推?不推?子宮底施壓於自然產第二產程運用之省思 | fundal pressure中文
英文摘要 Womenwhoundergovaginalbirthapplyuterinefundalpressureduringthesecondstageoflabor.Uterinefundalpressureisdonemanuallywiththepractitionersforearms,elbows,orpalmspressedontheuterinefundusata30°to45°angletothematernalspineinthedirectionofthepelvis.Thepressureisappliedinthelongitudinaldirection.Gentle,firm,andsteadypressureisrecommended.Thevarioussideeffectsofapplyinguterinefundalpressureinclude:uterinerupture,postpartumurinaryretention,severeperinealtraumaandpain,ribfracture,postpar...
英文摘要Women who undergo vaginal birth apply uterine fundal pressure during the second stage of labor. Uterine fundal pressure is done manually with the practitioners forearms, elbows, or palms pressed on the uterine fundus at a 30° to 45° angle to the maternal spine in the direction of the pelvis. The pressure is applied in the longitudinal direction. Gentle, firm, and steady pressure is recommended. The various side effects of applying uterine fundal pressure include: uterine rupture, postpartum urinary retention, severe perineal trauma and pain, rib fracture, postpartum dyspareunia, and potential neonatal distress or trauma. Therefore, caution is recommended in the application of uterine fundal pressure. Thus, only well-trained and experienced medical staff or nurses should be allowed to practice this intervention.