How to explain to children all that negative, which they see in the world around them? This, for example, is that the back of the garden, kid sees himself in a doorway a drunken, lying on the neighbor's land. Or walking with her mother on the street, a child witnesses a fight local hoodlums. Or, during a trip on the trolley boy unwittingly heard a quarrel with a passenger conductor. Such examples, unfortunately, can result in immense quantity.
Yes, we are in particular and our society as a whole is still so imperfect, that "hedge" or as something to avoid such situations is impossible. But desperate situations do not happen, so in this negative should try to find at least a bit positive. Here are some recommendations for parents, caught in "embarrassing" situation.
First, if possible, take away the baby from the scene
But it should be done properly, do not panic, anger or irritation. If the baby is less than three years, it can divert some object, story or a promise (but not empty!). With older kids you can make a joke, change the subject or simply say: Let's say we leave out of here quickly!
If the space and circumstances do not allow the baby to avoid unpleasant scenes, the parents need to keep a maximum of tranquility, calm and kindness. Turn happening in theatrical performance, and themselves become his audience. This requires a preliminary soil. For example, it helps children to feel the audience game "that is" good "and what is" bad ".
To do this every day and sometimes several times a day invent baby situation, wherever he could determine who did well and who is not very. Be smart with him all that interesting to him: a car that drove and sprinkled dirt passer, a boy, who said the salesgirl, "Thank you", the janitor who cleans his territory, etc. Your task - to teach children to distinguish right from wrong, BUT: it should be done without the inclusion of personal emotions, grievances or complaints. Remember that you are just a spectator!
Secondly, do not try to pretend that nothing happened
Avoiding an important theme for the baby, you sow panic and fear in his heart. At home, in a calm situation, discuss with your child what is happening (the most unpleasant moments can be omitted, for example: my uncle was lying near the entrance, instead of a drunken uncle ...). Let the baby himself will tell you who in this case acted well or badly.
Third, carefully follow the emotions baby
Try to minimize the negative residue in the soul of the child. If he felt fear - will make every effort to laugh at the situation, let him understand that you do something terrible was not at all.
Fourth, avoid ratings
Analyzing some stage or someone's behavior only limit to the statements as "good" and "bad". Do not blame anyone else. Judge not ye be not judged. For example, say "the boy done wrong" instead of "what a bad boy."
Fifth, act as a positive example
Remember that to teach a child to think positively and to live you can only if you yourself are an optimistic and positive thinking person.
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Sunday, December 13, 2009
Monday, November 23, 2009
Before you say "yes" ...
Do you know the reason for much of the marriage breaks up? It is simple - the partners have not discussed the important issues before you play a wedding. If you do not want to repeat their mistakes - we offer you to explore topics that are sure to raise a serious conversation with your man.
Topic 1. The reasons for marriage.
The answer is "because I love you" in this case is not accepted, because it's important to get to the other, underlying, reasons for marriage. And they will be the key to understanding the basic needs of each other. Let each of you to make a list of several items - why he wants to marry (marry). Answers can be: 'because I want to have children, "because it requires my religion," because only marriage will provide the security, etc.
Once the lists will be drawn up - need to verify. Pay attention to those items that you have a match with a partner and, conversely, are different. If the process you feel uncomfortable, frustrated - it is a signal to make a serious talk and try to find a compromise between your needs.
Topic 2. Model family.
Each of you must examine - a relationship which families affected his life. It may be parents, uncles, aunts, friends, etc. Make a list of these pairs, then go for each item and ask yourself: what I want to borrow the family, and what to avoid?
Once you and your partner to make this one work, tell each other about its results, and discuss what you agree or disagree with each other. It is very important - because they are married you will subconsciously copying the behavior of other families. And if you do not understand how you came this or that desire, and what it can lead - you can "mess of things and spoil relations with her beloved.
Try to partner with an overall model of the family, which would suit both of you. You do not forget about such important part:
- Leisure: spend all their free time together or separately?
- Communicate with parents and friends: how close and frequent, it will be?
- Quarrels: how often they are allowed?
Topic 3. Your expectations.
Let each of you would be about a vision of how to proceed will be your "everyday labor", that is daily life together. You will both be working or someone you devote himself a household and raising children? Who will do the distribution of the budget and how will this budget - overall or separately? How do you divide the housework? These and other questions also need to consider before you get married. And if at the stage of discussion, disagreement arise - once worth trying to solve them.
Do not lose sight of any of these three themes - each in its own way is important to preserve your future marriage. Try to reach an understanding on all counts - and then you can be sure that we have done everything possible to create a family of their dreams.
Topic 1. The reasons for marriage.
The answer is "because I love you" in this case is not accepted, because it's important to get to the other, underlying, reasons for marriage. And they will be the key to understanding the basic needs of each other. Let each of you to make a list of several items - why he wants to marry (marry). Answers can be: 'because I want to have children, "because it requires my religion," because only marriage will provide the security, etc.
Once the lists will be drawn up - need to verify. Pay attention to those items that you have a match with a partner and, conversely, are different. If the process you feel uncomfortable, frustrated - it is a signal to make a serious talk and try to find a compromise between your needs.
Topic 2. Model family.
Each of you must examine - a relationship which families affected his life. It may be parents, uncles, aunts, friends, etc. Make a list of these pairs, then go for each item and ask yourself: what I want to borrow the family, and what to avoid?
Once you and your partner to make this one work, tell each other about its results, and discuss what you agree or disagree with each other. It is very important - because they are married you will subconsciously copying the behavior of other families. And if you do not understand how you came this or that desire, and what it can lead - you can "mess of things and spoil relations with her beloved.
Try to partner with an overall model of the family, which would suit both of you. You do not forget about such important part:
- Leisure: spend all their free time together or separately?
- Communicate with parents and friends: how close and frequent, it will be?
- Quarrels: how often they are allowed?
Topic 3. Your expectations.
Let each of you would be about a vision of how to proceed will be your "everyday labor", that is daily life together. You will both be working or someone you devote himself a household and raising children? Who will do the distribution of the budget and how will this budget - overall or separately? How do you divide the housework? These and other questions also need to consider before you get married. And if at the stage of discussion, disagreement arise - once worth trying to solve them.
Do not lose sight of any of these three themes - each in its own way is important to preserve your future marriage. Try to reach an understanding on all counts - and then you can be sure that we have done everything possible to create a family of their dreams.
Playing sex
Sexologist from Germany Arne Hoffman came up with 100 sex games new time for books "Ceks for advanced. Some of them can take note and you.
Playing first, virtual. We have written many times, come across as to correspond to Facebook `e Hollywood stars: they are each other passionate letters to send, then engaged in virtual sex. Not so this is surprising: having at hand a personal page of the desired object and the form to send a message - not a sin to write something like "I want you, my sweet as well as yesterday, in the midst of a busy day. Znakotoki argue that doing this is time before dinner, and at lunchtime the recipient and the sender is already somewhere not quite lunch.
Game Two. Tuning. Approximately 2000 years ago, the first lady of Egypt, Cleopatra ordered one of the first vibrators-bamboo with bees inside. How true this story, and how long kept bees own vibration inside bamboo. history is silent, but well aware that today the situation with vibrators changed for the better. One of the latest innovations - vibrator sides, one end of which vibrate for you, and the second - for him. Can you imagine this invention, considering that the entire structure is hollow and bending in every direction.
Game Three. Trainers. Approximately 2000 years ago ... In short, our body of knowledge today is much more than before, but not all men are still good in him understand. The other hand brought a wealth of special teaching and explaining the literature, including the glossy magazines. They say that works well for breakfast read was the article about the "triple" affection, you accidentally forgotten on the kitchen table. In the evening you can check whether the partner is well learned material, but if you read carefully enough - to pass on the items or sections of the textbook.
Game Four. Winding with a half turn. Many couples today practice a temporary waiver of sex, then to tear each other apart. Well, that makes sense, but the severity of the upcoming sensations sex instructors offer a slight mockery: to torment and harass a partner in the week, allowing him to unbutton his shirt, pressing up to you rubbing your back or in the soul of the special aromatic oils.
Game Five. Diary. Do not forget amateur thrills, of course, and about blogs. It is assumed that both partners without censorship tell each other about the sensations experienced in all available forms and expressions, but in the end of each record attribute observations: what they want, where and how. Doing some instructions on the application will not only stirred (or perevozbuditsya), but turned into a life of everything, even the most shameful desires.
Game Six. Blind. You freeze in any position convenient to you (at the wall or in bed), and your pratner comes to you with a blindfold and trying to get you in a given body part. Your role, of course, is to ask the most difficult places to enjoy lasted as long as possible.
Game seventh. Re-read Nabokov. Yes, and nothing funny. You thought that "Lolita" has long been gathering dust everywhere, including men's minds, but it is not. There is evidence that men initiate role-play in school. First, it returns them in the first emotional feelings, and, secondly, allows you to rediscover each other. The most interesting thing in this game - not crossing the line from petting to action as long as possible. Try to prolong the pleasure, not only for braids pull.
Game eighth. In a horoscope. First you study your sexual compatibility and better posture, and then verify these axioms, in fact. If everything fits together - is a calendar where your congress subject to strict control stars. Today you're on top it tomorrow, and nothing else. This allows the structure to explore all your options and wait for a certain lunar day for the best posture of the month. In a sign of the moon today ...?
Game ninth. Guessing. Will be needed to bandage his eyes and a set of different textural materials and objects (pieces of leather, fur, satin, linen, pearl beads, some figurines, fruit). One partner takes the subject and very slowly on the skin conducts partner. The subject also has to guess exactly what the subject he enjoys. The winner of the game in the sensuality is the one who guessed more subjects.
Game tenth. Internal bluetooth. Players undress, sit opposite each other and throw the lot - who make wishes, and who read minds. One of the players to guess sexual desire, such as "kiss me in the eye" or "loans rather have sex with me" and another player is looking into the eyes of your partner and tries to read his thoughts. Then he can start the action and watch his reaction. Everything happens in silence, and "true-false" is read by the eyes.
Playing first, virtual. We have written many times, come across as to correspond to Facebook `e Hollywood stars: they are each other passionate letters to send, then engaged in virtual sex. Not so this is surprising: having at hand a personal page of the desired object and the form to send a message - not a sin to write something like "I want you, my sweet as well as yesterday, in the midst of a busy day. Znakotoki argue that doing this is time before dinner, and at lunchtime the recipient and the sender is already somewhere not quite lunch.
Game Two. Tuning. Approximately 2000 years ago, the first lady of Egypt, Cleopatra ordered one of the first vibrators-bamboo with bees inside. How true this story, and how long kept bees own vibration inside bamboo. history is silent, but well aware that today the situation with vibrators changed for the better. One of the latest innovations - vibrator sides, one end of which vibrate for you, and the second - for him. Can you imagine this invention, considering that the entire structure is hollow and bending in every direction.
Game Three. Trainers. Approximately 2000 years ago ... In short, our body of knowledge today is much more than before, but not all men are still good in him understand. The other hand brought a wealth of special teaching and explaining the literature, including the glossy magazines. They say that works well for breakfast read was the article about the "triple" affection, you accidentally forgotten on the kitchen table. In the evening you can check whether the partner is well learned material, but if you read carefully enough - to pass on the items or sections of the textbook.
Game Four. Winding with a half turn. Many couples today practice a temporary waiver of sex, then to tear each other apart. Well, that makes sense, but the severity of the upcoming sensations sex instructors offer a slight mockery: to torment and harass a partner in the week, allowing him to unbutton his shirt, pressing up to you rubbing your back or in the soul of the special aromatic oils.
Game Five. Diary. Do not forget amateur thrills, of course, and about blogs. It is assumed that both partners without censorship tell each other about the sensations experienced in all available forms and expressions, but in the end of each record attribute observations: what they want, where and how. Doing some instructions on the application will not only stirred (or perevozbuditsya), but turned into a life of everything, even the most shameful desires.
Game Six. Blind. You freeze in any position convenient to you (at the wall or in bed), and your pratner comes to you with a blindfold and trying to get you in a given body part. Your role, of course, is to ask the most difficult places to enjoy lasted as long as possible.
Game seventh. Re-read Nabokov. Yes, and nothing funny. You thought that "Lolita" has long been gathering dust everywhere, including men's minds, but it is not. There is evidence that men initiate role-play in school. First, it returns them in the first emotional feelings, and, secondly, allows you to rediscover each other. The most interesting thing in this game - not crossing the line from petting to action as long as possible. Try to prolong the pleasure, not only for braids pull.
Game eighth. In a horoscope. First you study your sexual compatibility and better posture, and then verify these axioms, in fact. If everything fits together - is a calendar where your congress subject to strict control stars. Today you're on top it tomorrow, and nothing else. This allows the structure to explore all your options and wait for a certain lunar day for the best posture of the month. In a sign of the moon today ...?
Game ninth. Guessing. Will be needed to bandage his eyes and a set of different textural materials and objects (pieces of leather, fur, satin, linen, pearl beads, some figurines, fruit). One partner takes the subject and very slowly on the skin conducts partner. The subject also has to guess exactly what the subject he enjoys. The winner of the game in the sensuality is the one who guessed more subjects.
Game tenth. Internal bluetooth. Players undress, sit opposite each other and throw the lot - who make wishes, and who read minds. One of the players to guess sexual desire, such as "kiss me in the eye" or "loans rather have sex with me" and another player is looking into the eyes of your partner and tries to read his thoughts. Then he can start the action and watch his reaction. Everything happens in silence, and "true-false" is read by the eyes.
The most important meeting
In my imagination you already has tried many options, from the romantic to the extreme. But as it actually happens - that is the question. We show you how to jump into the maelstrom of passion and not losing their heads.
The switch whether to have sex on a first date?
Yes, if you are sure that you want it. You are not obliged to go to bed just because you fed dinner at a restaurant or make a gift. Love does not charge for services, and your relationship - not a business. But if you really set up for sex, then take the initiative does not prohibit. Especially if you see that your partner a bit shy. Believe me, it happens more often than we think, and do not think that he considers you disbanded.
What better to agree in advance?
Only in the movies, everything happens spontaneously and with an incredibly romantic. In reality, you two should at least discuss, where and when you are this will take. Of course, it is better if the conditions are comfortable: a shower, clean sheets, nice music ...
If you decide to spend the night in your territory, do not have to cook dinner to show off cooking skills. First, you and so you'll be nervous, and extra chores for you to anything. Secondly, there are many establishments where you can go to eat, and good service always gives a feeling of celebration.
It is important to agree how you will protect themselves. And do it better than the process, and in advance. Buying condoms is a purely male affair, but if you put in front of a rendezvous bag packing - nothing terrible will happen.
How to behave in the bedroom?
How to get rid of the nuisance you embarrassment Trapped? Do not attempt to depict the man whom you are not, behave in natural ways and say what you feel. It is normal to be heard questions like "And so do you like?" Or: "And if I do like that you feel?" So you make it easier for not only myself but also his partner. However, if you have psychic abilities, and you can easily guessed the thoughts of other people can do without problems.
What if the situation takes an unexpected turn?
Admit it, a man with a stable psyche will not play "a prostitute and client, as soon as you find yourself in the bedroom. And also do not offer you sex threesome, and not climb into a cupboard for a whip complete with leather accoutrements. About such things partners agree that a long time and know each other well. And if you are already on the first date is your companion behaved aggressively, and strive to make you sick, maybe with it is goodbye.
Says a lot about the man and how he behaves after sex. If he is a gentleman, well, or just to be well educated, make sure you say a few gentle words, kiss or carefully ykroet you a blanket. And if he starts to criticize your chest, your press and other parts of the body, say this "wise guy" that you do not have time to listen to all sorts of nonsense.
By the way, and you have his body can cause rejection. That is, until he gave the flowers and your communication is not passed into intimacy, it may seem to you very interesting and even spectacular. And in the bedroom suddenly find that you do not like its smell, its annoying habit to lay out the socks on the chair, and then, as he makes love - too.
Perhaps, in this case, you better meet the dawn separately. Do not tear his irritation in humans. In the end, he wanted to do better.
The switch whether to have sex on a first date?
Yes, if you are sure that you want it. You are not obliged to go to bed just because you fed dinner at a restaurant or make a gift. Love does not charge for services, and your relationship - not a business. But if you really set up for sex, then take the initiative does not prohibit. Especially if you see that your partner a bit shy. Believe me, it happens more often than we think, and do not think that he considers you disbanded.
What better to agree in advance?
Only in the movies, everything happens spontaneously and with an incredibly romantic. In reality, you two should at least discuss, where and when you are this will take. Of course, it is better if the conditions are comfortable: a shower, clean sheets, nice music ...
If you decide to spend the night in your territory, do not have to cook dinner to show off cooking skills. First, you and so you'll be nervous, and extra chores for you to anything. Secondly, there are many establishments where you can go to eat, and good service always gives a feeling of celebration.
It is important to agree how you will protect themselves. And do it better than the process, and in advance. Buying condoms is a purely male affair, but if you put in front of a rendezvous bag packing - nothing terrible will happen.
How to behave in the bedroom?
How to get rid of the nuisance you embarrassment Trapped? Do not attempt to depict the man whom you are not, behave in natural ways and say what you feel. It is normal to be heard questions like "And so do you like?" Or: "And if I do like that you feel?" So you make it easier for not only myself but also his partner. However, if you have psychic abilities, and you can easily guessed the thoughts of other people can do without problems.
What if the situation takes an unexpected turn?
Admit it, a man with a stable psyche will not play "a prostitute and client, as soon as you find yourself in the bedroom. And also do not offer you sex threesome, and not climb into a cupboard for a whip complete with leather accoutrements. About such things partners agree that a long time and know each other well. And if you are already on the first date is your companion behaved aggressively, and strive to make you sick, maybe with it is goodbye.
Says a lot about the man and how he behaves after sex. If he is a gentleman, well, or just to be well educated, make sure you say a few gentle words, kiss or carefully ykroet you a blanket. And if he starts to criticize your chest, your press and other parts of the body, say this "wise guy" that you do not have time to listen to all sorts of nonsense.
By the way, and you have his body can cause rejection. That is, until he gave the flowers and your communication is not passed into intimacy, it may seem to you very interesting and even spectacular. And in the bedroom suddenly find that you do not like its smell, its annoying habit to lay out the socks on the chair, and then, as he makes love - too.
Perhaps, in this case, you better meet the dawn separately. Do not tear his irritation in humans. In the end, he wanted to do better.
Wednesday, September 16, 2009
Postpartum depression
According to research immediately after birth in 50-75% of women in one form or another occurs postpartum depression. Most of her symptoms were mild and of short duration, depression manifests itself in the short-term emotional instability - the tendency to groundless crying and mood swings.
Severe form of perinatal depression, better known as postpartum, occurs in 10-15% of primiparous mothers. Doctors relatively recently drew attention to the pervasiveness of this condition. And it turned out that it is curable!
Do I have the risk of postpartum depression?
Answer the questions below, and read the information on this disease often silenced.
* Do you have trouble sleeping?
* Do you have inexplicable bouts of agitation, anxiety or panic during the day?
* How often do you cry for no good reason?
* Did you ever have trouble concentrating?
* Worried you because of lack of confidence or low self-esteem?
* Sometimes you have sudden fluctuations in appetite?
* Indicates whether you have diminished interest in things that previously seemed to be attractive to you?
* Is there a misunderstanding between you and your partner (spouse)?
* Do you have a sense of helplessness, hopelessness and the inability to resist the circumstances?
* Sometimes you have unreasonable fears about the health of your child? Do you constantly worry that something goes wrong?
* Sometimes you have a feeling that you lose control and go mad?
* Have you ever thought about harming the child or herself?
By this test is not the key. In truth, tools for the diagnosis of postpartum depression did not exist. Even one "yes" answer indicates a potential risk of developing postpartum depression.
If you suspect a post-natal depression should immediately consult a doctor. Recognition of the disease - is the first step towards recovery.
Causes of postpartum depression
On postpartum depression has been known since ancient times. In 700 BC. e. Hippocrates is described in detail the emotional problems associated with childbirth. Unfortunately, doctors long studied this issue and even refused to recognize her. Until now, there is no consensus on the definition of postpartum depression and the classification of the disease.
The exact cause of postpartum depression is still unknown. Perhaps it is associated with significant biochemical changes during pregnancy and the postpartum period. The situation is aggravated social and psychological changes. All together it creates the preconditions for the development of postpartum depression.
Risk factors for postpartum depression:
* Problems in Marriage
* Lack of or lack of social support
* Heavy previous childbirth
* Depression after the previous birth
* Stress or unpleasant events during pregnancy (death of parents or close relatives, moved to a new place of residence), depression or mood swings after the previous birth.
* Depression during pregnancy
* Early discharge from hospital after childbirth
* Severe premenstrual syndrome (PMS) in history.
Other factors also can not be discounted.
Hormonal changes. During pregnancy, levels of female sex hormones estrogen and progesterone increases tenfold. After birth, the number of these hormones rapidly drops and reaches a normal level within 72 hours. Some studies have shown the relationship between the abrupt changes of hormonal background and development of postpartum depression.
Recently, scientists turned their attention to the relationship between the development of depression and the level of the hormone prolactin, which decreased during birth, but rises sharply in the first weeks after the child into the world.
In the postpartum period there was also change the level of adrenal hormones - cortisol and aldosterone. The researchers believe that there is a relationship between these changes and post-natal mood swings in women. Some scholars point to the relationship between postpartum depression and premenstrual syndrome. What more pronounced in women symptoms of PMS, the stronger the postpartum depression.
Stress. The appearance of the child to light due to the tremendous joy and excitement. No young mother before birth did not understand what the load on it will fall. In the first weeks after birth during the emotional recovery is often followed by periods of recession and emotional thoughts of their own inadequacy in the new role.
Physical fatigue, restless sleep, colic in children, social isolation after birth exacerbate the problem. By itself, none of these factors can cause depression, but the combination of mental and social factors play a big role.
Susceptibility to depression. The probability of developing postpartum depression is increased if a woman is prone to such states. Studies have shown that approximately one-third of women experiencing depression in the past, developing postpartum depression. Half the women who suffered from depression after the first birth, it is able to develop well after the birth of second and subsequent children.
Although some causes of postpartum depression has been established, researchers continue to explore its role in the occurrence of brain neurotransmitters (they directly affect the mood and depend on the hormonal background and situational factors).
How to recognize postpartum depression
Since most women after giving birth to one degree or another are experiencing depression, a serious form of the disease often goes unnoticed. By postpartum depression should be taken seriously. This is difficult (although curable) disease - such as diabetes, hypertension and other conditions requiring medical intervention.
Postpartum mood swings, from the standpoint of symptoms, conventionally divided into three groups, although their boundaries are blurred.
Postpartum depression
Tosca is different from postpartum depression that usually it takes place within a few weeks and does not lead to a crisis situation, when a woman is unable to fulfill their maternal duties. Tosca usually appears during the first week after birth and is expressed in the sense of sadness and depression, emotional instability, tearfulness and exhaustion. These sensations are usually associated with a sharp emotional downturn after an exciting stage of labor. Postpartum depression usually resolves itself and does not require special treatment.
Postpartum depression
Although emotionally unstable after birth celebrated in the majority of women, some symptoms are so severe that lead to the inability to perform daily activities. Postpartum depression can develop at any time during the first year of life, and without treatment lasts for several years.
Identify post-natal depression helps introspection. Women who experience postpartum depression often describe their condition with the following terms:
* Extreme fatigue, lethargy and tiredness
* The feeling of sadness, hopelessness and suffering
* Sleep disturbances
* Changes in appetite
* Strong emotion, fear and panic throughout the day
* The inability to solve everyday problems
* Unreasonable concern for the child
* Thoughts of harming yourself or your child
Postpartum psychosis
This is a relatively rare disease, which may occur in the first few weeks after birth. It is characterized by strong emotion, anxiety and an inability to take care of herself and the child. Postpartum psychosis requires immediate medical intervention.
Treatment of postpartum depression
The tactics of treatment depends on the type and severity of symptoms. A qualified specialist will help to cope with both light and heavy issues.
The first and most important thing to do is see a doctor who is familiar with the problems of post-natal depression. At the initial stage is also important to exclude the presence of thyroid disease and anemia.
The therapist may provide women with substantial assistance in identifying the factors that provoke depression. Perhaps an individual or family counseling, as well as contacts with support groups with women who have experienced a similar frustration.
Treatment with antidepressants and sedatives used individually and only after the doctor weigh the possible risks and benefits of medicines. In the appointment of drugs accounted for comorbidity, the selected type of feeding and side effects of medication.
There are more and more supporters that the treatment of postpartum depression should be complemented by measures of prevention. Recent studies have shown that to prevent the emotional swings in the postpartum period can do the following:
* Marked acquainted with the duties of motherhood, to get as much information on this topic.
* Enlist the support of a spouse, partner, friends and relatives. Support is urgently needed in the early days after birth.
* Establish communication with other families with young children.
* Try to take more rest and sleep, not overburden yourself chores. It is better to mitigate the usual standards for cleaning and cooking.
* Do not give up the usual interests and activities, to continue to communicate with friends and colleagues.
* Think about yourself, do not be burdened with caring for other family members and others at this time.
* Sharing concerns with her husband.
* Do not plan for serious cases (moving, changing jobs) in the period immediately after birth.
* As soon as possible to hire a responsible and experienced nanny. Ability to occasionally be out of their own affairs is very important.
* Find a good doctor for your child and do not hesitate to contact him as needed.
Rx Texas
Severe form of perinatal depression, better known as postpartum, occurs in 10-15% of primiparous mothers. Doctors relatively recently drew attention to the pervasiveness of this condition. And it turned out that it is curable!
Do I have the risk of postpartum depression?
Answer the questions below, and read the information on this disease often silenced.
* Do you have trouble sleeping?
* Do you have inexplicable bouts of agitation, anxiety or panic during the day?
* How often do you cry for no good reason?
* Did you ever have trouble concentrating?
* Worried you because of lack of confidence or low self-esteem?
* Sometimes you have sudden fluctuations in appetite?
* Indicates whether you have diminished interest in things that previously seemed to be attractive to you?
* Is there a misunderstanding between you and your partner (spouse)?
* Do you have a sense of helplessness, hopelessness and the inability to resist the circumstances?
* Sometimes you have unreasonable fears about the health of your child? Do you constantly worry that something goes wrong?
* Sometimes you have a feeling that you lose control and go mad?
* Have you ever thought about harming the child or herself?
By this test is not the key. In truth, tools for the diagnosis of postpartum depression did not exist. Even one "yes" answer indicates a potential risk of developing postpartum depression.
If you suspect a post-natal depression should immediately consult a doctor. Recognition of the disease - is the first step towards recovery.
Causes of postpartum depression
On postpartum depression has been known since ancient times. In 700 BC. e. Hippocrates is described in detail the emotional problems associated with childbirth. Unfortunately, doctors long studied this issue and even refused to recognize her. Until now, there is no consensus on the definition of postpartum depression and the classification of the disease.
The exact cause of postpartum depression is still unknown. Perhaps it is associated with significant biochemical changes during pregnancy and the postpartum period. The situation is aggravated social and psychological changes. All together it creates the preconditions for the development of postpartum depression.
Risk factors for postpartum depression:
* Problems in Marriage
* Lack of or lack of social support
* Heavy previous childbirth
* Depression after the previous birth
* Stress or unpleasant events during pregnancy (death of parents or close relatives, moved to a new place of residence), depression or mood swings after the previous birth.
* Depression during pregnancy
* Early discharge from hospital after childbirth
* Severe premenstrual syndrome (PMS) in history.
Other factors also can not be discounted.
Hormonal changes. During pregnancy, levels of female sex hormones estrogen and progesterone increases tenfold. After birth, the number of these hormones rapidly drops and reaches a normal level within 72 hours. Some studies have shown the relationship between the abrupt changes of hormonal background and development of postpartum depression.
Recently, scientists turned their attention to the relationship between the development of depression and the level of the hormone prolactin, which decreased during birth, but rises sharply in the first weeks after the child into the world.
In the postpartum period there was also change the level of adrenal hormones - cortisol and aldosterone. The researchers believe that there is a relationship between these changes and post-natal mood swings in women. Some scholars point to the relationship between postpartum depression and premenstrual syndrome. What more pronounced in women symptoms of PMS, the stronger the postpartum depression.
Stress. The appearance of the child to light due to the tremendous joy and excitement. No young mother before birth did not understand what the load on it will fall. In the first weeks after birth during the emotional recovery is often followed by periods of recession and emotional thoughts of their own inadequacy in the new role.
Physical fatigue, restless sleep, colic in children, social isolation after birth exacerbate the problem. By itself, none of these factors can cause depression, but the combination of mental and social factors play a big role.
Susceptibility to depression. The probability of developing postpartum depression is increased if a woman is prone to such states. Studies have shown that approximately one-third of women experiencing depression in the past, developing postpartum depression. Half the women who suffered from depression after the first birth, it is able to develop well after the birth of second and subsequent children.
Although some causes of postpartum depression has been established, researchers continue to explore its role in the occurrence of brain neurotransmitters (they directly affect the mood and depend on the hormonal background and situational factors).
How to recognize postpartum depression
Since most women after giving birth to one degree or another are experiencing depression, a serious form of the disease often goes unnoticed. By postpartum depression should be taken seriously. This is difficult (although curable) disease - such as diabetes, hypertension and other conditions requiring medical intervention.
Postpartum mood swings, from the standpoint of symptoms, conventionally divided into three groups, although their boundaries are blurred.
Postpartum depression
Tosca is different from postpartum depression that usually it takes place within a few weeks and does not lead to a crisis situation, when a woman is unable to fulfill their maternal duties. Tosca usually appears during the first week after birth and is expressed in the sense of sadness and depression, emotional instability, tearfulness and exhaustion. These sensations are usually associated with a sharp emotional downturn after an exciting stage of labor. Postpartum depression usually resolves itself and does not require special treatment.
Postpartum depression
Although emotionally unstable after birth celebrated in the majority of women, some symptoms are so severe that lead to the inability to perform daily activities. Postpartum depression can develop at any time during the first year of life, and without treatment lasts for several years.
Identify post-natal depression helps introspection. Women who experience postpartum depression often describe their condition with the following terms:
* Extreme fatigue, lethargy and tiredness
* The feeling of sadness, hopelessness and suffering
* Sleep disturbances
* Changes in appetite
* Strong emotion, fear and panic throughout the day
* The inability to solve everyday problems
* Unreasonable concern for the child
* Thoughts of harming yourself or your child
Postpartum psychosis
This is a relatively rare disease, which may occur in the first few weeks after birth. It is characterized by strong emotion, anxiety and an inability to take care of herself and the child. Postpartum psychosis requires immediate medical intervention.
Treatment of postpartum depression
The tactics of treatment depends on the type and severity of symptoms. A qualified specialist will help to cope with both light and heavy issues.
The first and most important thing to do is see a doctor who is familiar with the problems of post-natal depression. At the initial stage is also important to exclude the presence of thyroid disease and anemia.
The therapist may provide women with substantial assistance in identifying the factors that provoke depression. Perhaps an individual or family counseling, as well as contacts with support groups with women who have experienced a similar frustration.
Treatment with antidepressants and sedatives used individually and only after the doctor weigh the possible risks and benefits of medicines. In the appointment of drugs accounted for comorbidity, the selected type of feeding and side effects of medication.
There are more and more supporters that the treatment of postpartum depression should be complemented by measures of prevention. Recent studies have shown that to prevent the emotional swings in the postpartum period can do the following:
* Marked acquainted with the duties of motherhood, to get as much information on this topic.
* Enlist the support of a spouse, partner, friends and relatives. Support is urgently needed in the early days after birth.
* Establish communication with other families with young children.
* Try to take more rest and sleep, not overburden yourself chores. It is better to mitigate the usual standards for cleaning and cooking.
* Do not give up the usual interests and activities, to continue to communicate with friends and colleagues.
* Think about yourself, do not be burdened with caring for other family members and others at this time.
* Sharing concerns with her husband.
* Do not plan for serious cases (moving, changing jobs) in the period immediately after birth.
* As soon as possible to hire a responsible and experienced nanny. Ability to occasionally be out of their own affairs is very important.
* Find a good doctor for your child and do not hesitate to contact him as needed.
Rx Texas
Artificial feeding
Pediatricians recommend that the first six months after birth, breast feed, but it is not always possible. Alternative is to bottle-feeding - feeding baby formula from a bottle. If you feed a child this way, you have to take some important decisions.
What mixture to use?
The child can not properly digest cow's milk, so it does not replace a mother's milk. Breastfeed your baby special feeds. But first, consult a physician because There are different kinds of mixtures.
* Mixtures based on milk - the most common. For artificial feeding their choice in 80% of cases. These mixtures are made from cow's milk, processed in such a way that it becomes a safe and useful for the child. Typically, a mixture enriched with vitamins and microelements, in particular, they added iron.
* Mixtures of soy-based - Some of the children is allergic to milk, or their stomach can not digest lactose, which is contained in milk formula. In such cases, pediatricians recommend a mixture of soy-based.
* Special mix - If the child is born prematurely, with congenital metabolic disorders or diseases, then he may need a special mix designed specifically for these cases.
The mixtures are produced in several forms. Some more convenient, but other less expensive.
* Ready-to-eat mixes - the most expensive, but at the same time the most convenient and easy to use. Sold in sterile 4 or 8-ounce disposable bottles (120 and 240 ml). It remains to wear a sterile bottle and you can feed the baby.
* Ready-to-transfusion - This liquid mixtures, which are sold in metal cans of various sizes. Enough to pour them into a sterile bottle and put a sterile nipple.
* In the form of concentrate or powder - This is the cheapest of the mixture. May be both liquid and powder form. Sold in packages or banks, calculated on one feeding. We must take a sterile bottle, dilute the concentrate or powder with boiled water, then put on a sterile nipple. If you are using a mixture of this type, carefully measure out the amount of concentrate and water, so your child gets the right amount of nutrients.
Remains of ready mix can be stored in the refrigerator no longer than 24 hours.
How best to heat the mixture?
Most infants safely drink the mixture at room temperature. If your child prefers a warm mixture, heat it under running hot water. To check the temperature, can be sprinkled a few drops on your wrist. Do not use a microwave oven, because liquid in it is heated unevenly (bottle may seem warm, but the liquid inside obzhzhet baby's mouth and throat).
Which bottles and nipples to use?
There are three types of bottles: glass, plastic and plastic with removable disposable bags. Glass bottles are very durable, but they are heavier than plastic and easy to beat. Plastic bottles strong enough and weigh less. Bottles with removable Disposable bags are very convenient, because Packages do not need to sterilize. But these sets are quite expensive.
As for the nipple, they are made of latex or silicone. Nipple should be changed every 3 months. The older the child, the greater must be the hole in the nipple.
How to sterilize nipples and bottles?
Bottles and teats should be clean, so they should be sterilized. If your house is chlorinated water, just put baby accessories in the dishwasher or wash with washing-up liquid, then rinse under running hot water from the tap.
If chlorinated water is not, then boil bottles and nipples in a large saucepan for 5-10 minutes.
How to feed a baby?
Feeding time - usually a pleasant time for the one who feeds the baby, and for the child. Here are some tips that will help you to organize this process:
* Do not forget to wash your hands.
* Choose a quiet place, and that the child is not distracted.
* If the child is not very hungry before feeding diapering. Baby will be comfortable in a clean and dry diapers.
* Take a comfortable position, put a pillow under his back.
* If the child is naughty, before giving a bottle, try to calm him down. If the baby cries during feeding or not to worry, after the meal he could ill stomach.
* Gently embracing the child, feeding - the perfect time to touch express his love.
* When your child drink about half of the mixture, take a break. Let the child srygnet air that could accumulate in his tummy. Take breaks for regurgitation after every 50-60 ml of drinking a mixture.
Rx Alabama
What mixture to use?
The child can not properly digest cow's milk, so it does not replace a mother's milk. Breastfeed your baby special feeds. But first, consult a physician because There are different kinds of mixtures.
* Mixtures based on milk - the most common. For artificial feeding their choice in 80% of cases. These mixtures are made from cow's milk, processed in such a way that it becomes a safe and useful for the child. Typically, a mixture enriched with vitamins and microelements, in particular, they added iron.
* Mixtures of soy-based - Some of the children is allergic to milk, or their stomach can not digest lactose, which is contained in milk formula. In such cases, pediatricians recommend a mixture of soy-based.
* Special mix - If the child is born prematurely, with congenital metabolic disorders or diseases, then he may need a special mix designed specifically for these cases.
The mixtures are produced in several forms. Some more convenient, but other less expensive.
* Ready-to-eat mixes - the most expensive, but at the same time the most convenient and easy to use. Sold in sterile 4 or 8-ounce disposable bottles (120 and 240 ml). It remains to wear a sterile bottle and you can feed the baby.
* Ready-to-transfusion - This liquid mixtures, which are sold in metal cans of various sizes. Enough to pour them into a sterile bottle and put a sterile nipple.
* In the form of concentrate or powder - This is the cheapest of the mixture. May be both liquid and powder form. Sold in packages or banks, calculated on one feeding. We must take a sterile bottle, dilute the concentrate or powder with boiled water, then put on a sterile nipple. If you are using a mixture of this type, carefully measure out the amount of concentrate and water, so your child gets the right amount of nutrients.
Remains of ready mix can be stored in the refrigerator no longer than 24 hours.
How best to heat the mixture?
Most infants safely drink the mixture at room temperature. If your child prefers a warm mixture, heat it under running hot water. To check the temperature, can be sprinkled a few drops on your wrist. Do not use a microwave oven, because liquid in it is heated unevenly (bottle may seem warm, but the liquid inside obzhzhet baby's mouth and throat).
Which bottles and nipples to use?
There are three types of bottles: glass, plastic and plastic with removable disposable bags. Glass bottles are very durable, but they are heavier than plastic and easy to beat. Plastic bottles strong enough and weigh less. Bottles with removable Disposable bags are very convenient, because Packages do not need to sterilize. But these sets are quite expensive.
As for the nipple, they are made of latex or silicone. Nipple should be changed every 3 months. The older the child, the greater must be the hole in the nipple.
How to sterilize nipples and bottles?
Bottles and teats should be clean, so they should be sterilized. If your house is chlorinated water, just put baby accessories in the dishwasher or wash with washing-up liquid, then rinse under running hot water from the tap.
If chlorinated water is not, then boil bottles and nipples in a large saucepan for 5-10 minutes.
How to feed a baby?
Feeding time - usually a pleasant time for the one who feeds the baby, and for the child. Here are some tips that will help you to organize this process:
* Do not forget to wash your hands.
* Choose a quiet place, and that the child is not distracted.
* If the child is not very hungry before feeding diapering. Baby will be comfortable in a clean and dry diapers.
* Take a comfortable position, put a pillow under his back.
* If the child is naughty, before giving a bottle, try to calm him down. If the baby cries during feeding or not to worry, after the meal he could ill stomach.
* Gently embracing the child, feeding - the perfect time to touch express his love.
* When your child drink about half of the mixture, take a break. Let the child srygnet air that could accumulate in his tummy. Take breaks for regurgitation after every 50-60 ml of drinking a mixture.
Rx Alabama
Ectopic pregnancy
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In normal pregnancy the fertilized egg travels through the fallopian (uterine) tubes, enters the uterus and develops it further. In the case of an ectopic pregnancy the egg (or zygote) is attached to the wall of the fallopian tube. As the egg tube more and more stretched.
If untreated, can occur gap uterine tube, accompanied by heavy bleeding. The outcome of ectopic pregnancy is always a dysfunctional (healthy child is born). However, the probability of normal course of the next pregnancy is very high.
Symptoms
The first symptoms of an ectopic pregnancy are similar to signs of normal pregnancy: cessation of menstrual periods, breast engorgement, it is also possible morning sickness.
The walls of the fallopian tubes are less elastic, as compared with the walls of the uterus. As the eggs develop symptoms, not typical of normal pregnancy.
* Abdominal pain (often severe or fire).
* Abnormal vaginal discharge or vaginal bleeding.
* Nausea, with a large blood loss - loss of consciousness. In this case a medical emergency.
How to recognize an ectopic pregnancy?
Localization of pain established in a survey of the pelvic organs. Appointed as a blood test for pregnancy. Pregnancy hormone is determined in the blood within 10 days after conception. Normally, in the first 10 weeks of pregnancy, its content is doubling every 2 days. If the placenta develops outside the uterus, the level of hormones in the blood below normal. This is a sign of ectopic pregnancy.
Approximately at the 6 th week after conception, the zygote location can be determined using ultrasound. If the symptoms occurred earlier, the doctor may choose expectant management, controlling the level of pregnancy hormone every 2 days until the moment when we can do ultrasound.
Treatment
The early stages of ectopic pregnancy is interrupted by injection, inhibits growth zygotes. Scars safely dissipated.
In the presence of large zygote or damage to the uterine tube requires surgical intervention. Where possible, the doctor restores the patency of the fallopian tube.
After the termination of an ectopic pregnancy, the doctor continues to monitor the level of pregnancy hormone. If it remains elevated, there may be remnants of fetal tissue in the fallopian tube.
Subsequent pregnancy
Many women after an ectopic pregnancy safely nurture the child. Even in the case of damage or removal of one of the fallopian tubes, the latter can successfully cope with its function. If both tubes removed, but the uterus is intact, you can resort to the procedure of in vitro fertilization.
After the first ectopic pregnancy is a risk that in future the egg, too entrenched in the uterine tube is 10%, after the second - 50%.
Time heals
Interrupted pregnancy - always a tragedy, regardless of the reasons that caused it. And the soul and the body needs time to heal.
When the next pregnancy should seek emergency medical attention. The onset of ectopic pregnancy can not be prevented, but you can notice in time.
Rx Oklahoma
In normal pregnancy the fertilized egg travels through the fallopian (uterine) tubes, enters the uterus and develops it further. In the case of an ectopic pregnancy the egg (or zygote) is attached to the wall of the fallopian tube. As the egg tube more and more stretched.
If untreated, can occur gap uterine tube, accompanied by heavy bleeding. The outcome of ectopic pregnancy is always a dysfunctional (healthy child is born). However, the probability of normal course of the next pregnancy is very high.
Symptoms
The first symptoms of an ectopic pregnancy are similar to signs of normal pregnancy: cessation of menstrual periods, breast engorgement, it is also possible morning sickness.
The walls of the fallopian tubes are less elastic, as compared with the walls of the uterus. As the eggs develop symptoms, not typical of normal pregnancy.
* Abdominal pain (often severe or fire).
* Abnormal vaginal discharge or vaginal bleeding.
* Nausea, with a large blood loss - loss of consciousness. In this case a medical emergency.
How to recognize an ectopic pregnancy?
Localization of pain established in a survey of the pelvic organs. Appointed as a blood test for pregnancy. Pregnancy hormone is determined in the blood within 10 days after conception. Normally, in the first 10 weeks of pregnancy, its content is doubling every 2 days. If the placenta develops outside the uterus, the level of hormones in the blood below normal. This is a sign of ectopic pregnancy.
Approximately at the 6 th week after conception, the zygote location can be determined using ultrasound. If the symptoms occurred earlier, the doctor may choose expectant management, controlling the level of pregnancy hormone every 2 days until the moment when we can do ultrasound.
Treatment
The early stages of ectopic pregnancy is interrupted by injection, inhibits growth zygotes. Scars safely dissipated.
In the presence of large zygote or damage to the uterine tube requires surgical intervention. Where possible, the doctor restores the patency of the fallopian tube.
After the termination of an ectopic pregnancy, the doctor continues to monitor the level of pregnancy hormone. If it remains elevated, there may be remnants of fetal tissue in the fallopian tube.
Subsequent pregnancy
Many women after an ectopic pregnancy safely nurture the child. Even in the case of damage or removal of one of the fallopian tubes, the latter can successfully cope with its function. If both tubes removed, but the uterus is intact, you can resort to the procedure of in vitro fertilization.
After the first ectopic pregnancy is a risk that in future the egg, too entrenched in the uterine tube is 10%, after the second - 50%.
Time heals
Interrupted pregnancy - always a tragedy, regardless of the reasons that caused it. And the soul and the body needs time to heal.
When the next pregnancy should seek emergency medical attention. The onset of ectopic pregnancy can not be prevented, but you can notice in time.
Rx Oklahoma
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