Wednesday, June 20, 2012

How far does the childbirth ease pain from lying-in woman

How far does the childbirth ease pain from lying-in woman
Giving birth to the child needn't ache

"I am smiling, experience one's own baby came to this world. " Healthcare hospital for women & children accept give a birth ease pain in the intersection of Beijing and Haidian District just August this year " Niu Niu " Mother says, because hear that giving birth to the child should go through violent producing and aching, then determine to choose to give a birth and ease pain.

In the healthcare hospital for women & children in Haidian District of Beijing, like " ox's ox " Mother chooses to give birth to the lying-in woman easing pain and get more and more equally. Statistics revealed, scale was launched to give a birth to ease pain over the past 6 years, the easing pain rate of childbirth of this institute has already risen to present 70% from 20% initial.

In the first hospital in Peking University, already nearly half too of the lying-in woman's easing pain rate of childbirth. This institute anaesthetizes head of the department Wang DongXin to say, it is the respect to the life individual to give a birth and ease pain, also an evidence of one kind is born civilizedly. This institute implements the standardization and gives a birth and eases pain since 2001, at present, this institute gives a birth and eases pain the quantity accounts for 45%- 50% that all gave birth to the total number.

On the index of paining of medical science, produce and ache and second only to burning grievedly, rank the second. The healthcare hospital for women & children of Haidian District of Beijing anaesthetizes head of the department Wang Lei and introduces, at present, approve and employ extensive, the intersection of result and ideal method block, ease pain in the the intersection of vertebra and tube relatively in international medical circle ' Including blocking outside the hard membrane and the waist is rough - -Jointly block outside the hard membrane) ,Namely enter, produce Cheng as lying-in woman, according to the needs of lying-in woman, anaesthetize the intersection of doctor and waist in lying-in woman, inject or outside hard membrane under the their spider omentum into low the intersection of office and anaesthetic of density. After injecting narcotic drug, the lying-in woman's head is still sober, can cooperate with on one's own initiative, give birth to the course entirely in positive participation.

Wang Lei says, the lying-in woman needs to accord with 3 following conditions and can adopt and give a birth to ease pain: Check and block taboo disease outside the hard membrane not clear before production (for example pregnant and parturient women suffer from serious the intersection of heart and lungs and disease, backbone deformity, backbone traumatism, blood coagulation unusual, puncture position, have tumour, infect,etc.) ; Enter and produce Cheng; The lying-in woman demands to give a birth to ease pain.

Have not obviously influenced the neonate

It is certainly good to give a birth and does not ache, but what let lying-in woman, relative and some medical workers worry about is, will this technology exert an influence on the health of lying-in woman and foetus?

As to this, DongXin Wang say BJ Univ Hospital scale launch give a birth to ease pain since 2001, finding of this institute, compared with easing pain, give a birth, ease pain early Apgar grade postpartum to neonate outside the hard membrane Have not obviously influenced, but can obviously reduce and cut open the yield of the palace, and may reduce lying-in woman's depressed incidence postpartum.

Wang Lei introduces, the narcotics giving a birth and easing pain and using at present, can well block the nerve of sense of pain but not influence the nerve of sport, make the intensity of sense of pain of the lying-in woman in giving a birth naturally reduce, and does not influence giving a birth to produce strength. Meanwhile, the dosage that narcotic drug uses is extremely low that give a birth and ease pain, just cut open 1/20- 1/10 that the palace had the operation, enter the intersection of mother's body and blood, very few through probability of placenta, what influence does it can cause foetus.

Obstetrical department six district director Jia HongMei of healthcare hospital for women & children in Haidian District of Beijing expresses, only some lying-in women will inhibit the palace and contract, lengthen and produce Cheng while giving a birth and easing pain. Through checking and observing carefully to lying-in woman, obstetrician can or oxytocin strengthen palace contract in time paying, intervening with the intersection of manpower and broken membrane. The U.S.A. and China of Beijing should anaesthetize head of the department Xu Yi and say, in this institute accepts that gives birth to nearly 3000 lying-in women who eases pain to the united family hospital, there is no serious complication situation to take place, the specific lying-in woman presents symptoms such as slight pruritus,etc. after easing pain, but the incidence is in under 2%.

Scale launches the big difficulty

It is introduced, at present, it is already very general to give a birth and ease pain in developed countries such as America and Europe,etc., but our country is still at the starting stage, give birth to the easing pain rate and is fewer than 1% overallly. At present, only a few hospitals such as the healthcare hospitals for women & children of Chinese-Japan Friendship Hospital of BJ Univ Hospital, Ministry of Public Health, Beijing Gynecological and Obstetric Hospital, Haidian District, Beijing give a birth to ease pain in Beijing.

Wang DongXin says, the main reason why technology was not launched at home extensively " consumes manpower " very much to give a birth and ease pain . One most lying-in woman produce Cheng in above 10 hour for the first time, on average in about 4 hour time of easing pain, need the doctor of department of anesthesia to accompany in the whole journey. But for many years, the strength of the doctor of department of anesthesia has been followed and counted as " old regulation " of consulting the index with the operating room berth ,Namely the doctor of department of anesthesia allocates according to a person - each operation beds of 2 people. Most hospital departments of anesthesia are dealing with feeling hands are nervous while working conventionally, if launch painless delivery and awkward especially. Second, the work load of the midwife personnel increases correspondingly. Third, obstetrical department belongs to the risky department, it means undertaking one more risk to do one more job, on condition that originally up to one's eyes in work, it is difficult to give a birth and ease pain and launch.

It influences the hospital to give birth to the enthusiasm of easing pain to a certain extent too that the economic income is low. It is reported, different areas give birth to the expenses standard of easing pain differently, the expenses standard substantially as giving a birth and easing pain in Beijing is: The technological expenses are 200 yuan to give a birth and ease pain, if ease pain for time for over 2 hours, add 30 yuan (can collect to guard the expenses extraly to give birth to the fee of material, medicines fee and mother and baby heart electricity required to ease pain) per hour . And cut open the income produced in palace and well-above the income of the natural childbirth.

In addition, " must ache to give a birth " Traditional for idea, propaganda strength enough foring factor that if you can't give a birth, last technology and recommend not giving a birth naturallied, also restricted and given a birth and eased pain the popularization in our country of technology.



How far does the childbirth ease pain from lying-in woman

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