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高齡產(chǎn)婦剖腹產(chǎn)好還是順產(chǎn)好？哪種對(duì)身體好？

出處：媽媽育兒網(wǎng) 日期：2020-07-11 11:45:00 編輯：Limbo
剖腹產(chǎn)對(duì)產(chǎn)婦的身體素質(zhì)要求較小，順產(chǎn)對(duì)產(chǎn)婦的身體素質(zhì)要求較高，那么高齡產(chǎn)婦剖腹產(chǎn)好還是順產(chǎn)好？哪種對(duì)身體好？下面的內(nèi)容一起來(lái)看看吧！

高齡產(chǎn)婦剖腹產(chǎn)好還是順產(chǎn)好？

　1.產(chǎn)科臨床上將年齡≥35歲第一次分娩的孕婦稱為高年初產(chǎn)婦。因其年齡偏高，胎兒可能是唐氏兒的概率是普通孕婦的4倍。更容易合并高血壓、妊娠期糖尿病，有些人嘗試很多方法才懷上孕所以屬于高危妊娠，需要密切關(guān)注。足月后，在37周，醫(yī)生會(huì)根據(jù)孕婦的實(shí)際情況，孕期是否順利，胎兒大小，骨盆條件，綜合鑒定，決定分娩方式。
     2.高齡孕婦的子言機(jī)能也不如普通孕婦,高齡孕婦的產(chǎn)道會(huì)比較松弛、產(chǎn)力會(huì)比較弱、陰道和官頸擴(kuò)張能力都會(huì)下調(diào),這種情況下順產(chǎn)無(wú)疑是一只腳已經(jīng)踏進(jìn)鬼門]關(guān)了,極其危險(xiǎn);很容易在順產(chǎn)過(guò)程中,大出血、難產(chǎn),造成母嬰俱損,即使萬(wàn)幸順利生產(chǎn),那新生兒的身體機(jī)能比正常新生兒也是相差甚遠(yuǎn)。一般醫(yī)生都是會(huì)建議高齡產(chǎn)婦做剖腹產(chǎn)的，但也不是不能順產(chǎn)。
     3.高齡孕婦如果想要順產(chǎn)，在懷孕期間要嚴(yán)格控制體重的增長(zhǎng)，整個(gè)妊娠期的增重控制在25斤左右。孕婦要做到每天散步，也可以做些瑜伽，把胎兒的體重控制在6~7公斤之間。只要體力好，胎兒處于頭部位置，大小在6~7公斤之間，骨盆正常，就可以嘗試順產(chǎn)。

哪種對(duì)身體好？

1、剖宮產(chǎn)的好處：麻醉下，孕婦疼痛較輕，時(shí)間可控制，胎兒分娩快。剖宮產(chǎn)的不利之處：麻醉風(fēng)險(xiǎn)，術(shù)中或術(shù)后出現(xiàn)一些相應(yīng)的并發(fā)癥，如：出血多，膀胱直腸損傷，傷口感染，腸梗阻。剖宮產(chǎn)術(shù)后，應(yīng)特別注意避孕問(wèn)題，萬(wàn)一避孕失敗而做人工流產(chǎn)術(shù)時(shí)，會(huì)增加手術(shù)難度和危險(xiǎn)性。若是繼續(xù)妊娠，則無(wú)論在妊娠或分娩過(guò)程中，都存在子宮疤痕破裂的可能性。出現(xiàn)新生兒肺炎、肺不成熟等。
2、要想順利自然分娩，需要孕期增長(zhǎng)合適的體重，整個(gè)孕期平均增長(zhǎng)25斤左右。每天散步運(yùn)動(dòng)，也有人做瑜伽，保持胎兒體重在6至7斤之間。如果懷孕困難、胎兒寶貴如試管嬰兒，害怕產(chǎn)程中胎兒意外，初產(chǎn)臀位，的確有可能造成新生兒產(chǎn)傷，可以放寬手術(shù)指征。高年初產(chǎn)，只要體力好，胎兒頭位，大小在6至7斤之間，骨盆正常，可以試產(chǎn)。但高年初產(chǎn)的產(chǎn)力、宮頸彈性、擴(kuò)張能力，的確略輸于年輕人，試產(chǎn)中產(chǎn)程停滯改剖宮產(chǎn)，陰道分娩產(chǎn)力不足，需要產(chǎn)鉗助產(chǎn)的可能性高于年輕孕婦。以北京婦產(chǎn)醫(yī)院為例：試產(chǎn)時(shí)產(chǎn)程受阻、胎兒宮內(nèi)窘迫改為剖宮產(chǎn)的可能性為5%左右，產(chǎn)鉗助產(chǎn)的可能性3%至5%。

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