Cut open the palace and produce the interests to investigate in Shenyang

Cut open the palace and produce the interests to investigate in Shenyang
Cut open the palace and produce the interests to investigate in Shenyang
A woman is pregnant and giving a birth, this is a very normal physiological course as having a meal, sleeping. But instantly, give birth to the child excessive medical treatment, the increasingly many lying-in woman chooses to cut open the palace to produce, end up with operation way gestation, far replace the natural childbirth way that problems can easily be solved when the conditions are ripe. It is raised continuously in recent years that a group of surprising data have announced the lying-in woman in Shenyang to cut open the yield of the palace. In March of this year, the municipal social medical insurance administration bureau of Shenyang of Liaoning Province announced a group of data: The whole city of Shenyang will choose to cut open the number of people produced in palace and remain high in 2010, will account for 74.96% of the total number, the ones that are well-above World Health Organization and set up cut open the yield cordon 15% of palace. The reporter investigates that knows, cause and cut open the yield of the palace so high, have a reason giving birth to excessive medical treatment of hospital, also lying-in women thought that cut open the palace to produce and know more than the mistake with safer natural birth, it makes a thorough investigation to be relevant department in afford to make to the intersection of pregnant and parturient women and the intersection of propaganda and education and work of respect too. While interviewing, an old doctor engaged in work of delivering a child of more than 20 years says worriedly: With cutting open the lasting rising of the palace yield, has already caused the hospital to give birth to the technology of delivering a child and shrink and decline gradually naturally. Behind this, the economic benefits higher than natural birth by more than twice in price are being hidden. While giving birth to the child and is interviewed by excessive medical treatment, the reporter knows such a foreign childbirth embodiment. A Chinese lying-in woman giving a birth in Japan, lives in the hospital at two o'clock before dawn, while the ones that are as long as more than ten hours wait to produce and give birth to naturally, midwives are being accompanied at her side all the time. When she is so painful as to cry scream, midwives sing for her in turn, releive her tense mood, until the baby comes into the world with a cry, midwives have not left her. In give birth to child at home, the the intersection of scene and the intersection of wind and maos of rare thing, or does not have at all. The lying-in woman comes into the operating room, get on the operating table by oneself. After the anaesthetist injects for several minutes of anaesthetic, the uterus is scratched by the scalpel, the baby is taken out by force. Nearly treated as the patient once admitted to hospital beginninging from the lying-in woman, and use medicines to intervene postpartum when being easily antenatal, produce; There is no clear physical sign or indication, " continuous productive process " of cutting etc. of adopting and cutting open palace producing, perineum side Mode of production. "Originally one has the physiological course sleeping like having a meal usually to give birth to the child, but excessive medical treatment instantly in our country, it is originally a kind of first aid operation to cut open the palace and produce, but regarded as the normality now. " The hospital delivery room chief physician Liu GuiYing of the woman of Shenyang city baby, this old doctor engaged in work of delivering a child of more than 20 years tells reporters, in the past where is it have being so many if you can't make, cut open by what palace produce,be cut open muddiness, fetus is to fit for by natural labor that the indications in location, amniotic fluid for the heads after foetusing appeared basically to lying-in woman where palace produce. Cut open the palace at that time and produced and really ensured endangering the safe function of the lying-in woman's mother and baby high producing, but cut open the palace now and produce becoming that generally give birth to the way, the lying-in woman of the natural birth should look for oneself to be suitable for the condition of natural labor with strength. 50- 60 the intersection of times and each country cut open palace yield following in 5%, cut open the yield of the palace and rise abroad rapidly since the seventies of last century last century, began to drop progressively in the eighties of last century. Cut open the yield of the palace and already in U.S.A. and most countries up to 15%- 20% at present. And the cutting open the yield of the palace and having phenomenon of lagging behind compared with foreign countries of our country. Began to obviously rise in the eighties of last century, rose fast in the 1990s of last century, and already influenced the rural area. Our country cut open the intersection of palace and yield, rise to 51.3% from 32.7% already the past 10 years, to cut open the yield of the palace and is even up to 60% to 80% some hospital. Liu GuiYing says and gives birth to the factor that the child is every aspect excessive medical treatment to cause. Cut open the economic benefits reporter producing the back in the palace to know, until Chinese Medical Sciences University attach to, hold the intersection of Beijing and hospital, attach to first hospital, the intersection of the Chinese People's Liberation Army and the intersection of 202 hospital,etc. and tertiary hospital, the lying-in woman gives birth to the child and cuts open the palace and produces the expenses generally all in 6000- 8000 yuan, and the natural birth expenses are in 3000- 4000 yuan. It is twice that of natural birth to cut open the palace and produce the operation expenses, the enormous interests of this back are very clear. At present, the specific hospital cuts open the yield of the palace and is up to 70% to 80%. A lying-in woman cutting open the palace and producing the child in one hospital tells reporters: "I have originally already done a good job of natural labor to plan, I am not afraid of aching, so long as the natural labor is kind to the child, my doctor when it is examined that the hospital produce has been emphasizing all the time too the natural birth is better than to cut open the palace and produce, propose my natural labor, and say I accord with the natural labor condition. Natural labor expenses produce province half cutting open palacing, give birth to how many days can recover child in addition. It is not so to wait for me to turn into the in-patient dept. of obstetrical department, the doctor takes out a pile of lists to let me read, suitable to produce unexpected the intersection of relative and oneself responsible for the intersection of cloud and cloud, see I and household tremble with fear now. The doctor says constantly it is all my own and voluntary that the natural labor cuts open the palace and produces, but emphasize the stake in one of natural birth repeatedly, my foetus' weight of nothing has grown up, I am lying-in woman,etc. at advanced age, our whole family have not prohibited living and frightening finally, have chosen to cut open the palace to produce. I think if doctors do not emphasize the risk of natural labor, exaggerate and cut open the advantage produced in palace, and can support my natural labor voluntarily, give me confidence, I will not choose to cut open the palace producing. " Reporter know from every large hospital, wait, make, cut open palace, produce lying-in woman of surgery, queue up every day, some can not arrange in one or two days in hospital. Some doctors should make three or four and cut open the palace and produce the operation each day. The hospital likes the lying-in woman to make and cut open the palace to produce, charge high on one hand, saves time at the same time, one cuts open the palace and produces the operation for just more than half an hour. Natural labor need, use medicine, cut open palace, produce, need the intersection of bit and antibiotic various medicines while being postoperative especially, still can spur a plurality of medical industries. The hospital is unwilling to undertake the natural labor risk in recent years doctors and patients' dispute is increasing constantly, this makes a lot of hospitals and doctor sense of risk strengthen, cause the doctor in order to avoid too many risks and relax operation indication. Even without operation indication, so long as lying-in woman and relative require the operation to no longer explain the advantage of natural labor too much. Reporter phone, get, hold the intersection of Beijing and hospital, Chinese Medical Sciences University attach to first hospital, 202,etc. hospital carry on consultation specially, "I want to go to your hospital to give a birth, the natural labor is good, or choose to cut open the palace to produce well? " Answer that is got is basically all: "Come to hospital to check first, see foetuses and lying-in woman conditions of various fields, the natural labor cuts open the palace and is produced and decided by lying-in woman. " The reporter knows, few doctor propagated natural labor advantage to the lying-in woman voluntarily at present, afraid of bearing responsibility. An obstetrician tells reporters: "Avoid trouble whenever possible, present lying-in women are all very enervated, if you propose her natural labor, in case some accidents appear in this course, or she can not stand aching transfers to and cuts open the palace to produce again, hang on to have a doctor and does not then stop, who can bear this responsibility? So would rather cut open by mistake 1,000, can't take a risk either. " (It is by mistake so-called it is since it cut open it mean if you can't cut open by palace, last indication,can well lying-in woman of natural labor. ) Liu Great Britain of the Guangxi Zhuang Autonomous Region's medicine? Last �� Xiang �� scar �� pay � round Ji of moxibustion of � men surge to lie to fear to suffer from bank jump �� Kou see whether there aren't Jie The intersection of shell and angstroms of all regretable to impose ��, D of otter, slack old the intersection of ���� and hard the intersection of Sri Lankan and � sigh the intersection of mother and ������ Zhyuan the intersection of �� and top rush down Long of �� thumb ��? It is basically a child of a family that the lying-in woman is very entangled with now giving birth to the way, everything takes its time to ripe, give a birth in one day, each family hopes to grow this little precious life smoothly, a lot of lying-in women and relative mistakes think that cut open the palace to produce and give a birth more safely and demanding to cut open the palace to produce to the foetus than the vagina. A lying-in woman tells reporters, she chose to cut open to oneself the palace was had or the natural birth has been very entangled with all the time, been surfing the Net and consulting the materials all the time by oneself. Forum, community and QQ group related to pregnant and parturient women is numerous now, a lot of lying-in women discuss this question in the network together, the result chooses to cut open the person that produces in the palace and take the great majority. A lot of lying-in women think that cut open the palace to produce safer to the foetus, think the lying-in woman of natural labor wants to wait for foetuses to mobilize, go through pain for a long time, the palace mouth gives a birth after opening, how long this course may not take, some lying-in women have reached expected date of childbirth, the foetus does not mobilize, the lying-in woman is like an ant on a hot pan anxious, some have no sound and must be cut open finally in more than one week on expected date of childbirth, perhaps too late, amniotic fluid already muddy, foetus discharge the excrement of child, lead to the fact sucking pneumonia already. The long wait in the course, take place what the intersection of accident and those regret all one's life. A lying-in woman who much finishes borning tells one's own natural labor course on the net, the example that much fails lets those think lying-in woman of natural labor has shaken confidence, it is frightened to emerge to the natural labor. A lying-in woman has chosen the natural labor at the beginning, confidence strengthens very much, the result but can't bear pain caused that the antenatal palace contracts in the course of waiting to produce, toss about, require doctor give cut open the palace, produce, this meets with crime twice finally will it be one night one day. A lot of such lying-in women will advise the lying-in woman around to choose to cut open the palace to produce directly simply. Another kind of situation makes lying-in woman's unwilling natural labor numerous. Lying-in woman's natural labor now, the hospital will implement the side and cut the skill for it too, though this blade is not big, but because finish giving birth to the child is very painful equally on the special position. The hospital will all implement the side and cut the operation the lying-in woman while giving birth to the foetus smoothly, a lot of lying-in women think that anyway suffer a knife, might as well choose to cut open the palace to produce. Doctor Liu GuiYing says: "The lying-in woman thinks that it is very wrong to cut open the palace to produce the understanding safer than the natural labor, stop the gestation means fast, more safely as one kind, suitable cutting open the palace and producing the operation and endangering the lying-in woman's mother and baby safely in ensuring high is the best choice. However, it is a kind of non- natural childbirth course to cut open the palace and produce after all, it is a kind of first aid operation, cut open complication well-above natural birth, one hundred sheetses of the intersection of muzzle and the intersection of seat and the intersection of membrane and malposition under palace, anaesthetize appear accident,etc. postpartum such as palace. " Can find out, rise with cutting open the palace yield year by year in the materials which the hospital reveals, complication undoubtedly thereupon increases to cut open the postpartum of the palace. Foreign report can up to 28.3% always complication while being postoperative, report near at a specified future date to bleed, can reach 5%- 6% postpartum at home, the infection rate reaches 3.6% - 8.1%. It cuts open pregnant and parturient women that palaces produces to be equivalent to 2- 4 times that vagina give a birth in mortality. Its main death reason, for bleeding, infection, pulmonary embolism, amniotic fluid thromboembolism,etc.. In addition, intestinal adhesion that the postoperative wound causes still takes place, obstruct, the internal organs are damaged, cut the unexpected possibility of membrane malposition disease and anaesthesia in the hole palace. Foetus' weight of hypernutrition exceeds standard and chooses to cut open the lying-in woman that produces in the palace and get more and more more, also because nearly all foetus' weight exceeds standard now. Liu GuiYing doctor say weight of foetus have decisive influence producing Cheng, the weight exceeds standard may cause and have difficult labour, the weight, in 2500- 3500 grams, it was the most ideal range when born in. But begins to eat and mend suddenly suddenly as soon as the lying-in woman is pregnant now, drink pregnant woman's milk power, eat the sea cucumber, drink the bird's nest, it is the better to all think foetuses the fatter. Especially old men are all glad to give birth to the big fat boy too in the family, cause foetuses to exceed standard in the mother's body on the weight finally, also cause and have to cut open the palace to produce. The reporter knew, was controlled in the weight of Japanese pregnant woman and foetus strictly, foetus' weight needs to control about 3000 grams, once exceed standard the hospital will supervise the pregnant woman to reduce weight. For cut open the intersection of palace and rising of yield, doctor Liu GuiYing has also summarized a bit, among the most recent 10 years, successively pregnant to give birth to the lying-in woman of the something small and hard and rely mainly on the fact that behind 80, these generation were basically all only-children, life is tempered little, relatively weak to the tolerance of pain. Paired children of many lying-in women's pain is very frightened now, and worry about the vagina after giving a birth bodily form can't resume, the vagina is lax, influence quality of sexual life,etc., so they are more willing to choose swift painless cutting open the palace to produce. The intersection of propaganda and education and the intersection of job and reporter that lack know a lot of expert, obstetrical department of older generation, already careful to know, get our country cut open the intersection of palace and the intersection of yield and high danger, especially the retrogressing by a wide margin of technology of midwifery of our country. The expert of older generation of Peking University had already signed jointly to Ministry of Public Health to call upon last year, recommend lying-in woman's giving a birth naturally, propose the country issues the relevant policy and controls and cuts open the yield of the palace. Doctor Liu GuiYing says: "Our country does so as to still very deficient the health care propaganda work of pregnant and parturient women at present, this causes a lot of lying-in women to realize choosing with the mistake in giving birth to the mistake of the way directly. " She tell reporter whether propaganda and education work make very much ripe and putting in place already in this respect abroad. Unless Japan, it have school for pregnant women,woman in in being pregnant the previous, pregnant, if you can't want, get by school before producing. Study free, these schools all set up in the community, relieve oneself in the extraordinary place. Though is community's school, free teaching, the propaganda and education work to the lying-in woman of the school is not the formalism of going through the motions definitely. Work one very serious and conscientious thing in the intersection of Japan and propaganda and education, if how many lessons have lying-in women drop, have not heard, doctors will fill this lesson for the lying-in woman to the doorstep voluntarily. At present, cutting open the yield of the palace to control about 6% of Japan, it is the lowest in the whole world. The opposite our country cuts open the yield of the palace but ranks the top in world high. In our country, the lying-in woman chooses to cut open the palace to produce voluntarily, does not have any restriction. But the lying-in woman wants to make and cut open the palace and is produced and allowed in a lot of western countries, if lying-in woman appear, cut open indication that palace produce while being special, hospital will require lying-in woman take give a birth the way naturally. In the seventies and eighties of last century, the American-European developed country cut open the yield of the palace and went up for a time too, but various countries alarm and rectify a deviation one after another. At present, cutting open the yield of the palace to already drop of countries such as America and Great Britain,etc., under the cordon. The midwifery technology of the consequence, in retrogressing and interviewing year by year, most worried a lot of obstetricians are ,Our country's midwifery technology of nowadays retrogresses by a wide margin. Improving with operation and anaesthesia technology constantly, cut open the palace to produce as a swift, convenient, safe childbirth method, make the medical worker midwifery technology retrogress, even will not deliver a child, the quality of obstetrical department is reduced, and then the vicious circle has increased and cut open the probability produced in palace. Doctor Liu GuiYing says: "If want the natural labor, need midwifery if necessary, but the vaginal midwifery technology of the obstetricians of younger generation can not catch up with. I had already operated the technology of vaginal midwifery while practising in school-days in early years, students cannot touch these while practising now. Medicine study the intersection of universities and colleges and student need, have unit receive, test the intersection of medical practitioner and card graduate, and doctor of medicine graduate according to professional title or doctor in charge, he understand the intersection of midwifery and technology in fact, will not deal with and have difficult labour. The technology of midwifery is needed accumulating in the actual combat, the improvement skill while it is observed that the lying-in woman waits to produce. With giving birth to the reduction by a wide margin of lying-in woman's quantity naturally, such a actual combat chance is fewer and fewer too now, the midwife of older generation does not have actual combat chance, the technology of midwifery retrogresses by a wide margin, the midwife of new generation has no chance to study especially, only from the skill of fighting only on paper which the school learns, especially this speciality that a lot of young students dislike choosing to deliver a child in midwifery now, the work has a big risk, high pressure. And with the retrogressing of technology of midwifery, lying-in woman and his relative lose confidence to the security which hospital and nature give a birth further, thus cause the vicious circle. " Cut open the intersection of palace and yield, rise, cause the intersection of midwifery and technology retrogress continuously, obstetrical department quality drop and evil consequence which the obstetrical department wither reflect very much obviously. "In sixty or seventy times of last century, the strength of obstetrical department of hospital at city level of Shenyang is very strong too, but the lying-in woman going to the hospital at city level to give a birth now has relatively already reduced the big half, more lying-in women choose the provincial hospital, private hospital and cut open the palace to produce. " Doctor Liu says. On June 10, reporters visited the obstetrical department of several hospitals at city level too, do not really find and wait to produce the lying-in woman more, giving birth to the child wants the separate room not to need to make an appointment in hospital. And is holding Beijing hospital, Chinese Medical Sciences University and attaching to this kind of hospitals such as the first hospital,etc., the lying-in women who grows the children all queue up in the whole year, it is the normality that many lying-in women wait to produce in the hospital corridor. Countermeasure should strengthen propaganda and education in lying-in woman, work June 14, reporter in 202 hospital, woman of Shenyang city the intersection of baby and hospital, hold Beijing hospital, having interviewed 20 odd pregnant women, most persons say that there is not doctor that propagates the advantage of giving a birth to them naturally voluntarily. These people all say that think of the natural labor very much, but without confidence, feel afraid to the natural labor. Reporter know to of the right age to produce women at present, the work of propaganda and education equalled zero before being pregnant, think pregnant women can only surf the Net or buy the book to understand relevant knowledge by oneself. Women's propaganda and education work is in lagging behind state too to pregnancy period. A lying-in woman just finished giving birth to tells reporters, reach the card set up in maternity and child care center of emperor's aunt district after being pregnant last year, but routine make multiple physical examination in there set up, block, money spend very much, have any propaganda and education work, have doctor tell what she should pay attention to. Transfer to the institute of traditional Chinese medicine of Liaoning of community clinic after setting up the card, it is pregnant to carry on there regularly examining, go to have a blood test, test the urine, listen to the fetus heart etc. each time, all routine inspection, there is no thing to forget about it in the inspection result, also have good which kind of childbirth way doctor tell her. Until just before giving birth, in the hospital of baby, woman of city, the doctor lets herself choose, how to give birth to voluntarily, she chose to cut open the palace to produce finally. Doctor Liu GuiYing says, if you want to reduce and must strengthen the work of propaganda and education to pregnant and parturient women to cut open the yield of the palace, should study the western countries and set up the school for pregnant women in the community, pay and raise healthier, better educated children to the women of child-bearing age, give a birth and cut open the palace and have the excellent medical scientific popular knowledge of inferior quality and carry on propaganda and education naturally, make them establish correct bearing the idea. While interviewing, doctor Liu GuiYing finished the lesson just now, the hospital of woman of Shenyang city baby opened the school for pregnant women, go more than 40 pregnant women listen to the teacher the same day. Reporter know, hold the intersection of Beijing and hospital, the intersection of medical university and the intersection of first institute,etc. and hospital, open the school for pregnant women too at present, a doctor gives lessons to the pregnant woman regularly, the pregnant woman listens to the teacher voluntarily. But pregnant woman that listen to the teacher quite little some people, a lot of school for pregnant women to wait for the intersection of goods and producer unite with milk power especially, the producer take this opportunity to promote the milk power to ask the pregnant woman to listen to the teacher, and a lot of pregnant women go to listen to the teacher is for getting the milk power sample free, do not really study the knowledge in pregnancy period. The reporter knows, it does not have any policy that is controlled that the relevant administrative department of Shenyang cuts open the yield of the palace to every hospital at present, this causes every hospital to cut open the yield of the palace and go up continuously directly. The midwife of older generation of Shenyang calls upon health authorities to regard cutting open the palace yield as an important index of management of the hospital, cut open the phenomenon produced in palace to investigate and prosecute sternly in inducing the lying-in woman, and investigate responsibility. Improve the technological quality of the midwifery of medical organization, standardize medical worker's behavior. The intersection of staff reporter and winter the intersection of intern and tall and erect coral [general knowledge is chained ] Lu Mei Liu Natural labor advantage: Giving birth to the course naturally, the foetus is because of the pinching of birth canal, the liquid of alveolus is got rid of, made the respiratory tract unobstructed after being born in, fell, cried all right, thus made the alveolus expand rapidly, set up good breath. When vagina give a birth, foetus head pinch, irritate foetus breathe the centre constantly, set up normal breathing after helping to be born in. The lying-in woman whose vagina gave a birth naturally, the body resumes being faster than cutting open the palace to produce greatly postpartum, there can be more energy and take care of babies. The lying-in woman giving a birth naturally still can avoid cutting open a lot of complications and sequela produced in palace. Give a birth and bleed and lack, resume fast, damage low naturally. The advantage of giving a birth to raising healthier, better educated children naturally exceeds and cuts open the palace to produce greatly. Foetus' standard weight: Weight of foetus have decisive influence producing Cheng, head it encloses old babies to be easy to cause, produce Cheng to be sluggish; But the baby with old abdominal girth needs to be anxious " The shoulder has difficult labour " ; The mature foetus' weight exceeds more than 3500 grams, the possibility leads to the fact and produces the difficulty, it is underweight that the weight is lower than 2500 grams, need to worry about the baby's health status. The weight, in 2500- 3500 grams, it was the most ideal range when born in. Cut open the palace and produce the hidden danger: Though with the progress of technology, present cutting open the palace and producing has been already very ripe, but it is still a relatively big driving the belly operation after all, complication and postoperative possibility to infect take place to remain as before. 1.Though it has already very small to cut open the notch produced in palace, will still cut organization of 7 storeys, each layer has abundant blood vessels, more than to give birth to bleeding amount naturally, even massive haemorrhage will take place. 2.Probably will happen, infect while being postoperative, cause the intersection of wound and heal, the intersection of pelvis and adhesion, the intersection of uterus and inflammation,etc.. 3.Cut open palace it produces most serious complications one of to be Thromboembolism of amniotic fluid, even the life that will jeopardize mother. 4.After being again pregnant, go through cut open ready-to-be mother that palace produce, have, take place possibility that uterus breaks or punches. 5.Can give a birth and choose the persons who give a birth than the vagina of incidence that cut open the neonatal complication produced in palace to be much greater by the vagina.


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