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高危產(chǎn)婦可以選擇順產(chǎn)嘛？哪些屬于高危產(chǎn)婦？

出處：網(wǎng)絡(luò)收集 日期：2024-06-10 15:48:08 編輯：秩名

高危產(chǎn)婦能順產(chǎn)嗎

如果女性在懷孕期間，由于身體種種不適而被定義為高危產(chǎn)婦，那么相信準媽媽會感到特別擔(dān)心，一方面會擔(dān)心胎兒在腹中的安危，另一方面如果想要順產(chǎn)的準媽媽也會有一個擔(dān)心，就是高危產(chǎn)婦還能順產(chǎn)嗎？會不會對身體產(chǎn)生不良影響呢？
 
能否順產(chǎn)取決于分娩前的綜合狀況，如胎位是否正常、羊水指數(shù)、產(chǎn)婦的健康等情況。因此即便在懷孕期間被定義為高危產(chǎn)婦，如果分娩時身體沒有明顯不適，照樣可以順產(chǎn)。比如有不良孕產(chǎn)史或者此前流產(chǎn)過兩次以上的高危產(chǎn)婦，都可以通過順產(chǎn)的方式分娩。
 
還有一部分高危產(chǎn)婦，為了自己和胎兒的健康，則最好選擇剖腹產(chǎn)的方式分娩。比如懷有多胎、胎位不正、羊水渾濁的高危產(chǎn)婦，這部分產(chǎn)婦本身分娩的風(fēng)險就比普通產(chǎn)婦高很多，如果選擇順產(chǎn)，發(fā)生危險的概率會大大提高，而剖腹產(chǎn)相對于這部分產(chǎn)婦來說，危險性會降低很多，因此，關(guān)于是否能順產(chǎn)，產(chǎn)婦不要勉強，還是要聽從醫(yī)生的安排。
 

什么是高危產(chǎn)婦

高危產(chǎn)婦，是指產(chǎn)婦在懷孕期間，由于身體的健康原因，可能會導(dǎo)致自身和胎兒出現(xiàn)危險或者難產(chǎn)的情況。那么，懷孕期間出現(xiàn)哪些情況會被定義為高危產(chǎn)婦呢？
 
1、妊娠異常：胎兒在母體中胎位不正、畸形等異常情況，或者孕期有過異常的流血現(xiàn)象等、孕婦骨盆過于狹窄等。
 
2、年齡偏大或偏小：35歲以上或者16歲以下的女性，都屬于高危產(chǎn)婦，年齡偏大，身體各機能都開始下降，而年齡太小，各方面都未發(fā)育成熟，因此懷孕生產(chǎn)的風(fēng)險都會比普通孕婦大很多。
 
3、孕婦身體有疾病：如孕婦本身存在健康問題，如心臟病、肝炎、糖尿病等疾病。
 
4、偏重偏矮：身高在145厘米以下的孕婦，由于身高原因，懷孕后會比正常身高的孕婦承受更多的壓力。還有些孕婦過于肥胖，也會存在很大的風(fēng)險，比如會大大增加患妊娠糖尿病、妊高癥的幾率。
 
5、多胞胎產(chǎn)婦：患有三胎或多胎的產(chǎn)婦，也屬于高危產(chǎn)婦，這些產(chǎn)婦在懷孕及分娩時會承受很大的風(fēng)險。
 

高危產(chǎn)婦面臨哪些危險

高危產(chǎn)婦，從字面上也不難理解，就是存在很高危險的產(chǎn)婦，這些危險可能來自產(chǎn)婦本身，也可能來自胎兒。在分娩過程中，稍有不慎，可能就會引發(fā)大出血、休克甚至死亡，只有了解高危產(chǎn)婦的危險性，才有可能避免此類情況的發(fā)生。那么，高危產(chǎn)婦都會面臨哪些危險呢？
 
1、產(chǎn)下高危嬰兒：高危產(chǎn)婦最直接的后果，就是會導(dǎo)致產(chǎn)下高危嬰兒，高危嬰兒是指發(fā)育不完全、免疫力低下，甚至畸形嬰兒。這些嬰兒往往一出生就需要進入保溫箱觀察治療，可能還會出現(xiàn)呼吸困難、低血糖等情況，死亡率很高。即便存活下來，也可能會因為大腦缺氧、損傷而導(dǎo)致智力低下、聽力障礙等后遺癥。
 
2、妊娠并發(fā)癥：高危產(chǎn)婦在生產(chǎn)時可以說是命懸一線，尤其是高齡產(chǎn)婦、妊高癥產(chǎn)婦、患有心臟病的產(chǎn)婦等，這些產(chǎn)婦一般都要通過剖腹產(chǎn)終止妊娠，剖腹產(chǎn)可能會讓胎兒健康的娩出，但是對于產(chǎn)婦來說，仍然是危險重重。
 

高危產(chǎn)婦的注意事項

女性在懷孕后，一定要按時體檢，隨時觀察身體情況，一旦出現(xiàn)不適要及時就醫(yī)，切不可掉以輕心。如果因為各種原因被醫(yī)生診斷為高危產(chǎn)婦，則更需時刻注意，以免使自己和胎兒發(fā)生危險。
 
1、臥床休息：女性懷孕后，要避免從事重體力勞動，平時要多休息，特別是高危產(chǎn)婦，更應(yīng)多臥床休息，不要讓自己過于疲憊。
 
2、補充營養(yǎng)：高危產(chǎn)婦在生產(chǎn)后，要比普通產(chǎn)婦補充更多的營養(yǎng)物質(zhì)，特別要多吃富含蛋白質(zhì)和維生素的食物，還有補充鈣質(zhì)，為身體的恢復(fù)提供足夠的能量，如雞蛋、牛奶、魚湯、瘦肉、小米粥等，還要多吃新鮮的水果和蔬菜，但是對于較硬較涼的水果要避免食用。
 
3、按摩：高危產(chǎn)婦在生產(chǎn)時可能會承受更多的痛苦，特別是剖腹產(chǎn)的媽媽，需要臥床的天數(shù)也比普通產(chǎn)婦多。家人在此時要多給產(chǎn)婦做按摩，幫助產(chǎn)婦放松身體，防止肌肉萎縮，同時多按摩還有助于產(chǎn)婦的身體恢復(fù)。
 

怎樣避免成為高危產(chǎn)婦

孕媽媽要想避免在生產(chǎn)時發(fā)生危險，平時在孕期一定要多加注意，如果懷孕期間忽視身體的某些不適，可能就會大大生產(chǎn)時的風(fēng)險，那么，怎樣才能避免在生產(chǎn)時出現(xiàn)高風(fēng)險呢？
 
1、在最合適的年紀懷孕生子
 
女性在35歲以后，身體各機能明顯下降，這一點有些二胎媽媽最有發(fā)言權(quán)，明明懷頭胎的時候身體很好，可是二胎時身體怎么會出現(xiàn)各種不適呢？這都跟年齡脫不開關(guān)系，年齡越大，生產(chǎn)時面臨的風(fēng)險就越大，因此女性盡量選擇在最合適的年齡懷孕生子。
 
2、定期體檢：懷孕后一定要按時體檢，各項檢查都不可錯過。孕檢不光要檢查胎兒的發(fā)育狀況，包括孕婦的身體情況都是檢查的范圍，一旦出現(xiàn)任何異常，醫(yī)生都可以及時給治療處理，避免病情被延誤從而加大生產(chǎn)時的風(fēng)險。
 
3、控制體重：懷孕時切不可為了增加營養(yǎng)而胡吃海喝，導(dǎo)致體重增加過快或者體重超標(biāo)。體重超標(biāo)會增加妊娠高血壓、糖尿病等并發(fā)癥的概率，從而使分娩變得異常危險。

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