yard分娩计划书Birth Plan

分娩计划的制定是从与自己的主诊医师 讨论很多在分娩过程中的具体问题开始的。很多时候

是采取多

选的形式。例如：

“你希望在你分娩时有什么人在旁边陪伴你？

”

，选项有：

“丈夫”

，

“朋

友”

、

“亲属”

、

“导

乐”

，如选定某项，在该项目后写上人名。再比 如，

“你希望在产程中以什么方

式减轻疼痛？”

，选项有：

“亲属、朋友、导乐和医疗人员的情感支 持”

、

“放松、呼吸和摇椅等缓

解措施 ”

、

“热水冲洗”

、

< br>“药物麻醉

(

硬

膜外麻醉方式）

”

。在这种对每一个具体问题的讨论 中，您有

机会充分表达自己的顾虑，担忧，好恶，让自

己的亲人，自己的医生了解自己的想法和情绪。这

样就可以建立一种良 好的合作关系和彼此间的相互信任，

这种关系是贯穿在整体分 娩过程中的，

并且可以大大增加每个人的满意度。如果在分娩期间出现问题而不

得不改变分娩计划，这种理解

与信任也可以成 为最好的保证。

同时，分娩计划还可以帮助护理人员了解您和 您的护理需求。当您住院分娩时，分娩计划就

会给护理

人员提供有关您的重要信息，特别是您的担心和爱好。而这些要求都是在您和家属在冷

静和能清楚思考时

能够选择的。研究表明，妇 女在她们有关分娩的愿望和需求不能得到满足时，

常常会感到失望，生气甚至

抑郁。如果护理人员知道什么对您最重要，他们就会更好地满足您的

需求，并帮助您实现自己的愿望。

Dear would-be mother

In

the

past

few

years

many

women

have

decided

that

they

would

like

to

have

a

say

in

the

delivery of their child, and have created birth plans to serve that purpose. Birth plans are ideas and

expectations that you have about the birth of your baby.

The term birth plan can actually be misleading - it's less an exact plan than a list of preferences.

In fact, the best thing about a birth plan isn't that it allows you and your partner to determine exactly

how the birth of your child will occur - because labour involves so many variables, you can't predict

exactly what will happen. A birth plan does, however, help you to realize what's most important to you

in the birth of your baby.

While completing a birth plan, you'll be learning about, exploring, and understanding your labour and

birthing options well before the birth of your child. Not only will this improve your communication with

the people who will be helping during your delivery, it also means you won't have to explain your

preferences right at the moment when you are least in the mood for conversation - during labour

itself.

A birth plan is not a binding agreement - it is just a guideline. Your doctor or health care provider

should know, from having seen you throughout the pregnancy, what you do and don't want. But a well

thought-out birth plan is your best guarantee that the delivery of your child will go according to your

wishes.

12-1

Identifying Information /

客户信息

Name/

孕妇姓名

:_________________________________ ____________________

Medical

file

nr

./

病案号

:

______________________________

Today’s date/

今天日期

:_____/_______/____ ___

Due date/

预产日期

:_______/________/_______

Partner’s name/

伴侣姓名

:,

______________________________

DRUG ALLERGIES

药物过敏

In case of emergency

/

紧急情况下

Contact

person

/

联系人

:

_

_________________________________________ ___________

Telephone

nr

联系方式

: __________________

12-2

nment /

环境

1.1.

Accompaniment /

陪伴

During labor and birth I would like to be accompanied by:

我希望选择以下人员在我生产时陪伴

□

My partner

伴侣

□

A friend

朋友

□

A relative

其他家属

Remarks/

备注

:_____________________________ ______________________________________

1.2.

During labour /

待产时

□

I will be bringing my own music to play during labour

我带自己喜欢的音乐

来

□

I would like to wear my own clothes

我希望穿自己的衣服

□

I would like to watch TV programs or other programs

我希望可以看电视节目或者其他节目

□

I would like the lights in the room to be kept low during my labour

尽量将灯光调暗

□

I wish to take pictures during the baby’s birth

我希望在分娩过程中拍照

□

I wish to eat the meals provided by the hospital

只享用医院所提供的饮食

□

I wish to eat the meals that I bring myself

希望家中饮食带入产房

Remarks/

备注

:

1.3.

Mobility and positioning

/

产程中所采取的姿势

□

I will let my doctor decide the optimal position and how much I can move

由医务人员决定我所采取的姿势

□

I would like to be free to walk, change positions and use the bathroom as needed or

desired (if there aren’t any contra

-indications)

我希望可以自由改变体位（除外异常特殊情况）

□

I would like to be able to try any position comfortable during pushing (if there aren’t any

contra- indications)

我希望自己选择分娩的姿势（除外异常特殊情况）

□

I would like to able to use auxiliary equipment (birthing ball or walking bars)

我希望使用辅助设施（分娩球等）

R emarks/

备注

:__________________ __________________________________________________ __

1.4.

Pain relief

/

疼痛缓解方式

□

I would like to manage the pain through the support of my partner, friend, doula and/or of

the medical staff that is assisting me

亲属、朋友、导乐和医疗人员的情感支持

12-3

□

I would like to try relaxation and/or breathing techniques

放松、呼吸措施

□

I would like to be able to have a hot shower if I desire to do so

热水淋浴

□

I would like to avoid an epidural anesthesia, but in case I request it, I would like it to be

available

我希望先不用麻醉药，我需要时再打麻醉

□

I would like to have an epidural anesthesia

硬膜外麻醉

I would like to have an intravenous anesthesia

静脉麻醉

I don

’

t want to use any anesthesia under any circumstances

我在任何情况下都不用任何麻醉

Remarks/

备注

:____________________________________________ __________________________

12-4