孕婦-輕松自然 順利分娩參考幻燈片.ppt

1、,The standardized courseware of Beijing pregnant women school,第10課 輕松自然，順利分娩,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,1,The standardized courseware of Beijing pregnant women school,親愛(ài)的準(zhǔn)爸爸、準(zhǔn)媽媽們： 你們有多少人希望陰道分娩？ 對(duì)于分娩，你們最擔(dān)心的是什么？ 你們對(duì)分娩有哪些疑問(wèn)？,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,2,The standardized courseware of Beijing pregnant women school,生兒育女，人生大事 順利分娩需要

2、做充分的準(zhǔn)備 需要做哪些準(zhǔn)備呢？ 知識(shí)就是力量！,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,3,The main content,主要內(nèi)容,1.了解分娩方式 2.陰道分娩與剖宮產(chǎn)比較 3.影響陰道分娩的因素 4.分娩前的準(zhǔn)備 5.分娩過(guò)程與分娩幫助,4,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school, 1 了解分娩方式,5,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,陰道分娩動(dòng)畫(huà) 剖宮產(chǎn)手術(shù)動(dòng)畫(huà),6,非醫(yī)學(xué)指

3、征,1.1 分娩方式思考,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,7,1.2 對(duì)分娩方式存在的認(rèn)識(shí)誤區(qū),陰道分娩?,剖宮產(chǎn)?,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,8, 2 陰道分娩與剖宮產(chǎn)比較,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,9,寶 寶,2.1 陰道分娩PK剖宮產(chǎn)

4、,媽 媽,生產(chǎn)過(guò)程及創(chuàng)傷 產(chǎn)后恢復(fù)及泌乳 出血及并發(fā)癥 住院費(fèi)用,寶 寶,呼吸道健康 腸道健康 脾氣性格 感覺(jué)統(tǒng)合,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,10,寶寶,2.2 分娩方式與腸道菌群的關(guān)系,自然產(chǎn)兒 經(jīng)過(guò)母親產(chǎn)道 的天然屏障 1小時(shí)內(nèi) 實(shí)現(xiàn)母乳喂養(yǎng),北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,11,剖宮產(chǎn)有錯(cuò)嗎？NO！ 剖宮產(chǎn)本身并沒(méi)有錯(cuò) 錯(cuò)的是沒(méi)有醫(yī)學(xué)指征人為選擇剖宮產(chǎn),

5、北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,12,萬(wàn)一生不了 受二茬罪怎么辦？,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,13, 3 影響陰道分娩的因素,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,14,01,02,03,04,3.1 陰道分娩四要素,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The

6、standardized courseware of Beijing pregnant women school,15,3.2 產(chǎn)道與胎兒, 體重和胎位 ,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,16,3.3 心理因素,學(xué)習(xí)分娩知識(shí) 讓心理強(qiáng)大是第一位的,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,17,自然分娩 我該怎么做？,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized

7、 courseware of Beijing pregnant women school,18, 4 分娩前的準(zhǔn)備,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,19,4.1 需要做哪些準(zhǔn)備,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,20,4.2 物質(zhì)準(zhǔn)備,媽媽用品+寶寶用品,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregn

8、ant women school,21,發(fā)現(xiàn)異常,減少并發(fā)癥,控制體重,避免巨大兒,4.3 生理準(zhǔn)備,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,22,孕期婦女膳食指南（2016） 補(bǔ)充葉酸，常吃含鐵豐富的食物，選用碘鹽 孕吐嚴(yán)重者可少量多餐，保證攝入含必要量碳水化合物的食物 孕中晚期適量增加奶、魚(yú)、禽、蛋、瘦肉的攝入 適量進(jìn)行身體活動(dòng)，維持孕期適宜增重 禁煙禁酒，愉快孕育新生命，積極準(zhǔn)備母乳喂養(yǎng),北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Bei

9、jing pregnant women school,23,科學(xué)運(yùn)動(dòng)鍛煉,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,24,心理準(zhǔn)備,4.4 心理準(zhǔn)備,樹(shù)立信心信念 學(xué)習(xí)分娩知識(shí) 學(xué)習(xí)減痛方法,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,25, 5 分娩過(guò)程與分娩幫助,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant

10、women school,26,5.1 區(qū)分臨產(chǎn)與臨產(chǎn)征兆,臨產(chǎn)征兆？,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,27,遇到這種情況 是不是要馬上去醫(yī)院？,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,28,5.2 什么情況需要去醫(yī)院,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,29,記

11、錄破水時(shí)間,頭浮、橫位、臀位：臀部抬高,破水須知,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,30,什么時(shí)候進(jìn)產(chǎn)房呢？ 宮口開(kāi)到23cm 該進(jìn)產(chǎn)房啦！,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,31,5.3 走進(jìn)神秘的產(chǎn)房,待 產(chǎn) 室,分 娩 室,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women scho

12、ol,32,5.4 分娩的個(gè)階段,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,33,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,頭胎剖宮產(chǎn) 二胎能自己生嗎？,34,5.5 進(jìn)產(chǎn)房需要做哪些配合,配合檢查 聽(tīng)胎心 做胎心監(jiān)護(hù) 量血壓,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,35,（2）

13、配合產(chǎn)程 共有4個(gè)產(chǎn)程 不同的產(chǎn)程配合方法不同,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,36,5.6 第1產(chǎn)程：宮口擴(kuò)張期,1cm 10cm 初期 活躍期 沖刺,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,37,(1) 第1產(chǎn)程配合要點(diǎn) 平靜、放松、避免緊張 看喜劇、聽(tīng)音樂(lè)、聊天,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing p

14、regnant women school,38,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,(2) 疼痛來(lái)臨可以這樣做 保存體力不喊叫 放松呼吸不紊亂 【 鼻吸口呼為原則 】,39,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,(3) 宮縮間歇可以這樣做 進(jìn)食進(jìn)水，補(bǔ)充體力 適當(dāng)走動(dòng)，排空膀胱,40,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Be

15、ijing pregnant women school,(4) 丈夫陪產(chǎn)可以這樣做 擦汗，按摩，喂水，喂飯,41,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,(5) 加速產(chǎn)程可以這樣做,上身直立位 ：走、站、坐、跪、蹲,42,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,(6) 待產(chǎn)分娩球的作用 加速產(chǎn)程+減輕疼痛,43,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized cours

16、eware of Beijing pregnant women school,可以行分娩鎮(zhèn)痛嗎？,44,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,(7) 分娩鎮(zhèn)痛 主觀意愿 生理?xiàng)l件 主動(dòng)配合,45,5.7 第2產(chǎn)程：胎兒娩出期,一般不超過(guò)小時(shí),北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,46,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Bei

17、jing pregnant women school,(1) 最佳分娩姿勢(shì),47,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,(2) 第2產(chǎn)程配合 宮縮時(shí)深吸氣憋氣+用力 持續(xù)用力2030秒 吐氣換氣 【 找便秘時(shí)排便的感覺(jué) 】,48,(3) 胎頭娩出前后的配合 最大徑線娩出時(shí)：哈氣！哈氣！減輕產(chǎn)道裂傷,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,49,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The s

18、tandardized courseware of Beijing pregnant women school,(4) 胎兒娩出后：斷臍,50,5.8 第3產(chǎn)程：胎盤(pán)娩出期5.9 第4產(chǎn)程：產(chǎn)后觀察期5.10 促進(jìn)母乳喂養(yǎng)成功,胎兒娩出后1015分鐘胎盤(pán)自動(dòng)剝離 寶寶發(fā)出第一聲啼哭后觀察2小時(shí) 寶寶出生 1 小時(shí)內(nèi),北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,51,北京市孕婦學(xué)校標(biāo)準(zhǔn)化課件,The standardized courseware of Beijing pregnant women school,主要內(nèi)容回顧 1. 了解