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assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 自然生產好or剖腹生產好? - 親子 - 噓!論壇 _ 無忌的論壇 ~ 歡迎芝麻小事,別聊國家大事 ~

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自然生產好or剖腹生產好?

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自然生產好or剖腹生產好?

有人說怕痛的人 剖腹生比較好 有人說愛美的人自然生比較好 不會留疤
相信大家都有過這樣的問題 那麼您會選擇哪種生法呢?
一個自然的陰道分娩必須有一個大小適中的胎兒
在正常子宮收縮的力量下 經過母親適當大小的產道
才能夠順利的誕生

[B]陰道分娩[/B]
只需局部少量的麻醉、產後恢復較快、住院時間短
相對地剖腹生產需要較複雜的麻醉方式
手術出血及術後併發症的機會皆提高
對孕婦的精神與肉體方面都會造成創傷。

[B][color="DarkGreen"]一、陰道分娩的優缺點:[/B]

優點

1.產後恢復快。

2.產後可立即進食。

3.僅有會陰部位傷口。

4.併發症少。

缺點

1.產前陣痛,但可以無痛分娩避免產痛的困擾。

2.陰道生產過程中突發狀況。

3.陰道鬆弛,但可以產後運動避免。

4.骨盆腔子宮膀胱脫垂的後遺症。

[B][color="darkgreen"]二、陰道生產是最自然且安全的生產方式,但仍有其危險性︰[/B]
1.陰道產後會傷害會陰組織,甚至會造成感染,或外陰部血腫等情形。

2.產後會因子宮收縮不好而出血,若產後出血無法控制,需緊急剖腹處理。嚴重者需切除子宮,甚至危及生命。

3.產後感染或產褥熱發生;尤其是早期破水,產程延長者。

4.會發生急產(產程不到兩小時)。尤其是經產婦及子宮頸鬆弛的患者。

5.胎兒難產或母體精力耗盡,需以產鉗或真空吸引,協助生產時,會引起胎兒頭部腫大。

6.胎兒過重,易造成肩難產,會導致新生兒鎖骨骨折,或臂神經叢損傷。

7.羊水中產生胎便,導致新生兒胎便吸入症候群。

8.胎兒在子宮內發生意外;如臍繞頸、打結或脫垂等現象。

9.羊水栓塞,毫無預警地發生。即使是剖腹產也無法避免。

[B][color="darkgreen"]三、剖腹生產的優缺點[/B]:

優點

1.可避免自然生產過程中的突發狀況。

2.陰道不易受到影響。

缺點

1.出血量較多。

2.併發症較多,包括傷口感染、粘連及麻醉後遺症等。

3.產後恢復較慢。

4.住院時間較長。

四、究竟何種狀況須剖腹生產,可從母體及胎兒兩方面來考慮︰

母體方面

1.骨盆狹窄或骨盆腔腫瘤,阻礙產道。

2.產前出血,為前置胎盤或胎盤早期剝離。

3.35歲高齡初產婦。

4.產程遲滯。

5.母親生殖道受到感染。

6.分娩過程發生問題,如子宮破裂。

7.前胎剖腹產。

8.不良的產科病史。

胎兒方面

1.胎位不正。

2.胎兒預估體重超過4000公克或小於1500公克。

3.胎兒窘迫,胎心音發生變化或胎兒缺氧,出現胎便。

4.多胞胎懷孕。

5.胎兒畸形。6.臍帶脫垂。

結論

剖腹生產在母親和胎兒的死亡率及罹病率,皆較陰道生產為高,在產前檢查中及時發現問題,並與醫師做密切的溝通與配合,採取適當的生產方式,是達到母子均安的原則。
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