam), tea with milk and cookies

Lunch: soup of fresh sauerkraut or meat broth (or vegetarian); boiled or grilled meat with crispy rice, braised carrots and peas; fresh apple or apple sauce

Dinner: noodles, cooked in milk ,. Porridge with milk or fresh berries with milk or cream

in 21 hours.:. fresh fruit or compote

Friday

The first breakfast: Buckwheat porridge with milk; rather weak tea or coffee with milk; White bread with butter and caviar (or cold fish)

The second breakfast. Cottage cheese and carrot (cottage cheese and apple) casserole or lazy dumplings with cottage cheese; . Tomato juice

Lunch: Potato soup with vegetables (cucumbers, zucchini, tomatoes, squash) with sour cream or cream; Meatballs with crunchy rice; Salad of seasonal vegetables; . Fruits or berries (fresh or frozen) with sugar or milk

Dinner: potato salad, cucumber (fresh or salt), peas, meat or fish, eggs and sour cream or mayonnaise; Biscuit pudding with cream sauce or sweet

In 21 hours :. (.. Yogurt, sour milk, yogurt, and so n). fresh fruit or a glass of sour milk

Saturday

The first breakfast: with tomatoes, onions and zucchini fried; Oatmeal with milk; Black bread with butter and sausage

The second breakfast. Milk porridge; green tea with milk or broth hips with milk; . Bread with butter and honey

Lunch: soup made from spinach (fresh or canned) with potatoes, sour cream and egg; Burgers (meat or fish) with buckwheat; Salad of seasonal vegetables; . fortified milk or fortified yogurt

Dinner: boiled or grilled fish with potatoes; Compote or tea with milk; Cookie or muffin

in 21 hours.:. fresh fruit or a glass of fresh juice or a cup of yogurt with honey

Sunday

The first breakfast: scrambled eggs (or scrambled eggs, or boiled egg); White bread with milk and sweet cream cheese; Cocoa with milk or tea with milk

The second breakfast. Sausages with sauerkraut; Black bread with butter; Tea with milk or broth hips with milk

Lunch :. Oatmeal soup with potatoes, mushrooms, onions and sour cream (or cream); Stew (fish) with vegetables; Salad of seasonal vegetables; fortified fruit compote or fresh fruit

Dinner: Carrot (pumpkin) pies ,. Mashed potatoes; Tea with lemon or fruit compote; Honey

in 21 hours.:. a cup of yogurt or fruit (berries)

In case of insufficient amount of breast milk in the diet is recommended to have foods that are rich in proteins, fats and vitamins. For example, 100 g of cheese (50 g twice daily); 100 g cream (50 g twice daily); 120 g of liquid brewer's yeast (60 g twice daily); 60 g of black currant juice; 100 g of honey (50 g twice daily).

Recipes

cheese with vegetables

It takes 100 grams of cottage cheese, 1 tbsp. L. grated carrots, 1 tbsp. L. grated zucchini, 1 tbsp. L. chopped dill, 1 h. Liter. Honey, 10 grams of butter.

preparation. Quark mix through a sieve and with butter, honey, grated carrots, finely chopped dill and grated zucchini. Mass stir well.

This cheese can be used as a separate court and as a paste for sandwiches. Carrots and zucchini for a paste can be fresh and cooked

Cheese with cheese and carrots

Wanted :. 100 grams of cottage cheese, 1 tbsp. L. grated cheese, 2 tbsp. L. grated carrots, 10-15 g butter, 1 tbsp. L. chopped dill.

preparation. Mix cottage cheese through a sieve and with butter, grated cheese, chopped dill and grated carrots (fresh or cooked). Mass stir well. Use as a separate dish or as a paste for sandwiches. . Instead of cheese, you can add cheese

Pasta with cheese and nuts

Wanted: 4 tbsp. L. grated cheese, 1-2 tbsp. L. butter, 2 tbsp. L. crushed nuts, 2 tbsp. L. chopped dill, 1-2 tbsp. L. sour cream (cream or mayonnaise).

preparation. Grated cheese mixed with soft butter, chopped nuts and chopped dill. Mix well. Sour cream (to the desired consistency of the paste) and stir. Use paste for sandwiches

cheese with apples, raisins and carrots

Wanted :. 150 grams of cottage cheese, 1 medium apple, 1 carrot, 2-3 tbsp. L. raisins, 100 g cream, sugar to taste and, if desired.

preparation. Peel the apples and grate. Curd through a sieve, add the grated raw carrot, apple, raisins and pre-washed cream. Mix well. Optionally, you can add sugar

cheese with pumpkin and prunes

Wanted :. 100 g cottage cheese, 3 tbsp. L. grated pumpkin, 2 tbsp. L. chopped prunes, 2-3 tbsp. L. cream or sour cream.

preparation. Curd through a sieve, mix with pumpkin, plum and cream. Mix well ..

This cheese can be used as the paste for sandwiches and for dessert

Cottage cheese with mint

Wanted: 150 g cottage cheese, 2-3 tablespoons . L. sour cream, 2 tbsp. L. crushed leaves of lemon balm (mint), 1 tbsp. L. honey.

preparation. Curd through a sieve, add honey, crushed leaves of lemon balm and cream, mix well and sat down put in a salad bowl.

This cheese can be used for sandwiches.

cottage cheese with beetroot -

It takes 150 grams of cottage cheese, 1 small young beets with leaves, 100 g yoghurt or sour milk, 1-2 tbsp. L. vegetable oil, salt.

preparation. Beets are a good wash and dry, peel and grate. Carefully washed and obsushennye beet leaves finely chopped. Cottage cheese with beets and beet leaves, kefir or yogurt, salt to taste, whip mixed. Bring Bring mixture to a boil and immediately remove from heat, cool and fill with vegetable oil

Curd with tomato

Wanted :. 150 grams of cottage cheese, 2 tomatoes, 2 tbsp. L. chopped dill, 3 tablespoons. L. vegetable oil or 2 tbsp. L. sour cream, pepper, sugar and salt to taste.

preparation. Fresh tomatoes are well washed with boiling water, peel and mash into a puree scalded. Add grated cheese through a sieve, chopped dill, salt, sugar and pepper to taste, season with vegetable oil. . Masses and whip thoroughly, put in a salad bowl

cottage cheese and beet casserole

Wanted: 300 g cottage cheese, 200-250 grams of cooked or baked beets, 400 g of milk, 2.1 cups flour, 2-3 eggs, 4 tbsp. L. breadcrumbs, to taste sour cream, salt and sugar.

preparation. Cooked (or baked) to the beets (or minced) rust. Milk and semolina cooked thick porridge. Mix cottage cheese through a sieve, with beets, semolina, salt and sugar, beaten eggs, mix well. Share in a greased and sprinkled with breadcrumbs form, in the oven and bake the resulting mass until done. The finished casserole pour sour cream.

"Green" cottage cheese

It takes 100 grams of cottage cheese, 50 g sour cream, 6 grape leaves, salt and sugar to taste.

cooking. Vine leaves washed well and dry, then cut into small pieces and mix with pureed cottage cheese and sour cream. salt and sugar are asked to taste. weight mix well.

This cheese can be used for sandwiches and as a filling for appetizers (soup , borscht so on, and N.)

Cheese with herring

Wanted:.. 100 g cottage cheese, 50 g of herring fillets, 20 g butter, 1 small sweet onion, 1-2 EL. L. chopped dill or parsley.

preparation. herring grind and mix with pureed cottage cheese, soft butter, chopped sweet onion and chopped dill or parsley. .. Mix well

resulting mass can be used for sandwiches or as a separate court

cheese with beets

Wanted:.. 150 g cottage cheese, 3 tablespoons L. grated beets, 1 tablespoon finely chopped celery L. , 2 tbsp. L. chopped dill or parsley, 6-7 lettuce leaves, 2 tbsp. L. taste cream or sour cream, juice of half a lemon, salt.

preparation. Grated cheese mixed with grated beets, chopped celery and chopped dill and parsley. Add to taste three finely chopped lettuce, cream and salt. All thoroughly. Place in a salad bowl, combine the remaining whole leaves of fresh salad, cooked up with sliding weight with lemon juice

Stuffed eggs

Wanted: .. 4 eggs, 2 liters hours. Butter, 2 tbsp. L. chopped dill, 1 tbsp. L. finely chopped salted (pickled) cucumber, salt and pepper to taste.

preparation. Eggs are hard boiled, cool, peel and cut into two parts, separated egg yolk. Mash the yolks with butter to taste, chopped pickles, chopped dill, salt and pepper, mix well. The resulting mass, the egg white and garnished with small sprigs of dill fill

Baked Carrots

Wanted: .. 2 cups grated carrots, 50 g butter, sour cream, sugar to taste

preparation. Carrot cleanse, wash, dry, rust leave (juice) mark, drain the juice. Put the carrots in an ovenproof up to put the pieces of butter, sour cream (lightly coat the carrots). Place the mold in a hot oven. Bake until done. The finished casserole sprinkle with sugar to taste (and optional).

Stuffed Zucchini

Requires 2 medium zucchini, 200 grams of cottage cheese, 2 carrots, 1 cup of cooked rice until half cooked, 2 tomatoes, 1 head onion, 2 tbsp. L. taste grated cheese, 100 g sour cream, dill or parsley, salt and pepper.

preparation. Wash zucchini, dry, carefully remove the pulp from the central part (leaving about 1 cm at the edges). The meat is finely shredded zucchini, add peeled chopped tomatoes, grated carrot, cooked until tender to taste rice, chopped onion, cheese, salt and pepper. Weight mix well and put in the prepared zucchini. Pour sour cream on top, sprinkle with grated cheese. Put the zucchini in a baking form and bake until done

Before serving, sprinkle with chopped fresh dill or parsley

Oatmeal Milk

Required.:. 1/2 cup rolled oats, 130 g of milk, 1 cup water, 100 g of sugar, 2-3 tbsp. L. butter, salt, sugar to taste.

preparation. Washed oatmeal soak for half an hour in cold water. Cut cleaned and washed beets into small pieces and into the pot. Let the oatmeal and put on a layer of turnips. Thoroughly with hot salt water. Bring the mixture of beet and oats bring to a boil, cook over low heat for 1-2 minutes, remove from heat and let stand, covered for 15-20 minutes. Then pour the hot milk, bring the mixture to a boil and cook for 1-2 minutes. In the finished mash butter, mix well, place the sugar to taste

millet porridge with cheese and prunes

Wanted :. 1 cup millet, 2 cups water, 1/2 cup cream 150 g grated cheese, 15 pcs. Plums, salt to taste.

preparation. Plums and pour thoroughly for 40-60 min cup of cold boiled water, then drain the water (and store), cut plums release from the bone and cut into small pieces. Water that passed plums on it, pour into the pan, bring a cup of water and boil, add salt, the washed millet and cook until they are soft. . Ready porridge to cool to 60-70 ° C, add the chopped plums, grated cheese and cream, mix well and serve

rice milk pudding with squash

Wanted: 1 cup rice, 2 cups water 2 cups milk, 300 g zucchini, sour cream, salt to taste.

preparation. Wash zucchini, peel, rub. Go figure, wash, pour in boiling water, bring to a boil. Add, bring (without stirring) zucchini and hot milk to the boil and cook for 5-7 minutes. Then close the pan with a lid, wrap and let uprevaniya for 20-30 minutes.

Serve hot, season with sour cream.

The barley porridge with cream cheese

Wanted :. half a cup of barley grains, 2 cups cottage cheese, 2-3 eggs, 250 g sour cream, 50 g butter, salt to taste

preparation. Go barley groats, wash, pour in boiling salted water until tender, drain in a colander and let the mixture with eggs, cottage cheese and sour cream, stir well. The resulting mass is put into a greased tin in the oven and bake until done. . Before serving, pour the sour cream, cream or sweet sauce

wheat cereal with pumpkin

Wanted: 1 cup flour 2 cups milk 1/4 cup of water, 200 g pumpkin, 2 EL. L. butter, salt.

preparation. Peel the pumpkin and seeds washed and cut into small pieces. Wheat semolina pour into boiling mixture of milk and water, chopped pumpkin and cook for 5-7 minutes. Then remove from heat and "wrap" for uprevaniya for 25-30 minutes. Before serving, pour the melted butter pudding.

Mash Mix oatmeal with raisins and carrots

Requires fourth cup of wheat grain, 4.1 cup rice, 1/4 cup corn meal, 2 cups water, 1 cup milk, 300 g of carrots, 1 / 2 cup raisins, 2-3 tbsp. L. butter, sugar and salt to taste.

preparation. Go raisins, wash and soak for 15-20 minutes. Figure bust and rinse. Carrots cleaned, rinsed, rust. In boiling salted water, pour the wheat and corn cereals, rice and grated carrots, bring to a boil and cook for 7-8 minutes. Then add the milk, raisins, sugar, bring the mixture to a boil, cook for 1-2 minutes, remove from heat and let stand for 20-25 minutes.

Before serving, season with butter pudding.

peas and millet porridge with vegetables

Requires 1 2.1 cups peas, 2.1 cup millet, 2 1/2 cups of water, 2-3 tbsp. L. butter 2 small onions, 2 carrots, dill, salt.

preparation. Sort peas and millet and rinse. Peas, soak in warm water for 30-40 minutes. In boiling salted water, pour the peas and millet, bring to a boil and cook for 5-6 minutes, then let stand for 10-15 minutes, without heating. Again bring to a boil, put the grated carrots, onions and butter to a boil and cook for 3-4 minutes, to insist (under the lid) without heat for 20-25 minutes. . Before serving, sprinkle with chopped dill

millet porridge with carrots

Wanted: 1 cup millet cereal, 300 g of carrots, 1/2 cup water, 1 cup milk, 3 4 tbsp. L. butter, salt.

preparation. Wash the carrots, wash, rub. Millet porridge go, wash, pour into the pan with the hot mixture of milk and water, bring to a boil and cook for 7-8 minutes. Then, bring the grated carrots and boil and cook for 10-15 minutes, remove from heat and leave for 15 minutes. . Before serving with butter season

Buckwheat porridge with beets and buttermilk

Wanted: 1 cup of buckwheat, 100 g of sugar, 2 cups water, 1 cup buttermilk, 2-3 Art. L. butter, salt.

preparation. Beet Clean, wash and wipe. Buckwheat go, wash, bring with hot salted water to a boil and cook until tender. Then pour the buttermilk, place the grated beets and bring to a boil, cook for 2-3 minutes, remove from heat and let stand for 25-30 minutes.

Before serving, season with butter pudding.