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如何减少脐带绕颈? 担心的准妈妈请看这里
2017-08-24 06:52:43 中国青年网
杨院长为准妈妈分析病情。
长春晚报记者 孙奇 实习生 陈曦
脐带是联系准妈妈和宝宝的唯一通道,一旦准妈妈被医生告知胎儿被脐带绕颈了,难免会感到惊慌、害怕,担忧宝宝的安全。本来好好的,怎么会脐带绕颈?发生脐带绕颈,又该怎么办?脐带绕颈会不会给胎儿带来生命危险?带着这些问题,记者采访了长春国健妇产医院业务院长杨晓光。
胎儿脐带过长是主要原因
市民赵女士的整个孕期都很顺利,怀孕的第28周,她由老公陪着,到长春国健妇产医院做B超检查,结果显示脐带绕颈,这让赵女士一下子惊慌了起来。“脐带绕颈一般在孕妇怀孕的28周至38周之间比较高发,怀孕晚期,脐带绕颈的发生率为25%左右,多数绕颈一周,少数绕颈两周,三周以上的很少见。”据杨院长介绍,造成脐带绕颈的原因有多种,可能是羊水过多,胎儿在子宫内的活动空间很大,或是由于脐带过长、胎儿的体型相对较小。脐带绕颈是脐带异常的一种,以缠绕胎宝宝颈部最为多见。
脐带缠绕过紧会导致胎儿发育迟缓
通常情况下,脐带绕颈的危害并不大。当脐带缠绕胎儿颈部较紧,宝宝感到不适时,宝宝会向周围运动,寻找舒适的体位,左扭扭、右动动,当胎宝宝转回来时,脐带缠绕就自然解除了,胎宝宝就舒服了。但如果脐带绕颈圈数较多或是脐带过紧,宝宝的血液供应就会受到影响,从而导致宝宝无法正常吸收营养和氧气,发育便会迟缓。杨院长建议,脐带绕颈较严重的孕妇,就医乘车时应尽量选择车的后排座椅,确保孕妇仰坐。脐带富有弹性,脐带绕颈后,只要不过分拉扯脐带,就不至于影响脐带的血流,也不会危及胎儿的生命安全。
适当胎教可减少脐带绕颈机率
准妈妈日常在家中可以通过数胎动来对宝宝进行监测。怀孕28周后,早、中、晚各数一小时,当发现胎动过多或过少时,应及时去医院检查。同时,准妈妈在身体条件许可的情况下,应适当做些柔和运动,如散步、游泳、准妈妈体操等。在怀孕期间,准妈妈应当避免在吵闹的环境中停留,减少外部环境对胎儿的“压力”。在睡姿上,杨院长建议准妈妈多采取左侧卧位,以增加子宫胎盘血流量,同时可在大腿下垫两个枕头。若时间允许,准妈妈可适当进行胎教,胎教时要选择曲调优美的乐曲,节奏不宜过强,声音不要过大,时间不能过长,次数必须适当,使胎儿处于安静状态,这样会减少脐带缠绕。
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