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      导乐分娩

      【导读】导乐分娩是开始于1996年的美国,最初是让孕妇听着音乐生孩子。让产妇放松心情,然后使孕妇减轻疼痛的生产。

        导乐分娩对产妇的作用是不言而喻的,几乎所有的产妇都不希望自己独自面对分娩,导乐分娩正好满足了产妇希望有人陪伴的心理需求。

        有统计数据表明,有导乐陪伴的产妇,其产程平均缩短了2-3个小时。而且,实施导乐分娩的产妇,其生产和产后的出血量也会减少,需要手术助产的比率降低,新生儿的发病率也呈降低趋势,更加有利于母婴健康。导乐分娩是世界卫生组织所倡导的最理想的自然分娩方式,它的作用主要有以下几点:

        1、导乐分娩使产妇在整个分娩过程中始终保持清醒,可自由运动。

        2、有一定的镇痛效果,可使宫缩更协调,体力消耗降低。

        3、帮助产妇在产程中及时进食进水,增强产力,缩短产程。

        4、改善产妇的精神状态,缓解恐惧和焦虑不安情绪,增强产妇自然分娩信心,有避免产后抑郁症的发生。

        5、有利于产后及时母乳喂养,还可有效减少因剧烈产痛而无奈选择的剖宫产,有利于降低非医疗指征的剖宫产率。

        6、对产妇家属进行指导,教会家属如何科学帮助产妇,让家属清楚认识自己的角色与作用,使产妇从家属方面获得亲情支持。

        导乐对缓解产妇分娩痛疼和心理压力有十分重要的作用。它会为产妇分娩提供全方位的指导,这些指导包括膳食指导,分娩指导等等,那么导乐分娩包括哪些内容呢?下面一块来看看。

        1、待产陪护

        从入院待产开始,导乐就会向产妇提供“一对一”全过程、全方位的护理,并向产妇介绍分娩的生理特性,消除产妇恐惧心理并随时观察产妇出现的各种情况,及时通知医生。同时还要兼顾向产妇家属解释各种问题。

        2、全程指导

        由于产妇对产程不了解,会加重恐惧紧张心情,从而导致产妇延长阵痛时间。而导乐可以在整个产程中对产妇进行产程步骤的解释和引导,并协助指导产妇和家属参与到分娩过程中,有条不紊地期待宝宝的降生,使产妇平稳情绪,从而减少阵痛时间?! ?、监测胎心和宫缩情况

      对进入待产室的每一位产妇实施中央监护式持续胎心监护,动态地监测胎心和宫缩的变化,减少因胎心监护的假阳性而影响临床判断。

      在待产室导乐会为产妇监测胎心和宫缩

        4、肛门检查

        进入活跃期后,每l小时肛查1次,了解宫口扩张及先露部下降隋况,及时描绘产程图,严格按照产程时限处理产程。

        5、观察破膜情况

        一旦破膜,应立即听取胎心音并观察羊水性质、颜色和流水量,如胎头未衔接应绝对卧床休息,必要时抬高床尾以防止脐带脱垂的发生。如羊水浑浊,及时报告医师处理。破膜后应立即肛查,了解先露下降隋况及宫口扩张情况,并密切观察胎心音。

        6、观察生命体征情况

        每1~2小时测量1次脉搏、呼吸和血压。

        7、指导排尿

        指导产妇每1~2小时排尿1次,以免膀胱过度充盈妨碍子宫收缩及胎头下降。

        8、指导放松技术

        创造相对轻松的环境,播放轻松舒缓的音乐,如克劳斯特的钢琴曲、中国民乐等,播放风景优美或活泼婴儿的画面。告诉产妇阵痛是正常的,不要害怕,宫缩时指导产妇听音乐看电视,不要想已痛多久还要痛多久,同时张口呼吸,进行腹式深呼吸。助产士可按摩产妇腰骶部或用双手指由两肋向腹正中轻轻抚摸,可减轻产痛。

        9、选择分娩镇痛

        根据个人自愿原则,可选用安桃乐气体镇痛或麻醉医师实施椎管麻醉镇痛术,这两种镇痛术尤其是后者镇痛效果确切。

        10、饮食指导

        指导产妇少量多餐进食高热量、易消化相对清淡的饮食,如粥、汤等??墒实苯郴指刺辶Φ墓δ芤?,如健力宝等。提供足够能量,保证产妇分娩时有充沛精力和体力。另外,还要鼓励产妇多喝水以补充因大量出汗所丢失的水分。

        11、指导产妇正确运用产力

        宫口开全后鼓励、指导产妇配合宫缩正确运用屏力法以增加腹压。宫缩开始时,先吸一口气,然后随宫缩加强如排便样向会阴部屏气,增加腹压。同时双手拉住床边把手,双脚往下蹬。宫缩间歇期双手放松,充分休息,下次宫缩时再采用同样方法。

        12、生活护理及基础护理

        阵痛剧烈时产妇常不能自行饮食,助产士要为产妇喂饭、喂水,鼓励多进食。产妇需去厕所时,要搀扶陪同,以增加产妇安全感。临产产妇因阵痛、消耗多而大量出汗,助产士要及时为产妇擦汗、更换湿衣服,避免着凉。

        13、卫生及母乳喂养知识宣教

        宣教卫生知识,尤其是产后个人卫生指导如产后42天内避免性生活及盆浴,哺乳前后洗手、勤换内衣等。宣教母乳优点,指导正确哺乳技巧。

        导乐有利于产妇分娩顺利,那么在分娩过程中,产妇应该怎么配合,才能使导乐分娩的效果更好呢?下面一块来看看

        1、心理上信任导乐

        如果想要完成一场顺利的分娩,很显然首先要互相信任,相信你身边的导乐,相信她会帮助你平安度过整个产程。信任的建立,并不是简单的过程,需要你和导乐有更多的交流和沟通。

        2、及时提出你的需求

        在分娩这个关键时期,产妇不要有所顾忌,要把你的所有需求都清楚表达出来,让导乐明白。比如你害怕产痛,有经验的导乐就会告诉你自然分娩的好处及技巧,会教你怎样呼吸,来帮助缓解疼痛,会轻轻地安慰你,帮你按摩腹部,就像妈妈一样照顾你,让你的心情平静下来。

        妈妈网网友“C果果”:我准备选择导乐分娩,应该什么时间向医生提出选择“导乐”分娩呢?

        不同的医院,对于导乐分娩的安排可能有所差异,网友们如果有选择“导乐”分娩的想法,最好尽快让你的接诊医生知道,让医生来帮你安排。

        妈妈网网友“jkn-kg”:怎么选择导乐,挑选导乐有什么准则吗?

        导乐的选择权在你,你可以和医院提供的几个备选导乐进行沟通,选择你最信任的一个。也可以通过网络咨询有经验的妈妈或者护士,选择口碑最好的。

        妈妈网网友“月kht”:请导乐的费用大概是多少?这些费用在“医保范围”内吗?

        导乐的费用各个医院有所不同,一般在200-800元,导乐费用不属于医保范围内。

        妈妈网网友“liulli”:导乐可以随叫随到吗?

        产妇可以在门诊、病房咨询、预约,也可以在产房里临时聘请,不管什么时间,只要需要“导乐”陪伴,“导乐”陪产人员一般都会随叫随到。

      查一查能不能吃
      食物分类
      • ??
      • 选择食物分类
      • 五谷杂粮
      • 食物加工篇
      • 蔬菜/食用菌
      • 肉禽蛋/野味
      • 水果
      • 水产品/海鲜
      • 调味品
      • 饮品/饮料
      • 零食/小吃
      • 豆/乳/奶制品
      • 干果
      • 补品
      • 草药
      适用人群
      • ??
      • 选择适用人群
      • 不限
      • 孕妇
      • 产妇
      • 哺乳期
      • 婴儿
      能不能吃
      • ??
      • 能不能吃
      • 不限
      • 能吃
      • 慎吃
      • 不能吃
      查看结果
      • 索引
      • 导乐分娩作用
      • 导乐分娩的具体内容
      • 产妇应该怎样配合
      • 关于导乐分娩的常见问题
      • 相关百科
      • 相关知识
      • 麻麻微视频

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