【剪還是不剪?】
在門診,偶而還是會遇到孕婦說:「陳醫師,我不需要溫柔生產,我只是希望不要剪會陰⋯」
雖然剪與不剪只是一個動作、一項技術,但生產從來就不是進餐廳點餐,可以這樣選的呀!
National episiotomy rates have decreased steadily since 2006, when ACOG recommended against routine use of episiotomy; data show that in 2012, 12 percent of vaginal births involved episiotomy, down from 33 percent in 2000. Data show no immediate or long-term maternal benefit of routine episiotomy in perineal laceration severity, pelvic floor dysfunction, or pelvic organ prolapse compared with restrictive use of episiotomy. Moreover, episiotomy has been associated with increased risk of postpartum anal incontinence.
美國婦產科醫學會的臨床指引於2006年即提出「限制會陰切開使用」,因為已有足夠的證據顯示,常規的會陰切開,反而增加產道嚴重裂傷的可能性。於2016年美國婦產科醫學會再度強調,有許多方法避免陰道生產嚴重裂傷,而非常規會陰切開的臨床指引。2006年至2012年,美國會陰切開的執行率從33%降至12%(接近阿萍醫師在丹麥看到的全國性生產品質指標)
“Data show that obstetric care providers can help to lower the severity of obstetric lacerations with simple interventions including avoiding routine episiotomy, but we also know that some women will still experience them,” said Rebecca Rogers, MD, the document’s other co-author. “Because of that, we also want to ensure that obstetrician-gynecologists are taking an evidence-based approach to treating lacerations and performing episiotomy.”
資料顯示產科照護者光是避免常規使用會陰切開術,就可以降低生產裂傷的嚴重程度,但我們知道一些婦女仍需經歷這些(常規會陰切開)。因此,我們希望確認婦產科醫師是在實證的支持下,施行裂傷的治療與切開會陰。
參考閱讀 https://m.acog.org/…/Ob-Gyns-Can-Prevent-and-Manage-Obstetr…
阿萍醫師溫柔生產個案累積至今已超過70例,除了剖腹產、以及兩例真空吸引需要切開會陰,其餘的產婦都沒有施行會陰切開,只有少數個案需要縫合,而需要縫合的個案大部分是因爲第一胎有嚴重裂傷。可以做到這樣,是因為所有的產家,在產前對生產過程就有足夠的認識,我們讓產婦選擇自己舒服的姿勢待產與生產,大部分的產家有助產師的陪伴與支持。
攝影:吳易蓁 黃約農 Dumas
同時也有10000部Youtube影片,追蹤數超過2,910的網紅コバにゃんチャンネル,也在其Youtube影片中提到,...
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美國婦產科醫學會的臨床指引於2006年即提出「限制會陰切開使用」,因為已有足夠的證據顯示,常規的會陰切開,反而增加產道嚴重裂傷的可能性。10年過去,於2016年美國婦產科醫學會再度強調,有許多方法避免陰道生產嚴重裂傷,而非常規會陰切開的臨床指引。2006年至2012年,美國會陰切開的執行率從33%降至12%(接近阿萍醫師去年在丹麥看到的全國性生產品質指標)
National episiotomy rates have decreased steadily since 2006, when ACOG recommended against routine use of episiotomy; data show that in 2012, 12 percent of vaginal births involved episiotomy, down from 33 percent in 2000. Data show no immediate or long-term maternal benefit of routine episiotomy in perineal laceration severity, pelvic floor dysfunction, or pelvic organ prolapse compared with restrictive use of episiotomy. Moreover, episiotomy has been associated with increased risk of postpartum anal incontinence.
https://www.acog.org/…/Ob-Gyns-Can-Prevent-and-Manage-Obste…
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MUST SEE AND SHARE! Sitting Toilets Pose a Danger to Health and the Health Benefits of the Natural Squatting Position
(My teacher #CarlosGracieJr. and some other members of the #Graciefamily are strong advocates of the Natural Squatting Position and would tell people about this but it's interesting that Prophet Muhammad (Pbuh) taught us this over 1,400 years ago, Alhamdulilah!
*Note:There is a simple solution so you can gain this health benefit, it's at the very end of the video, a foot stool (or maybe a Squatty Potty) so pay attention, if you choose to sit the other way it's your choice, your decision we just wanted to share this great benefit with you with a easy adjustment.*
The Prophet (peace and blessings of God be upon him) taught us how to urinate and defecate, teaching us to sit down in a Squatting posture.
Many people today remain unaware that sitting toilets pose a danger to their health and well-being.
Today a growing number of medical experts say humans are designed to squat to eliminate. It all comes down to positioning.
Squatting releases pressure on your rectum and makes it easier to defecate. Sitting in your normal up style toilet means you’re pushing against your own muscles. Many doctors say that using squat toilets reduce the chances of constipation, hemorrhoids, even bowel cancer.
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Health Benefits of the Natural Squatting Position
http://www.naturesplatform.com/health_benefits.html
Seven Advantages of Squatting
Makes elimination faster, easier and more complete. This helps prevent "fecal stagnation," a prime factor in colon cancer, appendicitis and inflammatory bowel disease.
Protects the nerves that control the prostate, bladder and uterus from becoming stretched and damaged.
Securely seals the ileocecal valve, between the colon and the small intestine. In the conventional sitting position, this valve is unsupported and often leaks during evacuation, contaminating the small intestine.
Relaxes the puborectalis muscle which normally chokes the rectum in order to maintain continence.
Uses the thighs to support the colon and prevent straining. Chronic straining on the toilet can cause hernias, diverticulosis, and pelvic organ prolapse.
A highly effective, non-invasive treatment for hemorrhoids, as shown by published clinical research.
For pregnant women, squatting avoids pressure on the uterus when using the toilet. Daily squatting helps prepare one for a more natural delivery.
pelvic organ prolapse 在 Pelvic Organ Prolapse, Animation - YouTube 的推薦與評價
(USMLE topics, gynecology) Types and degrees of pelvic prolapses. Causes and treatment options. This video is available for instant download ... ... <看更多>