分娩镇痛-timberlandmedicalcentre.pdf

TREATING LABOUR PAIN 分娩镇痛 DDr. Ch Chee H Hui Ch Chang Anesthetist TMCTMC Childbirth can be a wonderful experience • Labor Pain is : the second greatest concern of mothersthe second greatest concern of mothers, families, caregivers. •• The number 1 concern :The number 1 concern : is survival of mother and baby with little or no lasting impairmentlittle or no lasting impairment. Is labor really painful ? • “Labor results in severe ppain for manyy women. • “分娩必痛” 、“产痛是正常的生理过程”是长期存在的传统观念 • There is no other circumstance where it is considered acceptable for a person to experience severe pain, amenable to safe intervention, while undder a phhysiiciian’’s care. ”” • 分娩疼痛可以导致各种继发性生理分娩疼痛可以导致各种继发性生理 、生化改变生化改变 ， 11.产痛导致产妇精神紧张产痛导致产妇精神紧张 、焦虑不安焦虑不安 ；； 22.导致血压升高导致血压升高、心率加快心率加快 ； 33.产妇能量消耗增加产妇能量消耗增加 、耗氧量增加耗氧量增加 ，情绪低落情绪低落 、 宫缩乏力等； 5.因害怕产痛，要求剖腹产的产妇增多。 Labor Hurts,, A lot A woman who chooses not to experience the pain of labor should not have to. There is a balance between a safe deliveryy with a healthyy mom and baby and pain relief • 对母体和胎儿都不利对母体和胎儿都不利 ，应及时处理应及时处理。 •• 关键是减轻或消除疼痛关键是减轻或消除疼痛 。。 Goal • Comfort and care duringg labor and delivery • Minimize risks to mother and baby Joint Statement: American College of Obstetricians Gynecologists and American Society of Anesthesia “A womanA woman’s request for pain reliefs request for pain relief is sufficient medical indication for its use.” 分娩镇痛分娩镇痛 • 通常是指利用某种方法将分娩时的疼痛减轻到最低程通常是指利用某种方法将分娩时的疼痛减轻到最低程 度。 • 实施分娩镇痛能缓解产妇在分娩过程中的疼痛实施分娩镇痛能缓解产妇在分娩过程中的疼痛 ，有助有助 于自然分娩。 IndicationsIndications