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[提出一种对分娩生理学的不同解释,有助于在更具启发性的产科心理预防课程教学中使用]

[Proposal of a different interpretation of the physiology of labor useful in more edifying teaching of obstetric psychoprophylaxis courses].

作者信息

Mergoni A

出版信息

Minerva Ginecol. 1994 Jul-Aug;46(7-8):435-44.

PMID:7970081
Abstract

Without underestimating the undeniable benefit which can be achieved from various physical and mental relaxation exercises, the author expresses the conviction that the didactic and cultural aspect of preparative courses during pregnancy by definition improve, to a greater extent than is widely believed, the positive outcome of obstetric psychoprophylaxis. It is therefore opportune that the didactic part of courses should cover a wider and more detailed range than is usually the case, in particular including a more exhaustive and accurate description of the mechanical phenomenon of birth. Without a clear knowledge and awareness of such mechanical aspects, pregnant women will not feel prepared for and in full and rational control of her own labour. Given that a correct knowledge of the physiology of labour inevitably includes aspects which will enrich the pregnant woman's psyche, the author hopes that interest will soon be reawakened in the physiology of labour whose interpretation has for a long time contained a number of basic and unresolved problems. In order to rectify and further our knowledge of the physiology of labour, it is important to be willing to consider other interpretative models which differ from the traditional one. On this subject, the author aims to rediscuss one model in which Pascal's principle is recognised as the decisive cause of the majority of the mechanical phenomena of labour, and which, in addition to providing solutions to many unresolved problems, makes the teaching of preparative courses during pregnancy more edifying in psychological terms.

摘要

作者并不低估各种身心放松练习所能带来的不可否认的益处,但同时坚信,孕期预备课程的教学与文化层面,从定义上来说,比人们普遍认为的更能在很大程度上提升产科心理预防的积极效果。因此,课程的教学部分应该涵盖比通常情况更广泛、更详细的内容,尤其要更详尽、准确地描述分娩的力学现象。如果孕妇对这些力学方面没有清晰的认识和了解,就不会觉得自己为分娩做好了准备,也无法完全且理性地掌控自己的分娩过程。鉴于对分娩生理学的正确认知不可避免地包含一些会丰富孕妇心理的内容,作者希望人们能很快重新唤起对分娩生理学的兴趣,长期以来,对分娩生理学的解释一直存在一些基本且未解决的问题。为了纠正并深化我们对分娩生理学的认识,愿意考虑不同于传统模式的其他解释模型很重要。关于这个主题,作者旨在重新探讨一种模型,在该模型中,帕斯卡原理被视为分娩中大多数力学现象的决定性原因,并且该模型除了能为许多未解决的问题提供解决方案外,还能使孕期预备课程的教学在心理层面更具启发性。

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