Nasla jsem ten rozdil (sladka X slana), to jen dokazuje, ze nejsem doktorka, kdyz to nevim :))), to byl asi nekdo jiny. Ja jsem sla po Janap, cetla jsem diskusi kolem ni, protoze ji nahodou dobre znam (osobne), je opravdu MUDr a k tomu chodici encyklopedie. Ja delam ve vyzkumu, tak nemam k vedecke literature daleko :)))
Dystokii definuji lekari trosku ruzne (napr. dilataci pomalejsi na 0,5cm/hod v prubehu 4 naslednych hodin) - zalezi na skole.
Ja jsem zase byla prekvapena se docist (snad jsem ho take posilala: Water Births: A Naked Emperor,PEDIATRICS Vol. 114 No. 3 September 2004, pp. 855-858 ) ze vlastne nejsou stanovena pravidla pro porod do vody. Jak jsem uz psala, ten casopis (Pediatrics) je celkem dobre hodnoceny (tim IF) a k takovym vylevum uz museji mit duvod (nebo znamy v redakci). Ty jsi cetla Geissbühler V, Eberhard J: Waterbirths: A Comparative Study. Fetal Diagn Ther 2000;15:291-300? Na internetu to neni a tak jsem tam nemohla nahlednout.
Pro me vyplyva, ze metodika neni poradne popsana, zvladnuta a pro dite neni zadnym prinosem, pouze riskem (v soucasne dobe). Souhlasim, ze casto neni ctenari jasny co se na tom sale delo, on to totiz asi nevi ani ten doktor, ktery ten clanek pise.
L.

A. Freshwater Drowning. Freshwater drowning is difficult to treat. As a victim loses consciousness and slips beneath the water, the heart is still beating but the airway is blocked. After the victim loses consciousness, throat muscles relax and the airway opens. Water rushes into the lungs and enters the bloodstream. Within seconds, the volume of liquid in the bloodstream increases by as much as 50 percent. Meanwhile, the heart races at a very high rate because of the lack of oxygen. The heartbeat continues to increase as the blood thins. The increased strain on the heart, combined with thinning of the blood, makes cardiopulmonary resuscitation (CPR) less effective. Begin CPR immediately and continue CPR until medical help arrives.
B. Saltwater Drowning. Saltwater drowning is similar to freshwater drowning. The major difference is the water"s saline content and its effect on the lungs. Salt water draws blood into the lung tissue and makes it difficult for the lungs to transfer oxygen to the blood. Begin CPR immediately and continue CPR until medical help arrives.