在《生產,本該無傷》中,阿萍醫師與大家分享了「生產創傷」的概念。
這篇文獻提到:
在COVID-19疫情爆發前,就有1/3的婦女認為她們的生產是創傷的,多達20%至48%的產婦符合部分PTSD的診斷標準。一項收集59個研究的回顧報告,一般社區型樣本因生產造成創傷後症候群的盛行率是4%,在高風險族群更是高達18%。
🤔我們要小心在COIVID-19疫情期間,造成更高盛行率創傷後症候群,以及對經產婦造成二度傷害的可能性。
Even before the COVID-19 pandemic, one third of women perceived their birth experiences as traumatic (Reed et al., 2017). As many as 20% to48% of all women who give birth meet some diagnostic criteria for PTSD (Alcorn et al, 2010).The results of a recent review of 59 studies showed that the mean prevalence of PTSD related to childbirth was 4% in community samples and as high as 18% during pregnancy and the postpartum period in women who were considered high risk (Yildiz et al., 2017)
資料來源 Sue Hall, Education in Trauma-Informed Care in Maternity Settings Can Promote Mental Health During the COVID-19 Pandemic. Obstet Gynecol Neonatal Nurs. 2021 May;50(3):340-351.
#生產本該無傷
圖文不符之~好想去花蓮玩啊!休假取消、訂房取消。看看照片神遊一下。
端午假期大家乖乖在家吃粽子喔,不要移動!!!
同時也有1部Youtube影片,追蹤數超過2萬的網紅Anh Minh,也在其Youtube影片中提到,Just to get a little peace of mind I decided to get a baby doppler to keep an ear out for my baby's heart beat. I was delivered to day and we are exci...
maternity health care 在 9bulan10hari Facebook 的精選貼文
Waktu mengandung puas dah kena cucuk sana cucuk sini.. lepas bersalin pun kena cucuk lagi? Kena ambil 20 suntikan? Pitam jap dengar.
Kenapa kena cucuk HEPARIN lepas bersalin? Apa tu heparin?
Suntikan heparin ni ubat cairkan darah, ia bertujuan utk elakkan darah beku yg amat bahaya utk ibu2 lepas bersalin.
Biasanya orang yg bersalin czer kena amik suntikan ni tapi sekarang ni yg normal pun ada yang kena atas sebab-sebab berikut:
1. Usia ibu yang semakin tua (35 tahun ke atas)
2. Berat badan obes
3. Merokok
4. Kehamilan kembar
5. Ada masalah lain (seperti pre-eklampsia, penyakit jantung lemah)
6. Kekurangan pergerakan badan (seperti selepas pembedahan caesarean)
7. Kekurangan meminum air (dehidrasi)
8. Tumpah darah berlebihan ketika bersalin.
Untuk ibu yang beranak Caesar, biasanya suntikan 2 kali sehari selama 10 hari . Suka atau tidak, demi kesihatan ibu, kenalah bawa ubat yg dibekalkan dari Hospital ke klinik kesihatan berhampiran utk menerima suntikan 8 pagi dan 8 malam.
Nampak macam menyusahkan kan? Dengan nak keadaan masih sakit-sakit, nak bawa baby check up lagi, kena pula pergi klinik.
Tapi ada juga ibu yang boleh injet sendiri di rumah tapi perlu disiplin. Ubat cair darah ni nampak renyah, tapi ianya sangat PENTING!
Ini untuk mengelakkan ibu diserang pembekuan darah dalam saluran darah paru-paru (Pulmonary Embolism).
Jangan ambil mudah ya mommy, darah beku dlm salur darah boleh menggangu darah utk mengalir ke paru-paru dan menghalang oksigen masuk secukupnya dlm darah.
Ianya boleh membawa kepada kematian mengejut. Nauzubillah!
Jadi, apa perlu mommy buat lepas bersalin?
1) Rehat secukupnya dan jangan stress.
2) Minum air secukupnya, jangan sampai dehidrasi.
3) Sentiasa aktif bergerak tanpa melakukan kerja berat.
Heparin ni ada 2 jenis :
1) Ada unsur khinzir ( inject 1x sehari)
2) Tak ada unsur khinzir ( inject 2x sehari)
Mungkin ada mommy yang risau dan khuatir, sebab ubat suntikan pencair darah seperti clexane itu berunsur khinzir.
Kenapa diharuskan mengambil clexane walaupun ada unsur khinzir?
1. Tidak ada ubat lain yang tidak berunsur khinzir yang lebih baik daripada clexane.
2. Ubat suntikan heparin tidak memberi keberkesanan setanding dengan clexane terutama untuk ibu yang berat badan lebih 90kg.
3. Ubat fondaparinux pula sangat mahal dan ramai ibu tidak mampu. Ia boleh memasuki susu badan dan bayi yang menyusu boleh mendapat dos yang sedikit.
Don’t worry mommy, dengar cakap doktor apa jua yg terbaik buat anda. Fikir yang baik-baik ya dan jaga kesihatan!
When you're pregnant, you've been stabbed and stabbed here.. after giving birth you'll be stabbed again? Gotta take 20 shots? I'll be blown out listening to it.
Why got poked by HEPARIN off maternity? What is heparin?
This heparin injection is medicine to reduce blood, it is meant to avoid frozen blood that is very dangerous for mothers after giving birth.
Usually people who maternity czer get amiked by this shot but now the normal one will be hit by the following causes:
1. Mom's age is getting older (35 years and above)
2. Obese weight
3. Smoking
4. Twin pregnancy
5. There are other issues (like pre-eclampsia, heart disease is weak)
6. Lack of body movement (like after caesarean surgery)
7. Lack of drinking water (dehydration)
8. Excessive blood spilled during delivery.
For Caesar mothers, usually injections 2 times a day for 10 days. Like it or not, for the sake of mother's health, need to bring the medicine provided from Hospital to the nearby health clinic to receive injections from 8 am and 8 pm.
Looks like a trouble right? With the sick condition, want to bring the baby to check up again, have to go to the clinic.
But there are also mothers who can injet themselves at home but need discipline. This bloody medicine looks crunchy, but it's very IMPORTANT!
This is to prevent mother from being attacked by blood freezing in the lung blood channel (Pulmonary Embolism).
Don't take it easy, mommy, frozen blood in the blood vessels can disturb blood to flow into the lungs and prevent oxygen from entering enough blood.
It can lead to a sudden death. \ Cannot translate \
So, what should mommy do after giving birth?
1) Rest enough and don't stress.
2) Drink enough water, don't get hydrated.
3) Always actively moving without doing heavy work.
There are 2 types of Heparin:
1) There are pig elements (inject 1 x a day)
2) No pig elements (inject 2 x a day)
Maybe there's a mommy who's worried and worried, because the blood melting injections like clexane are pigs.
Why is it necessary to take clexane even though there is a pig element?
1. There is no other medicine that is better than clexane.
2. Heparin injection medicine doesn't give effectiveness comparable to clexane especially for mothers who weigh over 90 kg.
3. Fondaparinux medicine is very expensive and many mothers can't afford it. It can enter body milk and breastfeeding babies can get a little dose.
Don't worry mommy, listen to whatever doctor is the best for you. Think carefully and take care of your health!Translated
maternity health care 在 陳鈺萍醫師 Facebook 的最佳貼文
今天是國際助產師節!❤️
謝謝助產師夥伴們^_^
This year's theme resonates with the first of ICM's three Strategic Directions, established in the 2017-2020 Strategy as Quality, Equity, Leadership. Midwives leading the way with quality care is significant in highlighting the vital role that midwives play not only in ensuring women and their newborns navigate pregnancy and childbirth safely, but also receive respectful and well-resourced maternity care that can create a lifetime of good health and wellbeing beyond the childbirth continuum.
https://internationalmidwives.org/…/nternational-day-of-th…/
#每個婦女都需要助產師
maternity health care 在 Anh Minh Youtube 的最讚貼文
Just to get a little peace of mind I decided to get a baby doppler to keep an ear out for my baby's heart beat. I was delivered to day and we are excited to test it out. It was a little hard to find at first but after a while I think we heard some heart beats from our baby. Not sure but it helps us feel hopeful and positive that our baby is doing ok in my belly. We will try to use it more often in the future if we have any uncertainties and need to be assured. Glad to be able to have this device to help us first time parents chill out!
PRODUCTS USED
Baby Doppler
https://www.googleadservices.com/pagead/aclk?sa=L&ai=C2baoNeuVXLrMNJHBtOUPz6a2gAThjrOkVemsm4SRBsv6q8KXCQgEEAEguVQoHWDJ3uiGyKOQGaABydTZmwPIAQfIA9ggqgQ5T9AcZTJBwdXLtj8126W_DrBuAqfF2H1rnFKrYWrxymoa4DtML7oNvrs9jxWblFkndkbyYeTxHwyxwASRhOyXuwGABZBOwAUFoAYmgAefq6ZkkAcBqAemvhuoB9nLG6gHz8wbqAfz0RvYBwGwCAHACAH4CQHgEu7U1KzC7oTDVw&ctype=5&ved=0ahUKEwj2uJWi6ZfhAhXJvp4KHUVoCOwQ9aACCDY&dblrd=1&val=Ggj_TLr6agy-lSABKAAwqv6dueqZhIYiOIvZg9oFQLfW1-QF&sig=AOD64_3J1USQ4QUzwc963AGRO8ThkCWKGA&adurl=https://www.babydoppler.com/sonoline-b-fetal-doppler.html
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