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剖宫产与自然分娩对母婴适应的影响——一项叙述性综述

Difficulties in Adaptation of the Mother and Newborn via Cesarean Section versus Natural Birth-A Narrative Review.

作者信息

Lupu Vasile Valeriu, Miron Ingrith Crenguta, Raileanu Anca Adam, Starcea Iuliana Magdalena, Lupu Ancuta, Tarca Elena, Mocanu Adriana, Buga Ana Maria Laura, Lupu Valeriu, Fotea Silvia

机构信息

Pediatrics, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

Department of Surgery II-Pediatric Surgery, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

出版信息

Life (Basel). 2023 Jan 21;13(2):300. doi: 10.3390/life13020300.

Abstract

Birth is a physiological act that is part of the morpho-functional economy of the maternal body. Each stage in the act of birth has a predetermined pathway that is neurohormonally induced and morpho-functionally established through specific and characteristic adaptations. Like maternity, childbirth also has an important impact on the maternal body as a biological structure and psycho-emotional behavior. Cesarean section performed at the request of the mother with no medical underlying conditions besides the prolonged hospitalization risk can also cause breathing problems in children, delayed breastfeeding, and possible complications in a future pregnancy. Vaginal birth remains the path of choice for a physiological evolution pregnancy. Although erroneously considered safe and easy today, cesarean section delivery must remain an emergency procedure or a procedure recommended for pregnancies where birth is a risk to the mother and to the child, as cesarean section itself is a risk factor for negative outcomes for both mother and baby. This review summarizes the impact that both cesarean section and natural birth have on mother and newborn in their attempt to adapt to postpartum events and extrauterine life.

摘要

分娩是一种生理行为,是母体形态功能机制的一部分。分娩过程的每个阶段都有一条预先确定的途径,该途径是由神经激素诱导的,并通过特定的特征性适应在形态功能上得以确立。与怀孕一样,分娩对作为生物结构和心理情感行为的母体也有重要影响。在没有除延长住院风险之外的医学基础疾病的情况下,应母亲要求进行的剖宫产也可能导致儿童呼吸问题、母乳喂养延迟以及未来怀孕时可能出现的并发症。阴道分娩仍然是生理性妊娠进展的首选方式。尽管如今剖宫产被错误地认为是安全且容易的,但剖宫产分娩必须仍然是一种紧急手术,或者是针对分娩对母亲和胎儿有风险的妊娠所推荐的手术,因为剖宫产本身就是母婴出现不良结局的一个风险因素。这篇综述总结了剖宫产和自然分娩在母亲和新生儿试图适应产后情况及宫外生活方面所产生的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4c0/9965845/60e922e6e954/life-13-00300-g001.jpg

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