“‘无痛分娩’真的能让生产不再那么痛苦吗？”

2月15日，“人民的政治咨询会议”报道了“天津公民革命：剖宫产上升的率已经成为一个严重的公共卫生问题”。目前，我国的剖宫产率上升已成为一个严重的公共卫生问题。一个相对严重的公共卫生服务问题，与*和育儿有关的问题应引起整个社会的关注。该报告还指出，在我国的大多数大城市中，剖宫产率高于40，其中少数超过60，一些医院甚至达到100。

相关人员分析说，以如此高的剖宫产率，一些准*担心劳动力。 “怀孕十个月，一旦分娩”，幸福就是预期的*的渴望，而痛苦是准妈妈害怕的。应使用哪种方法来分娩一直是准妈妈关注的话题。剖宫产部分对孕产妇和婴儿供应更有益，阴道分娩仍然非常痛苦。因此，是否有一种分娩方法不仅可以实现阴道分娩，还可以减轻疼痛？为了解决这个问题，妇科界开发了“劳动镇痛”，通常被称为“无痛分娩”。根据*的个人情况，它可以在不同程度上减轻和减轻分娩过程中的疼痛，从而使准*能够在愉快的环境中分娩。

The popular "painless delivery" today is the traditional name.在医学临床医学中，应称为“劳动镇痛”。在自然分娩过程中，使用一些镇痛方法来缓解子宫收缩引起的疼痛。 For the convenience of readers to read and understand the article, the following is still referred to as "painless delivery".

The benefits of “painless childbirth”

An ideal "painless delivery" should have the following factors: are less harmful to maternal and infant products; are easy to administer, have quick effects, are reliable in efficacy, and meet the needs of the entire labor process; avoid obstacles to exercise and do not affect the mother's uterine contraction and fitness Exercise; the mother remains awake and can participate in the entire delivery process; if necessary, the necessary standards for surgical treatment can be met.

"Painless delivery" has two-level benefits for expectant mothers. The first is to reduce the fatigue, fear and urgency of expectant mothers caused by "labor pain" and prevent expectant mothers from applying for unnecessary cesarean sections. Secondly, effective "pain-free" measures can more effectively solve the psychological and physiological needs caused by "labor pain" in the body, as well as the physical and organ symptoms, depression, anxiety, pain, and vasospasm. The resulting increased labor, intrauterine distress, and other problems threaten the safety of maternal and infant products.

Types, practical effects, and problems of “painless childbirth”

Painless delivery type

Non-pathological "pain-free" psychotherapy "pain-free": including prenatal education, teaching pregnant mothers the proper breathing methods and postures during childbirth, and learning massage and local squeezing to relieve pain; Doula waits for pregnant women to give birth, from the spiritual perspective Provide all-round support to pregnant women both physically and mentally.

Water therapy and songs to relieve stress.

Pathological "painless"

Acupoint stimulation is "painless": traditional Chinese acupuncture, transcutaneous electrical stimulation (TENS, HANS), and water acupuncture point injection.

Intravenous vascular administration: Intravenous infusion of ketamine.

General anesthetic inhalation: Inhalation of laughing gas, enflurane or isoflurane.

Partial nerve blocks are "painless": parametrial or perineal nerve tissue.

Intravertebral injection means "painless": including continuous epidural labor analgesia and spinal anesthesia epidural labor analgesia.

Advantages and practical effects

Minimally invasive, safe for maternal and infant products, and does not affect the progress of labor. The analgesic effect varies from person to person and is not efficient.

Minimally invasive, safe for maternal and infant products, and does not affect the progress of labor. The analgesic effect varies from person to person, and there may be cases of incomplete analgesia.

Oral administration or subcutaneous injection: subcutaneous injection is stable and stable.

西方国家较为完善、应用较为广泛的输水方式，并不适合我国目前的基本国情。简单又容易。皮下注射替丁和稳定镇痛的效果不如镇静，现在在产程休息期间很常见。

因对胎儿有麻醉作用，并影响新生儿呼吸，已停产。

妈妈们善于接受，但吸入过多会损害妈妈的意识，导致呼吸抑制。避免载体供氧不足，伤害胎儿。

宫旁阻滞镇痛的效果尚不确定。有些医院在产前会使用会阴神经阻滞，以减轻疼痛并放松会阴部的张力。

镇痛效果很好，但可能会影响生育能力，增加催产素的利用率和手术治疗的良率，并可能导致产后尿潴留。由于镇痛效果不容置疑，对产程的影响可以接受，是目前公认的安全的分娩镇痛方法。