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国家大力推行无痛分娩，为何大多孕妇强忍剧痛也不用？谣言惹的祸

发布日期：2024-09-03 00:00:21编辑：胖虎爱撩妹

无痛分娩是从西方传到我们中国的，刚开始无痛分娩只限于那些名门贵族和富贵太太们才能进行，当时一些女权主义推行者还为了这项福利做了很多工作：人人都要享受这种人性化的分娩方式！
 
无痛分娩确实让我们生孩子时可以拥有更多的尊严，也让我们生娃时不用强忍那排山倒海而来的疼痛感。
 
我们国家相关部门为了让妈妈们生产时更顺利，也大力推行无痛分娩。在2019年国家卫健委在相关发文提出：在全国913家医院开展无痛分娩试点，2020年试点无痛分娩率达到40%以上。也就是我们去一个县级的医院都可能享受无痛分娩。
 
#谣零零计划#
 
 
 
无痛分娩是每个妈妈的权利，这些知识你要了解
 
无痛分娩现在最成熟也最有效，副作用最少的是硬膜外阻滞
 
也就是麻醉师用少剂量的麻醉药（现在主要用利多卡因）从腰椎打入体内，因为每个人对药物的敏感性不太一样，还可以调节药量。
 
几时用无痛分娩？
 
生产分为三个产程，第一产程主要是开宫口时间久一般要持续12小时甚至以上，疼痛明显。而第二产程是生孩子，这时候需要在医生的指导下学会用力把孩子生出来，第三产程是孩子出来后，看着胎盘也要生出来。
 
现在的无痛分娩一般是第一产程在宫口开三厘米后开始使用，当然有些产妇痛得太厉害了可能也会在开二指也用了。
 
 
 
无痛分娩就完全无痛吗？
 
并不是，看个人的感觉，有些人对麻醉比较敏感的，打了无痛之后那就真是的从地狱到了天堂。有些人对麻醉不太敏感的，甚至无感的，打无痛还是一样的痛。之前还有一个网友分娩，自己对麻醉不敏感，所以剖宫产的时候活生生忍着痛做完手术的。
 
当然我们大部分人打无痛是可以起到减少疼痛的作用的。也就是还是觉得痛，但是痛的可以忍受，自己也没有这么紧张的，这时候甚至可以睡一觉。
 
这么好的无痛分娩，所以在一些发达国家无痛分娩率高达90%，但是在我们却推行得有点慢。
 
19年9月发布的《国家医疗服务和质量安全报告中》，我国麻醉分娩镇痛开展率（也叫无痛分娩率）仅为16.45%。
 
其实在北上广深这些大城市的一些大型综合医院，无痛分娩率可以达到40%以上，特别是上海市一妇婴无痛分娩率高达80%。
 
而总体无痛分娩率才16.45%主要是被一些比较落后的地区给拉下来了！为什么在我国还有一大半的产妇宁可强忍剧痛也不做无痛分娩呢，有一些产妇甚至痛得要求剖宫产！
 
 
四个无痛分娩的谣言，让妈妈错失无痛分娩
 
谣言一：无痛分娩会让孩子变傻
 
不少人传得有声有色的，无痛分娩里面有麻醉药进入妈妈体内也会进入胎儿体内，从而影响孩子的大脑，让孩子变傻。
 
话说剖宫产时用的麻醉药量更大，怎么不见娃傻？
 
无痛分娩麻醉用的麻醉药量极少，一般会泵入硬膜外腔，作用于神经根和脊髓产生镇痛作用，这当中只有极少部分的药物被吸收入血，很快会让妈妈自己排泄掉，根本不太可能进入到胎儿体内。
 
更不用说会影响孩子的大脑发育了。
 
国内外多项研究也证实了，顺产时使用无痛分娩，对新生儿的阿氏评分情况是没有影响的。也就是对孩子的各方面基本没有影响。
 
 
 
谣言二：无痛分娩会妨碍母乳喂养
 
前面我们也提到了无痛分娩时的麻醉药，主要作用于神经根和脊髓，进入血液量是非常非常少的，更不太可能进入到母乳中。也就是不会污染孩子的食物。
 
无痛分娩反而会有利于母乳喂养！没进行无痛分娩的妈妈，不少生着生着就没有力气了，导致产程变长，最后还是助产士帮推着拉着把孩子生了出来，而妈妈自己更是痛并累到虚脱。身体过度劳累母乳都分泌不出来的。产后没有母乳可能会直接导致孩子第一口不是母乳。
 
无痛分娩让妈妈没么痛，甚至在开宫口时还可以休息一下，宫口也开得更快一些，第二产程生孩子时，妈妈有更好的体力来生娃，所以生娃的速度会更快一些。生完也没这么累。助产士把孩子洗干净抱过来妈妈就直接进行母乳喂养了。而早吸吮更有利于顺利的母乳喂养。
 
 
 
谣言三：无痛分娩会让产程变长
 
这个谣言的原理是无痛分娩时我们身体太放松了，不利于规律宫缩，事实上妈妈太痛时太紧张反而不利于开宫口。
 
朋友乐乐去生孩子的时候，刚开始就想不要无痛分娩，因为担心无痛分娩对孩子不好，没想到从开始规律宫缩肚子痛到医院都呆了10个小时了，医生检查了三次宫口，但是开得速度比蜗牛还慢，第一次2厘米，第二次还是2厘米，第3次3厘米。
 
乐乐受不了了，就说干脆剖腹产吧，疼的受不了，要晕过去了。但医生说：胎儿也不是很大，你的骨盆条件也可以，没有手术指征！继续试产。
 
然后建议她用无痛分娩，这次痛的她已经快丧失理智了，也不管好不好了，说：上上上！让老公赶紧签字。
 
上完无痛没几分钟，乐乐感觉从自己活了过来。刚才大喊大叫太费力气了，没一会就睡过去了，老公说她在病床上打起了呼噜。
 
大概过了一个多小时，医生过来检查一下她宫口开的程度，之前10小时才开了3指，打了无痛之后一个多小时从三指开到了十指。
 
直接送到产房，进去没两小时就把一个6斤半的女儿生出来了。
 
所以无痛分娩反而可以缩短产程，因为盆腔的肌肉放松后，宫口开得更快。
 
 
 
谣言四：无痛分娩有副作用，那就是腰痛
 
同事玥玥非常怕痛，当时生女儿就是无痛分娩，确实生得快，没这么痛，但是她说有副作用，就是经常会腰痛。
 
但是我还认识了一个姐姐，也是顺产，但是没有做无痛分娩，也是一样的腰痛。
 
而乐乐做的无痛分娩说没感觉腰痛。
 
其他腰是不是痛和有没有做无痛分娩没有直接关系。主要是因为怀孕的时候，胎儿压迫神经和长时间不当坐或者站的姿势导致的。
 
加上喂奶的时候，妈妈抱孩子的姿势可能不太正确，有时候不太会抱孩子就让自己身体去迁就孩子，这样也会导致腰疼。
 
 
 
菁妈寄语：分娩镇痛是第一位产妇的权利，不要主动放弃自己的这项权利。
 
更多精彩内容请点击：
 
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