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Primaljski Vjesnik
Broj 14
Svibanj 2013.
Primaljski Vjesnik
Broj 14
Svibanj 2013
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Svibanj 2013
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Lijep pozdrav dragim primaljama i svima Vama koji listate novi broj Primaljskog vjesnika!
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Primaljski Vjesnik
Broj 14
Svibanj 2013
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Primaljski Vjesnik
Broj 14
Svibanj 2013
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Primaljski Vjesnik
Broj 14
Svibanj 2013
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Primaljski Vjesnik
Broj 14
Svibanj 2013
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13
Primaljski Vjesnik
Broj 14
Svibanj 2013
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dobu.
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da je trudnica središte poroda i da joj mora biti dano
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i primamo brojna pisama zahvale. Imamo iskustva i s
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doula nije imala operativan porod. Pogledamo li širu sliku,
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unazad. Shvatili smo da prijašnja praksa nije dovoljno
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prolaziti.
14
Primaljski Vjesnik
Broj 14
Svibanj 2013
,%852%,1/,035,0$/-$.2-$3-(9$
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htio poroditi bez carskog reza. Pretpostavljam da je to u glavnom gradu Indonezije, kao i u mnogim drugim svjetskim
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iako u vrlo teškim uvjetima. Nije bez razloga u
svojih dvadeset godina prakse Ibu Robin Lim
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u potpunosti razumije i da se nalazim u sigurnim rukama. Na svako moje pitanje odgovorila bi pomno i precizno,
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15
Primaljski Vjesnik
Broj 14
Svibanj 2013
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je potpuno. Nisam mogla ni zamisliti da u nekom
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mogu zamisliti da bih pred medicinskim osobljem
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Amazon, Lulu.com ili u digitalnom obliku na
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16
Primaljski Vjesnik
Broj 14
Svibanj 2013
/-8'6.$35$9$869$.2'1(91,&,35,0$/-$
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je teško ostvarivo, jer u našoj kulturi potrebe trudnica i rodilja se ne stavljaju na prvo mjesto, a uz to se zanemaruje
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=YXÿLOL9DPSR]QDWRPRYDSULÿD"8+UYDWVNRMMHWHNSULMHQHNROLNRJRGLQDSRQRYRRPRJXýHQRYLVRNRREUD]RYDQMH
SULPDOMDQDLPHGHVHWOMHýLPDVXVHVXVWDYQRPDORSRPDORXQLäWDYDOHYMHäWLQHNRMHVXSULPDOMHVWMHFDOHVWROMHýLPD
XPMHVWRGDVHREMHGLQLRQRQDMEROMHRGWUDGLFLMVNRJ]DQDWDLPRGHUQHPHGLFLQHåHQHX+UYDWVNRMELORGDMHQMLKRYD
WUXGQRýDSRVYHXUHGQDLOLUL]LÿQDLPDMX]DSUDYRVDPRMHGQXPRJXýQRVW²SUHJOHGDYDWLVHNRGJLQHNRORJDLRWLýLX
URGLOLäWHJGMHýHRNUXæHQHQHSR]QDWLPRVREDPDXQHSR]QDWRPSURVWRUXX]VWURJDSUDYLODLSULWLVNHGRQLMHWLQDVYLMHW
VYRMHGLMHWH.RPHMHWRXLQWHUHVX"
âWRPRJXQDSUDYLWLKUYDWVNHSULPDOMH"
.DNRPRJXXWMHFDWLLSURPLMHQLWLLVNXVWYRWUXGQRüHLSRURGD"
2VLPãWRPRJXUD]PLãOMDWLRYLVRNRPREUD]RYDQMXXSULPDOMVWYXLRWYDUDQMXVDPRVWDOQHSULPDOMVNHSUDNVH
RQHNRMHUDGHXURGLOLãWLPDVYDNRJGDQDPRJXQDSUDYLWLÄVLWQLFX³NDNRELVHWUXGQLFDPDLURGLOMDPDRVLJXUDOD
WHPHOMQDOMXGVNDSUDYD
17
Primaljski Vjesnik
Broj 14
Svibanj 2013
t 3RWDNQLWHæHQHGDQDSRURGXRGDEHUX]GUDYVWYHQRJGMHODWQLNDNRMHJæHOHRGQRVQRRVQDæLWHLKGD]DWUDæHVNUE
drugog djelatnika ukoliko s prvim nisu zadovoljne.
t 3RWDNQLWHæHQHGDRGDEHUXSUDWQMXXSRURGXQHNDWREXGHQMLKRYL]ERUXSUDWQMLQHPRUDQXæQRELWLRWDFGMHWHWD
]DJRYDUDMWHSURPMHQHXVYRPURGLOLäWXNDNRELæHQHPRJOHLPDWLX]VHEHGYLMHRVREHDQHVDPRRFDGMHWHWDLWR
tijekom cijelog poroda.
t 3RWDNQLWHæHQHGDDNWLYQRVXGMHOXMXXRGOXÿLYDQMXRVYRMRMVNUELWLMHNRPWUXGQRýHSRURGDWHEDELQMDLXSR]QDMWH
ih s njihovim pravima.
t 2VLJXUDMWH GD VX æHQDPD GRVWXSQH VYH LQIRUPDFLMH NDNR EL PRJOH GRQLMHWL äWR LQIRUPLUDQLMH RGOXNH WLMHNRP
WUXGQRýHLSRURGDXNOMXÿXMXýLVYHLQIRUPDFLMHRUL]LFLPDLSUHGQRVWLPDRGUHĀHQLKSRVWXSDNDLLQWHUYHQFLMDX]
REDYH]QXPRJXýQRVWRGELMDQMDLOLÿHNDQMD.
t 3RQDäDWHOLVH9LSUHPDWUXGQLFDPDLURGLOMDPDGRVWRMDQVWYHQRLVSRäWRYDQMHPVYRMLPSULPMHURPSRWDNQXWýHWH
i druge.
t %ULQLWH GD VH SRäWXMH SULYDWQRVW VYLK NRULVQLFD ]GUDYVWYHQLK XVOXJD äWR X VYDNRGQHYQLFL PRæH ]QDÿLWL GD
jednostavno zatvorite pravan ili vrata ili potaknite rukovodstvo bolnice da se paravani ili vrata nabave.
t =DJRYDUDMWHUDYQRSUDYQRVWLGLJQLWHJODVSURWLYPLWDNRULäWHQMDYH]DLVOLÿQRJSRQDäDQMD6YHæHQHLPDMXSUDYR
na istu, dobru, skrb.
t 3RWDNQLWHæHQHGDVHLQIRUPLUDMXRURGLOLäWLPDX+UYDWVNRMQDLQWHUQHWVNRMVWUDQLFLURGLOLVWDURGDKUGDSRVWDYOMDMX
pitanja, da zahtijevaju bolje i ako je potrebno, da prijave kršenje prava u anonimnoj bazi kršenja prava koja se
nalazi na straniciURGLOLVWDURGDKU
3RVDRSULPDOMHMHGDQMH
RGQDM]QDþDMQLMLKSRVORYD
]DEXGXüQRVWQDãH]HPOMH
QDãHYUVWH9ULMHPHMH
GDSRþQHPRYUHGQRYDWL
QDãHSULPDOMHGDLP
GDPRVDPRVWDOQRVWL
PRJXüQRVWGMHORYDQMD
NRMHLPSULSDGD
,VWRYUHPHQRYULMHPH
MHGDSULPDOMHSRþLQX
YUHGQRYDWLVDPHVHEH
LGDXWUXGQLFDPD
URGLOMDPDLEDELQMDþDPD
SURQDÿXVDYH]QLFH6YHMH
WRPRJXüHX]PHÿXVREQR
SRãWRYDQMHNRMHSRþLYD
QDXYDåDYDQMXRVQRYQLK
OMXGVNLKSUDYDVYDNH
WUXGQLFHNRMDXÿHX
URGLOLãWHLOL]DWUDåL
]GUDYVWYHQXVNUE
9UHPHQDVHPMHQMDMX
SURPLMHQLPRVHLPL
18
Primaljski Vjesnik
Broj 14
Svibanj 2013
35,ý$2,.68,,36,/218
1LQD3HUH]DGUPHG3URIGUVF6DãD2VWRMLüGUPHG
0HGLFLQVNLIDNXOWHWX5LMHFLSUHX]HWRL]1DURGQL]GUDYVWYHQLOLVWVLMHþDQMYHOMDþD
.QMLJDÿRYMHNDJHQRPVORæHQDMHXSRJODYOMDNURPRVRPL
*HQHWLÿNL LOL QDVOMHGQL PDWHULMDO ÿRYMHND SRKUDQMHQ MH XQXWDU VWDQLFH X VWUXNWXUL NRMD VH QD]LYD MH]JUD 1DVOMHGQL
PDWHULMDOXÿRYMHNDÿLQLGHRNVLULERQXNOHLQVNDNLVHOLQD'1.NRMDMHXQHUD]PRWDQRPVWDQMXGXJDÿNDÿDNPHWUD
.DNRELVH'1.XVSMHäQRSRKUDQLODXQXWDUPLNURVNRSVNLVLýXäQHMH]JUHSURPMHUDRGVDPR—P'1.VHSDNLUDX]
SRPRýSURWHLQDXVWUXNWXUXQD]YDQXNURPDWLQ6WDQLFHXOMXGVNRPWLMHOXSUROD]HNUR]QHNROLNRID]DDNWLYQRVWL]D
VYRJæLYRWQRJDYLMHNDWLMHNRPNRMLKQDVOMHGQLPDWHULMDOSRSULPDUD]OLÿLWHREOLNH7LMHNRPLQWHUID]HXNRMRMMH'1.
RUJDQL]LUDQDXNURPDWLQVWDQLFDMHVDPRSULYLGQRPLUQDEXGXýLGDVHLQWHQ]LYQRSULSUHPD]DGLREX8GLRELPLWR]L
LOLPHMR]LNURPDWLQVHVDELMDLWYRUHVHNURPRVRPL8]SRPRýSURWHLQD'1.MHXNURPRVRPLPDSXWDNUDýD
nego u potpuno razmotanom stanju.
/MXGLLPDMXNURPRVRPDRGQRVQRSDUDNURPRVRPDNRMLXNOMXÿXMXSDUDWMHOHVQLKNURPRVRPDDXWRVRPD
LMHGDQSDUVSROQLKNRURPRVRPDJRQRVRPD7MHOHVQLNURPRVRPLR]QDÿHQLVXEURMHYLPDRGGRWHL]JOHGDMX
MHGQDNR X PXäNDUDFD L æHQD .URPRVRPVNL SDU ÿLQH VSROQL NURPRVRPL NRML VH UD]OLNXMX X PXäNDUDFD L æHQD
1RUPDOQHæHQHLPDMXGYDNURPRVRPD;GRNPXäNDUFLX];LPDMXMHGDQNURPRVRP<6YHNURPRVRPHQDVOMHĀXMHPR
RGURGLWHOMDRGPDMNHLRGRFDWDNRGDLPDPRGYDVHWDRGNURPRVRPDRGQRVQRSDUD
8VSROQLPVWDQLFDPDVSHUPLMXLMDMQRMVWDQLFLEURMNURPRVRPDSUHSRORYOMHQMHQDNDNRELVSDMDQMHPPXäNLKL
æHQVNLKVSROQLKVWDQLFDXRSORGQMLQDVWDODRSORĀHQDMDMQDVWDQLFD]LJRWDNRMDLPDSRQRYQRNURPRVRPD1DWDM
VHQDÿLQEURMNURPRVRPDXRGUHĀHQRMYUVWLRGUæDYDNRQVWDQWQLP
3RþHWDNSULMHPLOLMXQDJRGLQD
.URPRVRP;SRVWUXNWXULLIXQNFLMLQDMSRVHEQLMLMHKXPDQLNURPRVRP6OLND,DNRMHMHGDQRGYHýLKNURPRVRPD
XÿRYMHNDVDGUæLUHODWLYQRPDOLEURMRGJHQDäWRÿLQLRNRVYLKJHQDXKXPDQRPJHQRPX.URPRVRP;
YHýLQRP MH L]JUDĀHQ RG GLMHORYD '1. NRML VH SRQDYOMDMX X YHOLNRP EURMX NRSLMD D QLVX SUHGRGUHĀHQL GD NRGLUDMX
proteine.
.URPRVRPL;L<QDVWDOLVXSUHGPLOLMXQDJRGLQDL]SDUDWMHOHVQLKNURPRVRPDNRMLVXSRVWDOLVSROQLNURPRVRPL
7LMHNRPL]QLPQREU]HHYROXFLMHNURPRVRP<L]JXELRMHYHýLQXVYRMLKJHQDWHLKGDQDVEURMLVDPRRNR2GWLK
JHQDJHQDQDOD]LVHLQDNURPRVRPX;.URPRVRP<WULMHSXWDPDQMLRGNURPRVRPD;DæHQH]ERJSULVXWQRVWL
GYDNURPRVRPD;XWMHOHVQLPVWDQLFDPDLPDMXRNRYLäHJHQHWLÿNRJPDWHULMDODRGPXäNDUDFD7R]QDÿLGDæHQH
LPDMX SRWHQFLMDOQX VSRVREQRVW VWYDUDWL L YLäH SURWHLQVNLK SURGXNDWD QHJR PXäNDUFL äWR VH X æLYRWX L QH GRJDĀD
EXGXýLGDæHQHLPXäNDUFLLPDMXLGHQWLÿDQDNWLYQLGLRJHQRPD
äHQHNRPSHQ]LUDMX©YLãDNªPDWHULMDOD
.DNRELGRäORGRL]MHGQDÿHQMDXNROLÿLQLVWYRUHQLKJHQVNLKSURGXNDWDJHQDNRMLVHQDOD]HXVXYLäNXQDMHGQRPRGGYD
NURPRVRPD;XæHQDVLVDYFLVXUD]YLOLPHKDQL]DPGR]QHNRPSHQ]DFLMH'R]QDNRPSHQ]DFLMDXVLVDYDFDSRVWLæHVH
WUDQVNULSFLMVNRPLQDNWLYDFLMRPMHGQRJRGGYDNURPRVRPD;XWMHOHVQLPVWDQLFDPDæHQDDWDMSURFHVSR]QDWMHNDR
LQDNWLYDFLMDNURPRVRPD;,QDNWLYDFLMDNURPRVRPD;]QDÿLGDVMHGQRJDRGGYDNURPRVRPD;QHGROD]LGRJHQVNH
DNWLYQRVWLQHPDSUHSLVLYDQMDWUDQVNULSFLMHLQHPDVWYDUDQMDSURWHLQD,QDNWLYDFLMDNURPRVRPD;GRJDĀDVHNDR
SRVOMHGLFD L]UD]LWR JXVWRJ SDNLUDQMD '1$ PROHNXOH L RQHPRJXýDYDQMD SULVWXSD UHJXDOFLMVNLK SURWHLQD QD LQDNWLYQL
NURPRVRP;8UDQRMID]LUD]YRMDæHQVNRJHPEULMDXUD]GREOMXNDGDHPEULMLPDVDPRQHNROLNRVWDQLFDMHGDQRGGYD
NURPRVRPD;ELYDYLVRNRNRQGHQ]LUDQWHSRVWDMHLQDNWLYDQ
7DNDYLQDNWLYQLNURPRVRP;XLQWHUID]QRMMH]JULYLGLVHEOL]XMH]JULQHRYRMQLFHXREOLNX%DUURYRJWMHOHäFD6OLND
7RMHW]YVSROQLNURPDWLQNRMLVOXæL]DGLMDJQR]XæHQVNRJNURPDWLQVNRJ
spola u citološkim razmazima.
&DOLFRPDþNHREMDãQMDYDMXLQDNWLYDFLMXNURPRVRPD;
,QDNWLYDFLMDNURPRVRPD;RWNULYHQDMHX&DOLFRPDÿDND6OLND&DOLFR
PDÿNHVXQRUPDOQHæHQNHÿLMXERMXNU]QDRGUHĀXMHJHQNRMLVHQDOD]LQD
NURPRVRPX;DOLWDNRGDMHGDQNURPRVRP;QRVLJHQ]DæXWXERMXD
drugi za crnu boju krzna.
19
Primaljski Vjesnik
Broj 14
Svibanj 2013
1DVXPLÿQRPLQDNWLYDFLMRPMHGQRJLOLGUXJRJNURPRVRPD;QDVWDMXæXWDLOLFUQDSRGUXÿMDRERMHQRVWLQDGODFLPDÿNH
=DUD]OLNXRGæHQNL&DOLFRPXæMDFLVXVDPRMHGQHERMHFUQLLOLæXWLRYLVQRRWRPHNRMLVXNURPRVRP;QDVOLMHGLOLRG
svoje majke.
2EUD]DFLQDNWLYDFLMHNURPRVRPD;
8VYDNRMWMHOHVQRMVWDQLFLRGDELULQDNWLYDFLMHPDMÿLQRJLOLRÿHYRJNURPRVRPD;QDVXPLÿDQMHWDNRGDMHXVYLK
WMHOHVQLKVWDQLFDLQDNWLYLUDQPDMÿLQNURPRVRP;DXSUHRVWDOLKRÿHYNURPRVRP;2GVWXSDQMHRGWRJREUDVFD
QD]LYDVHQHQDVXPLÿQDLQDNWLYDFLMDNURPRVRPD;LSRYH]DQRMHV;YH]DQLPEROHVWLPD-HGQRPNDGDMHPDMÿLQ
LOL RÿHY NURPRVRP ; LQDNWLYLUDQ RQ RVWDMH LQDNWLYDQ WLMHNRP VYLK GDOMLK GLRED VWDQLFH ,QDNWLYDFLMD NURPRVRPD ;
QHSRYUDWDQMHSURFHVXæLYRWQRPYLMHNXVWDQLFH3RYUDWDQMHVDPRWLMHNRPSURFHVDVWYDUDQMDMDMQHVWDQLFHNDNREL
QRYRQDVWDODMDMQDVWDQLFDLPDODDNWLYDQNURPRVRP;
1RLSDNJHQDQDLQDNWLYQRPNURPRVRPX;L]EMHJDYDLQDNWLYDFLMX9HýLQRPVXWRRQLJHQLNRMLVHQDOD]HLQD
NURPRVRPX<7DNYHUHJLMHQD]LYDMXVHSVHXGRDXWRVRPDOQHUHJLMH3$5LQDOD]HVHQDYUäQLPGLMHORYLPDNURPRVRPD
;L<7HUHJLMHRPRJXýDYDMXL]PMHQXJHQDL]PHĀXNURPRVRPD;L<XPXäNRMJDPHWRJHQH]LNDNRELPRJOLQDVWDWL
IXQNFLRQDOQLVSHUPLML
=DäWRæHQHQHPDMXGYDDNWLYQDNURPRVRPD;"
2VLPGREURGHÀQLUDQHNRPSHQ]DFLMHGR]HL]PHĀXNURPRVRPD;L<LQDNWLYDFLMDNURPRVRPD;SUXæD]DäWLWXRG;
YH]DQLKEROHVWLXæHQD1DLPHæHQHQRVLWHOMLFH;YH]DQLKEROHVWLPRJXQDPMHUQRQHQDVXPLÿQRLQDNWLYLUDWLEDäRQDM
NURPRVRP;NRMLQRVLÅEROHVQLJHQ´1DWDMMHQDÿLQNOLQLÿNDVOLND;YH]DQLKEROHVWLRELÿQRVODELMHL]UDæHQDQHJRX
PXäNDUDFDVLVWRPEROHäýX0XäNDUFLNRMLLPDMXVDPRMHGDQNURPRVRP;LPDMXSRYHýDQUL]LNRGUD]YRMDNOLQLÿNH
VOLNH;UHFHVLYQLKEROHVWLLRELÿQRLPDMXWHæXNOLQLÿNXVOLNX;GRPLQDQWQLKLUHFHVLYQLKEROHVWL
%H]NURPRVRPD;QHPDåLYRWD
.URPRVRP ; VDGUæDYD PQRJR JHQD YDæQLK ]D æLYRW VLVDYDFD äWR VH YLGL L SR YHOLNRP EURMX QDVOMHGQLK EROHVWL
SURX]URÿHQLKQMLKRYLPPXWDFLMDPD=DWRVYDNDMHGLQNDEH]RE]LUDQDVSROPRUDLPDWLEDUHPMHGDQNURPRVRP
;1HGRVWDWDNNURPRVRPD;X]SULVXVWYRVDPRNURPRVRPD<PRQRVRPLMD<HPEULROHWDODQMHLQHSRVWRMLGLMHWH
URĀHQRVWDNYLPNDULRWLSRP,DNRNURPRVRP;VDGUæLVDPRVYLKJHQDKXPDQRJJHQRPDJUHäNHXWLPJHQLPD
RGJRYRUQHVX]DVYLKQDVOMHGQLKEROHVWLX]URNRYDQLKSURPMHQDPDMHGQRJJHQDPRQRJHQVNHEROHVWLXÿRYMHND
äWR MH L]QLPQR PQRJR GRVDG RSLVDQLK 2ELOMHæMD NOLQLÿNLK SRUHPHýDMD YH]DQLK X] JHQHWLÿNH SRUHPHýDMH
QD NURPRVRPX ; QDMÿHäýH VX PHQWDOQD UHWDUGDFLMD 6OLND SRUHPHýDML LPXQRORäNRJ VXVWDYD L QHXVSMHäQRVW
reprodukcije.
.URPRVRP<VDGUæDYDJHQHNRMLVXSRWUHEQL]DGLIHUHQFLMDFLMXLIXQNFLMXWHVWLVDDOLQLVXQHRSKRGQL]DRGUæDYDQMH
æLYRWDGRND]MHPDQMDNNURPRVRPD<XæHQVNRJVSROD
6SROQRQDVOMHÿLYDQMHVUD]OLþLWLPSRVOMHGLFDPD
1DVOMHGQH EROHVWL SRYH]DQH V SURPMHQDPD JHQD QD NURPRVRPX ; L]UDæDYDMX VH RYLVQR R WLSX QDVOMHĀLYDQMD
GRPLQDQWQRJLOLUHFHVLYQRJWLSD²NRMHPRJXREXKYDWLWLMHGDQLOLREDNURPRVRPD;7DEOLFDåHQHUMHĀHREROLMHYDMX
RG;UHFHVLYQLKEROHVWLMHUMHPDQMDYMHURMDWQRVWGDQDVOLMHGHRGVYRMLKURGLWHOMDGYDNURPRVRPD;VQDVOMHGQRP
SURPMHQRP RGUHĀHQRJ JHQD 1DMÿHäýH RQH ÅQRVH´ UHFHVLYQL SURPLMHQMHQL JHQ VDPR QD MHGQRP NURPRVRPX ;
6PDWUDPRLK]GUDYLPDDOLVXQRVLWHOMLFHSURPLMHQMHQRJJHQD$NRQMLKRYLVLQRYL;<QDVOLMHGHEDäWDMSURPLMHQMHQLL
NURPRVRP ; RQL EH] L]X]HWND L REROLMHYDMX äWR VH QHýH GRJRGLWL DNR XPMHVWR SURPLMHQMHQRJ QDVOLMHGH GUXJL
NURPRVRP;VQRUPDOQLPJHQRP
.RG;GRPLQDQWQRJQDÿLQDQDVOMHĀLYDQMDEROHVWýHELWLL]UDæHQDLXVOXÿDMXGDVHSURPMHQHJHQDQDOD]HQDMHGQRP
LOLREDNURPRVRPD;XæHQDLDNRMHQDMÿHäýHSURPMHQDSULVXWQDVDPRXMHGQRP9HOLNLEURM;GRPLQDQWQLKEROHVWL
]DPXäNLVSROQLMHVSRMLYVDæLYRWRPGRNXæHQDRYLVLLRPHKDQL]PXLQDNWLYDFLMHMHGQRJRGGYDMXNURPRVRPD;
=DUD]OLNXRG;YH]DQLKEROHVWLJHQHWLÿNLSRUHPHýDMLYH]DQLX]NURPRVRP<GRYRGHLVNOMXÿLYRGRPXäNHQHSORGQRVWL
LOLLQIHUWLOQRVWL
0RåHPROLELUDWLVSRO"
2GUHĀLYDQMH VSROD HPEULMD L UD]YRM VYLK VSROQLK ]QDÿDMNL MHGLQNH VORæHQR MH L GXJRWUDMQR ]ELYDQMH NRMH ]DSRÿLQMH
NRPELQLUDQMHPVSROQLKNURPRVRPDSULRSORGQMLLGDOMHVHRGYLMDXQHNROLNRID]D3RVWRMLYLäHUD]LQDVSROQRVWL²RG
JHQVNRJ VSROD NURPRVRPVNRJ QXNOHDUQRJ ELRORäNRJ KRUPRQVNRJ SVLKRVRFLMDOQRJ .URPRVRPVNL VSRO RYLVL R
WRPHNRMLýHVSHUPLMRSORGLWLMDMQXVWDQLFX²DNRWRXÿLQLVSHUPLMNRMLQRVLNURPRVRP;]DÿHWýHVHGMHYRMÿLFDDDNR
20
Primaljski Vjesnik
Broj 14
Svibanj 2013
WRXÿLQLVSHUPLMNRMLQRVLNURPRVRP<QDVWDWýHGMHÿDN3UHFL]QDPMHUHQMDSRND]DODVXGDMHVSHUPLM<]QDÿDMQR
PDQMLRGVSHUPLMD;XNXSQDGXæLQDGXæLQDYUDWDRSVHJLSRYUäLQDJODYH3UHWSRVWDYOMDVHGDELVSHUPLM<]ERJWRJD
PRUDRELWLODNäLLSRNUHWOMLYLMLRGVSHUPLMD;1DWRPVHVKYDýDQMX]DVQLYDHPSLULMVNLSULURGQDPHWRGDL]ERUDVSROD
GMHWHWD YUHPHQVNLP XVNODĀLYDQMHP VSROQRJ RGQRVDV RYXODFLMRP L UD]OLÿLWH PHWRGHRGMHOMLYDQMD VSHUPLMD ; L < ]D
XPMHWQXRSORGQMXVDVYUKRPRGUHĀLYDQMDVSRODGMHWHWD
6SRORGUHÿXMXJHQL
*HQRWLSVNDGHWHUPLQDFLMDVSRODMHVWRGUHĀLYDQMHGLIHUHQFLMDFLMHPXäNHLOLæHQVNHVSROQHæOLMH]GHXHPEULMX8ÿRYMHND
L GUXJLK VLVDYDFD ]DVQRYDQD MH LVNOMXÿLYR QD GMHORYDQMX JHQD QD VSROQLP NURPRVRPLPD 6YH ]UHOH MDMQH VWDQLFH
VDGUæDYDMX MHGDQ NURPRVRP ; D RG ]UHOLK VSHUPLMD SRORYLQD LK LPD NURPRVRP ; NDR MDMQD VWDQLFD D SRORYLQD
NURPRVRP<2YLVQRRYUVWLVSHUPLMDNRMLRSORGLMDMQXVWDQLFXUD]YLWýHVHHPEULMæHQVNRJ;;LOLPXäNRJ;<VSROD
8ORJDVSROQLKNURPRVRPDXGHWHUPLQDFLMLVSRODUD]OLÿLWDMH2GOXÿXMXýXXORJXLPDNURPRVRP<7RSRND]XMXEURMQL
SRNXVL QD æLYRWLQMDPD L RSDæDQMD QD OMXGLPD NRML LPDMX DQRPDOLMH VSROQLK NURPRVRPD 3ULVXWQRVW NURPRVRPD <
RGUHĀXMHPXäNLVSROEH]RE]LUDQDEURMNURPRVRPD;SDVXWDNRSULPMHULFHRVREHVNURPRVRPVNRPDQRPDOLMRP
;;;;;<PXäNRJDVSROD2VREHVDQRPDOLMRP;2QHPDQLGUXJRJNURPRVRPD;QLNURPRVRPD<7XUQHURYVLQGURP
QHPDMX MDMQLND MHU VX ]D QMLKRY UD]YRM SRWUHEQD GYD NURPRVRPD ; DOL LPDMX VYH GUXJH æHQVNH VSROQH RUJDQH L
æHQVNLL]JOHG8RGVXWQRVWLMDMQLNDRVWDOLæHQVNLVSROQLRUJDQLUD]YLMXVHSRGXWMHFDMHPHVWURJHQDPDMNHLSRVWHOMLFH
6WRJDRæHQVNRPVSROXQHRGOXÿXMXGYDNURPRVRPD;QHJRRGVXWQRVWNURPRVRPD<,]VYHJDSURL]OD]LGDMHVYDNL
HPEULMXSUYDWMHGQDVYRJDUD]YRMDSUHGRGUHĀHQ]DæHQVNLVSRODQDNRQWRJDVDPRSULVXWQRVWNURPRVRPD<X]
SRVWRMHýXLQGLIHUHQWQXRVQRYXVSROQHæOLMH]GHPRæHXVPMHULWLQMHJRYGDOMLUD]YRMSUHPDPXäNRPVSROX
6SRORGUHÿXMHSULVXWQRVW65<JHQDQDNURPRVRPX<
'DQDVVH]QDGD]DRGUHĀLYDQMHPXäNRJDVSRODQLMHSRWUHEDQ
FLMHOL NURPRVRP < QHJR VDPR MHGDQ QMHJRY XVNL RGVMHÿDN
VPMHäWHQ EOL]X NUDMD QMHJRYD NUDWNRJ NUDND 1D]YDQ MH 65<
SUHPDHQJO6H[GHWHUPLQLQJUHJLRQRIWKH<LVDGUæLJHQV
SRUXNRP ]D ELRVLQWH]X ÅÿLPEHQLND GHWHUPLQDFLMH WHVWLVD´
koji tijekom naseljavanja spolnih prastanica usmjerava
LQGLIHUHQWQX RVQRYX VSROQH æOLMH]GH SUHPD GLIHUHQFLMDFLML
X WHVWLV D QH X MDMQLN 7R MH VDPR SRÿHWQL LQLFLMDOQL JHQVNL
impuls, nakon kojega slijedi aktiviranje niza drugih gena koji
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Svibanj 2013
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3URODNWLQMHSDNSR]QDWNDRKRUPRQPDMÿLQVWYD6LQWH]DRYRJKRUPRQDVHRGYLMDXSUHGQMHPUHæQMXKLSRÀ]H'MHOXMH
QD VWYDUDQMH POLMHND X GRMFL PDMNH UHJXODFLMX UHSURGXNFLMVNRJ FLNOXVD L XWMHÿH QD PHWDEROL]DP EHEH L PDMNH X
WUXGQRýLLWLMHNRPGRMHQMD
26
Primaljski Vjesnik
Broj 14
Svibanj 2013
,VWUDæLYDQMDVXSRND]DODGDMHWLMHNRPGRMHQMDXÿLQDNSURODNWLQD
QDGRSXQMHQRNVLWRFLQRPRGJRYRUDQ]DUDVSRORæHQMHLRVMHýDM
PDMNHQDNRQGRMHQMD1D]LYDVHLKRUPRQRPÅSRGQRäHQMD´
LOL ÅSUHGDMH´ ² äWR ]QDÿL GD PDMND VWDYOMD GLMHWH LVSUHG
VHEH 9DæQD XORJD SURODNWLQD MH L X QHXURHQGRNULQRP
UD]YRMXEHEH/XÿHQMHSURODNWLQDMHQDMYHýHQDYUKXQFX
poroda. Prolaktin u kombinaciji s oksitocinom, kratko
QDNRQ SRURGD L WLMHNRP GRMHQMD SRWLÿH VPLUHQX L
QHVHELÿQXSULYUæHQRVWEHELNRMDGRYRGLGRPDMÿLQD
]DGRYROMVWYDWHÀ]LÿNRJLHPRWLYQRJ]GUDYOMDQMH]LQD
djeteta.
0HODWRQLQMHKRUPRQNRMLSURL]YRGLHSLÀ]D/XÿLVH
QD WDPQLP L PLUQLP PMHVWLPD GRN VH SUL YHýLP
RVYMHWOMHQMLPD OXÿL VH PDQMH ,]ORæHQRVW MDNRP
VYMHWOX QRýX LOL VODERP GDQMX PRæH SRUHPHWLWL
VLQWH]X PHODWRQLQD .RG PDOH GMHFH UHGRYLWR
VH SRÿLQMH OXÿLWL WUL PMHVHFD QDNRQ URĀHQMD
L]PHĀX SRQRýL L RVDP XMXWUR 0HODWRQLQ NRQWUROLUD
SURL]YRGQMX L YULMHPH RWSXäWDQMD æHQVNLK VSROQLK
KRUPRQD /XÿHQMH VH UHPHWL X]QHPLUDYDQMHP æHQH
WLMHNRPWUXGQRýHXSRURGX]DYULMHPHGRMHQMDLVOLÿQR
Djeluje u sinergiji s oksitocinom.
8PMHWQL RNVLWRFLQ 6\QWRFLQRQ QH GRVSLMHYD X PR]DN
L VWRJD QH SRNUHýH PHKDQL]PH SRYH]LYDQMD V EHERP
L SRVOLMHSRURĀDMQRJ X]EXĀHQMD 8 RUJDQL]DP VH XQRVL
LQWUDYHQR]QLP SXWHP L VPDQMXMH XÿLQDN SULURGQRJ RNVLWRFLQD
Izazvane kontrakcije razlikuju se od prirodnih, zbog kojih dijete i
majka mogu trpjeti posljedice. Prejake kontrakcije uzrokuju nedostatak
NLVLND]DGLMHWHäWRÿHVWRGRYRGLLGRXVSRUHQMDIHWDOQLKRWNXFDMDVUFDDPRæH
dovesti i do nekih drugih komplikacija poput rupture maternice.
0RUÀQVNL SUHSDUDW SHWLGLQ MH XPMHWQL HQGRUSKLQ NRML L]D]LYD R]ELOMQH QXVSRMDYH SRSXW
SRYUDýDQMDUHVSLUDWRUQHGHSUHVLMHRPDPOMHQRVWLRVLSDLOL]DWYRUD0RæHELWLSUHSUHNDNRGXVSRVWDYOMDQMDGRMHQMD
WHEORNLUDOXÿHQMHRNVLWRFLQD
8]QDYHGHQHSRVWRMLMRäQL]KRUPRQDNRMLQDUD]OLÿLWHQDÿLQHXWMHÿXQDWUXGQRýXSRURGLEDELQMHGRMHQMH
=DNOMXþDN
2KRUPRQLPDXWUXGQRýLSRURGXLQDNRQSRURGDXSULPDOMVWYXVHQHGRYROMQRJRYRULLXÿLåHOLPROLXLVWLQXSURPRYLUDOL
SULURGQHSULVWXSHSRURGXPRUDPR]QDWLUD]ORJH]ERJNRMLKSRURGXRGUHĀHQRMVLWXDFLMLPRæH]DVWDWL]DäWRVXWUXGRYL
VWDOLLäWRPRæHPRXÿLQLWLNDNRELLKSRQRYRSRNUHQXOLSULURGQLPSXWHP'DELVD]QDOLRGJRYRUHQDRYDSLWDQMDQXæQR
MH]QDWLNDNRRGUHĀHQLKRUPRQLGMHOXMXXSRMHGLQRMID]LSRURĀDMD
3HULQDWDOQD VWDWLVWLND X +UYDWVNRM YLäH MH QHJR ]DGRYROMDYDMXýD 1DUDYQR VYLPD QDPD MH QDMYDæQLMH GD VX
PDMND L GLMHWH QDNRQ SRURGD æLYL L ]GUDYL ,SDN MH OL WR GRYROMQR" 7UDEDOD EL QDP ELWL YDæQD L XVSRVWDYD SVLKLÿNH
L HPRFLRQDOQH UDYQRWHæH WH RVMHýDM ]DGRYROMVWYD NDNR VDPH æHQH WDNR L QMH]LQH ÿLWDYH RELWHOML 3RVWRWDN GRMHQH
GMHFH QLMH ]DGRYROMDYDMXýL SRVWSRURĀDMQH GHSUHVLMH VX X SRUDVWX D QHJDWLYDQ SULURGQL SULUDVW GRYRGL GR WRJD GD
NDRQDFLMDSRODNRXPLUHPR,PDPRVYHPDQMHGMHFHæHQHUDĀDMXVYHVWDULMHUDVWDMHPRVHVYHYLäHDæHQLPRVYH
PDQMH3RVWRWDNUD]YHGHQLKEUDNRYDXEU]DQRUDVWHLWUHQXWQRL]QRVLSUHNR3URPRWULPROLVLWXDFLMXL]RYRJNXWD
WUHEDPR OL ]DLVWD ]DQHPDULWL LVWUDæLYDQMD NRMD JRYRUH GD ]DGRYROMVWYR WLMHNRP L QDNRQ SRURGD ÿLQL VQDæQLMH L MDÿH
æHQH"3RJRWRYRLPDPROLQDXPXGDVXXSUDYRæHQHWHNRMHQDMÿHäýHGUæHÅWULNXWDNXýH´
0LNDRSULPDOMHPRUDPRXYLMHNLPDWLQDXPXGDVYLQDäLSRVWXSFLLL]MDYHXSULVXVWYXæHQHNRMDMHWUXGQDUDĀDLOL
MHXUD]GREOMXQHSRVUHGQRQDNRQSRURGDPRJXLPDWLGDOHNRVHæQHSRVOMHGLFHQDQMH]LQNDVQLMLæLYRWLRGQRVSUHPD
djetetu, partneru te obitelji.
27
Primaljski Vjesnik
Broj 14
Svibanj 2013
352.,'$1-(92'(1-$.$
1(6.5$û8-(3252Ĉ$-
+UYDWVNL&RFKUDQHRJUDQDN
&LOMSURNLGDQMDYRGHQMDNDNRMHVHQD]LYDLDPQLRWRPLMRPMHVWXEU]DWL
L RMDÿDWL VWH]DQMH PDWHUQLFH L QD WDM QDÿLQ VNUDWLWL WUDMDQMH SRURĀDMD
9RGHQMDN VH SURNLGD GXJDÿNLP LQVWUXPHQWRP WLMHNRP YDJLQDOQRJ
SUHJOHGDQDNRQÿHJDLVWMHÿHDPQLRQVNDWHNXýLQDNRMDRNUXæXMHGLMHWH
1DLPH VPDWUD VH GD SXFDQMH YRGHQMDND RVOREDĀD NHPLNDOLMH NRMH
VWLPXOLUDMXNRQWUDNFLMHPDWHUQLFH$PQLRWRPLMDMHXRELÿDMHQDSUDNVD
XPQRJLP]HPOMDPDGLOMHPVYLMHWD8QHNLPFHQWULPDSURYRGLVHUXWLQ
VNLNRGVYLKæHQDGRNVHXGUXJLPSURNLGDQMXYRGHQMDNDSULEMHJDYD
VDPRNRGSURGXOMHQLKSRURĀDMD0HĀXWLPPDORMHGRND]DGDMHNUDýL
SRURĀDM GRLVWD GRQRVL GREURELW PDMFL LOL GMHWHWX 6 GUXJH VWUDQH
SRVWRML QL] SRWHQFLMDOQR YDæQLK LDNR ULMHWNLK UL]LND SRYH]DQLK V
SURNLGDQMHYRGHQMDNDXNOMXÿXMXýLSUREOHPHVSXSNRYLQRPLOLV
IUHNYHQFLMRPVUFDGMHWHWD
&RFKUDQH VXVWDYQL SUHJOHG OLWHUDWXUH DQDOL]LUDR MH VWXGL
MH X NRMLPD MH DPQLRWRPLMD UDĀHQD UXWLQVNL NRG VSRQ
WDQR ]DSRÿHWLK SRURĀDMD 3URXÿHQR MH VWXGLMD NRMH
REXKYDýDMX æHQD 1LWL X MHGQRM VWXGLML VH QH
UD]PDWUDNDNRSURNLGDQMHYRGHQMDNDXWMHÿHQDLQWHQ
]LWHWEROLNRMXæHQDRVMHýDWLMHNRPSRURĀDMD'RND]L
iz ovih studija pokazuju da prokidanje vodenjaka
QH VNUDýXMH SUYR SRURĀDMQR UD]GREOMH D PRJXýH
MHGDX]URNXMHSRYHýDQEURMFDUVNLKUH]RYD6WRJD
UXWLQVNRSURNLGDQMHYRGHQMDNDVHQHSUHSRUXÿXMHX
VWDQGDUGQRPYRĀHQMXSRURĀDMD
,]YRU
1. 6P\WK5HEHFFD0'$OOGUHG6.DWH0DUNKDP&DURO\Q$P
QLRWRP\IRUVKRUWHQLQJVSRQWDQHRXVODERXUKWWSRQOLQHOLEUDU\
ZLOH\FRPGRL&'SXEDEVWUDFW
28
Primaljski Vjesnik
Broj 14
Svibanj 2013
35('1-$&(59,.$/1$861$
.$.26(02ä(1$58â,7,6$95â(1,3252'"
7HNVWSULODJRGLODLSUHYHOD
6X]DQD+DUDPLQDSULPDOMDEDFFPHGWHFKQVX]DQDKDUDPLQD#JPDLOFRP
2YRMHVFHQDULMNRMLVHRSHWRYDQRSRQDYOMDLPDORMHSULPDOMD]DSRVOHQLKXUDĀDRQLFDPDNRMHPXQLVXVYMHGRÿLOHåHQD
MHXDNWLYQRMID]LSRURGDNRMLVDYUäHQRQDSUHGXMH8RGUHĀHQRPWUHQXWNX]DSRÿLQMHVWLVNDQMHPSULVYDNRMNRQWUDNFLML
SULPDOMDMXRKUDEUXMHGDVOLMHGLVYRMHSRULYHLVOXäDVYRMHWLMHOR1DNRQQHNRJYUHPHQDQLäWDVH]QDÿDMQRQHGRJDĀD
1HVWUSOMHQMHUDVWHLGROD]LRSVWHWULÿDUNRMLYDJLQDOQLPSUHJOHGRPæHOLÅSURYMHULWLäWRVHGRJDĀD´WHSURQDOD]LSUHGQMX
XVQXNRMDÅGUæL´3ULPDOMDVDYMHWXMHæHQLGDSRNXäDSURGLVDWLWUXGLQDVWRMLQHWLVNDWLMHUMRäXYLMHNQLMHYULMHPH]D
WLVNDQMHVRE]LURPGDQLMHSRWSXQRRWYRUHQD8WRPWUHQXWNXæHQDPRæHSRPLVOLWLGDMRMQMH]LQRWLMHORODæHMHUQDJRQ
za tiskanjem postoji, ali još uvijek nije došao i trenutak. Postaje zbunjena i uplašena. Pokušava zaustaviti tiskanje, a
QMH]LQRVHWLMHORJUÿHYLWRERULäWRVWYDUDMRäMDÿXSRURĀDMQXERO.DNRæHQDQLMHXVWDQMX]DXVWDYLWLQDJRQ]DWLVNDQMH
YMHURMDWQRýHMRMELWLSRQXĀHQLOLMHNRYLDPRæGDLHSLGXUDOQDDQDOJH]LMDäWR]DVRERPSRYODÿLLGUXJLQL]LQWHUYHQFLMD
.DVQLMHQDNRQäWRMHGUXJLPYDJLQDOQLPSUHJOHGRPXWYUĀHQRGDMHJUOLýPDWHUQLFHSRWSXQRRWYRUHQ]DSRÿLQMHL]JRQ
X] YRĀHQR WLVNDQMH 8VOLMHG GLULJLUDQRJ WLVNDQMD PRJXýH VX PDOSR]LFLMH GLMHWHWD ]ERJ UDĀDQMD X OHæHýHP SRORæDMX
WHVPDQMHQRJWRQXVDPLäLýDGQD]GMHOLFHVWRJDÿHVWRGROD]LGRQHXVSMHKDXQDSUHWNXSRURGDIHWDOQRJGLVWUHVD
SULPMHQMXMH VH .ULVWHOHURY KYDW RGOXÿXMH VH QD LQVWUXPHQWDOQR GRYUäHQMH SRURGD 9( X] RSVHæQX HSL]LRWRPLMX
3RUXNDNRMDQDNRQWDNYRJSRURGDRVWDMH]DELOMHæHQDXæHQLQRMVYLMHVWLMHVWGDQLMHXVSLMHODGDMXMHYODVWLWRWLMHOR
L]QHYMHULORþLQMHQLFDMHSRVYHGUXJDÿLMDL]QHYMHULOLVXMXOMXGLNRMLVXVNUELOLRQMRML]QHYMHULRMXMHVLVWHPXNRMHPMH
UDĀDODL]QHYMHULORMXMHQHVWUSOMHQMHQD]RÿQLKSURIHVLRQDODFDQDSRURGX3ULWRPXQLNRJDQHWUHEDXSLUDWLSUVWRP
QLWLRNULYOMDYDWLSRMHGLQFH]DLVKRGGRJDĀDMDMHUVXLPHQHNDRLYHýLQXSULPDOMDXÿLOLGDæHQDQHVPLMH]DSRÿHWL
VWLVNDQMHPVYHGRNJUOLýPDWHUQLFHQLMHXSRWSXQRVWLRWYRUHQ6GUXJHVWUDQHVYDNDRGQDVSRQHNDGELWUHEDOD
SUHLVSLWDWLVDPXVHEH-HVPROLXLVWLQXSUXæLOHHPRFLRQDOQXLSVLKRORäNXSRGUäNXæHQLWLMHNRPSRURGDMHVPROLELOH
GRYROMQRVWUSOMLYH"6WUSOMHQMHMHMHGQDRGRGOLNDGREUHSULPDOMH'DOMQMLWHNVWMHSRNXäDMNRMLQDVPRæGDQDYHGHGD
razmislimo o ovoj temi.
$QDWRPLMDL¿]LRORJLMD
3RURGMHL]QLPQRVORæHQÀ]LRORäNLSURFHVRGUHĀHQWULPDRVQRYQLPUDGQMDPD
ãLUHQMHPJUOLýDPDWHUQLFH
Rotacijom djeteta kroz zdjelicu
Spuštanjem djeteta kroz zdjelicu
7UHEDQDSRPHQXWLGDVHVYHWULQDYHGHQHUDGQMH]ELYDMXLVWRGREQR'DNOHGRNVHRWYDUDJUOLýPDWHUQLFHGLMHWHVH
rotira kroz porodni kanal i spušta kroz zdjelicu.
âLUHQMHJUOLüDPDWHUQLFH
*UOLýPDWHUQLFHQHRWYDUDVHXVLPHWULÿQLPNUXJRYLPDNDRäWRMHSULND]DQR
QD VOLFL X SUYRP PRGHOX 6XWWRQ YHý QDSURWLY RWYDUD VH RGVWUDJD
SUHPDQDSULMHGXREOLNXHOLSVHNDRäWRSULND]XMHGUXJLPRGHO8UDQRMID]L
SRURGD RV RWYDUDQMD QDOD]L VH XYXÿHQD X VWUDæQMHP GLMHOX URGQLFH L RWYDUD
VHSUHPDQDSULMHG8RGUHĀHQRPWUHQXWNXSRURGDRYLVQRRWRPHKRýHOLVHL
NDGDREDYLWLYDJLQDOQLSUHJOHGJRWRYRNRGVYDNHæHQHPRæHVHQDýLSUHGQMD
FHUYLNDOQD XVQD MHU MH WR ]DGQML GLR YUDWD PDWHUQLFH NRML VH SUHYODÿL SUHNR
JODYLFHGMHWHWD3RVWRMDQMHVWUDæQMHXVQHMHULMHWNRYLĀHQRMHUVHUDGLRGLMHOX
vrata maternice koji prvi nestaje, a osim toga prilikom pregleda teško ga je
GRVHýLSUVWLPD
3ULOLNRPVYDNHNRQWUDNFLMHPLäLÿQDYODNQDXIXQGXVXPDWHUQLFHSRYODÿHVH
L VNUDýXMX äWR SRVOMHGLÿQR GMHOXMH QD QHVWDQDN L RWYDUDQMH JUOLýD PDWHUQLFH
&RDG 2WYDUDQMH JUOLýD PDWHUQLFH QH RYLVL R SULWLVNX SUHGYRGHÿH
ÿHVWL
29
Primaljski Vjesnik
Broj 14
Svibanj 2013
0HĀXWLPJODYLFDPRæHXWMHFDWLQDREOLNLL]JOHGJUOLýDPDWHUQLFHNRMLVHSURäLUXMHRNRQMH1DSULPMHUGREURÁHNWLUDQD
JODYLFDNRGRNFLSLWRDQWHULRUQLKSRORæDMDYLGLVOLNX$PRGHOLUDWýHXUHGQLMLNUXæQLREOLNYUDWDPDWHUQLFH2NFLSLWR
SRVWHULRUQLSRORæDMLLOLGHÁHNVLMDYLGLVOLNX%PRGHOLUDWýHPDQMHNUXæQLÿDNHOLSVQLREOLN.RGYHýLQHGMHFHGRN
VHYUDWPDWHUQLFHRWYDUDSRORæDMJODYLFHQDOD]LVHQHJGMHL]PHĀXQDYHGHQLKSULPMHUDDOLPMHQMDWýHVHVURWDFLMRP
5RWDFLMD
3UHGYRGHýDÿHVWMHDQJDæLUDQDLVSXäWDVHSRSUHÿQRX
malu zdjelicu, predvodi tjemena kost, jer takav ulazak
iziskuje nagib zdjelice, kako bi se glavica prilagodila
QMH]LQX QDMYHýHP SURPMHUX YLGL VOLNH JRUH 1DNRQ
äWRVHJODYLFDQDĀHXPDORM]GMHOLFLLPDWýHGRYROMQR
PMHVWD]DRNUHWDQMHXQDMRSWLPDOQLMLSRORæDM]DSRURG
NRMLMHXSUDYLOX2$5RWDFLMXJODYLFHSRGUæDYD]GMHOLÿQL
]LGDÿHVWRLWLVNDQMH
6SXãWDQMH±QDJRQ]DWLVNDQMH
5LMHÿ MH R VSRQWDQRP SULURGQRP QH]DXVWDYOMLYRP QDJRQX ]D WLVNDQMH D QH RQRP YRĀHQRP 7DNDY VH QDJRQ
XNOMXÿXMH NDGD VH SUHGYRGHýD ÿHVW VSXVWL X URGQLFX L YUäL SULWLVDN QD UHNWXP L PLäLýH GQD PDOH ]GMHOLFH 7R VH
QD]LYD )HUJXVRQRYLP UHÁHNVRP 2YDM UHÁHNV QH RYLVL R VWDQMX YUDWD PDWHUQLFH QMHJRYRM RWYRUHQRVWL YHý R WRPH
JGMHVHQDOD]LJODYLFDGMHWHWDLNRMHSRNUHWHUDGL'DNOHXNROLNRVHGMHWHWRYDJODYLFDQDOD]LQDPMHVWXNRMHýHL]D]YDWL
)HUJXVRQRYUHÁHNVDæHQDMRäQLMHSRWSXQRRWYRUHQDRQDýHVSRQDWDQRSRÿHWLWLVNDWL'UXJLÿHäýLVFHQDULMMHVWNDGD
MHYUDWPDWHUQLFHXSRWSXQRVWLRWYRUHQDOLGLMHWHVHQLMHVSXVWLORGRYROMQRGXERNRGDELVHSRWDNORWLVNDQMH1DæDORVW
QHNLSUDNWLÿDULWDGDWUDæHRGæHQHGDSRÿQHVYRĀHQLPWLVNDQMHPLWLPHVWYRUHSUREOHPHXPMHVWRGDVHSULÿHNDMX
spuštanje glavice i spontani nagon za tiskanjem.
7LVNDQMHSULMHSRWSXQHGLODWDFLMH
%XGXýLGDPLQHJRYRULPRæHQDPDXSRURGXNDGDGDWLVNDMXJRYRULPROL"RQHýH]DSRÿHWLVWLVNDQMHPNDGDQMLKRYD
WLMHODRVMHWHWXSRWUHEX8NROLNRGLULJLUDPRXVPMHUDYDPRWLVNDQMHUDGLPRSURWLYÀ]LRORJLMLHSRURGDLWLPHPRæHPR
VWYRULWLQHSRWUHEQHSUREOHPH6SRQWDQRWLVNDQMHSULMHSRWSXQHGLODWDFLMDQRUPDOQRMHLÀ]LRORäNLNRULVQRNDGD
Djetetova glava se spustila u vaginuSULMHSRWSXQHGLODWDFLMHFHUYLNVD8RYRPVOXÿDMXGRGDWQLPSULWLVDNRP
WLVNDQMHPJODYLFXVHJXUDSUHPDGROMHLQDWDMQDÿLQSRPDæHVHGDVHSUHGQMDXVQDSUHYXÿHSUHNRJODYH
'LMHWHMHX23SRORæDMXLWYUGL]DWLOMDNVWYDUDMDNSULWLVDNQDUHNWXP82$SRORæDMXRYDMGLRJODYHMHSRORæHQX]
VWLGQXNRVWDGLMHWHVHPRUDVSXVWLWLMRäQLæHSULMHQHJRäWRVHSRMDYLSULWLVDNQDUHNWXP8VOXÿDMX23SRORæDMD
WLVNDQMHPRæHSRPRýLURWDFLMLJODYLFHX2$SRORæDM
-RäXYLMHNQLMHGRND]DQRGDMHXUDQMHQRWLVNDQMHSULMHSRWSXQHGLODWDFLMHFHUYLNVDRGJRYRUQR]DELORNDNYDPHKDQLÿND
RäWHÿHQMD LVWRJ 3RQHNDGD VH PRæH YLGMHWL HGHPDWR]QL FHUYLNV XJODYQRP NRG æHQD NRMH VX SULPLOH HSLGXUDOQX L
NRMLPDQLMHRPRJXýHQRNUHWDQMHXSRURGX$OLQDHGHPPRæHPRQDLýLLNRGæHQDNRMHQLVXWLVNDOHXSRURGX0RJX
VKYDWLWLGDXVPMHUHQRVQDæQRWLVNDQMHPRæHRäWHWLWLFHUYLNVDOLQHUD]XPLMHPNDNRELæHQDPRJODVDPDVHELQDQMHWL
ozljedu, kada prati svoje prirodne nagone. Svi argumenti protiv uranjenog tiskanje besmisleni su, jer u trenutku kada
VHSRMDYL)HUJXVRQRYUHÁHNVæHQDJDMHGQRVWDYQRYLäHQHPRæHNRQWUROLUDWL.DRSULPDOMHPRæHPRGRSXVWLWLGDæHQD
WLVNDRGQRVQRVDYMHWXMHPROLMRMGDSRNXäDSURGLVDWLWUXGLQHWLVNDWLWUDæLWýHPRRGQMHGDQDSUDYLQHäWRäWRRQD
QMH]LQRWLMHORQHPRæHL]YHVWL6DYMHWRYDWLæHQLGDWLVNDLOLQHWLVNDWHPHOMLVHQDNXOWXURORäNLPRELÿDMLPDDQHQD
À]LRORJLMLLOLLVWUDæLYDQMLPD1DSULPMHUXQHNLPGLMHORYLPDVYLMHWDSULPMHULFHX6UHGLäQMRM$IULFLæHQHWLVNDMXWLMHNRP
FLMHORJSRURGD7DNYRWLVNDQMHÿHVWRMHSRSUDÿHQRPDQXDOQRPGLODWDFLMRPJUOLýDPDWHUQLFHäWRMHL]X]HWQRERODQÿLQ
6GUXJHVWUDQH$PHULNDQNDPDVHQHVDYMHWXMHSDÿDNVHLEUDQLWLVNDQMHVYHGRRGUHĀHQRJWUHQXWNDXSRURGX
'R]YROLPROLGDSRURGXGDVHNUHýHSULURGQRVYRMLPYODVWLWLPWLMHNRPPRæHVHGRJRGLWLGDýHVHæHQHæDOLWLQDERO
XWUXGXORNDOL]LUDQXLVSRGVLQÀ]H7DVHEROSRYH]XMHVSUHGQMRPXVQRPNRMDMHQDOD]LÅXNOMHäWHQD´L]PHĀXJODYH
GLMHWHWDLQMLKRYHVLPÀ]H8RYRPVOXÿDMXæHQLVHPRæHSRPRýLSUHPMHäWDQMHPXSR]LFLMXNRMRPýHVHVPDQMLWLSULWLVDN
QDYUDWPDWHUQLFHQSUQDVORQMHQDXQD]DG.DGæHQDUDĀDQHRPHWDQRLQVWLQNWLYQRýH]DX]HWLSRORæDMNRMLýHMRM
VPDQMLWLSULWLVDNQDYUDWPDWHUQLFHSUHGQMXXVQX
30
Primaljski Vjesnik
Broj 14
Svibanj 2013
3ULMHGOR]L
,]EMHJDYDMWHYDJLQDOQHSUHJOHGHXSRURGX2QRäWRQH]QDPRSRVWRMDQMHSUHGQMHXVQHQHPRæHäWHWLWLSULPDOMLDMRä
PDQMHæHQLNRMDUDĀD9DJLQDOQLSUHJOHGLVXQHSRX]GDQDPHWRGDSURFMHQHQDSUHWNDXSRURGXDRGUHĀHQLYUHPHQVNL
URNRYLXRNYLUXNRMLKæHQDPRUDURGLWLQLVXXWHPHOMHQLQD]QDQVWYHQLPGRND]LPD
,JQRULUDMWHXUDQMHQRWLVNDQMHQHNRULVWLWHULMHÿLÅWLVNDQMH´LÅVWLVQLWH´XSRURGX3RVWDYOMDQMHSLWDQMDLOLGDYDQMHXSXWD
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izazove bilo kakve probleme.
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upravljanja njime kao da je postojanje
prednje usne problem, a ne sastavni dio
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Primaljski Vjesnik
Broj 14
Svibanj 2013
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kontinuirane potpore.
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Primaljski Vjesnik
Broj 14
Svibanj 2013
'(6(76$9-(7$=$35,0$/-(
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primalja.
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Naime, strpljivost podrazumijeva samopouzdanost, moramo vjerovati u sebe, svoja znanja i vještine. Da bi u tome
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tome kako da doprinesemo njezinom uspjehu.
33
Primaljski Vjesnik
Broj 14
Svibanj 2013
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se onoga što se dešavalo dan prije, a kamoli proteklog tjedna ili godine. Jedan od najboljih izvora iz kojeg doista
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ili prošle godine…
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Primaljski Vjesnik
Broj 14
Svibanj 2013
32/2ä$-,35,3252'8
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Primaljski Vjesnik
Broj 14
Svibanj 2013
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Primaljski Vjesnik
Broj 14
Svibanj 2013
3252'892',
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pregled analizirao je medicinsku literaturu kako bi
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XUDQMDQMHP X YRGX WLMHNRP SUYRJ SRURĀDMQRJ UD]GREOMD
smanjuje korištenje epiduralne analgezije i trajanje prve
ID]HSRURĀDMD-HGQDVWXGLMDSRND]XMHGDXUDQMDQMHXYRGX
WLMHNRP GUXJRJ SRURĀDMQRJ UD]GREOMD SRYHýDYD æHQLQR
]DGRYROMVWYRSRURĀDMQLPLVNXVWYRP
,QIRUPDFLMH R GUXJLP LVKRGLPD YH]DQLPD ]D NRULäWHQMH YRGH
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VX VH LQWHUYHQFLMH L LVKRGL X DQDOL]LUDQLP SRNXVLPD UD]OLNRYDOL 8
DQDOL]LUDQLPSRNXVLPDQLMHELORGRND]D]DSRYHýDQEURMQHæHOMHQLK
QXVSRMDYDNRGGMHWHWDLURGLOMHX]URNRYDQLKSRURĀDMHPXYRGL
Autori sustavnog pregleda naglašavaju da su potrebna dodatna
LVWUDæLYDQMDRXWMHFDMXXUDQMDQMDXYRGXQDSRURGGMHWHWDLPDMNX2VLP
WRJDQLVXSURQDĀHQDNOLQLÿNDLVSLWLYDQMDXNRMDLVWUDæXMXXUDQMDQMH
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KWWSRZO\MS5(:
37
Primaljski Vjesnik
Broj 14
Svibanj 2013
*2',1$3252'$892',8.%&X5,-(.$
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ULMHÿNHUDĀDRQH
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ULMHÿNRJ.%&D1DVYLMHWMHWDGDGRäOD1LNRO%DORJNýL9DOHQWLQHL0DULD%DORJD.OLQLNDMHWDMGRJDĀDMMXÿHURELOMHæLOD
SULJRGQRPVYHÿDQRVWLQDNRMRMVXURĀHQGDQ1LNROÿHVWLWDOLOLMHÿQLFSULPDOMHLLVHVWUHNRMLVXVXGMHORYDOLQDSRURGX
²SURIGU2OHJ3HWURYLýGU1HERMäD6LQGLNSULPDOMD-HOND/HOD5LYHWWL²WHUDYQDWHOM.%&D5LMHNDSURIGU+HUPDQ
+DOOHU
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GDVXPQRJLLVNRUDFLXRYRM.OLQLFLSDWDNRLPRJXýQRVWUDĀDQMDXYRGLSORGHQWX]LMD]PDEROQLÿNRJRVREOMDL]DSUDYR
slika rada cijelog rodilišta.
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L (QJOHVNRM LK X YHOLNRP EURMX HXURSVNLK ]HPOMD D X
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godina.
² 3RäWRYDQMH NULWHULMD L SUDYLOD VWUXNH GREUR HGXFLUDQ
RSVWHWULÿNLWLPSUHGVWDYOMDVLJXUDQQDÿLQUDĀDQMD]DPDMNX
LGLMHWHUHNDRMHGU6LQGLNL]QRVHýLSUHGQRVWLSRURGDXYRGL
]DPDMNXLGLMHWH0HĀXGRVWDæHQDNRMHVXURGLOHQDRYDM
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æHQDNRMHVXURGLOHQDWDMQDÿLQ
9DOHQWLQD %DORJ SUYD æHQD NRMD MH X 5LMHFL URGLOD X YRGL
rekla je da je taj porod bio ugodan i jako pozitivno iskustvo.
Drugi njezin porod nije bio u vodi, jer je imala neke
NRPSOLNDFLMHSDMHXVSRUHĀXMXýLWDGYDLVNXVWYDSRUXÿLOD
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ugodno, prirodno.
,]YRU
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URGHQGDQRSHWXVYRPURGLOLVWX
3
38
Primaljski Vjesnik
Broj 14
Svibanj 2013
32'9(=,9$1-(383.29,1(±35,-(,/,.$61,-("
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REOLNDSURPMHUDFPGHEOMLQHFPLWHæLQHJ1MHQDERMDMHWDPQRFUYHQRSODYDLOLNHVWHQMDVWD
5D]OLNXMHPRPDWHUDOQXLIHWDOQXVWUDQXSRVWHOMLFH
0$7(5$/1$ 675$1$ MH KUDSDYD FUYHQNDVWH ERMH V QMH SROD]H NRULRQVNH UHVLFH L XVDĀXMX VH GXERNR X VOX]QLFX
maternice.
)(7$/1$ 675$1$ MH JODWND SORVQDWD EMHONDVWRSODYH ERMH .UR] QMX SURVLMDYDMX NUYQH æLOH NRMH YRGH X SXSÿDQX
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RGSRVWHOMLFHREODæXýLFLMHOXXQXWUDäQMRVWPDWHUQLFHVWYDUDMXýLäXSOMLQXLVSXQMHQXSORGQRPYRGRPXNRMRMVHQDOD]L
IHWXV 6 JODWNH VWUDQH SRVWHOMLFH SUROD]H NUYQH æLOH NRMH WYRUH MHGQX SXSÿDQX YHQX L GYLMH SXSÿDQH DUWHULMH NRMH
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]DäWLWDLOXÿHQMHKRUPRQD
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iako je to rijetko.
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,,,7HKQLNDSRGYH]LYDQMDSXSNRYLQH
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GRWHýLMRä²PONUYLäWRQD]LYDPRSODFHQWDUQRPWUDQVIX]LMRP
39
Primaljski Vjesnik
Broj 14
Svibanj 2013
9ULMHPHSRGYH]LYDQMDSXSNRYLQHPRæHELWLYDæQRMHUSRVWRMHGRND]LRGREURELWL]DGLMHWHXNROLNRVHSXSNRYLQDQH
SRGYHæHLQHUHæHRGPDKQDNRQSRURGD
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8QXWDUPDWHUQLFHSRVWHOMLFDRPRJXýDYDUDGSOXýDEXEUHJDFULMHYDLMHWUHQHURĀHQRJGMHWHWD
Protok krvi kroz te organe minimalan je sve dok beba po prvi put ne udahne zrak, tog trenutka nastupaju velike
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]DOLKDNUYLSRWUHEQDSOXýLPDLRVWDOLPRUJDQLPDNRMLVXWHNSRÿHOLVIXQNFLMRP
3UHVLMHFDQMH SXSNRYLQH SULMH GMHWHWRYRJ SUYRJ XGDKD X]URNXMH SULMHOD] NUYL L] RVWDOLK RUJDQD X SOXýD NDNR EL VH
XVSRVWDYLODSHUIX]LMDSOXýDRSVNUEDSOXýDNUYOMX
40
Primaljski Vjesnik
Broj 14
Svibanj 2013
8NROLNRMHGLMHWHYHýSUHWKRGQRKLSRYROHPLÿQRWMVPDQMHQRJYROXPHQDNUYLPRæHGRýLGRNRPSOLNDFLMD
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GMHWHWXGRGDWQXNROLÿLQXæHOMH]DRG²PJNJWMHOHVQHWHæLQHäWRVHQDGRGDMHQDRNRPJNJæHOMH]DVD
NRMLPVHGLMHWHUDĀD
7LPHVHPRæHVSULMHÿLWLQHGRVWDWDNæHOMH]DXSUYRMJRGLQLGMHWHWRYDæLYRWD
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8 VWXGLML NRMX MH SURYHOD 6=2 X UD]OLÿLWLP URGLOLäWLPD GLOMHP VYLMHWD $UJHQWLQD $XVWUDOLMD
.DQDGD,QGLD/LELMD0HNVLNR9HOLND%ULWDQLMD6$'L=DPELDNRGWHUPLQVNHGMHFH]DPLMHýHQ
MH]QDÿDMDQSRUDVWKHPRJORELQDXJUXSLGMHFHVNDVQRSRGYH]DQRPSXSNRYLQRPLDNRMHWD
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1LVX]DPLMHýHQH]QDÿDMQHUD]OLNHX$SJDUVFRUXSULMHPXQDLQWHQ]LYQXQMHJXUHVSLUDWRUQRP
distresu ili policitemiji.
Ipak, više djece s kasno podvezanom pupkovinom, nego li one s rano podvezanom, trebalo je
IRWRWHUDSLMX]ERJæXWLFH
3UHSRUXND6=2MHGDELXURGLOLäWLPDJGMHVHSURYRGLDNWLYQRYRĀHQMHWUHýHJSRURGQRJGRED
ELORMHGQRVWDYQRSULPLMHQLWLSUDYLORGDVHSXSNRYLQDQHSRGYH]XMHLUHæHRGPDKYHý²PLQ
nakon poroda zdravog terminskog djeteta.
'D EL VH L]EMHJOD SUHWMHUDQD WUDQVIX]LMD NUYL GMHWHWX XWHURWRQLN VH PRæH GDWL WHN QDNRQ
podvezivanja i rezanja pupkovine.
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QD NOLQLÿNL LVKRG GMHWHWD L NDVQR SRGYH]LYDQMH SXSNRYLQH PRæH LPDWL SRYROMDQ XWMHFDM QD
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NRMHVHWUHQXWQRSURYRGLVFLOMHPSRSXQMDYDQMDEDQDNDNUYL]DEXGXýHOLMHÿHQMHGMHFHREROMHOH
od leukemije i drugih bolesti, podrazumijeva rano presijecanje pupkovine.
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NDNRELPRJOHGRQLMHWLRGOXNXED]LUDQXGDSUDYRYDOMDQLPLQIRUPDFLMDPD,QIRUPDFLMHELWUHEDOH
ELWLXWHPHOMHQHQDQDMQRYLMLPGRND]LPDLLVWUDæLYDQMLPD
41
Primaljski Vjesnik
Broj 14
Svibanj 2013
1(.2/,.2ý,1-(1,&$2
75(û(03252Ĉ$-120'2%8
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uterusa.
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7UDQVIX]LMDSRVWHOMLFHMH
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8WUHýHPSRURĀDMQRPGREX1DNRQSRURGDGMHWHWDNRQWUDNFLMHPDWHUQLFHVHQDVWDYOMDMXLSRVWHOMLFDVHSRVWHSHQR
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VPDQMXMHDVYHMHX]URNRYDQRPLRPHWUDOQLPUHWUDNFLMDPDäWRMHMHGLQVWYHQDNDUDNWHULVWLND]DPLäLýHPDWHUQLFHWM
VDVYDNRPNRQWUDNFLMRPRQL]DGUæDYDMXVYRMXVNUDýHQXGXOMLQX
'UXJLPHKDQL]DPRGYDMDQMDMHNUR]VWYDUDQMHKHPDWRPD]ERJYHQVNHRNOX]LMHLSXFDQMDNUYQLKæLODXSRVWHOMLÿQRP
VLMHOX .DGD VH SRVWHOMLFD RGOMXäWL VSLUDOQH DUWHULMH RVWDMX RWYRUHQH X SRVWHOMLÿQRP VLMHOX .UYQH æLOH NRMH VX
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PLäLýQLKVQRSRYDQD]LYDMX´æLYLPOLJDWXUDPDµLOL´À]LRORäNLPäDYRYLPDµ
42
Primaljski Vjesnik
Broj 14
Svibanj 2013
$1.</2*/266,$,87-(&$-1$'2-(1-(
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dovoljno dobro educirana o problematici medicine dojenja i vjerojatno nemaju dovoljno iskustva da bi mogli procijeniti
utjecaj ankiloglosije na dojenje.
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Za majku:
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43
Primaljski Vjesnik
t
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Broj 14
Svibanj 2013
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rani prekid dojenja.
Za dijete:
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44
Primaljski Vjesnik
Broj 14
Svibanj 2013
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Primaljski Vjesnik
Broj 14
Svibanj 2013
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kao i zdravstvenim djelatnicima u njihovom svakodnevnom radu.
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je potrebno izdajanje kroz dulji vremenski period i kada je ušteda vremena dragocjena.
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kako bi bile sigurne za više korisnika. Samim time optimalne su i za najam.
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Renomirane bolnice u mnogim razvijenim zemljama koriste i jednokratne, presterilizirane setove za sigurno izdajanje,
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smještene u jednoj prostoriji bolnice gdje majke samo povremeno izdajaju i tako nisu bile u potpunosti iskorištene.
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dostupnima i time je njihov transport znatno olakšan do svih prostorija odjela, soba, laktarija, ureda…
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niti ne prodaju proizvode koji krše pravilnik Svjetske zdravstvene organizacije o prehrani djece.
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pri rukovanju.
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t program izdajanja
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kada majke koriste izdajalicu po prvi puta
46
Primaljski Vjesnik
Broj 14
Svibanj 2013
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Dojilje mogu, u bilo koje vrijeme u bilo kojem programu, izmijeniti automatske zadane vrijednosti, vlastitim
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su javnog zdravstva.
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adekvatne opreme za podršku majki dojilja kojima je potrebna u odnosu na rutinske intervencije u prehrani djece u
najranijim danima, a koje su povezane sa brojnim rizicima za zdravlje djeteta i majke.
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Svibanj 2013
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Svibanj 2013
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9HýLQDHNVFHQWULÿQLKLVWHUHRWLSQLKSRQDäDQMDSRYH]DQLKVDXWL]PRPPRæHELWLX]URNRYDQDRVWDOLPÿLPEHQLFLPDNDR
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3ULVXWQHWHäNRýHSRYH]DQHVDVRFLMDOQLPNRPXQLFLUDQMHPQHELWUHEDORVPDWUDWLQHGRVWDWNRPLQWHUHVDLOLRWSRURP
SUHPDLQWHUDNFLMLVGUXJLPD7DMQHGRVWDWDNGMHORWYRUQHNRPXQLNDFLMHPRæHELWLSRVOMHGLFDQHPRJXýQRVWLREUDĀLYDQMD
VRFLMDOQLKLQIRUPDFLMDGRELYHQLKVRFLMDOQRPLQWHUDNFLMRPLXSRWUHEHSULPMHUHQLKYMHäWLQDNRPXQLFLUDQMDUDGLUHDNFLMH
Razumijevanje socijalnih situacija u pravilu zahtijeva procesuiranje govora i neverbalnu komunikaciju, a to su kod
RVREDVDXWL]PRPÿHVWRGHÀFLWDUQDSRGUXÿMD2QLQHSULPMHýXMXYDæQHVRFLMDOQH]QDNRYHSDPRJXSURSXäWDWLYDæQH
LQIRUPDFLMH.RGSULODJRĀDYDQMDVRFLMDOQRMLQWHUDNFLMLRVREHVDXWL]PRPXSUDYLOXNRULVWHQHSULPMHUHQDQHYHUEDOQD
51
Primaljski Vjesnik
Broj 14
Svibanj 2013
SRQDäDQMDLJHVWHSDPRJXLPDWLWHäNRýDXLäÿLWDYDQMXQHYHUEDOQLKSRQDäDQMDGUXJLKRVRED2VREHVDXWL]PRP
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osobe misle ili znaju.
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8ÿHQLFLVDXWL]PRPQHXVYDMDMXVRFLMDOQHYMHäWLQHQDXRELÿDMHQQDÿLQWMSXWHP]DSDæDQMDLVXGMHORYDQMD2SýHQLWR
QXæQRMHGDVHRGUHĀHQDYMHäWLQDXVYRMLWHPHOMHPMDVQHXSXWHLSUXæDQMDSRPRýLVRE]LURPQDSULPMHQXYMHäWLQDX
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XNOMXÿXMX
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t ]DRNXSOMHQRVWGLMHORYLPDSUHGPHWD
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t LQ]LVWLUDQMHQDSRVWRMDQRVWLLRWSRUSUHPDSURPMHQL
t QHRELÿQHUHDNFLMHQDVHQ]RUQLSRGUDæDM
8þHQMH
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specijalnim zadacima kao što je slaganje puzzli, te isto tako ispravno rješavati prostorno perceptivne zadatke i
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VH SULVMHýDMX VORæHQLMLK LQIRUPDFLMD 8 RVREQLP L]YMHäýLPD SRMHGLQDFD V DXWL]PRP RSLVXMX VH YL]XDOQRVSHFLMDOQH
YMHäWLQH NDR QMLKRYD MDND VWUDQD 7HPSOH *UDQGLQ QDYRGL GD QHNH RVREH V DXWL]PRP PRJX ODNäH XÿLWL L SDPWLWL
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GD ÅUD]PLäOMDMX X VOLNDPDµ 7HäNRýH V REUDýDQMHP SDæQMH XÿHQLND PRJX ]QDWQR XWMHFDWL QD QMHJRYX VSRVREQRVW
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VRFLMDOQH]QDNRYHNRMLVX]DRNXSLOLQMLKRYXSDæQMXLOLPRJXSUDWLWLRJUDQLÿHQHGLMHORYHUD]JRYRUDEH]UD]XPLMHYDQMD
QMHJRYHNRQFHSFLMH2QLQHPRJXSUDWLWLYLäHVWUXNH]QDNRYHXUD]JRYRUXLJRYRUXSDLPWDNRSURPLÿXYDæQLGHWDOML
SRUXNH8ÿHQLFLVDXWL]PRPRELÿQRVHUD]OLNXMXRGRVWDOLKXÿHQLNDSRVYRMLPVHQ]RUQLPLVNXVWYLPD5HDNFLMHQD
VHQ]RUQLSRGUDæDMPRJXVHSURWH]DWLRGKLSRVHQ]LWLYQRVWLGRKLSHUVHQ]LWLYQRVWL8QHNLPMHVOXÿDMHYLPDMHGQRLOLYLäH
RVMHWLODRVREHLOLLVSRGRVMHWOMLYRVWLKLSRUHDNWLYQRLOLL]QDGRVMHWOMLYRVWLKLSHUUHDNWLYQR1HNLPRVREDPDVDXWL]PRP
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RVWDOLKXÿHQLNDSRQDÿLQXXÿHQMDNRPXQLFLUDQMDWHUD]YRMXVRFLMDOQLKYMHäWLQDNDRLSRWRPHäWRMHQMLKRYRSRQDäDQMH
ÿHVWR SUREOHPDWLÿQR 3RVWRMH ]QDWQH LQGLYLGXDOQH UD]OLNH X QDÿLQX XWMHFDMD WLK NDUDNWHULVWLND QD SRMHGLQX RVREX
Programi moraju biti individualizirani i zasnovani na jedinstvenim potrebama i sposobnostima svakog pojedinog
XÿHQLND =D SODQLUDQMH MH L]X]HWQR YDæQR SUHSR]QDWL QDÿLQ QD NRML DXWL]DP XWMHÿH QD VSRVREQRVW SURFHVXLUDQMD
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SUXæLOD RGJRYDUDMXýD SRGUäND 3RWUHEH NRMH MH NRG XÿHQLND SRWUHEQR SRGXSLUDWL PRJX QDGLOD]LWL RYODVWL äNROVNRJ
sustava.
3ULSODQLUDQMXELWýHYDæQHVOMHGHýHXORJH
5$91$7(/-, ã.2/$ ² 'XæQRVWL UDYQDWHOMD XNOMXÿXMX SURYRĀHQMH REUD]RYQLK SURJUDPD ]D VYH XÿHQLNH äNROH
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ravnatelji mogu olakšavati suradnju školskih timova.
52
Primaljski Vjesnik
Broj 14
Svibanj 2013
5$=5('1,8þ,7(/-,²8ÿLWHOMLVXRGJRYRUQL]DRGJRMQRREUD]RYQHSURJUDPHVYLKXÿHQLNDXQMLKRYLPUD]UHGLPD.DGD
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SRGXNXGRNXRVWDOLPVOXÿDMHYLPDVDYMHWRGDYQXSRWSRUXUD]UHGQRPXÿLWHOMXNRMLXVYRPUHGRYQRPUD]UHGXLPD
XÿHQLNDVDXWL]PRPSUXæDMXVWUXÿQLXÿLWHOML
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XÿHQLND
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RÿLWXMHUHODWLYQRMDNDVSRVREQRVWNRQNUHWQRJPLäOMHQMDPHKDQLÿNRJSDPýHQMDWHUD]XPLMHYDQMDYL]XDOQRSURVWRUQLK
RGQRVD D WHäNRýH VX SRVWRMDQH X DSVWUDNWQRP PLäOMHQMX VRFLMDOQRM VSR]QDML NRPXQLNDFLML L SDæQML 8ÿHQMX
NRPXQLFLUDQMXLUD]YLMDQMXVDPRNRQWUROHXÿHQLNDPRJXYLäHSXWDSULGRQLMHWLSLNWRJUDIVNHLSLVDQHXSXWH-HGQDRG
SUHGQRVWLNRULäWHQMDYL]XDOQLKSRPDJDODMHVWXWRPHäWRVHQMLPDXÿHQLFLPRJXVOXæLWLWROLNRGXJRNROLNRLPMHWR
SRWUHEQRUDGLSURFHVXLUDQMDLQIRUPDFLMD1DVXSURWWRPHXVPHQDMHLQIRUPDFLMDSUROD]QDNDGDVHMHGQRPL]JRYRUL
SRUXNDYLäHQLMHGRVWXSQD8ÿHQLFLPDVWHäNRýDPDSURFHVXLUDQMDJRYRUDLRQLPDNRMLWUDæHGRGDWQRYULMHPHXVPHQH
LQIRUPDFLMHPRJXELWL]EXQMXMXýH2VLPWRJDXÿHQLNXVDXWL]PRPSRWHäNRýXPRæHSUHGVWDYOMDWLSUDýHQMHUHOHYDQWQH
LQIRUPDFLMHLEORNLUDQMHSUDWHýHJSRGUDæDMD3ULPMHQDYL]XDOQRJSRWNUHSOMLYDQMDRODNäDYDSRMHGLQFXGDVHXVUHGRWRÿL
QD SRUXNX 9L]XDOQD VH SRPDJDOD L VLPEROL SUHPD VORæHQRVWL QLæX RG MHGQRVWDYQLK L NRQNUHWQLK GR DSVWUDNWQLK
1MLKRYVOLMHGSRPLÿHVHRGVWYDUQRJSUHGPHWDLOLVLWXDFLMHGRVQLPNHIRWRJUDÀMHXERMLVOLNHXERMLFUQHLELMHOHVOLNH
FUWDQMDOLQLMHWHNRQDÿQRGRJUDÀÿNRJVLPERODLSLVDQRJJRYRUD3UHGPHWLVXYHýLQRPMHGQRVWDYQLDSRPDJDODLPDMX
NRQNUHWDQREOLN3UHPGDVXSRVYRMRMVORæHQRVWLLDSVWUDNWQRVWLJUDÀÿNLVLPEROL]QDWQRL]QDGNRQWLQXXPDLSDNVHX
UDGXVXÿHQLFLPDVDXWL]PRPSRND]XMXNDRQDMGMHORWYRUQLML
3ULPMHQDFUWDQMDOLQLMHUDGLSRWLFDQMDXþHQMD
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t ]DRUJDQL]LUDQMHDNWLYQRVWLXÿHQLND²GQHYQLUDVSRUHGLPLQLUDVSRUHGLOLVWHSURYMHUHDNWLYQRVWLSODQHULLSORÿH
VL]ERURPDNWLYQRVWL
t ]DRVLJXUDYDQMHSUDYLODLOLXSXWD]DXÿHQLND²YL]XDOQRLVWLFDQMHUD]UHGQLKGXæQRVWLUHJLVWDUNDUWLFDVSUDYLOLPD
SRYH]DQVDVSHFLÀÿQLP]DGDFLPDLDNWLYQRVWLSLNWRJUDÀLSLVDQHXSXWH]DXÿHQMHQRYLKLQIRUPDFLMD
t ]D SRPDJDQMD XÿHQLNX RNR UD]XPLMHYDQMD RUJDQL]DFLMH RNUXæHQMD ² R]QDÿDYDQMH SUHGPHWD SRVXGD QDWSLVD
SRSLVDWDEOLFDLSRUXND
t ]D SRWLFDQMH SULPMHUHQRJ SRQDäDQMD ² REMDYOMLYDQMH SUDYLOD L QMLKRYR VOLNRYLWR SULND]LYDQMH UDGL SULRSýDYDQMD
SRMHGLQLKID]DSRVWXSDQMD
t ]DSRXÿDYDQMHVRFLMDOQLPYMHäWLQDPD²VOLNRYLWRSULND]LYDQMHGUXäWYHQLKSULÿD
t za slikovito prikazivanje socijalne situacije sa socijalnim uputama i primjerenim reakcijama, koja se posebno
RVPLäOMDYDRYLVQRRRGUHĀHQRMVLWXDFLMLSRMHGLQRJXÿHQLND
3UHGYLÿDQMHSUHFL]QHNRQNUHWQHSRKYDOHWLMHNRPXþHQMD
8ÿHQLFLPDSULRSýLWHSUHFL]QXLQIRUPDFLMXRWRPHäWRUDGHLVSUDYQRLOLGREURQDSULPMHUÅNUDVQRRERMHQR´LOLÅGREUR
VL GRYUäLROD RYDM PDWHPDWLÿNL SUREOHP´ 2SýHQLWD SRKYDOD PRæH GRYHVWL GR QHQDPMHUQRJ XÿHQMD äWR VH WHäNR
53
Primaljski Vjesnik
Broj 14
Svibanj 2013
LVSUDYOMD 8ÿHQLFL V DXWL]PRP QHäWR PRJX QDXÿLWL QD WHPHOMX VDPR MHGQRJ SRNXäDMD SD MH VWRJD L]X]HWQR YDæQR
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RQRäWRUDGLSRJUHäQRSRYHæHVSRKYDORPWDGDPRæHGRýLGRSUD]QRYMHUQRJXÿHQMD.DæHWHOL´,YDQHLGHWLMDNR
GREUR´DGDSULWRPH,YDQWLMHNRPUMHäDYDQMDPDWHPDWLÿNRJ]DGDWNDLVWRGREQRQMLäHQRJDPDWDGD,YDQQMLKDQMH
QRJDPDPRæHSRYH]DWLVWRPRSýHQLWRPSRKYDORP
5D]YLMDQMHL]UDåDYDQMDXVPHQLPJRYRURP
8ÿHQLFLVDXWL]PRPPRæGDQHýHUD]YLWLWUDGLFLRQDOQLXVPHQLJRYRUQRYHýLQDUD]YLMDRGUHĀHQREOLNNRPXQLNDFLMH
9DæQRMHGDRVREHNRMHVXXNOMXÿHQHXæLYRWXÿHQLNDVDXWL]PRPLPDMXWHPHOMLWR]QDQMHRREOLNXL]UDæDYDQMDXÿHQLND
WHGDVXNODGQRWRPHSULODJRGHVYRMDRÿHNLYDQMDXNRPXQLNDFLML.RGXÿHQLNDVRJUDQLÿHQLPXVPHQLPL]UDæDYDQMHP
XÿLWHOMLLÿODQRYLRELWHOMLWUHEDOLELSULKYDWLWLRJUDQLÿHQHYHUEDOQHSRNXäDMHLQHYHUEDOQRSRQDäDQMHNDRREOLNHQMLKRYD
komuniciranja.
3RXþDYDQMHRWHPHOMQLPGUXãWYHQLPSUDYLOLPD
5D]YLMDQMHUD]XPLMHYDQMDRVQRYQLKSUDYLODNRMDSUDWHRGUHĀHQXVLWXDFLMXSRPRýLýHGMHWHWXXSULODJRĀDYDQMXVRFLMDOQRP
NRQWHNVWXWHPRæGDVSULMHÿLWLSRMDÿDQXDQNVLR]QRVWLVPDQMLWLRYLVQRVWRQHSULPMHUHQLPREOLFLPDSRQDäDQMDNRMDMH
SRWUHEQRVYODGDWL3UHVXGQHVRFLMDOQHYMHäWLQH]DNRMHýHGMHFLVDXWL]PRPYMHURMDWQRELWLSRWUHEQDRGUHĀHQDYUVWD
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Broj 14
Svibanj 2013
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Supernova magazine spring/summer 2012