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寶媽生產(chǎn)時(shí)引產(chǎn)手術(shù)是什么意思？

出處：網(wǎng)絡(luò)收集 日期：2024-06-29 10:10:35 編輯：秩名

引產(chǎn)手術(shù)是什么

什么是引產(chǎn)手術(shù)?引產(chǎn)是指妊娠12周后，因母體或胎兒方面的原因，須用人工方法誘發(fā)子宮收縮而結(jié)束妊娠，稱之為引產(chǎn)。引產(chǎn)手術(shù)一般分為中期妊娠引產(chǎn)和晚期妊娠引產(chǎn)妊娠12-24周，用人工的辦法中止妊娠叫做妊娠中期引產(chǎn)手術(shù)，妊娠滿28周以后，由于母體因素或胎兒方面的原因，用人工的方法發(fā)動(dòng)子宮收縮而終止妊娠的手段，稱為妊娠晚期引產(chǎn)。
 
過去常用于死胎或因母親骨盆狹窄，避免足月時(shí)胎兒過大不能陰道分娩而提前終止妊娠。引產(chǎn)手術(shù)就是解決女性因錯(cuò)過人流最佳時(shí)間或因母親和胎兒存在問題而進(jìn)行的手術(shù)。隨著圍生醫(yī)學(xué)的發(fā)展，因母兒原因而選擇引產(chǎn)手術(shù)者逐漸增多。
 

引產(chǎn)手術(shù)的最佳時(shí)間

眾多實(shí)例證明，把握好引產(chǎn)手術(shù)的最佳時(shí)間能提高手術(shù)的成功率!那么引產(chǎn)手勢(shì)的最佳時(shí)間是什么時(shí)候呢？
 
引產(chǎn)的最佳手術(shù)時(shí)間是懷孕后第10-24周時(shí)進(jìn)行的引產(chǎn)手術(shù)時(shí)間，這一期間的引產(chǎn)手術(shù)稱中期妊娠引產(chǎn)術(shù)。妊娠10周以上，因胚胎逐漸長(zhǎng)大，胎盤已經(jīng)形成，子宮也隨著長(zhǎng)大，這時(shí)做人流是不能用簡(jiǎn)單的吸宮術(shù)。而需要采用引產(chǎn)手術(shù)，該手術(shù)難度大，恢復(fù)也比較慢，對(duì)身體有一定影響。這樣更增加了孕婦的痛苦和手術(shù)的危險(xiǎn)性。因此，意外懷孕的女性，應(yīng)盡量爭(zhēng)取在懷孕70天(10周)以內(nèi)做人流手術(shù)(無痛人流),來減輕流產(chǎn)者的痛苦。
 
引產(chǎn)手術(shù)是由于在意外懷孕后錯(cuò)過了做人流手術(shù)的最佳時(shí)間，所以就只能要采用引產(chǎn)的方式來終止妊娠，大月份引產(chǎn)手術(shù)要求的也是時(shí)間越早越好，因?yàn)閼言袝r(shí)間越長(zhǎng)胎兒就會(huì)越大，那對(duì)女性子宮的傷害也就越大，引產(chǎn)手術(shù)的難度和風(fēng)險(xiǎn)也會(huì)相應(yīng)增加，因此引產(chǎn)手術(shù)最佳時(shí)間一定要把握好。中期引產(chǎn)的要求是懷孕6個(gè)月內(nèi)必須完成引產(chǎn)手術(shù)。在懷孕12-24周都可以進(jìn)行引產(chǎn)手術(shù)的，但引產(chǎn)手術(shù)最佳時(shí)間越早越好，不過雖然說是越早越好，但也不能低于35天。通常來說，妊娠十二周以上的胎兒，就需要采取引產(chǎn)的方式來停止妊娠了，引產(chǎn)的時(shí)間一般在懷孕的12～24周。
 
因此，希望大家盡量在其最佳時(shí)間內(nèi)終止妊娠，給自己最大的關(guān)愛。同時(shí)也應(yīng)該在正規(guī)醫(yī)院進(jìn)行手術(shù)，這樣才能夠保證手術(shù)的安全，維護(hù)自己的健康。
 

引產(chǎn)手術(shù)需要做的檢查

盡管科學(xué)越來越發(fā)達(dá)，但是引產(chǎn)手術(shù)也是存在著一定的風(fēng)險(xiǎn)的，那么為了避免風(fēng)險(xiǎn)的發(fā)生，引產(chǎn)手術(shù)需要做的檢查有哪些呢？
 
1、詳細(xì)詢問引產(chǎn)者的病史，包括過去出現(xiàn)過的病史、出血的病史、肝腎疾病史、妊娠分娩史和本次妊娠的經(jīng)過等?！　?/div>
 
2、全身檢查和婦科檢查，白帶常規(guī)化驗(yàn)?！　?/div>
 
3、除了進(jìn)行測(cè)體溫、脈搏、血壓、驗(yàn)血、尿常規(guī)等檢查，必要時(shí)還要測(cè)肝、腎功能,胸透，和心電圖檢查?！　?/div>
 
4、出現(xiàn)嚴(yán)重宮頸炎情況或分泌物多的，需先行先關(guān)方面的治療，待病情改善后方可進(jìn)行；進(jìn)行引產(chǎn)手術(shù)前要注射抗生素預(yù)防感染；必要時(shí)后要對(duì)分泌物培養(yǎng)及藥敏試驗(yàn)?！　?/div>
 
5、當(dāng)出現(xiàn)妊娠月份大、宮頸發(fā)育不良、宮口小、頸管長(zhǎng)折時(shí)，進(jìn)行引產(chǎn)術(shù)前需要適量的藥物進(jìn)行治療。
 
6、必要時(shí)作B超進(jìn)行胎盤定位，低置胎盤者禁忌。
 

引產(chǎn)手術(shù)的過程

了解了引產(chǎn)手術(shù)的相關(guān)常識(shí)和需要進(jìn)行的各方面的檢查后，就要了解引產(chǎn)手術(shù)的過程了，那么引產(chǎn)手術(shù)的過程是怎樣的呢？
 
1、引產(chǎn)之前做系統(tǒng)的檢查，肝腎功能，尿常規(guī)，還有艾滋病等等這些必要的檢查，如果這 個(gè)檢查合格了以后，就一定要住院來進(jìn)行引產(chǎn)。
 
2、引產(chǎn)手術(shù)期
 
第一步：藥物引產(chǎn)。引產(chǎn)前的各項(xiàng)檢查均無問題后就開始正式引產(chǎn),正式引產(chǎn)前需要服用藥物,目的是為了讓胎兒在宮內(nèi)就死亡并提前讓胎兒娩出；
 
第二步：胎兒娩出。服藥后24-72小時(shí)內(nèi)孕婦會(huì)感覺到宮縮。當(dāng)宮縮頻繁并有規(guī)律的時(shí)候,是胎兒即將娩出的征兆。這時(shí)醫(yī)生會(huì)檢查羊水是否破裂,如破裂則馬上送往手術(shù)室將胎兒取出體外；
 
第三步：引產(chǎn)術(shù)后。胎兒順利娩出后,孕婦需在休息室內(nèi)呆一至兩個(gè)小時(shí),以觀察出血量。這樣是為了防止孕婦出現(xiàn)大出血以及其他并發(fā)癥情況。
 
3、引產(chǎn)術(shù)后恢復(fù)期時(shí)，一定要注意休息、加強(qiáng)營(yíng)養(yǎng)；注意子宮收縮情況、流血多少、是否發(fā)燒等，一旦發(fā)現(xiàn)異常應(yīng)及時(shí)去醫(yī)院進(jìn)行相關(guān)的檢查。
 

引產(chǎn)手術(shù)的注意事項(xiàng)

一、引產(chǎn)前需要注意的事項(xiàng)
 
1、注意衛(wèi)生：在日常生活中，堅(jiān)持清洗外陰，尤其是在引產(chǎn)手術(shù)前更要注意，保持外下腹部干凈、干燥，勤換洗內(nèi)褲。不隨意用洗液，不濫用抗生素等。　　
 
2、心理不要緊張：孕婦要放松思想，保持精神愉快。緊張情緒會(huì)直接影響子宮收縮，而且會(huì)使食欲減退，引起疲勞、乏力，影響產(chǎn)程進(jìn)展。
 
3、加強(qiáng)營(yíng)養(yǎng)：孕婦在引產(chǎn)前幾天要增加營(yíng)養(yǎng)，避免身體虛弱，在手術(shù)中體力不支，另外要補(bǔ)充水分，保持充足的血液量?！　?/div>
 
二、引產(chǎn)后需要注意的事項(xiàng)：
 
1、應(yīng)觀察2小時(shí)，注意陰道流血和腹痛情況；　
 
2、引產(chǎn)后需要休息2周，并預(yù)防著涼和感冒，多吃些富有營(yíng)養(yǎng)的食物，使身體盡快恢復(fù)；
 
3、在引產(chǎn)后的一段時(shí)間內(nèi)，子宮內(nèi)膜上的創(chuàng)傷尚未恢復(fù)，此時(shí)如不注意外陰部衛(wèi)生，陰道內(nèi)細(xì)菌容易進(jìn)入宮腔引起感染。因此，引產(chǎn)后要更加保持外陰部清潔衛(wèi)生，勤換月經(jīng)墊和草紙。1個(gè)月內(nèi)禁止性生活，以防生殖器官感染。如果有發(fā)熱、腹痛或陰道分泌物有異常氣味，可能為感染所致，要及就醫(yī)。
 
三、什么情況不能進(jìn)行引產(chǎn)手術(shù)
 
1、各種疾病的急性期。　　
 
2、患心、肝、腎等疾病不能負(fù)擔(dān)手術(shù)者。　　
 
3、凝血機(jī)能障礙、嚴(yán)重貧血或過敏體質(zhì)者。　　
 
4、子宮發(fā)育畸形、宮頸有瘢痕或粘連，陰道分娩有困難者?！　?/div>
 
5、生殖器急性炎癥，24小時(shí)內(nèi)體溫37℃以上者。

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