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And we fed every 45 minutes ...


Elizabeth N. Baldwin. I fed my first child every 45 minutes - who would have thought? Anyone, not me! I never expected that my child would be so demanding. He needed to be applied every 45 minutes, otherwise he could scream until the end of time. At least, so it seemed to me; did not check. In the end, if you feed him every 45 minutes, he was in seventh heaven with happiness, so why would I complain? Hmm ... complaining. And what about all these books on child care, decorated with beautiful tablets and graphics about when children are sleeping, eating and awake? When I read them, being a pregnant lawyer, I was sure that I could squeeze my work into prescribed periods of "sleep." The book did not say anything about a child who wants to eat every 45 minutes, and then sleep with a baby's sleep in the arms of his mother. Was it my fault? Is it the fact that my son started to sleep all night, was not a sign that I was doing everything right? Ha! He slept all night until exactly the moment I fixed this fact in my diary. After that, he began to wake up every two hours! You know, I'm not superstitious, but I must admit that I immediately crossed out my first entry and wrote that he does not sleep all night. Did not help; he continued to wake up every two hours to eat. What is it, I thought, is it really because of me that he wakes up so often? Do I seduce him with the equivalent of a warm chocolate chip cookie in the middle of the night? Maybe we need to deprive him of feeding, to push him to fit into the established framework of the regime? Torture him a little, but drive it back to normal, described in all the books? Opening Fortunately for my son, I trusted the instincts, which I thought I did not have, and fed him during the day, allowing me to sleep on my hands, and fed them at night, when I wanted, by bedding next to me. Instincts, however, were not so easy to distinguish from beliefs stored in memory from childhood. These beliefs were soldered into the consciousness so deeply that it seemed that these were instincts, but in fact they were more like old worn-out records that sounded again and again, criticizing, judging, blaming at every opportunity. Instincts told me to keep these thoughts to myself. And I learned not to listen to them, but to be guided by instincts. Instincts told me that my precious baby needs feeding when he wants. In the end, he spent nine months inside of me and knows nothing except me. When I saw his peaceful, sucking, happy face, I realized that at that moment he feels the same as before in the womb - the knock of my heart, the rumbling of the stomach, the sound of breathing, we were once again one! Yes, instincts told me that if the child is good in my arms, then there is the place for him. When I understood the instincts, I had an even more difficult task: to learn to trust them. How difficult it was in the midst of all the advice that came from friends, relatives, even doctors and hospital staff. "It can not be that he was hungry again, you probably do not have enough milk!" They told me. "Maybe he would not have had time to get hungry so quickly if you had increased the interval between feedings." Almost all their exhortations went against my instincts and hinted that I was doing something wrong. It is interesting, why does society repel the mother from trusting her instincts? (1) Why, despite the fact that development specialists emphasize the importance of responding to the needs of babies in a timely manner (2), mothers are still being urged to ignore the very instincts that help respond ? Is it because human beings are programmed to repeat with their children the same things they did with them? (3) Were the "arguments" given to me by friends, relatives, and specialists merely a justification for the lack of warmth and responsiveness? Guided by the best motives, people explained to me that I harm the child, feeding him when he wants, especially so often. Actually, our doctor said that frequent feeding causes the child to have colic, and if I could stand breaks for three to four hours, and between the feedings gave water, he would calm down and was quite pleased. Meanwhile I made my discoveries. I learned that breast milk is digested in two hours, not three or four, as a mixture. (4) I learned that many children require breasts more than every two hours, (5) and that often breast-feeding children receive a lot (6) Studies show that increasing the breaks between feedings reduces not only the amount of milk in the mother, but also its fat content (7), as a result the baby is malnourished and cries much. (8) I also learned that, unfortunately, children, feeding in four hours, may be underfilled chat required. One girl, who was fed for 15 minutes from each breast six or seven times a day, sucked out less and less milk and a few days died of exhaustion. Her parents were accused of murder. Fortunately, the charge was subsequently dropped, as the parents had no idea that something was doing wrong. (9) They simply followed the advice of a society that knows little about infants. I decided that my child himself knows what he needs, when and how. Any authoritarian decision on my part - even about a breast change - did not seem to end well with anything. How could I know what his body needed? Indeed, I later found out that infants are very knowledgeable in everything; they take what they need, not only with each feeding, but also from each breast. (10) Moreover, many feeding problems - including those that occur when "too much milk" or "not enough milk" - are resolved more frequent attachments. (11) So, I continued to follow the clues of my child. And soon discovered that his "colic" was directly related to my hidden food allergy and excessive consumption of dairy products. (12) A friendly friend assured me that I deprive my child of a quality night's sleep and I "must" teach him to sleep alone all night. And according to my calculations, our joint sleep deprived him of sleep much less than if he had been thrown to cry, until he realized that no one would respond to his screams. I did not know then that our night schedule reduced the risk of SIDS to him (Sudden Infant Death Syndrome), (13) and that was exactly what his body needed. (14) I only knew that mothers slept with their babies from the creation of the world. How can something so natural for any mother harm a child? My relatives told me that I was teaching the child how to cry. "If you throw at them for every cry," they told me, "they will agree that this is the only way to attract attention and sit on your neck." In this I did not see the point from the very beginning. I reasoned like this: if a child cries to make me come up, then that's what he needs? In addition, my son has already realized that to call his mother, it is not necessary to cry; he was enough to grumble, and I was already there or woke up. I already knew that my child can communicate with me with his signs or crying when upset, but I still did not know that later he would express his requests with words, not with a cry. After a week, the charges continued. My father-in-law did not let us into his house for three months, because I too often jumped from table during family meals to my baby. He said that my son does not get the slightest idea of ​​delayed promotion, he becomes too dependent on me and apparently will grow up as a "mama's son", always holding on to my skirt. However, my instincts suggested that it is too early for him to study the delayed promotion, and that if I now satisfy his dependence, then his independence can flourish on his own. Relieved to learn that the opinions of experts coincide with my instincts (15), I came to the conclusion that my son is dependent on me, because it should be so. Only a caring, predictable environment can help him to perceive this world full of warmth and love. I found that the idea of ​​pushing children to independence comes from the ancient belief that children are born evil, and the task of parents is to break their will and make them behave decently. And I, on the contrary, believe that children are born wonderful, and behave afterwards in accordance with how they were treated. Some of the critics questioned my health. Some argued that our constant feeding will make me nervous and restless, and this will affect the tides of milk. Others thought that if I did not take the child from time to time to someone else, I would begin to suffer from stress and depression, from which the hormones would burst. However, I was depressed only by defiance of my "hormones"; it seemed that the very nature of the cry urged me to listen to my child. Stress was greatly diminished, as soon as I realized that I needed him for me, and for me - to respond to his needs - normal. If something bothered and disturbed me, it was their comments. It was absolutely right for me to comment on the needs of the child - the most correct thing I ever did in my life. And of course, I was accused of martyrdom, that I suffer for the sake of the child. It even amused me, looking at unkempt girlfriends, sterilizing bottles, preparing a mixture, carrying mini-camp kitchen in children's bags, treating diarrhea, constipation and other side effects of artificial feeding. On the other hand, I was accused of finding easy ways, because what is so easy for the mother, just can not be useful for the child! As the son fell asleep at the chest in 30 seconds, it was concluded that I feed from laziness. Many assumed that I deprived my husband of an active role in the upbringing and care of the child. I must admit that I was really indispensable for my son, and when he was hungry or upset, sometimes I could not run to the toilet. However, when everything was in order, he was very fond of the pope's society. I was happy to lie on my father's chest, climbing the closets, sitting in his arms, taking walks in the backpack and in the car past the supports of the transmission lines, and confident that as soon as I needed him, Papa would take him home instantly. With age, their relationship developed. Flashes of ecstasy from his arrival from work went into a variety of demands, including his presence when you go to bed. (Dad told cosmic stories better than his mother!) Naturally, one of the reasons for their intimacy was that these relations were built on the basis of a reliable connection of the child with the mother. Of course, then I did not know all this. Feeding every 45 minutes leaves Mom little opportunity to analyze their methods, and even more so to protect themselves from criticism. It came later. Understanding After a while, I realized that if I did not respond immediately to the cry of my child, he would not keep crying ad infinitum.
He would at some point give up, realizing that calling is useless. He would feel that he has no rights, not even the slightest idea what he needs. He would decide that he should not be hungry when the body requires food, and feel what he feels, he should not - this is wrong. I also realized that in our society do not understand newborns and it is not accepted to sympathize with their needs and feelings. Feeding on demand, in my understanding, is no different from caring for a helpless member of the family. Could not we give the disabled-father a meal, just because "not the time"? Or leave the paralyzed husband alone in the room to "scream" - checking every 10 minutes to say: "It's all right", without even trying to understand what is bothering him and how to help him? If he only wanted to be hugged, would we deny our beloved person so as not to spoil? How can someone argue that legal or religious dogmas require refusing babies to consolation and nourishment "for their own good"? Even medicine is insensitive to the suffering of babies. Until recently, many physicians did not consider it necessary to give the newborn anesthetic during surgery; Only paralyzing drugs were introduced so that they would not move. It was believed that babies do not feel pain. (16) Of course, one day our society realizes that babies are also people - with rights, feelings, and most importantly, needs. Then the public will protect their rights, knowing that mothers who feed on demand do not spoil their kids, do not create bad habits, do not allow children to sit on their necks, and do not go around with their children, but do exactly what is intended nature. Mothers are created to be near to kids - facilitating their transition to this big, wide world. To teach them love and trust, to learn to enjoy life. Until then, I came to the conclusion that the mother has a choice of two ways. You can rely on the advice of others and make it clear to your child: "Tzyts, malyavka, I have lessons more important than you and your hunger (thirst, desire for contact) - I, you know, have a life." Or you can listen to your instincts and to convey a completely different thought: "I'm near so you know that you are in safe hands and can get everything you need." As for me, I continued to listen to my instincts. I left unwashed dishes, work and friendly communication aside, knowing that they will not go anywhere, unlike my child. I spent nights with varying amounts of sleep and days without a sense of accomplishment. Now, looking back, I want to scream with joy that I acted just like that. My glorious baby, fed every 45 minutes, grew up, grew up - and grew up in an independent, happy, self-assured young man of nine years, with compassion in the heart and love in action. Notes (1) One of the reasons for the support of medicine by feeding on the regime can be the process outgrowth of the factory model of feeding. In the first decades of the twentieth century, new factory workers hardly got used to the strict regime necessary for work; in the literature there were ideas that accustoming to the regime from birth will help children grow up responsible people and good workers' factories and plants. Other factors that triggered the transition to feeding under the regime were the greater availability of professional assistance in family matters, the transition in obstetrics and feeding from unprofessional midwives to doctors, a general mistrust of the signals of the female body (for example, a sense of tide as a signal for feeding), and mistrust to the signals given by the child. See AV Millard, "The Place of the Clock in Pediatric Advice: Rationales, Cultural Themes, and impediments to Breastfeeding," Soc Sci Med 31, no. 2 (1990): 211-221, where it is suggested that problems with breastfeeding in the United States are specific to the local culture and are the result of pediatric feeding regimens. (2) Mothers who do not separate from children - who are then easier to live with - are more receptive to feeding signals and crying for their children and with greater success can reassure them. MDS Ainsworth and SM Bell, "Attachment, Exploration, and Separation: Illustrated by the Behavior of the One-Year Olds in a Strange Situation," Child Development 41 (1970): 49-67. (3) Alice Miller, Thou Shalt Not Be Aware (New York: Penguin Books, 1986). (4) The time of digestion of breast milk is 60% of the time of digestion of the mixture. See B. Cavell, Gastric Emptying in Infants, The Human Milk or Infant Formula, Acta Paedia Scand 70 (1981): 639. (5) William Sears, The Fussy Baby (Franklin Park, IL: LLLI, 1985). ) La Leche League International, The Womanly Art of Breastfeeding (Franklin Park, IL: LLLI, 1991); and SEJ Daly et al., "The Short-Term Synthesis and Infant-Regulated Removal of Milk in Lactating Women," Exp Physiol 78 (1993): 209-220. (7) DA Jackson et al., "Circadian Variation in the Fat Concentration of Breast-Milk in a Rural Northern Thai Population," Br J Nutr 59 (1988): 349-363. (8) See Note 1. Millard points out that the feeding regimes of the 20th century led to malnutrition as a result of a long interruption between feedings.This malnutrition was mistaken for a lack of milk, the predominant cause of the transition from (9) Commonwealth v. Carol A. Michaud, Normand R. Michaud, 389 Mass. 491, 451 NE 2nd 396 (Mass., 1983). (10) See Note 6, Daly. (11) See Lactation Consultant Department of LLLI, The Lactation Consultant Series, pub. no.288: 1-17. (12) If the mother has a mild alergic effect on cow milk and dairy products (even without obvious symptoms), excessive consumption of dairy products often causes a reaction in the infant. For a wonderful discussion of food intolerance in infants, see Maureen Minchin, Food for Thought (North Sydney, NSW, Australia: Alma Publications, 1986). (13) James McKenna, "An Anthropological Perspective on the Sudden Infant Death Syndrome (SIDS): The Role of Parental Breathing Cues and Speech Breathing Adaptations," Med Anthropol 10 (1986): 1; and J. McKenna et al., "Sleep and Arousal Patterns among Co-Sleeping Mother-Infant Pairs: Implications for SIDS," Am J Phys. Anthropol 83 (1991): 331-347. (14) James McKenna, "Rethinking Healthy Infant Sleep," Breastfeeding Abstracts 12, no. 3 (Feb. 1993): 27-28. (15) FL Ilg et al., Child Behavior (New York: Harper & Row, 1981); and other books from the Gesell Institute of Human Development. (16) Jill R. Lawson, "The Politics of Newborn Pain," Mothering, no. 57 (Fall 1990): 40-47. The opinion of one father about feeding on demand Kenneth A. Friedman I always wished for the best for my child. However, then, as now, the question was: who will control whom? I did not care if my baby was fed every 45 minutes or every 45 days. I did not have to be constantly and round the clock at the ready. In the morning, before leaving for work, I arranged for my wife and child to "feed and doze" in the rocking chair. Оставлял в пределах досягаемости телефон, книги, блокнот, стакан сока, чистые подгузники и прочие необходимые предметы. По ночам от меня не было никакой пользы и скоро я научился даже не просыпаться. Однако давление, оказываемое на меня по поводу контроля над моим ребенком, было огромным. Друзья, знакомые, родственники и даже незнакомые люди требовали, чтобы нашего ребенка контролировали. Намекалось, что если мы не будем регулировать его запросы на наше время и энергию, он вырастет донельзя избалованным, а то и вовсе станет вторым Гитлером. Для отцов проблема контроля особенно тяжела. Большинство из нас было приучено ограничивать себя при каждой возможности. В детстве и отрочестве нас учили быть сильными, поскольку мир жесток. Таким образом, став отцами, мы чувствуем, что обязаны позаботиться о том, чтобы жизнь нашего потомства не была слишком легкой, чтобы дети учились самоконтролю, ответственности и решительности. В совокупности, эти факторы могут легко перевесить стремление отца поддержать кормление по требованию – процесс, который контролируется самим новорожденным. В конце концов, не придет же нам в голову позволить младенцу управлять нашими армиями, боевым оружием, дипломатическими инициативами и всей остальной жизнью. Неудивительно, что, когда моя жена кормила нашего первенца по требованию, я чувствовал эти побуждения подогнать наши методы воспитания под некие общепринятые стандарты. Самым тяжелым было отсутствие поддержки в наших усилиях делать так, как мы считали, лучше для ребенка. Даже самые «либеральные» из моих друзей считали необходимым контролировать собственные отношения с детьми, а не позволять ребенку указывать путь. Когда жена кормила по требованию младшего сына, я снова боролся, с переменным успехом, со стремлением контролировать свое потомство. Сколько раз я мечтал, чтобы кто-нибудь сказал мне, что мы поступаем правильно, и мои дети не вырастут «размазней». Когда наши дети выросли из подгузников и перестали кормиться грудью, я постепенно осознал, что проблема контроля распространяется не только на младенчество и грудное вскармливание. Пристально за ними наблюдая, я все больше сомневался в социальной традиции навязывания строгих ограничений, пока не пришел к выводу, что контроль моим детям не полезен. Я своими глазами видел, что они не «избалованы донельзя» и тем более не размазни. Ими не нужно было манипулировать, чтобы сделать из них нормальных людей; они уже были нормальными людьми, каждый со своим неповторимым набором чувств и нужд, которые необходимо уважать. Тем более не было нужды заставлять моих детей страдать «для их же блага», чтобы самому чувствовать себя хорошим родителем.(1) Теперь мои дети еще старше, а мои перспективы еще шире. Трезво глядя на мир, переполненный насилием, ненавистью и страданием, я не могу удержаться от сомнений – а так ли уж правильна общепринятая система воспитания детей, стремящаяся закалить и укрепить их для жизни в жестоком мире? Нет ли в таком образе мышления фундаментальной ошибки? Не в наших ли методах контроля над детьми заключается львиная доля проблемы? Интересно, кормили ли Саддама Хусейна по требованию. . . Или профессиональных преступников, или заключенных в камере смертников... Примечания (1) Идея о том, что заблуждения в вопросах воспитания детей приводят их к депрессиям, страданию и склонности к насилию, отражена в книге Alice Miller For Your Own Good: Hidden Cruelty in Child-Rearing and the Roots of Violence, 2nd ed., trans. by Hildegarde and Hunter Hannum (New York: Farrar, Straus & Giroux, 1984). Кеннет А. Фридман и его жена, Элизабет Н. Болдуин – практикующие адвокаты из Майами. Дети - Дэвид (9) и Билли (5). Перевод Алекскандры Казачок
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И кормились мы каждые 45 минут...

  1. Why it is necessary to take an obligation towards other people? Is it not easier to wait until the last minute and make a decision, guided by the motivation of the moment? Then it would not be necessary to be released from the obligation.
    No law says that you must certainly commit yourself. Just need to see what you like and what you want to shake in your life. Когда вы обращаетесь к кому-то за помощью, когда приглашаете друга в гости или хотите пойти в кино с другим человеком, а он вам постоянно говорит: «Пока не знаю, я скажу тебе об этом в последнюю минуту», то как вам
  2. Аневризма и расслоение аорты
    Шифр по МКБ-10 I71 Диагностика При установлении диагноза Обязательная Уровень сознания, частота и эффективность дыхания, АД, ЧСС УЗИ, КТ органов брюшной полости Консультация хирурга Дополнительная (по показаниям) Аортография В процессе лечения Мониторинг, согласно п.1.5 Лечение Обеспечение адекватной вентиляции легких, контроль давления и ЧСС Нитропруссид натрия - начальная
  3. UROGENITAL CHLAMIDIOSIS
    Урогенитальный хламидиоз - инфекционное заболевание, передавающееся половым путем. Major pathogens Caused by C. trachomatis. UROGENITAL CHLAMIDIOSIS IN ADULTS Selection of antimicrobials Drugs of choice: azithromycin - 1.0 g inside once; doxycycline - 0.1 g inside every 12 hours for 7 days. Alternative drugs: erythromycin - 0.5 g inside every 6 h in
  4. ВЕНЕРИЧЕСКАЯ ЛИМФОГРАНУЛЕМА
    Это заболевание в России встречается эпизодически, за счет так называемых "привозных" случаев. Основные возбудители Вызывается С.trachomatis, серовары L-1, L-2, L-3. Выбор антимикробных препаратов Препараты выбора: доксициклин - 0,1 г внутрь каждые 12 ч в течение 21 дня. Альтернативные препараты: эритромицин - 0,5 г внутрь каждые 6 ч в течение 21 дня.
  5. 4.3. ХРОНИЧЕСКИЙ ПИЕЛОНЕФРИТ
    Антибактериальная терапия - назначается при наличии клинических данных и выявлении возбудителя воспалительного процесса почек с определением чувствительности к антибиотикам средний курс 7 -10 дней. Кишечная палочка - амоксициллин/клавуланат (табл. 0,375 и 0,625 г; фл. 0,6 и 1,2 г) внутрь по 0,625 г или в/в 0,6-1,2 г каждые 8 часов; гентамицин (амп. 4%-1 и 2 мл) в/в по 3-4 мг/кг 1 р/сут.
  6. Левожелудочковая недостаточность (кардиогенный отек легких)
    ICD-10 code I50.1 Diagnosis Diagnosis At compulsory level of consciousness, frequency and effectiveness of respiration, heart rate, pulse, arterial pressure ECG R-graph of chest organs Laboratory tests: hemoglobin, blood gases, CBS parameters, electrolytes (K, Na , Mg, Ca, Cl), blood glucose, leukocytes, blood formula, enzymes (CK), urea, creatinine
  7. Острый трансмуральный инфаркт передней стенки миокарда
    Шифр по МКБ-10 I21.0 Диагностика При установлении диагноза Обязательная Уровень сознания, частота и эффективность дыхания, ЧСС, пульс, артериальное давление, ЭКГ, анамнез, физикальное обследование Лабораторные исследования: свертываемость (АЧТВ, ПТВ тромбоциты), гемоглобин, газы крови, показатели КОС, электролиты (K, Na, Mg, Ca, Cl), глюкоза крови, лейкоциты, формула крови, ферменты
  8. Пароксизмальные желудочковые тахикардии
    Диагностика. Учащенное сердцебиение свыше 140 уд/минуту. При это!У все сокращения представляют собой желудочковые экстрасистолы. Эпизодическое появление "пушечного" 1 тона при совпадении систол предсердий и желудочков Безуспешность "вагусных проб". На ЭКГ - все сокращения экстрасистолы, комплекс С*К.8 уширен до 0,12 - 0,14с и более, деформирован. При желудочковой тахикардии, осложненной
  9. 2.4. ОСТРЫЙ КОРОНАРНЫЙ СИНДРОМ БЕЗ ПОДЪЕМА СЕГМЕНТА ST (ОКС БП ST)
    Если в ближайшие 48 часов больной перенес длительный (более 15 минут) приступ боли, заставляющий подозревать развитие ОКС показана экстренная госпитализация, предпочтительно в ПИТ Если в ближайшие 48 часов диагностирована впервые возникшая или прогрессирующая стенокардия показана госпитализация в кардиологическое отделение. Тактика ведения больных: • Аспирин (табл.0,5 г) по 0,025-0,5 г
  10. 2.5. НЕОСЛОЖНЕННЫЙ Q-ИНФАРКТ МИОКАРДА
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  11. Анафилактический шок неуточненный
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