反式按压法(RPS REVERSE PRESSURE SOFTENING).docVIP

Engorgement Help: Reverse Pressure Softening JULY 27, 2011. Posted in:?BF CONCERNS: MOTHER,COMMON NEWBORN CONCERNS … a technique to aid latching when a mother is engorged Finnish??|?Russian by K. Jean Cotterman RNC, IBCLC. Reprinted with permission from the author. More health care providers are observing that mothers receiving multiple intrapartum IV’s experience delay in expected postpartum fluid shift. 越来越多的医疗服务人员发现，那些接受过静脉注射的产妇，他们的产后泌乳会被推迟。 Increased edema during the puerperium complicates engorgement, increases sub-areolar tissue resistance, distorts the nipple and interferes with comfortable, efficient latching. 在产褥期，持续增加的水肿会使局部充血肿胀的问题更加复杂，增加乳晕下组织的阻力，造成乳头扭曲，干扰（宝宝）舒适而有效的衔乳。 Edema may appear early, or later, within 48-96 hours, often lasting 10-14 days. 这种水肿的出现或早或晚，一般会在48-96小时出现，常常持续10-14天。 (This may depend on both the quantity of IV fluid given and the time of infusion in relation to placental delivery, the stimulus for lactogenesis II.) （这主要取决于分娩时静脉注射的总量、时长，以及还有对第二泌乳产程的刺激程度。） Reverse pressure softening?(RPS) is a simple intervention that has proven very helpful in the first 14 days postpartum. 据证实，在产后最初的14天，反式按压法是一种非常简单的疗法。 RPS uses gentle positive pressure to soften a 1-2 inch area of the areola surrounding the base of the nipple, temporarily moving some swelling slightly backward and upward into the breast. 反式按压法是通过温和地按压乳晕，以此来软化乳头周围1-2英寸处的乳晕，暂时地将肿块向上和向后稍稍推开。 RPS may be applied by the health care provider, and/or taught to the mother/significant others, if necessary, over the telephone. 反式按压法可以由医生亲自操作，假如有必要还可以通过电话方式教授具体操作方式。 Interstitial fluid volume increases 30% above normal before edema becomes visible. 当乳房内组织液增量超过正常水平的30%，并且通过肉眼就能分辨时。 (Guyton) To contain edema, areolar tissues must expand, limiting their ability to extend the nipple well into the baby’s mouth. 这时，乳晕组织就必须扩张以适应这些水肿，这样宝宝就不能很好的衔乳。 Early proactive use of RPS causes no harm and may facilitate increased milk transfer, reduce risk of nipple trauma, and help resolve engorgement. 早期的反式按压法介入不