温柔的自由体位分娩 PPT课件.ppt

温柔的自由体位分娩公益课堂2015-3-29
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:温柔的呼吸,放松,而不是拚命的用力!
本节分享主要内容
建立信任,
关注产妇,
产妇的全部,
产妇家人的全部:产妇的家人很紧张会影响产程
产妇所处环境的全部---
笑话: 不看美人,只看屁股的产科
努力的方向
整体助产
自由体位分娩:anything but supine(除了平卧位、截石位、后仰的坐位—其它所有体位)
站立姿势,坐式分娩,跪式体位(手膝俯卧)
侧卧或侧俯卧位
在分娩过程中指产妇采用自感舒适的体位,而不是传统的仰卧截石位分娩。
任何体位都可以,唯一不好的是平卧位,截石位
自由体位分娩
MONIKA 教师发明的坐式分娩单位----简单的,重要是思维方式,
我们所缺乏的重要的一点
自己要放松,从容不迫的态度,深呼吸
让产妇放松,指导呼吸,保持良好环境
放松:助产士的一个基本技能
Relaxation is born of confidence; without confidence, a woman remains tense. A useful technique for instilling confidence is 。如果没有分娩的信心, 产妇就会很紧张。一个有效的建立自信的方法是想像。
With guidance from her midwife, a woman learns to visualize in her mind her baby travelling through her body. She gains an appreciation of how the baby adapts to the differing pelvic spaces. She absorbs how her baby finds its way through the soft birth passage and over the perineum. It is vital to include in this exercise the birth of the placenta and the closing-up of the uterus. Obviously this provides a wonderful opportunity for the midwife to use, and impart, her technical ,产妇学****想像她的宝宝是如何通过她的身体的,她要了解胎儿是如何适应她的产道的不同空间。她要了解胎儿是如何在软产道中找到娩出的道路,通过会阴娩出。在这个想像中,了解胎盘是如何娩出的,子宫是如何关闭收缩(止血的过程)也是非常重要的。这让助产士有机会应用她所学****到的知识技能。
引导产妇:注意力集中,想像(冥想),放松
“Rest your head. Relax your forehead, your shoulders and arms. Open your hands. Let everything hang down. Let go of all your tension and fear. Trust your body. Breathe out as long as you can. Feel your diaphragm move your baby downwards. Open your jaw, your lips. Think of your beautiful baby. Feel its little wet head wriggling down the birth passage. Surrender to the power of your birth-waves. You and your baby work together to make this happen. The more you let go, the sooner your baby will be here….”
头部放松, 前额放松,双肩和双臂放松,张开你的手,放下所有的事情。忘记所有的紧张和恐惧, 相信你自己的身体, 呼气,尽可能长的呼气,感觉到你的膈肌让你的身体下沉,张开下巴,张开嘴巴,想像你美丽的宝宝,想像一下她的小小的湿湿的脑袋摇摆着穿过你的产道,在产力的推动下波动前进, 你和你的宝宝在一起努力!你越放松, 你的宝宝就会来得越快…