[国际新闻] 澳大利亚孕妇“自助”剖腹接生

日月光

澳大利亚珀斯一位产妇日前采用了一种罕见的“协助剖腹接生法”生产，在助产士的引导下，用自己双手伸入子宫将怀胎9个月的儿子抱出，让自己成为首位接触到亲生儿子的人。 人在德国 社区% h. T! e' g* R2 b0 E; f
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　　38岁的澳大利亚妇女查普曼因健康问题，生下前2个子女时都被迫用剖腹方式生产。她这次选择在一家妇科医院进行协助剖腹接生法，生出第3个儿子托马斯。
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　　剖腹生产时多采半身麻醉进行，在脊椎处注射麻醉药，医生一般在下刀后10至20分钟内，婴儿就可以出来了，期间产妇的意识还是清醒的。 8 U; y4 c2 J; O9 F6 H8 X

' I/ i0 Y7 Q# E人在德国 社区　　一般的剖腹生产中，助产士是第一个看到婴儿的人，然后会将婴儿送走检查，妈妈要等很久才看得见宝宝。 人在德国 社区8 `1 G* l7 {: {

8 \% `, a: z4 t8 H3 t% I& y　　查普曼认为这种方法很安全，自我感觉良好。不过自然分娩当然仍是首选。
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　　助产士认为，“协助剖腹接生法”不可能成为主流分娩方法。这种接生方法有诸多问题，例如会受感染。 人在德国 社区7 b6 Z- ~( b$ ]0 o+ J1 a
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　　澳大利亚已有数年进行“协助剖腹接生法”的经验，据称这种技术有助增进母子感情。
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7 r2 o7 j  c3 d7 vDeliver your own baby... by caesarean8 f! z5 Z9 T5 N
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Naomi Chapman has joined the ranks of women who helped deliver their own baby by caesarean.
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. c0 g/ e+ {" {/ ]Using a procedure known as "assisted caesarean", Ms Chapman's hands were guided into her womb by doctors so she could be the first to hold her new baby, Thomas, when he was born on April 2.
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2 ~: R/ E+ h/ P/ \2 `Ms Chapman, 38, of Perth, who for medical reasons was forced to have her three children by caesarean, chose an assisted caesarean at the city's King Edward Memorial Hospital for Women to be closer to her baby. 8 ?, [+ {6 A% ~8 f5 E8 ~, V
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"In a caesarean they put a screen up in front of you, you can feel very disconnected and it can be very quick, and then the baby is handed straight over to a pediatrician and taken away . . . and for some people they don't even get the baby brought back to them and they can have a long separation," she said. 0 T. Q1 F- s, j+ _( C+ S$ V' P' ]$ k
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"There was no screen in front of me, I was participating, and while I could not see them actually doing the surgical cut, I was intricately involved. I could help participate, it was very emotional, it was just wonderful," she said. ! Q1 o& e( t0 _4 ~' c# U& m  F  l
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Ms Chapman, a nurse for 10 years before becoming a midwife, said women did not need medical experience to have an assisted caesarean. : b) [9 J5 h5 m+ A% Z; j1 _
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"You have to be very motivated and some people don't like the thought of touching their baby or being near their tummy, and that's fine," she said.
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"Birthing is all about choice and women making informed choices. I believe it was safe. I feel fine." & I7 E2 s) i$ c& |  I

0 ]+ g4 S" r+ Q) CBut she said vaginal births should still have priority. 人在德国 社区4 _" h. Y* [. Y% {( ~/ E

2 S2 _/ R3 k' X* T) p2 T  o"But for those of us who don't necessarily have that opportunity this is a way of making an intervention experience a better experience," she said.
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"It was just amazing. The two doctors there got his head in the right spot, but I was really the main person who touched our child first up."
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0 C) x3 E/ {4 A4 |+ a7 {$ _Chris Gunnell, the Perth obstetrician who performed the procedure, said assisted caesareans were unlikely to become mainstream. $ ^- @5 Y" g4 g7 Q4 Y

) z% u7 e0 S( Z/ s人在德国 社区"A lot of women are actually grossed out about the idea, they don't like the concept of helping," Dr Gunnell said.
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"I don't think it will become standard and I don't think it should. There are still a lot things to work on, things like infections."
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The executive officer of the Australian College of Midwives, Barbara Vernon, said the technique had been practised occasionally in Australia for many years. 人在德国 社区  M: ?- }) T& Q! Y$ y) P' ]
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She said techniques such as a "natural caesarean" could help establish the mother-baby bond.
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SPECIAL DELIVERY: Thomas Greenway arrives with some special help from his mother, Naomi Chapman who took a hands on role in her own caeserian section operation./ n3 r1 P0 N5 h, |% r% m/ I- ?# \
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[ 本帖最后由 日月光 于 2007-4-16 11:41 编辑 ]