❤️為什麼阿萍醫師都不用吸球？
❤️寶寶在水裡出生不會嗆到嗎？
寶寶出生，從充滿羊水的環境到乾旱（？）的陸地，經過許多生理系統的轉換。在「第一次呼吸」之前，會先有大口的吞嚥動作，將口腔中的羊水（內含媽媽產道富含細菌的分泌物）大口吞下，呼吸道暢通了，才會開始呼吸，同時也讓這些細菌進入腸胃道開始生長，啟動寶寶免疫系統的發展。當我們進行水中生產，觀察到的是寶寶在水中出生順勢放上媽媽的胸前，寶寶按自己的步調，先吞嚥再呼吸，通常不哭（也可能會有咳嗽或打噴嚏的動作）。因為臍帶還連著，整個系統的轉換優雅而神速，不用多久就全身紅通通的，滿滿的催產素，滿滿的愛。若在這個過程，用吸球甚至更強力的工具刺激寶寶呼吸（抑或是倒吊強力拍打的動作），有可能打亂寶寶系統轉換的步調，說不定因此更容易嗆到，不可不慎。
The very first accomplishment on the long list of transitional activities for a newborn is to swallow the contents of the mouth. Presumably, the mouth is full of vaginal secretions, amniotic fluid, and other bacteria-laden secretions, which need to get into the gut to begin to colonize and prime the new digestive system with the right bacterial probiotics. Swallowing those fluids and clearing his or her own airway takes place before the first breath. Experienced providers of undisturbed birth, including water birth, often report that newborns will swallow then spit, cough, and perhaps sneeze before regular respirations are noticeable. When a baby’s mouth is suctioned with either a bulb syringe or a DeLee trap, this act interferes with the mechanisms to introduce normal flora into the gut. Rather than enhancing the ability for the newborn to breathe, it may in fact disrupt breathing efforts (Carrasco, Martell, & Esto, 1997).
參考閱讀 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4210671/
攝影：吳易蓁 / 黃約農 Dumas
#溫柔生產的技術細節
#生產不需無菌
#不衛生之必要
#人生最初的開始不一定是大聲的哭泣
