問:產(chǎn)力主要是什么決定的?孕期沒有怎么運動,散步也很少,走幾步就很累有點喘,這種情況會不會一定產(chǎn)力不足?還是只有生的時候才知道?
Q: What mainly determines the uterine action? Would it be lack of uterine action if neither exercising nor walking, even gasping for air while walk a few steps? Or would it only be noticed when laboring?
答:產(chǎn)力是完成順產(chǎn)的主要因素,產(chǎn)力包括:其一,子宮收縮力,不是說人要有多大力氣,子宮收縮力才會強。只要子宮發(fā)育正常就沒有問題,跟人自身的力氣沒有關系。其二是腹壁肌及膈肌收縮力(統(tǒng)稱腹壓),是宮口開全后要把小孩生出來用的力氣,這個是可以通過適當?shù)腻憻捜缋敐珊粑衅阼べさ瓤梢约訌姷?,但只是產(chǎn)力的一個方面。其三是肛提肌的收縮力,這個力量是分娩時幫助胎兒旋轉出來的力量,也不是自身可以控制的。所以,平時少運動只是使用第二部分力量的時候會有所欠缺,但并不是主要的,也是可以順產(chǎn)的。
A: Uterine action is the main factor for spontaneous vaginal delivery, including: first, the uterine contraction, it has no relationship with the strength of each individual but normal uterine development defines. Second, the abdominal wall muscle and diaphragm contractility (abdominal pressure), refers to the strength to push the baby out when cervix is fully dilated, which can be reinforced by practising Lamaze breathing method and pregnancy Yoga appropriately. Third, levator ani contractility, this is the strength for rotating the baby out through the birth canal, which is also not self-controlled. Therefore, exercising is not the key for delivery, pregnant women can conduct nature delivery by only resorted to abdominal pressure even too little exercise daily.
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