پاورپوینت پوزیشن و زایمان

پاورپوینت پوزیشن و زایمان

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بسم الله الرحمن الرحیم پوزیشن و زایمان.
Lamaze International Certified Childbirth Educator (LICC) مربی آمادگیهای زایمانی از امریكا عضو هیات علمی دانشگاه شهید بهشتی .
Benefits of different positions Increased comfort Reduced pain, distraction Enhanced sense of control. Change the shape and size of the pelvis Helps the baby’s head move to the optimal position during first stage labor Helps the baby with rotation and descent during the second stage help with the frequency, length, and efficiency of contractions The effects of gravity can help the baby move down more quickly Changing positions helps to ensure a continuous oxygen supply to the fetus Benefits of different positions Benefits of different positions Changing position can reduce the length of labor.
Mendez-Bauer and Newton state: duration of labor from 3 to 10 cm cervical dilation was about 50% shorter in patients who alternated supine and standing, standing and sitting positions.
OA position recommendation: Position with the belly lower than the spine (like in the all-fours position) Position with the hips higher than their knees.
Swimming (belly down) Pelvic rocks on all fours (several sets a day) Sitting on a birthing ball Kneeling and leaning forward on a bean bag chair while watching TV ‘Tailor sitting Sleeping or lying predominantly on your left side Scrubbing the floor, crawling, or doing other tasks that require being on all-fours a lot in the week or two prior to labor (not just for a few minutes, for 20-30 minutes at a time at least) Having mothers maintain upright or forward-leaning positions as much as possible Posture Avoid sitting with the hips lower than the knees Avoid lying back with the feet up Avoid slouching back in a chair Avoid sitting with the legs crossed During Labor -Avoid Breaking the Waters -Making more room in the pelvis can be done by:  altering the level of the mother’s hips rocking from side to side kneeling on one knee, raising one foot an exaggerated ‘marching’ step marching up and down stairs going up and down the stairs sideways stepping on and off a stool asymmetric labor positions double hip squeeze’ برای قرار گیری در تنگه میانی در این تنگه جنین تغییر مسیر داده و به سمت مهره های پایین كمری و خاجی نزول می كند در این مرحله كه طولانی ترین مرحله محسوب می شود: از هر فشاری به پشت به خصوص مهره های پایین كمری و خاجی امتناع كرد هر وضعیتی كه باعث نزول جنین به سمت عقب می شود امتناع كرد مانند: به پشت خوابیدن ، نشستن وتكیه دادن به تخت یا صندلی قرار گیری در تنگه میانی در عوض هر وضعیتی كه باعث ایجاد فاصله بین استخوان های نشیمنگاه و آزاد شدن مهره های كمری گردد زمان این مرحله را كوتاهتر می كند و جنین با مانع كمتری این مسیر را طی می كند قرار گیری در تنگه میانی قرار گیری در تنگه پای