評(píng)論
打印
First stage.
第一產(chǎn)程
a. Check the vital signs, fetal heart tones, frequency of contractions and dilation of the cervix, then determine if the membrane is intact.
檢查生命體征、胎心音、宮縮頻率以及宮口擴(kuò)張情況，然后查看胎膜是否完好。
b. Check the patient every 15 to 30 minutes or more often, depending on the progress of labor. Monitor the frequency of the contractions, fetal heart tones and blood pressure. Check the temperature every 4 hours if the membrane is intact, and every 2 hours if the membrane is ruptured.
每15-30分鐘查看一次孕婦，或者頻率更高一些，根據(jù)分娩進(jìn)程而定。觀察宮縮頻率、胎心音以及血壓情況。如果胎膜完好，每四小時(shí)量一次體溫；如果胎膜破裂每?jī)尚r(shí)量一次。
c. If the membrane is ruptured, note time, color and odor. Check fetal heart tones.
如果胎膜破裂，記錄時(shí)間、顏色和氣味。檢查胎心音。
d. Encourage the patient to walk unless the membrane is ruptured and encourage voiding every 1 to 2 hours.
除非胎膜破裂，否則督促病人散步并且沒(méi)1-2小時(shí)督促其排泄。
e. Keep the patient informed to the progress.
讓產(chǎn)婦了解分娩進(jìn)程。
f. Administer analgesia
注意給產(chǎn)婦鎮(zhèn)痛。
Second stage.
第二產(chǎn)程
a. Check the vital signs every 5 minutes.
每五分鐘檢查一次生命體征。
b. Position the instrument table. Assist physician or midwife.
安置產(chǎn)床工具臺(tái)。助產(chǎn)士就位。
c. Note the time and position of birth.
記錄分娩時(shí)間和位置。
d. Keep the patient informed of the progress.
讓產(chǎn)婦跟進(jìn)分娩流程。
Third stage.
第三產(chǎn)程
a. Take down the time of the delivery of the placenta.
記錄胎盤(pán)娩出時(shí)間。
b. Help the midwife with stitching episiotomy infant care, etc.
幫助助產(chǎn)士縫合外因切開(kāi)裂口等等。
Fourth stage.
第四產(chǎn)程
a. Check the blood pressure every 15 minute and PRN for the first hour. Massage the uterus as ordered. Catheterize or have the patient void PRN.
產(chǎn)后一小時(shí)內(nèi)每15分鐘檢查一次血壓和醫(yī)囑。按摩子宮。導(dǎo)尿或者按需讓產(chǎn)婦排泄。
b. Check the vital signs.
檢查生命體征。
c. Check the lochia for its color, amount, and characteristics of flow.
檢查孕婦排泄物的顏色、量及其流動(dòng)特性。
d. Check episiotomy and perineum for bleeding, unusual redness and swelling.
檢查外陰切口及會(huì)陰有無(wú)流血及不正常紅腫。
e. Transfer the woman to the postpartum ward when stable.
情況穩(wěn)定之后將孕婦送到產(chǎn)后病房。
f. Assist the intake and outtake of the mother for the first 24 hours until she voids well.
在產(chǎn)后24小時(shí)內(nèi)幫助產(chǎn)婦進(jìn)食和排泄，直至排泄正常。
譯文屬可可原創(chuàng)，僅供學(xué)習(xí)和交流使用，未經(jīng)允許不得轉(zhuǎn)載
