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側切傷害產婦 專家鼓勵孕產婦對側切說“NO”(2)

出處：媽媽育兒網 日期：2014-02-14 10:55:44 編輯：Chen

會陰側切相對會陰自然裂傷來說，出血多、疼痛劇、愈合較慢且感染率高，對產婦的盆底肌群損傷較大，更重要的是，順產的孕婦產在被告知要進行會陰側切會讓她們感到擔憂和恐懼，影響分娩過程的順利進行。要知道，精神緊張也是誘發(fā)難產的原因之一。

“事實上，只要助產士素質高，有耐心，絕大多數(shù)產婦(90%以上)是根本不需要側切，只有極少數(shù)特殊情況才用。”Jan進一步解釋，通過她幫助分娩的孕產婦從來沒有“側切”這回事。“我們在孕產婦分娩過程中會告知她們身體已經做好了一切準備以迎接寶寶的到來，并不需要任何認為的干預。

” 當然也有某些特殊情況下需要進行側切，例如一些高危孕產婦：如第二產程胎兒宮內窘迫，難產陰道助產，母親有嚴重內科病(心臟病、高血壓、糖尿病等)不耐受過長產程者，這個時候才會考慮會陰側切。

專家鼓勵孕產婦要對側切說“不”

任何婦女都不希望自己在分娩的時候被多切一刀。“這樣對產婦的傷害實在是太大，”Jan在接受專訪時再一次強調。她透露，在以前，美國的側切率也不少。但是越來越多的孕產婦在會陰側切問題上意識到其傷害性，主動的向醫(yī)生和助產士表明“反對側切”。“這個需求很重要，”Jan說，“正因如此，在醫(yī)生和孕婦共同努力下，現(xiàn)在美國自然分娩的側切率非常的低，幾乎沒有。”

為了避免會陰側切，美國的孕婦主動配合助產士在孕期關于營養(yǎng)、運動等的指導工作，盡力做到營養(yǎng)均衡，適當鍛煉，控制自己和胎兒的體重，為順利分娩最好準備。

分娩期間，產程過快、產婦過度緊張都有可能導致會陰撕裂。“助產士可幫助產婦減慢產程，減少傷害，”Jan解釋，“若產婦過分緊張，助產士會用冰塊置于產婦脖子，可有效減緩緊張的情緒。”先進的陰道助產術讓許多產婦避免了側切的痛苦，她表示，提高中國助產士的專業(yè)技術水平不難，關鍵還是在于孕產婦對分娩的觀念問題。

“歸根到底，會陰側切率居高不下原因在于教育和觀念問題，”Jan說，“我們要讓婦女了解側切的真相，主動要求‘反對側切’，在助產技術上面，完全可以避免會陰側切。”

本文由媽媽育兒網（http://www.15thirdstreetblackrock.com/）小編編輯整理

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