Oh my god要是每個媽咪都這樣從小教小孩剖腹產的話我們以後還要怎麼過活啊🤣🤣~~太神啦!!
#還好他不是開腹膜外還有一口飯吃😆😆
https://youtu.be/utCS5rzNkfU
同時也有10000部Youtube影片,追蹤數超過2,910的網紅コバにゃんチャンネル,也在其Youtube影片中提到,...
cesarean delivery 在 林思宏醫師 Facebook 的最佳解答
#關於催生 #催生或不催生
烏烏醫師非常好的一篇文章分享給大家
我們要相信實証醫學
以禾馨的經驗來看
滿39週催生
第一胎平均12-16小時會生,很少超過24小時
第二胎平均6-10小時會生
催生的剖腹產率(也就是吃全餐)小於10%
與文獻報告相近
甚至更好
#相信科學不要相信幻覺
#大規模研究可信度遠超過零星個案經驗分享
以下分享資料出處及原文
2019年美國婦產科醫學會期刊
https://www.ajog.org/article/S0002-9378(19)30253-4/abstract
CONCLUSIONS
Elective induction of labor at 39 weeks gestation is associated with a decrease in cesarean birth in nulliparous women, decreased pregnancy-related hypertension in multiparous and nulliparous women, and increased time in labor and delivery.
2018年新英格蘭雜誌
https://www.nejm.org/doi/10.1056/NEJMoa1800566
CONCLUSIONS
Induction of labor at 39 weeks in low-risk nulliparous women did not result in a significantly lower frequency of a composite adverse perinatal outcome, but it did result in a significantly lower frequency of cesarean delivery.
cesarean delivery 在 陳鈺萍醫師 Facebook 的最佳解答
【產科評估產程進展奉為圭臬的產程圖】
當年住院醫師時期值產房班,最重要的功課就是把每個產婦的產程圖畫出來。但是近年連Friedman教授本人接受ACOG(美國婦產科醫學會)訪問時都強調,這在當年只是一個統計數據的呈現,沒想到被拿來當成產程遲滯的判斷標準,每個產婦都該有自己獨一無二的產程進展。
日前接生一個第一胎的產婦,從進入產程到寶寶出生,收縮間隔都是5至7分鐘,有時甚至長達10分鐘,所以從上午9點收住院的1指半到寶寶出生將近一天。若要依照產科教科書的建議,這樣的案例,要不就加催生藥或人工破水,要不就以產程遲滯開刀了。但這就是這個產婦與寶寶獨特的產程進展,「慢慢來」。如何靜心等待不介入,對我而言是很重要的學習案例。
這個1955年的統計數據,當時的產婦生產條件為何?那是大量使用產鉗的年代,而今被真空吸引器所取代。剖腹產率1.8%!讓人嚇到吃手手,懷疑小數點有沒有點錯,認真想想或許這才是自然該有的剖腹產率?阿萍醫師要朝這個目標邁進。催生藥物的介入13.8%不算多,但看了之後很難想像,96%的產婦用了鎮定藥物,在神智不清甚至是睡著的狀態下生孩子。而今雖有硬膜外注射的減痛分娩,不至於影響到清醒程度,但那還是一種藥物介入,對母嬰一定有影響。
Who were the women in Friedman’s Curve?
Dr. Friedman’s study focused on 500 first-time mothers who gave birth at term in 1954. Their age ranged from 13 to 42 years old, and 70% were between the age of 20-30. More than half of the women had forceps used on them during delivery (55%), and only nine people (1.8%) gave birth by Cesarean. There were 14 breech births (2.8%), four twin births (0.9%), and four stillbirths or newborn deaths. The babies ranged in weight from 4 lbs. 9 oz. to 10 lbs. 6 oz., with most babies falling into a normal weight range (5 lbs. 8 oz. to 8 lbs. 13 oz.). Pitocin was used to induce or augment labor in 69 people (13.8% “Twilight sleep” was common practice at the time, and so 117 of the women (23%) were lightly sedated, 210 (42%) were moderately sedated, and 154 (31%) were deeply sedated (sometimes “excessively” sedated) with Demerol and scopolamine—meaning that 481 (96%) of the women were sedated with drugs (Friedman 1955)
參考資料
https://evidencebasedbirth.com/friedmans-curve-and-failure…/
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cesarean delivery 在 Caesarean section - Wikipedia 的相關結果
Caesarean section, also known as C-section, or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision ... ... <看更多>
cesarean delivery 在 C-Section (Cesarean Birth): Procedure & Risks - Cleveland ... 的相關結果
A cesarean birth is a surgical procedure used to deliver a baby when a vaginal delivery cannot be safely done. This procedure is also known ... ... <看更多>
cesarean delivery 在 C-section - Mayo Clinic 的相關結果
Cesarean delivery (C-section) is a surgical procedure used to deliver a baby through incisions in the abdomen and uterus. ... <看更多>