How an osteopath can help after childbirth with hypoxia

How an osteopath can help after childbirth with hypoxia

04.07.2022 0 By admin

Hypoxia – acute or chronic oxygen starvation of tissues, ischemia. This condition is the start for a neurological deficit, which can manifest itself in a child in different ways: mild developmental features and hyperexcitability (or lethargy) or very serious disorders. For the treatment of a child with hypoxia, various specialists are involved, including an osteopath, who helps the body in restoring lost functions.

Osteopathy after childbirth with hypoxia
Treatment sessions with an osteopath will help compensate for disorders in the functioning of the nervous system . Photo: © Ksenia Chernaya / Pexels

One of the effective ways to correct the condition caused by oxygen starvation of brain cells in a baby is osteopathic support. For children whose nervous system has suffered significantly, the help of an osteopath is also relevant: after treatment sessions, many disorders can be compensated. In many countries, the osteopathic approach to pediatrics is included in the standards of care.

The basic tenet of osteopathy is that the structures and functions of the body are closely related, so human health depends on neurological, musculoskeletal and visceral structures working together in balance.

Nina Yuryevna Yankina , an osteopathic doctor, a neonatologist at the OSTEO POLY CLINIC osteopathy clinic, will tell you how an osteopath can help.

Hypoxia negatively affects not only the functioning of the brain and spinal cord. The cardiovascular, endocrine, respiratory systems, gastrointestinal tract, and muscles also suffer.

What is fetal hypoxia

Oxygen starvation – hypoxia – the fetus can be exposed in the womb, during birth or after childbirth. The state of hypoxia occurs due to a violation of the flow of arterial blood to the brain or a difficulty in the outflow of venous blood.

Hypoxia during childbirth
Hypoxia occurs due to impaired blood flow to the brain Photo: © Jonathan Borba / Pexels

One of the factors in the development of chronic intrauterine hypoxia is uteroplacental insufficiency, which is caused by:

  • complicated course of pregnancy, constant threat of interruption, diagnosed preeclampsia;
  • malformations in the fetus;
  • anemia;
  • phospholipid syndrome;
  • multiple pregnancy, anomalies in the structure of the uterus;
  • severe somatic pathologies – diseases of the heart, lungs, pancreas, liver, kidneys, blood and other organs;
  • abuse of alcohol, nicotine, drugs;
  • anomalies in the development of the placenta, umbilical cord;
  • Rhesus conflict;
  • genetic and chromosomal diseases of the fetus;
  • infections transferred during pregnancy, exacerbation of chronic pathologies.

There are several causes of acute hypoxia:

  • heavy, protracted childbirth;
  • umbilical cord pathology (loops prolapse, true knot, tight entanglement, and others);
  • birth trauma;
  • premature detachment of the placenta;
  • uterine bleeding.

The most severe degree of hypoxia is asphyxia. This is a state of suffocation, in which an excess of carbonic acid metabolites accumulates in the tissues, and the level of oxygen in the blood falls critically. As a result of ischemia, nerve cells die and cystic tissue degeneration occurs.

What threatens hypoxia to a child

The consequences of hypoxia are multifaceted, they depend on the number of dead cells of the central nervous system and localization.

In medical language, the diagnosis in a child sounds like “hypoxic-ischemic encephalopathy of the newborn.” Clinical manifestations are varied, the baby may have “his” set of symptoms:

  • excessive excitability, poor sleep, obsessive movements, causeless crying, daytime retardation;
  • trembling of the chin;
  • lag in mental and physical development;
  • hyper- or hypotonicity of muscles;
  • tilting the head;
  • restless behavior;
  • convulsions;
  • frequent vomiting.

The consequences of hypoxia can be expressed by lesions of the nervous system – hydrocephalus (hydrocephalus), persistent increase in intracranial pressure, headaches, strabismus, epilepsy, torticollis formation – the child tries to give the head a forced position to reduce pain.

Immediately after birth and after some time, neonatologists evaluate the child’s condition on the Apgar scale, the norm is 9–10 points.

In a newborn with a score of less than 6, the risk of neurological disorders in the future is significantly increased.

Osteopathy after childbirth with hypoxia

Osteopathy for the treatment of hypoxia
Osteopathic treatment does not involve pain. Photo: © Nataliya Vaitkevich / Pexels

Treatment of a baby who has undergone hypoxia is a painstaking work of neurologists, neuropsychologists, exercise therapy specialists, speech therapists, and osteopaths. Children’s neurologists prescribe drugs to improve blood circulation, multivitamin complexes, sedatives, physiotherapy, refer them to massage, passive physiotherapy exercises and other procedures.

The human brain has neuroplasticity, the ability to recover from damage, and this property is especially well developed in newborns. Therefore, if a child is diagnosed with hypoxic-ischemic encephalopathy, one should not hesitate – the sooner adequate treatment is started, the greater the chance of success.

An osteopath is a doctor who “hears” and heals with his hands. Behind the development of such abilities is a huge work, practice, knowledge of human anatomy and physiology.

Osteopathy is a safe and painless method of diagnosis and treatment, so mothers can be calm about the well-being of babies during and after admission. The osteopathic effect is very gentle and gentle, which is why osteopaths often work with young children during feeding or sleeping.

The complex of measures is aimed at helping the body to restore lost functions.

In the arsenal of an osteopath there are special soft techniques that help:

  • eliminate restrictions on the mobility of the bones of the skull, thereby improving the inflow of arterial blood and the outflow of venous blood through the vessels of the brain;
  • relax the suboccipital muscles that compress the arteries;
  • stabilize muscle tone, motor activity;
  • normalize intracranial pressure.

Treatment by an osteopath is not associated with pain and does not aggravate the underlying problem, on the contrary, in 95% of cases it is possible to achieve improvement.

Positive dynamics can often be seen after the first visit to an osteopath: marbling of the skin disappears, protruding veins become less noticeable. After several courses of osteopathic support, the child becomes calmer, begins to gain weight, sleep improves, and interest in the world around him appears.

The doctor determines the number and frequency of sessions at the first appointment, depending on the condition of the small patient.

Bibliography

  1. Cerebral palsy in children. Clinical guidelines. – Union of Pediatricians of Russia, Ministry of Health of the Russian Federation. – 2016. – 36 p.
  2. Radzinskaya E. V. Osteopathy in pediatrics: history, achievements, prospects. // StatusPraesens – pediatrics and neonatology. – V. 3 (80), No. 10, 2021. – S. 18-25.
  3. Hypoxic ischemic encephalopathy due to asphyxia during childbirth. Clinical guidelines. — All-Russian public organization for promoting the development of neonatology “Russian Society of Neonatologists” (RON), Russian Association of Perinatal Medicine Specialists (RASPM). – 2021. – 65 p.
  4. Fundamentals of osteopathy: a guide for doctors /A. N. Akhmetsafin, S. A. Akhmetsafin, E. R. Barantsevich, Yu. K. Kodzaev, V. V. Andreev. – St. Petersburg: RIC PSPbGMU, 2018. – 62 p.