Antwort Jak se provadi Hamilton? Weitere Antworten – Kdo provadi Hamiltonův hmat

Jak se provadi Hamilton?
Hamiltonův hmat je pojem, který označuje úkon prováděný lékařem v konečném stádiu těhotenství, jehož cílem je vyvolání porodních kontrakcí. Tento hmat poprvé popsal v roce 1810 skotský lékař James Hamilton.Ve většině případů se porod opravdu rozběhne tím, že začne odtékat plodová voda.Jak dlouho vyvolávání trvá:

trvání je velmi individuální, každá žena reaguje jinak, obecně jde o 1-2 dny, pokud žena do 2 dnů neporodí je většinou proveden císařský řez.

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Mezi rizika výkonu patří zejména bolestivější vaginální vyšetření a zvýšené riziko vaginálního krvácení po vyšetření, které je obvykle slabší intenzity. Výkon není spojen se zvýšeným rizikem výskytu infekcí. Hrozí také protržení vaku blan a odtok plodové vody, čímž se nástup porodu urychlí.
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Jak se rozjel porod po Hamiltonu

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Pár dní před porodem

S blížícím se porodem můžete navíc pociťovat tlak na pánev a konečník, nepřetržitá bolest je stále silnější v dolní části zad i v oblasti třísel a stehen. Měli byste však vědět, že se tato bolest může objevit, ale nemusí. Záleží na člověku.
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Jak dlouho se krvácí po Hamiltonu

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Účinnost Hamiltonova hmatu není stoprocentní. Záleží na tom, zda je tělo připravené k porodu či nikoliv. Pokud zákrok zabere, zpravidla ženě nastoupí děložní kontrakce nebo může dojít i k odtoku plodové vody. Při úspěšném provedení může porod proběhnout již do 48 hodin.
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Mezi základní doporučení patří ležení na břiše několikrát denně vždy alespoň 10 minut. Ideální je dát do oblasti nadbřišku stočený ručník nebo polštářek, aby nebyla stlačována prsa. U žen po vaginálním porodu se doporučuje lehat na břicho už za 24 hodin. Ženy, které rodily císařským řezem, by s tím měly počkat až do 4.
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Nejprve ucítíte bolesti a křeče podobné menstruačním v podbřišku a oblasti beder. Může dojít k samovolnému vyprázdnění střev a nemáte moc chuť k jídlu. Kontrakce se postupně stávají pravidelnější a intenzivnější, teplá sprcha nebo vana je neuklidní. Prasknutí plodové vody je jasným znamením, že už je čas.
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Tím je jakýkoli krvavý nebo hlenový výtok na začátku porodu. Když je žena otevřená na přibližně 6-8 centimetrů, tak krev a hleny během kontrakcí často vycházejí ven v dostatečném množství. Pokud ženě praskla voda dříve v porodu, tak můžete vidět druhý příval vody kolem 6 cm.
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Pokud se po výkonu objeví pravidelné děložní kontrakce, odtok plodové vody, silné vaginální krvácení nebo nebudete cítit pohyby plodu, dostavíte se na porodní sál ke kontrole ihned.
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Co boli při kontrakcí : .wDYxhc{clear:both}.cUnQKe .wDYxhc,.related-question-pair .wDYxhc,.M8OgIe .fm06If .wDYxhc{clear:none}html .dG2XIf .xpdclose .LKPcQc,html .dG2XIf .xpdopen .viOShc{padding-top:0;}.garHBe{color:var(–COEmY);font-size:20px;line-height:1.3;position:relative}.garHBe a{color:var(–COEmY)}.xpdopen .Hhmu2e{overflow:inherit}.xpdclose .a84NUc:not(:empty),.xpdopen .CQKTwc:not(:empty){border-top:solid 1px #ebebeb;border-radius:0}.xpdclose .pmYXee .a84NUc:not(:empty),.xpdopen .pmYXee .CQKTwc:not(:empty){border-top:none}.cAn2Qb .a84NUc:not(:empty),.cAn2Qb .CQKTwc:not(:empty){border-top:none}.SHa8ve{display:none}.xpdclose .TOfaBb.SHa8ve,.xpdopen .LL5J7d.SHa8ve{display:block}.rKR6H{padding-top:0.1px}.xpdclose .oHglmf,.xpdopen .xzPb7d{padding-bottom:16px}.xpdclose .kp-header .oHglmf,.xpdopen .kp-header .xzPb7d{padding-bottom:0}.c2xzTb .xpdclose .oHglmf,.c2xzTb .xpdopen .xzPb7d{padding-bottom:0}.HSryR .xpdclose .oHglmf,.HSryR .xpdopen .xzPb7d{padding-bottom:0}.Wnoohf .xpdopen .yp1CPe,.OJXvsb .xpdclose .siXlze{padding-bottom:16px}.Wnoohf .xpdopen .yp1CPe .xpdbox g-more-link{top:28px}.Wnoohf .xpdclose .wDYxhc.xsZWvb,.Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}.OJXvsb .xpdclose .wDYxhc.siXlze{padding-bottom:16px}#rhs .dG2XIf .xpdclose .LKPcQc,#rhs .dG2XIf .xpdopen .viOShc{padding-top:0}#rhs .Wnoohf .xpdopen .yp1CPe,#rhs .OJXvsb .xpdclose .siXlze{padding-bottom:15px}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb.ecRggb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh.ecRggb,#rhs .dG2XIf .ecRggb{padding-bottom:15px}.ecRggb{background-color:#fff;box-shadow:none;border:1px solid #dadce0;border-radius:8px;margin:0 0 16px 0}.Jb0Zif .UiGGAb.ILfuVd,.ILfuVd{font-size:16px;line-height:24px;}.fm06If .ILfuVd.NA6bn,.c2xzTb .ILfuVd.duSGDe,.c2xzTb .ILfuVd.NA6bn.c3biWd{font-size:14px;line-height:1.58;}.c2xzTb .zloOqf{font-size:16px;margin-bottom:16px;margin-top:-8px;}.FLWspc{margin:16px}.LFYdN{font-size:16px;margin:16px}.trNcde .ILfuVd{color:var(–bbQxAb);font-family:Google Sans,arial,sans-serif;font-size:14px;line-height:22px}.HSryR .ILfuVd{line-height:1.5}.ss6qqb .ILfuVd,.ss6qqb .UiGGAb.ILfuVd{font-size:14px;line-height:22px}.c2xzTb .qLYAZd{margin:16px 16px 16px 0;}.d9FyLd{padding:0 0 10px}.hgKElc{padding:0 8px 0 0}.kX21rb{font-size:12px;line-height:1.34;display:inline-block;font-family:Google Sans,arial,sans-serif;padding-right:0;white-space:nowrap}.SPV4pd{display:flex;overflow-x:auto}.SPV4pd::-webkit-scrollbar{display:none}.Vjskue{margin-left:8px}.JT9o0,.ZnIJV{align-items:center;border:1px solid var(–mXZkqc);border-radius:16px;box-sizing:border-box;color:#1a73e8;cursor:pointer;display:flex;height:32px;margin-bottom:16px}.BkHX0d{font-family:Google Sans,arial,sans-serif-medium,sans-serif;font-size:14px;line-height:20px;padding-right:20px;text-align:center;white-space:nowrap}.xv1D5b{display:block;padding:0 8px 0 12px;width:18px;height:18px}.LGOjhe{overflow:hidden;padding-bottom:20px}.trNcde .LGOjhe{overflow:visible}.SALvLe .LGOjhe,.Jb0Zif .LGOjhe,.HSryR .LGOjhe,.IVvPP .LGOjhe{padding:0 0 10px;margin:10px 0 0 0}.s6JM6d .SALvLe .LGOjhe{margin-top:12px;}.s6JM6d .HSryR .LGOjhe{margin-top:12px;padding-bottom:20px}#res .Jb0Zif .qDOt0b h3,.IVvPP .qDOt0b h3{font-size:16px;line-height:1.375}.Jb0Zif .qDOt0b .iUh30,.IVvPP .qDOt0b .iUh30{font-size:14px;line-height:1.58}.IVvPP .qDOt0b{border-bottom:1px solid var(–gS5jXb);padding-bottom:6px}.rjOVwe.ILfuVd{font-size:16px;line-height:20px}.dG2XIf .rjOVwe{padding-top:22px;padding-bottom:0;margin-bottom:1px}.xWd7I{padding-top:12px;}.ILfuVd.NA6bn,.ILfuVd.duSGDe,.ILfuVd.UiGGAb,.IVvPP .ILfuVd{font-size:14px;line-height:22px}.n6SJS .ILfuVd{font-size:14px}.ILfuVd.NA6bn,.ILfuVd.duSGDe,.ILfuVd.UiGGAb,.IVvPP .ILfuVd{line-height:20px}.xpd-wa .g-blk{margin:initial}.xpd-wa .dG2XIf{border:initial;box-shadow:none}.fm06If .ILfuVd,.c2xzTb .ILfuVd,.Jb0Zif .c2xzTb .ILfuVd{font-family:Google Sans,arial,sans-serif;color:var(–YLNNHc)}.fm06If .ILfuVd,.c2xzTb .ILfuVd,.Jb0Zif .c2xzTb .ILfuVd{font-size:20px;line-height:28px}.cUnQKe .ILfuVd,.cUnQKe .UiGGAb.ILfuVd,.w5mTAe .ILfuVd,.W0urI .ILfuVd{color:var(–bbQxAb);font-family:Google Sans,arial,sans-serif;font-size:16px;line-height:24px}.fm06If .ILfuVd b,.trNcde .ILfuVd b,.cUnQKe .ILfuVd b,.c2xzTb .ILfuVd b,.w5mTAe .ILfuVd b,.W0urI .ILfuVd b{background-color:#d3e3fd;color:#040c28;font-weight:500}@medi
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Co jsou kontrakce

Přimějí vás často měnit polohu i způsob dýchání. Pokud nedokážete ležet, zkuste chodit nebo se o něco opřít. Kontrakce ucítíte po celém těle, nejčastěji bolest vystřeluje od zad do třísel a do konečníku. Během porodních kontrakcí vaše tělo uvolňuje oxytocin a stažením dělohy posouvá dítě směrem dolů.
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Co startuje porod

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První fáze začíná kontrakcemi dělohy doprovázenými bolestmi břicha nebo zad, které trvají přibližně půl minuty a objevují se každých 10 až 30 minut. Bolest se postupem času stává silnější a častější. Během druhé fáze dochází k vypuzení plodu pomocí kontrakcí. Ve třetí fázi se doporučuje podvaz pupečníku po dotepání.
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Při úspěšném provedení může porod proběhnout již do 48 hodin. Pokud tělo ještě není připravené, nemusí být Hamiltonův hmat vůbec účinný a nic se nestane.
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Proces probíhá tak, že lékař vsune prst přímo do pochvy pacientky, dovnitř děložního hrdla. Krouživým pohybem oddělí vak blan od poševního vchodu, na který tento naléhá. Následkem tohoto tlaku dojde k vyplavení prostaglandinů (tkáňových působků), jež mohou v některých případech nastartovat porod.
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U žen po vaginálním porodu je leh na břiše doporučován již za 24 hodin. U žen po císařském řezu (suprapubický řez) je vhodné lehat si na břicho až od 4. dne po porodu.
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