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Кесарево сечение: безопасный выход или угроза будущему?
этой книге выдающийся французский акушер-гинеколог Мишель Оден касается самых насущных вопросов современной акушерства. Автор возвращает нас к ключевым потребностям женщины в родах, осознание которых позволяет сделать легкие и безопасные роды через естественные пути общераспространенным явлением.
Ученый и врач с полувековой практикой, Оден приводит ценнейшие практические рекомендации, позволяющие этого достичь. Он также рассматривает в свете последних научных исследований вопросы ведения беременности, подготовки к родам, участия в родах отцов, грудного вскармливания.
Автор подробно рассматривает историю операции кесарева сечения, анализирует изменения, которые произошли за последние пятьдесят лет в практике родовспоможения. Общество свыклось с мыслью о легкости и безопасности родов посредством операции: сегодня так рождается почти каждый четвертый ребенок в мире. Автор убедительно развеивает миф о том, что рождение кесаревым сечением не сказывается на психическом и физическом здоровье ребенка в будущем. Анализируются перспективы развития человеческой цивилизации в случае следования по этому пути.
Книга предназначена для врачей акушеров-гинекологов, семейных врачей, акушерок, студентов медицинских институтов и колледжей, а также для родителей и широкого круга читателей, интересующихся вопросами беременности, подготовки к родам и деторождения, материнства и современного акушерства. Она поможет сделать выбор тем, кто решает для себя вопрос, где и каким образом рожать, для того чтобы впоследствии мать и дитя были здоровы.
Ученый и врач с полувековой практикой, Оден приводит ценнейшие практические рекомендации, позволяющие этого достичь. Он также рассматривает в свете последних научных исследований вопросы ведения беременности, подготовки к родам, участия в родах отцов, грудного вскармливания.
Автор подробно рассматривает историю операции кесарева сечения, анализирует изменения, которые произошли за последние пятьдесят лет в практике родовспоможения. Общество свыклось с мыслью о легкости и безопасности родов посредством операции: сегодня так рождается почти каждый четвертый ребенок в мире. Автор убедительно развеивает миф о том, что рождение кесаревым сечением не сказывается на психическом и физическом здоровье ребенка в будущем. Анализируются перспективы развития человеческой цивилизации в случае следования по этому пути.
Книга предназначена для врачей акушеров-гинекологов, семейных врачей, акушерок, студентов медицинских институтов и колледжей, а также для родителей и широкого круга читателей, интересующихся вопросами беременности, подготовки к родам и деторождения, материнства и современного акушерства. Она поможет сделать выбор тем, кто решает для себя вопрос, где и каким образом рожать, для того чтобы впоследствии мать и дитя были здоровы.
Unknown Binding
First published April 1, 2004
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238 people want to read
About the author
Michel Odent
121 books84 followersFor several decades Michel Odent has been instrumental in influencing the history of childbirth and health research.
As a practitioner he developed the maternity unit at Pithiviers Hospital in France in the 1960s and '70s. He is familiarly known as the obstetrician who introduced the concept of birthing pools and home-like birthing rooms. His approach has been featured in eminent medical journals such as Lancet, and in TV documentaries such as the BBC film Birth Reborn. With six midwives he was in charge of about one thousand births a year and could achieve ideal statistics with low rates of intervention. After his hospital career he practiced home birth.
As a researcher he founded the Primal Health Research Center in London (UK), which focuses upon the long-term consequences of early experiences. An overview of the Primal Health Research data bank ( www.birthworks.org/primalhealth) clearly indicates that health is to a great extent shaped during the primal period (from conception until the first birthday). It also suggests that the way we are born has long-term consequences in terms of sociability, aggressiveness or, otherwise speaking, capacity to love.
Michel Odent has developed a preconceptional program (the "accordion method") in order to minimize the effects of intrauterine and milk pollution by synthetic fat soluble chemicals such as dioxins, PCBs, etc. His other research interests are the non-specific long term effects on health of early multiple vaccinations.
Author of approximately 50 scientific papers, Odent has 11 books published in 21 languages to his name. In his books he developed the art of turning traditional questions around, looking at the question of “how to develop good health” rather than at that of “how to prevent disease”, and at the question of “how the capacity to love develops”, rather than at that of “how to prevent violence”. His books The Scientification of Love and The Farmer and the Obstetrician raise urgent questions about the future of our civilizations. His latest book ('The Caesarean') has been published in April 2004.
As a practitioner he developed the maternity unit at Pithiviers Hospital in France in the 1960s and '70s. He is familiarly known as the obstetrician who introduced the concept of birthing pools and home-like birthing rooms. His approach has been featured in eminent medical journals such as Lancet, and in TV documentaries such as the BBC film Birth Reborn. With six midwives he was in charge of about one thousand births a year and could achieve ideal statistics with low rates of intervention. After his hospital career he practiced home birth.
As a researcher he founded the Primal Health Research Center in London (UK), which focuses upon the long-term consequences of early experiences. An overview of the Primal Health Research data bank ( www.birthworks.org/primalhealth) clearly indicates that health is to a great extent shaped during the primal period (from conception until the first birthday). It also suggests that the way we are born has long-term consequences in terms of sociability, aggressiveness or, otherwise speaking, capacity to love.
Michel Odent has developed a preconceptional program (the "accordion method") in order to minimize the effects of intrauterine and milk pollution by synthetic fat soluble chemicals such as dioxins, PCBs, etc. His other research interests are the non-specific long term effects on health of early multiple vaccinations.
Author of approximately 50 scientific papers, Odent has 11 books published in 21 languages to his name. In his books he developed the art of turning traditional questions around, looking at the question of “how to develop good health” rather than at that of “how to prevent disease”, and at the question of “how the capacity to love develops”, rather than at that of “how to prevent violence”. His books The Scientification of Love and The Farmer and the Obstetrician raise urgent questions about the future of our civilizations. His latest book ('The Caesarean') has been published in April 2004.
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Displaying 1 - 10 of 10 reviews
March 21, 2008
This well-written, well-structured, thought-provoking short book written by a doctor reaffirmed my growing conviction that the best way to protect the baby I might one day have is to stay as far away from doctors and hospitals as possible during the birthing process -- unless there is cord prolapse, real placenta praevia, placenta abruption, brow presentation, shoulder presentation or maternal cardiac arrest…in which case I actually need an immediate c-section without delaying trying to force a natural childbirth.
This book also totally fits my stereotype of what happens when a trained scientist ventures into the humanities (okay: real scientists probably don’t consider medical doctors scientists). The book is really concerned with the evolutionary impacts in the long-term (human civilization) on the changing ways humans give birth. Will growing c-section rates alter human evolutionary make-up (and thus human culture) and cause the downfall of civilization as we know it?
His first conjecture is that giving birth by c-section, especially planned c-section influences the human capacity to love. The idea is generally that the hormones naturally released during birth don’t happen during planned c-section and sometimes emergency c-section (c-section intervention into in-process natural childbirth). Using evidence from other animal tests (monkeys, ewes, etc) he ponders: “If other mammals do not take care of their babies after a caesaraean, we must first wonder: What is the future of a civilization born by caesarean?” That is, while humans take care of their babies when born by c-section or with “twilight sleep” other mammals don’t. Humans of course have different ways of communicating and knowing what is happening and why it is happening, etc leading them to take care of the infant. But is our rational thought getting us to take care of babies when our maternal instincts fail to kick in because the baby came out of a different place in our bodies?
Odent’s concern is that scientists think in the short-term. Very few studies examine the effect of c-sections on the emotional and mental well-being of the child in the future. He is concerned that c-sections lead mother and child not to bond properly and the right homormones not to be released. This leads (he conjectures) to increased autism (which he sees as an “an impaired capacity to love”), increased violence and aggressiveness among humans (he points to the high c-section rates of pitbulls), and increased plastic surgery as a marker of potential incapacity to love oneself.
I certainly believe that we don’t think through the long-term possibilities and consequences of modern medical interventions, especially unnecessary medical interventions. We know the story of various medicines used during child birth later found to cause cancer, etc. And I buy that c-section versus vaginal birth may delay infant-maternal bonding because the particular hormones are released. I buy that the synthetic hormones given to you in a hospital do not exactly match or work the same way as the ones given to you naturally.
However, believing this, I am still bothered by the lack of analysis of material and cultural conditions leading to increased violence (are we really more violent?), plastic surgery, etc and I’m sure a whole lot of reasons for increased autism rates (like the pesticides we imbibe or the toxic chemicals we inhale). This gets even more problematic when Odent tries to make comparisons about national cultures (violent Brazil vs. peaceful Amsterdam) without considering the global economic inequalities that shape these apparently national differences. Leave it to a scientist to see culture as far more biologically shaped than I.
So My Fav thing about the book: It broke indications for c-section into “absolute indications” and “debatable indications.” Reading in an anti-c-section book what cases actually require a medical c-section was really important for me, and actually made me feel better informed about communicating with a doctor/midwife about the baby I might have years and years from now (when all the science has changed anyway).
There are other facets of the book that were really good: how does the baby’s gut get friendly versus hostile germs? C-section birth puts baby first into contact with the sterile hospital and the hospital staff. Vaginal birth exposes the baby to the mommy’s digestive tract germs (a good thing for the kid’s health). There was also a section on breastfeeding that tried to move from why breastfeeding is good to how the capacity for breastfeeding develops (and the influence of c-section rates on duration of breastfeeding). Again, he doesn’t contrast c-section and vaginal labor straight up – but vaginal labor/c-section during labor and planned c-section. “When the time of birth has been planned, mother and baby have not been given the opportunity to release the hormones involved in both childbirth and lactation.” It walks you through what to expect if you do need a c-section and his opinions of various antenatal tests.
This book also totally fits my stereotype of what happens when a trained scientist ventures into the humanities (okay: real scientists probably don’t consider medical doctors scientists). The book is really concerned with the evolutionary impacts in the long-term (human civilization) on the changing ways humans give birth. Will growing c-section rates alter human evolutionary make-up (and thus human culture) and cause the downfall of civilization as we know it?
His first conjecture is that giving birth by c-section, especially planned c-section influences the human capacity to love. The idea is generally that the hormones naturally released during birth don’t happen during planned c-section and sometimes emergency c-section (c-section intervention into in-process natural childbirth). Using evidence from other animal tests (monkeys, ewes, etc) he ponders: “If other mammals do not take care of their babies after a caesaraean, we must first wonder: What is the future of a civilization born by caesarean?” That is, while humans take care of their babies when born by c-section or with “twilight sleep” other mammals don’t. Humans of course have different ways of communicating and knowing what is happening and why it is happening, etc leading them to take care of the infant. But is our rational thought getting us to take care of babies when our maternal instincts fail to kick in because the baby came out of a different place in our bodies?
Odent’s concern is that scientists think in the short-term. Very few studies examine the effect of c-sections on the emotional and mental well-being of the child in the future. He is concerned that c-sections lead mother and child not to bond properly and the right homormones not to be released. This leads (he conjectures) to increased autism (which he sees as an “an impaired capacity to love”), increased violence and aggressiveness among humans (he points to the high c-section rates of pitbulls), and increased plastic surgery as a marker of potential incapacity to love oneself.
I certainly believe that we don’t think through the long-term possibilities and consequences of modern medical interventions, especially unnecessary medical interventions. We know the story of various medicines used during child birth later found to cause cancer, etc. And I buy that c-section versus vaginal birth may delay infant-maternal bonding because the particular hormones are released. I buy that the synthetic hormones given to you in a hospital do not exactly match or work the same way as the ones given to you naturally.
However, believing this, I am still bothered by the lack of analysis of material and cultural conditions leading to increased violence (are we really more violent?), plastic surgery, etc and I’m sure a whole lot of reasons for increased autism rates (like the pesticides we imbibe or the toxic chemicals we inhale). This gets even more problematic when Odent tries to make comparisons about national cultures (violent Brazil vs. peaceful Amsterdam) without considering the global economic inequalities that shape these apparently national differences. Leave it to a scientist to see culture as far more biologically shaped than I.
So My Fav thing about the book: It broke indications for c-section into “absolute indications” and “debatable indications.” Reading in an anti-c-section book what cases actually require a medical c-section was really important for me, and actually made me feel better informed about communicating with a doctor/midwife about the baby I might have years and years from now (when all the science has changed anyway).
There are other facets of the book that were really good: how does the baby’s gut get friendly versus hostile germs? C-section birth puts baby first into contact with the sterile hospital and the hospital staff. Vaginal birth exposes the baby to the mommy’s digestive tract germs (a good thing for the kid’s health). There was also a section on breastfeeding that tried to move from why breastfeeding is good to how the capacity for breastfeeding develops (and the influence of c-section rates on duration of breastfeeding). Again, he doesn’t contrast c-section and vaginal labor straight up – but vaginal labor/c-section during labor and planned c-section. “When the time of birth has been planned, mother and baby have not been given the opportunity to release the hormones involved in both childbirth and lactation.” It walks you through what to expect if you do need a c-section and his opinions of various antenatal tests.
April 11, 2011
I guess it's a case of - if you agree with Michel Odent, then there's not much to disagree with, is there. A few things I thought were a bit irresponsible re: attempts to link between caesarean and autism, caesarean and development of culture/society ...and yes, I did wish he would stop banging on about 'love hormones'.
December 19, 2018
Eu passei a conhecer as ideias do Michel Odent por causa da minha irmã. E quando ela falava coisas sobre parto natural/normal, eu pensava que ela estava ficando doida. Aí comecei a entender melhor do que se tratava e passei a demonizar a cesárea. Ou seja, estava totalmente errada outra vez. E essa mesma desinformação se deu com o trabalho do Michel Odent. Como não tinha lido nada do autor, tinha uma visão totalmente distorcida do que ele realmente acredita. Achava que ele era um xiita pregador de parto natural e ponto final. Mais uma vez, eu estava totalmente enganada. E por pura falta de informação!
Este livro do Dr. Odent é excelente porque é balanceado e é bem explícito no que diz respeito ao pensamento do autor. Fala dos prós e contras das cesáreas (eletivas e de emergência) e também aborda o parto normal de forma bem direta. Não achei que força a barra empurrando o parto natural, pelo contrário. Fiquei até surpresa quando ele diz que “há uma necessidade urgente de desafiar ideias que traduzem e transmitem a profunda falta de entendimento das necessidades básicas da mulher em trabalho de parto. Algumas se originam de ambientes que pregam o parto natural.”
!!!!!
Ou seja, independe da via de parto, o que importa é o empoderamento da mulher. Seus instintos, vontades, limites, devem ser ouvidos e respeitados. Para isso, precisamos nos informar. O empoderamento vem de dentro. Informe-se! Questione! Empodere-se! Conheça os riscos da cesárea e também do parto normal. Acredito que esta obra do Dr. Odent pode ser uma excelente fonte de informação para que mães de primeira viagem (ou segunda...) estejam em controle do que fomos programaras a fazer: parir.
Este livro do Dr. Odent é excelente porque é balanceado e é bem explícito no que diz respeito ao pensamento do autor. Fala dos prós e contras das cesáreas (eletivas e de emergência) e também aborda o parto normal de forma bem direta. Não achei que força a barra empurrando o parto natural, pelo contrário. Fiquei até surpresa quando ele diz que “há uma necessidade urgente de desafiar ideias que traduzem e transmitem a profunda falta de entendimento das necessidades básicas da mulher em trabalho de parto. Algumas se originam de ambientes que pregam o parto natural.”
!!!!!
Ou seja, independe da via de parto, o que importa é o empoderamento da mulher. Seus instintos, vontades, limites, devem ser ouvidos e respeitados. Para isso, precisamos nos informar. O empoderamento vem de dentro. Informe-se! Questione! Empodere-se! Conheça os riscos da cesárea e também do parto normal. Acredito que esta obra do Dr. Odent pode ser uma excelente fonte de informação para que mães de primeira viagem (ou segunda...) estejam em controle do que fomos programaras a fazer: parir.
June 30, 2025
Pár zajímavých myšlenek. Jestli tuhle knihu ale chcete číst kvůli potenciální přípravě na císařský řez a co je o něm dobré vědět, bude pro vás kniha možná zklamáním, jako byla pro mě.
Kniha je částečně manifest o tom, že císařské řezy nejsou zas tak fajn a neměly by se dělat rutinně. Ok. Tak to asi souhlasíme všichni. Ale když nemáte úplně na výběr, je vám to celkem k ničemu. 🤷🏼♀️
Zároveň je kniha z roku 2016, takže je tam plno uváděných výzkumů už pravděpodobně zastaralých a současné porodnictví (alespoň v ČR) se už docela posunulo.
Bylo by dobré knihu opět aktualizovat.
Kniha je částečně manifest o tom, že císařské řezy nejsou zas tak fajn a neměly by se dělat rutinně. Ok. Tak to asi souhlasíme všichni. Ale když nemáte úplně na výběr, je vám to celkem k ničemu. 🤷🏼♀️
Zároveň je kniha z roku 2016, takže je tam plno uváděných výzkumů už pravděpodobně zastaralých a současné porodnictví (alespoň v ČR) se už docela posunulo.
Bylo by dobré knihu opět aktualizovat.
February 15, 2020
Mi-a placut sa aflu informatii despre istoria operatiei de cezariana, motivele pentru care a crescut in popularitate, culturile care promoveaza cezariana vs cele care promoveaza nasterea naturala, situatiile in care una este mai potrivita decat cealalta, ce se intampla in organism in momentul nasterii, etc. O lectura utila si accesibila (limbaj pe intelesul tuturor), bine documentata fata de cartile tip ‘mama si copilul’.
July 12, 2017
Excelente libro que todo profesional de la salud deberíua leer con el fin de evitar esta intervención de forma innecesaria.
Nos hace reflexionar sobre diversos temas y desmitifica otros.
Por mi parte, siento que cambió la forma en que veía muchas cosas.
Nos hace reflexionar sobre diversos temas y desmitifica otros.
Por mi parte, siento que cambió la forma en que veía muchas cosas.
February 4, 2019
Very useful information and a very honest approach to what has become a big “industry” today.
February 24, 2015
Another good one. There were quite a few similarities between this book and Childbirth and the Future of Homo Sapiens so I thought I wouldn't use as many Post-it flags to mark particularly interesting passages but I actually used more because there was just so much there.
Michel Odent is easy to read and he just lays it out without a lot of superfluous chit chat. There are usually one or two spots in each book where I think a little more might actually be nice (I was looking for the one instance in this book bit did not mark it).
Is there really hope for us? Odent seems to think there might be. I have to admit that I am somewhat skeptical.
Michel Odent is easy to read and he just lays it out without a lot of superfluous chit chat. There are usually one or two spots in each book where I think a little more might actually be nice (I was looking for the one instance in this book bit did not mark it).
Is there really hope for us? Odent seems to think there might be. I have to admit that I am somewhat skeptical.
June 25, 2011
Very thought-provoking. Officials involved public health management of obstetrics wards specifically should give it a read. Mothers who have had a cesearean and are planning a second pregnancy might be better consulting a VBAC book. Midwives, Doulas: the few short pages in Chapter 15 explaining what happens during a cesearean might be worth reading to your clients.
November 5, 2014
It was very informative book. I am glad I put time to read it. But as far as considering only natural delivery, I personally did not need to learn the details about Caesarean. I'd rather save my time to read something more specific about natural childbirth. Thats why I gave 3 stars, although the book deserves an excellent mark for its educative purpose, wise details and well organized thoughts.
Displaying 1 - 10 of 10 reviews