自然分娩.ppt

NaturalLaborProcess,自然分娩过程,HospitalTimeintervalofLaborpainsMotherssenseTheuterinemouthBaby,（阵痛间隔时间）,（子宫口）,Mostwomendonotneedtobehospitalizeduntilthe10-minutesintervalbeginFinallygoingtothehospital.Atthispoint,thedoctorwilldointernaldiagnosis(内部诊断）Mostmothersareequippedwithfetalmonitors（胎儿检测）toconfirmfetalheartsoundsContinuestorecognizethefetalheartsounds,andtodisinfectthegenitalarea,shavethepubichairofepisiotomy(会阴切开术）,Beginning,mother,baby,Approachingthe10-minutesinterval,Lowerabdomen（下腹部）mayfeelhardirregularlyLikeminorphysicalpainThissituationmaylastabout10-20seconds,Theuterinemouthhasnotopenyet,Insuchaposition,thechinwillclosetochest,710-minutesinterval,LaborstartThelowerabdominalpainbecomesregularMayfeelsuddencontractionPainlastsabout3040seconds,Whenevertheuteruscontracts,theuterinemouthwillgraduallyopen.,Downwithwhirling,12-minutesinterval,ThemostpainfulperiodpainlastsaboutaminuteandahalfAtthistimetherebegintobeafeelingoffallingandtheamnioticfluid(羊水）brokeFetalheadistowardthedirectionofhermothersanus（肛门）,fromthebeginningoflaborpainuntilnow,thefetuswilldo90-degreeturn.Nowmotherwillbemovedtodeliveryroom,ifamnioticfluidisdefeated,thedoctorwillcheckthestatusoftheamnioticfluid.Inaddition,iftheuterushasbeenfullyopen,thenursewillguidethemotherhowtouseherstrength,Afterstartingforcing,Theintervalpainhappenat1-minuteintervalthepaintimeislongerthanpainintervalyoucanfaintlyseethebabyshead.Doctorswillsuppresstheperineum(会阴）byhandtopreventperineallaceration.Sometimesdoctorswilldoepisiotomybeforethebabysheadisdelivered,Afterthefetalheadisdelivered,LaborpainsbecomeveryslightafterthefetalheadisdeliveredthepainstopforamomentthentherewillbemildpainagainAftertheheadisdelivered,shouldersfollow,horizontalshouldmatchthewidthofshoulder;verticalhavetocopewiththelongpelvisexitsothefetuswillonceagaintowardstheside,asiflookingforasideofhermothersthigh（大腿）delivergradually.,Or,Whentheplacenta（胎盘）isdelivered,Feelveryrelaxedinordertodeliveroutoftheplacenta,theuteruswillhaveaslightcontractionThisperiodtheuterinemouthhasbeenclosetofullyopen(10cm),orhasreachedfull-openThestaffwillwipethebabysnasalcavity（鼻腔）andthroatwithgauzetocleanuptheamnioticfluidremains,thenbabycanbreathewell.,Aftertheplacentaisdelivered,itmayleadtobleedingagain.Therefore,thehospitalwillallowmothertostayintheobservationroomforsometimetodoin-depthobservation.,Cuttheumbilicalcord（脐带）,measurebodyweight,afterhave