Copy of R Birth Crisis分娩危象.ppt

BIRTH CRISIS: 分娩危象 Caring for the Family Experiencing Perinatal Death or the Birth of a Child with Medical Complications 对发生围产儿死亡或有内科合并症出生 新生儿的家庭的关注 Objectives 目的 Describe possible emotional reactions to birth crisis 叙述分娩危象时可能有的情绪反应 Discuss specific responses for use in birth crisis situations 讨论应用于分娩危象时的特殊反应 Identify support groups and agencies to assist families experiencing birth crisis 了解有哪些组织机构可帮助经受分娩危象的家庭 Define ongoing management strategies for affected families 为受累的家庭制定明确的处理计划 Background 背景知识 Most pregnant couples anticipate a healthy baby 大多数怀孕的夫妇盼望一个健康的孩子 Variation from a healthy birth outcome triggers feelings of loss 从期待健康孩子的变化，激发失去孩子的感觉 Perinatal crisis is unexpected and unplanned 围产期危象的发生往往无预料或不能预计 Multiple factors affect birth crisis management 许多因素影响分娩危象的处理 Meaning Of Loss 丢失的含义 Birth crisis causes fear and apprehension of failure to become a reality 分娩危象所引起的恐惧及对失败的忧虑可变为现实 The loss of a baby represents the loss of the future 失去一个孩子意味着失去未来 Individual reactions are determined by cultural, religious, and ethnic beliefs 个体反应情况取决本人的文化、宗教及种族信仰 How birth crisis is handled may affect parent and family adaptation for many years 如何处理分娩危象将对患者及家属造成长时间的影响 Initial Evaluation 初步评价 Ensure mother and infant (when viable) are medically stable 保证母亲和孩子（如果还活着）生命体征稳定 Allow parents to see the infant before leaving birthing room 在离开产房时允许患者看孩子 Invite a family member to go with the resuscitation team 邀请一名家属与复苏人员一起 Family Meeting 家庭会议 Meet as soon as possible after crisis 危象发生后尽快接见家庭人员 Initial meeting sets stage for future 初次会议要安排好日后的事项 Inform both parents together 要把两个家长一起请到： Privacy is important 保密很重要 Encourage attendance of support person 鼓励支持人员参与 Infant should be present 要把婴儿抱过来 Allow parents time alone following meeting 会后要让家长独处 Grief and Guilt 悲伤与内疚 “Why me?” is a request for information and an expression of complex emotions “为什么会是我呢”是一个咨询信息，也是一种复杂感情的表达 Provider strategie