quinta-feira, 1 de dezembro de 2005

Ecologia abastardada

Estive no fim de semana passado na maior feira de Agricultura Biológica, da Península Ibérica.
Decorreu aqui bem perto de minha casa: Alcântara, em Lisboa.
Comigo desde 1968 dedicando-me a estes assuntos, este ano fiquei mesmo muito contente por ver a feira tão grande e diversificada.
Porém, agora que todos respeitam as preocupaçõe ecológicas não há cão nem gato que não pretenda arrogar-se em ecologista.
No meio de todos os maiores crimes ecológicos lá encontram um promenorzinho para se dizerem de qualidade ecológica.
Dava para rir se não fosse tão triste.
Não estou a falar dos expositores da Terra Sã 2005. Na maioria são meus velhos conhecidos de outros tempos. Em que até comer arroz integral ou mesmo açucar amarelo era ilegal. Tudo pelo bem da nossa saúde, diziam eles.
Disto tudo se vê como as leis são produtos efémeros. E demasiadas vezes sem legitimidade.
O que ainda nos vai valendo é que o mundo é composto de mudança.

4 comentários:

Anónimo disse...

As fêmeas que dão à luz por cesariana regeitam as crias.
Nos humanos aparentemente não será assim. Mas estas gerações mais recentes andam bastante desumanas.
Será por serem filhas do leite nestlé e das cesarianas industrializadas?
Que objectivos políticos seriam os pretendidos com a desumanização do parto e do aleitamento?

Veja agora como estes bandidos promocional a venda de cesarianas:
http://www.mayoclinic.com/health...section/ MM00531

Anónimo disse...

Japan's health ministry says it plans to reissue a warning of dangerous behavioral side effects linked to the anti-influenza drug Tamiflu. This comes amid reports that several children in Japan died after taking the medication. Governments around the world are stockpiling the medicine amid growing fears of a possible human pandemic of avian influenza.

Japan's health ministry says it is looking into reports of a number of sudden deaths of young people who had taken prescribed dosages of Tamiflu.

The ministry confirms that it has concluded that the death of one boy was the result of side effects from the drug. The ministry says it has found 64 cases of psychological disorders linked to the drug in the past four years.

Dr. Rokuro Hama, head of the Japan Institute of Pharmaco-Vigilance, says he has investigated eight suspicious deaths of children aged between two and 17 over the past three years, which he thinks are linked to Tamiflu. He reported his findings Saturday at a meeting of the Japan Society of Pediatric Infectious Diseases.

Dr. Hama said Sunday that Tamiflu appears to be similar to other powerful drugs that can cause behavioral changes. "These are tranquilizers, sedatives or hypnotics. These cause discontrol or disregulation of the central nervous system. So it may cause very bizarre phenomenon or behavior," said Dr. Hama.(…)
Tamiflu, which has the generic name of oseltamivir phosphate, is produced by Roche, based in Switzerland. The medication inhibits the growth of flu virus in humans.
Roche, in its consumer information, says there have been cases of seizures and confusion in patients who have taken Tamiflu but, as with a number of other side effects, "it is not possible to reliably estimate their frequency or establish a causal relationship to Tamiflu exposure."

Roche officials at its headquarters in Switzerland and the United States were not available Sunday to comment directly on the new warning from Japan. However, a company statement issued Sunday said Tamiflu has been shown to have a "good safety profile". Roche says it monitors reports of side effects but says they must be considered in the context of flu symptoms, which includes high fevers that can lead to neurological complications.
Japan, like many other nations, is boosting its stockpile of Tamiflu, in case there is a flu pandemic in the next few years. The government is trying to acquire 250 million capsules to cover treatment for 25 million people.

Anónimo disse...

Ainda bem que finalmente estão a fechar tantas maternidades!
Assim talvez possamos voltar a parir em paz e socego. Sem termos tantos médicos masculinos ou masculinizados, arrogantes e a complicar-nos o acto. E a ganharem menos dinheiro para os porshes com as cesarianas...
Wall Street Journal Article - Wall Street Journal Article:
Doula Controversy
As 'Doulas' Enter Delivery Rooms, Conflicts Arise Hired to Help in
Childbirth, They Sometimes Clash With Doctors and Nurses
There's a new work force entering obstetrics wards. They are often
strangers to the staff and unrelated to the patients. They aren't
licensed and aren't required to have any formal medical training.
And they are sparking protests in the medical community.
The workers are called doulas.
Named after the Greek word for slave, most doulas (pronounced doo-
lah) are hired by expectant parents. Some just care for the mother
at home after the baby is born. "Birth doulas" sit by the mother's
side through the delivery, rubbing her back, suggesting alternate
positions, listening to her fears and doing anything else that might
help her through labor.
Many birth doulas advocate natural-birth methods that spurn common medical procedures, and from their post at the mother's bedside they are in a strong position to enforce that philosophy. Doctors complain that birth doulas sometimes persuade laboring mothers to reject Caesarean sections, medication and other treatments deemed medically necessary. Obstetrician Christie Coleman was growing frustrated during a 2002 delivery at Lucile Packard Children's Hospital in Palo Alto, Calif.
Her patient's membranes had ruptured days before. The doctor feared
each minute was increasing the risk of an infection to the unborn
[Christie Coleman]
For hours, Dr. Coleman says, she asked her patient to take the drug
Pitocin, commonly used to help labor progress. Each time, the patient would send the doctor out of the room and confer with her birth doula. "I was spending hours trying to explain that this was
for the baby's health, and it was just 'no, no, no,' " recalls Dr.
Coleman, head of obstetrics and gynecology for the Palo Alto clinic
of the Palo Alto Medical Foundation, one of Silicon Valley's largest
medical groups. "I felt so powerless."
After being in labor for three days, the patient finally changed her
mind and a few hours after the medication was administered, she gave birth. The baby, born with an infection, went to the ntensive-care unit. "This beautiful little girl ended up needing a week of antibiotics and I felt horrible," says Dr. Coleman. The mother
declined to be interviewed. Doulas are no longer welcome at the Palo
Alto clinic.
Physicians aren't allowed to administer medical treatment without
the patient's consent. In the case of a disagreement in which the
baby's health is at stake, the doctor must either go along with the
mother's wishes, offer the patient the option to be cared for by
someone else if time allows, or in rare cases, request involvement
of the court, according to the American College of Obstetricians and Gynecologists.
In most cases, birth doulas are helpful to laboring women, many
doctors say. A growing number of studies have linked the attendance
of lay people such as doulas to faster and easier deliveries and a
reduced reliance on epidural anesthesia, Caesareans and other
medical procedures.
Birth doulas have become particularly popular with older first-time parents, who tend to have higher disposable incomes. In big cities, where birth doulas are most often used, they charge anywhere from $800 to $1,000 or more -- generally for attendance at the birth, plus one visit before and after.
At least five national groups now offer doula training, which
typically consists of a weekend workshop, writing an essay, reading
books about labor and delivery and witnessing a couple of births.
About 25,000 people have gone through training with Doulas of North America, the largest group, since it was founded in 1992. But anyone can say they are a birth doula; there is no certification or license required. No academic credential, such as a college degree or high-school equivalency, is generally required either.
By contrast, certified nurse-midwives who can deliver babies at a hospital without an attending doctor - are nurses who must undergo an additional year or two of training in pregnancy and delivery.
Doulas and their supporters say the resistance they face from some
doctors echoes previous conflicts between the medical establishment
and advocates for change. "Natural childbirth wasn't a smooth go,
and getting fathers into the delivery room was a huge battle," says Penny Simkin, co-founder of Doulas of North America. "It's always been a turf battle."
[Penny Simkin]
She says having a doula in the delivery room may help ensure that
mothers' wishes are respected. "Some physicians want to be in charge ... sometimes leading the woman to believe there's a medical reason for a Caesarean or induction when there isn't one," Ms. Simkin says. "If there's a knowledgeable person -- a witness -- it's a little harder for doctors to do these things."
Many mothers say doulas helped them advocate for the kind of birth
they wanted. Susan Linville, a Louisville, Ky., mother who had her
first baby by Caesarean, says her birth doula persuaded her to
switch doctors to find a practice that would support her decision to
deliver a second baby vaginally. "I couldn't have done it without
her," says Ms. Linville, who delivered her baby three months ago.
Kim Green, a writer in San Francisco, thought the "presence of a doula would mitigate the interventionist nature of a hospital
birth." But there was another reason: She and her husband wanted a
helper with experience. "We felt that attending a woman giving birth
is not a job for a husband, necessarily."
The Washington-based American College of Obstetricians and
Gynecologists doesn't have an official position on doulas, but a
spokeswoman says it endorses support people in the delivery room "as
long as they know what their role is in the delivery process ...
that their major function is to provide psychological support to the
With so many people now getting into the doula business, doctors say
that a few are overstepping boundaries in ways that could be
dangerous. In Austin, Texas, pediatrician and baby-care author Ari Brown says one of her patients recently phoned her birth doula first about an ailing newborn. The doula advised the mother to continue
nursing and wait to see the doctor at a regularly scheduled
appointment. By the time Dr. Brown was contacted, she says the
baby's levels of bilirubin, a waste product created by the breakdown
of red blood cells, was 18 milligrams; levels higher than 20 can cause deafness and brain damage in some babies.
"I really wish the mom called me instead of her doula," says Dr.
Brown. "I think parents don't realize their doula doesn't have any
medical training."
John Bagnasco, an obstetrician at Providence Health Center in Waco,
Texas, says "some doulas feel their role is to act as an intermediary, which I find bothersome." He worries that in certain cases, a doula may be "providing medical opinions."
While birth doulas are still a new concept in much of the country,
the clash is particularly evident in the San Francisco Bay Area, one
of the epicenters of the natural-childbirth movement.

Patricia Robertson, professor at the University of California San
Francisco's Perinatal Medicine and Genetics Division, which handles
many higher-risk deliveries, says she's seen doulas "all but refuse"
to let her examine her patients.
Doctors at California Pacific Medical Center, San Francisco's
largest birthing hospital, say there have been several instances of
babies who needed resuscitation after doulas persuaded mothers to
delay Caesareans. Obstetrician Katherine Gregory says doulas have
offered suggestions that are medically unfounded. Dr. Gregory says one doula at her hospital suggested that a patient who was in danger of bleeding to death might be cured by nipple stimulation. Another
doula, she says, recently persuaded a patient to refuse accepting
intravenous fluids, even through Dr. Gregory believed the patient
was badly dehydrated.
Responding to staff concerns, California Pacific now distributes a
list of recommended doulas. It inserted a clause in patient
contracts saying that doulas must submit to the medical staff's
decisions. More recently, the hospital began handing out similarly
worded statements to every doula entering the ward. Because doulas
are "involved in emotional support they can have tremendous influence on the patients," says Fung Lam, a doctor for 20 years at
California Pacific Medical Center and a partner of Dr. Gregory's.
A little over a year ago, after attending a natural-birth class and
reading extensively about childbirth, Laura Hall, a 35-year-old career counselor in Washington, decided to stay home during labor as long as she could. She hired a doula to advise her on when to go to the hospital and help with the delivery itself. As Ms. Hall's contractions worsened, she repeatedly suggested to her doula, whom she declines to identify, that the time had arrived. "She said, 'Oh
no, you have lots of time,' " Ms. Hall recalls.
Four hours later, Ms. Hall realized she was really close to giving
birth. She spent a frantic ride in the backseat of a car on her
hands and knees. Minutes after arriving at the hospital, she
delivered her baby boy. "I trusted that she knew more than I did,"
Ms. Hall now says. "It was not a smart thing to do."
Marshall Klaus, professor of pediatrics at University of California at San Francisco, co-published pioneering studies on the benefits of using birth doulas in the Journal of the American Medical Association in 1991. He later helped establish Doulas of North America. In training doulas, the group strongly counsels them
against meddling with medical decisions. "Sometimes, even though we tell doulas frequently they are not to argue with a doctor, they
do," Dr. Klaus says.
Last fall, at an Oxford Suites hotel in Yakima, Wash., nine doulas-
to-be gathered for a three-day training session organized under the
auspices of the Association of Labor Assistants and Childbirth
Educators. The association, based in Cambridge, Mass., says it has
trained about 4,500 doulas. Unlike other doula groups, this
association doesn't ask its students to forswear involvement in
medical decision-making. It also is more explicit about promoting
the benefits of a nonmedicated birth.
As the scent of peppermint oil filled the air, Nancy Draznin, a
doula and midwife from Genesee, Idaho, counseled her students not to
go into the hospital "with their dukes up." But she also showed a
video in which a mother tells how a male doctor arrogantly informed
her she had just a 4% chance of delivering a baby vaginally and
needed an unwanted Caesarean. "It happens a lot," said Ms. Draznin,
who advised her students to wait until the doctor leaves the room
and then encourage the mother to keep trying to deliver vaginally.
Ms. Draznin suggested insurance should pay for doulas, noting that
hospitals charge $6,000 for a Caesarean. Her students responded that they believe doctors promote Caesareans because they will get more money by doing them. "There goes the new Porsche," said one.
Some new mothers and doulas complain that hospital staffers are
hostile toward doulas. In 2002, when Jessica Kennedy was delivering
her second child at California Pacific, she asked the doctor whether she could continue lying on her side. But when her doula tried to reiterate the point, the obstetrician refused to acknowledge the doula's presence, Ms. Kennedy says. She also thinks she received
scant attention from hospital nurses because a doula was there. Ms.
Kennedy, herself a labor and delivery nurse, helped establish a
volunteer doula program at Kaiser Permanente, the San Francisco
hospital where she works.
Felicia Roche, a doula who is on California Pacific's recommended
list, says some nurses and doctors there still refuse to acknowledge
her presence. A few months ago, she says, a nurse poked her in the
arm and stormed out of the room when she was trying to help her client, who didn't want to receive fluids intravenously.
Ms. Roche, an Oakland, Calif., resident whose license plate
reads "DOULAAA," points out that patients who hire her are more
likely to question medical procedures. But whenever a patient is reluctant to proceed with a treatment, doctors and nurses often
assume it is due to Ms. Roche's influence, she says. "I can't even
tell you how often nurses think it's the doula's fault," she says. A
California Pacific spokesperson responds that patient care and
safety is the hospital's first priority.
Some hospitals have found a solution in creating in-house doula
programs, using a regular group of doulas to work with birthing
teams. Danbury Hospital in Connecticut subsidizes a program that offers doulas to laboring patients for a $100 fee. "In the
beginning, physicians looked at us as like we were voodoo," says
Sandy McGuire, program manager for women's services. "But as time
went on, they started to see we're not after the nurses' jobs, and
we're not trying to tell the physicians how to practice, and they
realized that we are a benefit to them."
"A Humanização do Nascimento é a devolução do protagonismo à mulher"

Anónimo disse...

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