孕妇课堂第10课轻松自然顺利分娩.ppt
,The standardized courseware of Beijing pregnant women school,第10课 轻松自然，顺利分娩,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,亲爱的准爸爸、准妈妈们：你们有多少人希望阴道分娩？对于分娩，你们最担心的是什么？你们对分娩有哪些疑问？,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,生儿育女，人生大事顺利分娩需要做充分的准备需要做哪些准备呢？知识就是力量！,北京市孕妇学校标准化课件,The main content,主要内容,1.了解分娩方式2.阴道分娩与剖宫产比较3.影响阴道分娩的因素4.分娩前的准备5.分娩过程与分娩帮助,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,1 了解分娩方式,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,阴道分娩动画 剖宫产手术动画,非医学指征,1.1 分娩方式思考,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,1.2 对分娩方式存在的认识误区,阴道分娩?,剖宫产?,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,2 阴道分娩与剖宫产比较,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,宝 宝,2.1 阴道分娩PK剖宫产,妈 妈,生产过程及创伤产后恢复及泌乳出血及并发症住院费用,宝 宝,呼吸道健康肠道健康脾气性格感觉统合,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,宝宝,2.2 分娩方式与肠道菌群的关系,自然产儿 经过母亲产道的天然屏障 1小时内实现母乳喂养,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,剖宫产有错吗？NO！剖宫产本身并没有错错的是没有医学指征人为选择剖宫产,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,万一生不了受二茬罪怎么办？,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,3 影响阴道分娩的因素,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,01,02,03,04,3.1 阴道分娩四要素,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,3.2 产道与胎儿,体重和胎位,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,3.3 心理因素,学习分娩知识让心理强大是第一位的,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,自然分娩 我该怎么做？,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,4 分娩前的准备,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,4.1 需要做哪些准备,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,4.2 物质准备,妈妈用品+宝宝用品,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,发现异常,减少并发症,控制体重,避免巨大儿,4.3 生理准备,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,孕期妇女膳食指南（2016）补充叶酸，常吃含铁丰富的食物，选用碘盐 孕吐严重者可少量多餐，保证摄入含必要量碳水化合物的食物 孕中晚期适量增加奶、鱼、禽、蛋、瘦肉的摄入 适量进行身体活动，维持孕期适宜增重 禁烟禁酒，愉快孕育新生命，积极准备母乳喂养,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,科学运动锻炼,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,心理准备,4.4 心理准备,树立信心信念学习分娩知识学习减痛方法,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,5 分娩过程与分娩帮助,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,5.1 区分临产与临产征兆,临产征兆？,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,遇到这种情况 是不是要马上去医院？,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,5.2 什么情况需要去医院,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,记录破水时间,头浮、横位、臀位：臀部抬高,破水须知,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,什么时候进产房呢？宫口开到23cm该进产房啦！,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,5.3 走进神秘的产房,待 产 室,分 娩 室,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,5.4 分娩的个阶段,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,头胎剖宫产 二胎能自己生吗？,5.5 进产房需要做哪些配合,配合检查听胎心 做胎心监护 量血压,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,（2）配合产程共有4个产程不同的产程配合方法不同,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,5.6 第1产程：宫口扩张期,1cm 10cm 初期 活跃期 冲刺,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(1)第1产程配合要点平静、放松、避免紧张 看喜剧、听音乐、聊天,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(2)疼痛来临可以这样做 保存体力不喊叫 放松呼吸不紊乱【鼻吸口呼为原则】,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(3)宫缩间歇可以这样做 进食进水，补充体力 适当走动，排空膀胱,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(4)丈夫陪产可以这样做擦汗，按摩，喂水，喂饭,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(5)加速产程可以这样做,上身直立位：走、站、坐、跪、蹲,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(6)待产分娩球的作用 加速产程+减轻疼痛,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,可以行分娩镇痛吗？,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(7)分娩镇痛主观意愿生理条件主动配合,5.7 第2产程：胎儿娩出期,一般不超过小时,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(1)最佳分娩姿势,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(2)第2产程配合宫缩时深吸气憋气+用力持续用力2030秒吐气换气【找便秘时排便的感觉】,(3)胎头娩出前后的配合 最大径线娩出时：哈气！哈气！减轻产道裂伤,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,(4)胎儿娩出后：断脐,5.8 第3产程：胎盘娩出期5.9 第4产程：产后观察期5.10 促进母乳喂养成功,胎儿娩出后1015分钟胎盘自动剥离宝宝发出第一声啼哭后观察2小时宝宝出生 1 小时内,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,主要内容回顾1.了解分娩方式2.阴道分娩与剖宫产比较3.影响阴道分娩的因素4.分娩前的准备5.分娩过程与分娩帮助,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,有奖问答,1.临产前身体会出现哪些征兆？2.第1产程呼吸原则是什么？3.丈夫在陪伴分娩时可以做什么？,北京市孕妇学校标准化课件,The standardized courseware of Beijing pregnant women school,祝准妈妈们分娩顺利！感谢聆听！,
