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BL 專題

跟你分析不同

產前產後專題

Filling Out a Form
Birth Plan 解碼

Birth Plan (分娩計劃書) 從文字上看似一些文件紀錄,但實際上是一份分娩藍圖,在製訂過程中,孕婦會更加了解分娩過程中每一個細節,而每個細節是引導產婦去思考一下她們有甚麼選擇。同時也可以讓助產士知道產婦心目中那項分娩細節特別重要(例如止痛方法、分娩地點)。

跟據NHS產前檢查時間表 (英文版) (中文版)約在34週產前檢查時,助產士會跟孕婦商量Birth Plan的細節,所以預早了解一下Birth Plan內容,覆診時便可問得更清楚。在英國,很多分娩英文詞彙也未能完全理解,今次專題會為你介紹 Birth Plan內容。

(以下項目跟據NHS Birth Plan內容而列出)

1. Where to give birth

   於甚麼地方分娩

Home 家中

Midwifery unit (MU) 可以是醫院內其中一個病房 或不在醫院範圍內並且沒有醉及兒科支援 (按此可搜尋你附近 Maternity service  的設施及評分)

Maternity team in hospital 醫院

2. Companion during labour

    希望誰可以陪產

My partner or companion(s)

伴侶或其他人 (因為有些產婦會選擇Birth Doula或其他親人 陪伴分娩)

3. Companion during during forceps or vacuum delivery 如分娩需要使用產鉗術或真空吸引術,分娩誰可以陪產

My partner or companion(s)

伴侶或其他人 (因為有些產婦會選擇Birth Doula或其他親人 陪伴分娩)

4. Companion during a caesarean section  
     如分娩需要剖腹生產,誰可以陪產

My partner or companion(s)

伴侶或其他人 (只有局部麻醉時產婦意識清醒才可陪產)

5. Birth equipment
    分娩輔助用品(協助分娩姿勢)

Birthing bars 額外床欄供分娩時用

Mat 地墊

Bean bags 豆袋梳化 

Pillows 枕頭(建議可多個帶小枕頭 因為醫院也供應不足)

6. Special facilities
    特別設施

LDRP rooms (labour, delivery, recovery , postnatal rooms) 同一房間供分娩至產後麻醉復原整個過程

Birthing pool 水中分娩浴池

7. Moms need to know and understand every baby is monitor throughout labour

告知分娩中胎兒會接受緊密監察

8. Keeping active during labour Keep active as long as you feel comfortable, not strenuous and just moving around.

徵詢分娩過程中會否參與有限度活動(如步行) 以達至舒適狀態

9. Position for labour 分娩姿勢之選擇

Back propped up by pillows 使用枕頭支撐背部

standing 站立

sitting 坐下

kneeling 跪下

kneeling on all fours 四肢跪下

squatting 蹲坐

lying on my side 側臥

10. Preference of skin to skin contact with your baby after delivery 嬰兒出生後會否何時送到母親懷中

Delivered straight on my tummy

生產後直接送到母親懷中

Cleaned first before given to me

請先為嬰兒清潔才送到母親懷中

11. Midwives, nurses and doctor will be supervised by senior health professional during delivery (for training purpose). 因醫生和助產士也需要指導及訓練 , 咨詢產婦會否同意安排

12. Pain relief options

     止痛模式

Breathing and relaxation 呼吸鬆弛練習

Being in water during labour 水中分娩 

Massage按摩

Acupuncture 針灸

Transcutaneous Electrical Nerve Stimulation, TENS 經皮神經電刺激器

Gas and air, Entonox 止痛氣體

Pain-relieving injections 止痛針

Epidural 硬膜外麻醉(無痛分娩)

Try other method 其他方法

No pain relief 不需要止痛

13. Having episiotomy 外陰切開術

May necessary to cut in the perineum if not stretch enough or baby is short of oxygen and needs to be delivered quickly

若生產時子宮頸張開不足或胎兒因缺氧而需要盡快分娩

14. Delivering the placenta after birth. Being inform what happen to when the placenta is delivered (syntometrine / syntocinon which helps the womb contract and prevent bleeding

告知分娩後排出胎盤, 預防流血不止而有需要注射藥物

15. Special requirement (language interpreter/ special dietary requirements/ special needs/religious custom to be observed.)

特別需要: 如翻譯員 特別要求宗教習俗

但Birth plan 也只是一份藍圖,分娩當天醫生和助產士也會按各種情況作出應變, 一切也依據孕婦和胎兒的安全為重。

有用資料

NHS How to make a birth plan

Made for mums birth plan template

NHS birth plan template

Sample birth plan : Healthline.com

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