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除了刨宫产、顺产还有“无痛生产” 盘点“无痛分娩”在全球普及情况

2017-09-08 13:46:49   央广网

央广网北京9月8日消息 据中国之声《全球华语广播网》报道,昨晚陕西榆林市卫计局,就“产妇马某某坠楼身亡”事件公布了调查结果。榆林市专家调查组经过认真调查讨论,一致认为产妇入院诊断明确、产前告知手续完善、诊疗措施合理、抢救过程符合诊疗规范的要求,产妇死亡与医院的诊疗行为,没有因果关系。专家认为,这次事件暴露出了医院相关工作人员防范突发事件的意识不强,监护不到位等问题。

在这起事件当中,还有一个大家关注的事实。产妇在生产过程中疼痛难忍,希望进行剖宫产,却始终没有能够如愿,最终选择了跳楼。医院方面发表的声明称,产妇多次向家属要求剖宫产,院方也建议剖宫产,但均被家属拒绝,而家属一方却说,非但没有拒绝剖宫产,反倒在生产过程中,多次要求剖宫产,却被医护人员拒绝。昨天国家卫计委新闻发言人宋树立表示,“我们向家属表示深切慰问,我委对此高度重视,已责成当地的卫生计生部门认真调查核实,依法依规严肃处理。”

各执一词的说法会有一个明确的结论。其实准妈妈们的生产过程,并不是只有普通的顺产和剖宫产两个选项,还有一个“无痛分娩”的选项,换一种说法,不少在分娩的时候痛不欲生的产妇,其实本应有机会不去忍受分娩的“十级疼痛”,也不必挨那剖宫产的“一刀”。

通常我们所说的“无痛分娩”,在医学上称为“分娩镇痛”,是使用各种方法使分娩时的疼痛减轻甚至消失,可以让准妈妈们不再经历疼痛的折磨。有报道说,在欧美国家普及率很高,但在国内可以执行这项技术的医院其实还不算很多,很多产妇甚至根本没有听说过这样的生产方式。

我们来看看国外,无痛分娩真的早就已普及了吗?外国的准妈妈们会不会主动选择这样的生产方式?又会不会有其它的顾虑?

首先来看日本,在这里,无痛分娩虽然不算新鲜,但也并不是所有医院都提供这样的医疗服务。要想用这样的方式帮助自己减轻生产过程中的痛苦,准妈妈们在选择医院的阶段,要提前打听好有关细节。

再来看法国,无痛分娩技术已经普及,医生一般会主动询问产妇的意愿,然后决定是否采用无痛分娩。不过,近年来也有人提出,使用无痛分娩技术可能加剧分娩过程中的另一些风险。

全球华语广播网法国观察员魏伟琼介绍,法国所有新生儿中有八成是顺产儿,在顺产儿中有80%的妈妈选择使用无痛分娩技术,这很可能是全世界该技术使用率最高的国家。上世纪七八十年代在女权主义运动以及媒体的助推下选择无痛分娩成为法国女性的一项权利,而从1994年开始使用无痛分娩的所有费用医保全部报销,医生主张产妇选择使用,但最终是否使用主要是产妇的意愿,再看产妇的身体条件是否适合使用。

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