txheem
Cov kws tshaj lij yug menyuam: dab tsi txhawb nqa niam-kom-ua?
Gynecologist, midwife, anesthesiologist, child care assistant… Cov kws kho mob tsim cov pab pawg obstetric sib txawv raws li qhov luaj li cas ntawm maternity unit thiab hom kev yug me nyuam. Portraits.
Tus poj niam txawj ntse
Cov kws kho mob tshwj xeeb hauv cov poj niam noj qab haus huv, midwives tau ua tiav 5 xyoo kev cob qhia kho mob. Tshwj xeeb, lawv ua lub luag haujlwm tseem ceeb nrog cov niam yav tom ntej. Ua hauj lwm hauv kev coj ua ntiag tug lossis txuas nrog lub tsev kho mob poj niam cev xeeb tub, lawv tuaj yeem, nyob rau hauv cov ntsiab lus ntawm lub cev xeeb tub, uas yog hais tias cev xeeb tub pib ib txwm, xyuas kom muaj kev soj ntsuam los ntawm A txog Z. Lawv tuaj yeem paub meej tias cev xeeb tub thiab Ua kom tiav cov lus tshaj tawm, sau tshuaj ntsuam xyuas kab mob lom neeg, xyuas kom muaj kev sib tham ua ntej yug menyuam txhua hli, kuaj xyuas ultrasounds thiab saib xyuas cov sijhawm, txhaj tshuaj tiv thaiv tus niam muaj mob khaub thuas yog tias qhov xav tau tom kawg… Nws tseem nrog lawv tias yav tom ntej niam txiv yuav ua raws li 8 ntu ntawm kev npaj rau kev yug menyuam thiab niam txiv them rov qab los ntawm Health Insurance.
Hnub D-hnub, yog tias kev yug me nyuam nyob hauv tsev kho mob thiab mus yam tsis muaj kev cuam tshuam, tus kws yug menyuam nrog niam-rau-tau ua haujlwm, coj tus menyuam mus rau hauv lub ntiaj teb thiab ua nws thawj zaug kuaj thiab pab thawj zaug, pab saib xyuas menyuam. tus pab. Yog tias tsim nyog, nws tuaj yeem ua thiab suture ib qho episiotomy. Nyob rau hauv lub tsev kho mob, ntawm qhov tod tes, ib tug obstetrician gynecologist yuav systematically hu rau lub sij hawm tshem tawm.
Thaum lub sij hawm nyob rau hauv lub tsev kho mob maternity, tus kws yug menyuam muab kev saib xyuas kev kho mob rau leej niam thiab nws tus menyuam mos. Nws tuaj yeem cuam tshuam los txhawb kev pub niam mis, sau tshuaj tiv thaiv kom haum, thiab lwm yam.
Tus kws tshuaj loog
Txij li xyoo 1998 perinatal txoj kev npaj, cov me nyuam ua tau tsawg dua 1500 tus me nyuam hauv ib xyoos yuav tsum muaj tus kws tshuaj loog hu rau. Hauv cov tsev kho mob me me uas muaj ntau dua 1500 tus me nyuam hauv ib xyoos, tus kws kho mob tshuaj loog yog nyob ntawm qhov chaw txhua lub sijhawm. Nws lub xub ntiag nyob rau hauv chav tsev me nyuam tsuas yog yuav tsum tau muaj nyob rau hauv cov xwm txheej ntawm epidural, seemarean los yog siv cov cuab yeej forceps uas xav tau tshuaj loog.
Txawm li cas los xij, txhua tus niam uas muaj menyuam yuav tsum ntsib nrog tus kws tshuaj loog ua ntej yug menyuam. Txawm hais tias lawv tau npaj kom tau txais txiaj ntsig los ntawm tus kab mob epidural, nws yog qhov tseem ceeb uas pab pawg kho mob uas yuav saib xyuas lawv nyob rau hnub D-hnub muaj tag nrho cov ntaub ntawv tsim nyog kom muaj peev xwm cuam tshuam kev nyab xeeb yog tias qhov tshuaj loog yuav tsum tshwm sim. .
Kev teem sijhawm ua ntej tshuaj loog, uas kav ntev li kaum tsib feeb, feem ntau yog teem caij nruab nrab ntawm 36 thiab 37th lub lim tiam ntawm amenorrhea. Kev sab laj pib nrog cov lus nug txog keeb kwm ntawm kev siv tshuaj loog thiab txhua yam teeb meem ntsib. Tus kws kho mob kuj tseem khaws cov keeb kwm kev kho mob, muaj qhov ua xua ... Tom qab ntawd tso cov tshuaj ntsuam xyuas, feem ntau yog nyob rau sab nraub qaum, hauv kev tshawb nrhiav cov contraindications rau epidural. Tus kws kho mob siv sijhawm los muab cov ntaub ntawv qhia txog cov txheej txheem no, thaum nco qab tias nws tsis yog qhov yuav tsum tau ua. Ib zaug ntxiv, mus rau kev sib tham ua ntej tshuaj loog tsis tas txhais tau tias koj xav tau epidural. Nws tsuas yog kev lees paub ntawm kev ruaj ntseg ntxiv nyob rau hauv rooj plaub ntawm qhov xwm txheej tsis tau pom dua nyob rau hnub xa khoom. Kev sab laj xaus nrog kev tshuaj xyuas ntawm tus qauv kev ntsuam xyuas lom neeg txhawm rau txheeb xyuas cov teeb meem ntshav txhaws.
Obstetrician gynecologist
Obstetrician gynecologist tuaj yeem ua kom muaj kev rov qab los ntawm cev xeeb tub los ntawm A txog Z lossis cuam tshuam tsuas yog thaum lub sijhawm yug menyuam yog tias kev soj ntsuam tau ua tiav los ntawm tus kws yug menyuam. Hauv tsev kho mob, txawm tias txhua yam mus ib txwm, tus kws kho mob gynecologist tau hu ua kom tshem tus menyuam tawm. Hauv tsev kho mob, thaum txhua yam mus zoo, tus kws yug menyuam kuj tseem raug tshem tawm. Obstetrician gynecologist tsuas yog hu ua tsuas yog yuav tsum tau ua ib qho kev phais mob, siv cov cuab yeej (forceps, suction khob, thiab lwm yam) los yog ua kom rov kho lub tsev menyuam thaum tsis ua tiav. Cov niam yav tom ntej uas xav kom yug los ntawm lawv tus kws kho mob gynecologist yuav tsum sau npe hauv tsev kho mob maternity uas nws ua. Txawm li cas los xij, kev tuaj koom tsis tuaj yeem yog 100% lav rau hnub xa khoom.
Tus kws kho mob
Tus kws kho mob tshwj xeeb ntawm tus menyuam no qee zaum cuam tshuam txawm tias ua ntej yug menyuam yog tias kuaj pom tus menyuam hauv plab tsis zoo thaum cev xeeb tub lossis yog tias muaj kab mob caj ces yuav tsum tau saib xyuas tshwj xeeb.
Txawm hais tias tus kws kho mob hauv tsev kho mob hu xov tooj hauv tsev kho mob, nws tsis nyob hauv chav xa khoom yog tias txhua yam mus zoo li qub. Nws yog tus kws yug menyuam thiab tus kws saib xyuas menyuam yaus uas muab kev pabcuam thawj zaug thiab ua kom tus menyuam mos zoo nkauj.
Ntawm qhov tod tes, txhua tus menyuam mos yuav tsum tau kuaj xyuas tsawg kawg ib zaug los ntawm kws kho menyuam yaus ua ntej lawv rov qab los tsev. Cov tom kawg tau sau nws cov kev soj ntsuam hauv lawv cov ntaub ntawv kho mob thiab xa lawv tib lub sijhawm mus rau cov kev pabcuam kev tiv thaiv niam thiab menyuam (PMI) hauv daim ntawv hu ua "hnub 8" daim ntawv pov thawj kev noj qab haus huv.
Thaum qhov kev kuaj mob no, tus kws kho mob tau ntsuas thiab ntsuas tus menyuam. Nws kuaj nws lub plawv dhia thiab ua pa, hnov nws lub plab, caj dab, caj dab, tshuaj xyuas nws qhov chaw mos thiab fontanels. Nws kuj tshuaj xyuas nws qhov muag pom, xyuas kom tsis muaj qhov tsis muaj qhov tshwm sim ntawm lub duav, saib xyuas kev kho kom zoo ntawm txoj hlab ntaws ... Thaum kawg, nws ua qhov kev kuaj mob paj hlwb los ntawm kev sim qhov muaj qhov hu ua archaic reflexes: tus menyuam tuav tus ntiv tes uas ' Peb muab rau nws, tig nws lub taub hau thiab qhib nws lub qhov ncauj thaum peb txhuam nws ob sab plhu lossis daim di ncauj, ua kev taug kev nrog nws ob txhais ceg ...
Cov kws saib mob hauv tsev laus thiab cov pab saib xyuas menyuam yaus
Cov kws saib mob hauv tsev laus yog cov kws saib xyuas mob hauv xeev lossis tus kws yug menyuam uas tau ua tiav ib xyoos tshwj xeeb hauv kev saib xyuas menyuam yaus. Cov tuav ntawm lub xeev daim ntawv pov thawj, cov koom haum saib xyuas menyuam yaus ua haujlwm hauv lub luag haujlwm ntawm tus kws yug menyuam lossis tus kws saib xyuas menyuam yaus.
Cov kws saib mob hauv tsev laus tsis muaj qhov systematically nyob hauv chav xa khoom. Feem ntau, lawv raug hu tsuas yog tias tus mob ntawm tus menyuam yug tshiab xav tau. Hauv ntau lub tsev, nws yog tus kws yug menyuam uas ua tus menyuam thawj qhov kev kuaj mob thiab muab kev pabcuam thawj zaug, pabcuam los ntawm tus kws saib xyuas menyuam yaus.