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高危产妇可以选择顺产嘛？哪些属于高危产妇？

发布日期：2024-06-10 15:48:08编辑：秩名


高危产妇能顺产吗

如果女性在怀孕期间，由于身体种种不适而被定义为高危产妇，那么相信准妈妈会感到特别担心，一方面会担心胎儿在腹中的安危，另一方面如果想要顺产的准妈妈也会有一个担心，就是高危产妇还能顺产吗？会不会对身体产生不良影响呢？
 
能否顺产取决于分娩前的综合状况，如胎位是否正常、羊水指数、产妇的健康等情况。因此即便在怀孕期间被定义为高危产妇，如果分娩时身体没有明显不适，照样可以顺产。比如有不良孕产史或者此前流产过两次以上的高危产妇，都可以通过顺产的方式分娩。
 
还有一部分高危产妇，为了自己和胎儿的健康，则最好选择剖腹产的方式分娩。比如怀有多胎、胎位不正、羊水浑浊的高危产妇，这部分产妇本身分娩的风险就比普通产妇高很多，如果选择顺产，发生危险的概率会大大提高，而剖腹产相对于这部分产妇来说，危险性会降低很多，因此，关于是否能顺产，产妇不要勉强，还是要听从医生的安排。
 

什么是高危产妇

高危产妇，是指产妇在怀孕期间，由于身体的健康原因，可能会导致自身和胎儿出现危险或者难产的情况。那么，怀孕期间出现哪些情况会被定义为高危产妇呢？
 
1、妊娠异常：胎儿在母体中胎位不正、畸形等异常情况，或者孕期有过异常的流血现象等、孕妇骨盆过于狭窄等。
 
2、年龄偏大或偏小：35岁以上或者16岁以下的女性，都属于高危产妇，年龄偏大，身体各机能都开始下降，而年龄太小，各方面都未发育成熟，因此怀孕生产的风险都会比普通孕妇大很多。
 
3、孕妇身体有疾病：如孕妇本身存在健康问题，如心脏病、肝炎、糖尿病等疾病。
 
4、偏重偏矮：身高在145厘米以下的孕妇，由于身高原因，怀孕后会比正常身高的孕妇承受更多的压力。还有些孕妇过于肥胖，也会存在很大的风险，比如会大大增加患妊娠糖尿病、妊高症的几率。
 
5、多胞胎产妇：患有三胎或多胎的产妇，也属于高危产妇，这些产妇在怀孕及分娩时会承受很大的风险。
 

高危产妇面临哪些危险

高危产妇，从字面上也不难理解，就是存在很高危险的产妇，这些危险可能来自产妇本身，也可能来自胎儿。在分娩过程中，稍有不慎，可能就会引发大出血、休克甚至死亡，只有了解高危产妇的危险性，才有可能避免此类情况的发生。那么，高危产妇都会面临哪些危险呢？
 
1、产下高危婴儿：高危产妇最直接的后果，就是会导致产下高危婴儿，高危婴儿是指发育不完全、免疫力低下，甚至畸形婴儿。这些婴儿往往一出生就需要进入保温箱观察治疗，可能还会出现呼吸困难、低血糖等情况，死亡率很高。即便存活下来，也可能会因为大脑缺氧、损伤而导致智力低下、听力障碍等后遗症。
 
2、妊娠并发症：高危产妇在生产时可以说是命悬一线，尤其是高龄产妇、妊高症产妇、患有心脏病的产妇等，这些产妇一般都要通过剖腹产终止妊娠，剖腹产可能会让胎儿健康的娩出，但是对于产妇来说，仍然是危险重重。
 

高危产妇的注意事项

女性在怀孕后，一定要按时体检，随时观察身体情况，一旦出现不适要及时就医，切不可掉以轻心。如果因为各种原因被医生诊断为高危产妇，则更需时刻注意，以免使自己和胎儿发生危险。
 
1、卧床休息：女性怀孕后，要避免从事重体力劳动，平时要多休息，特别是高危产妇，更应多卧床休息，不要让自己过于疲惫。
 
2、补充营养：高危产妇在生产后，要比普通产妇补充更多的营养物质，特别要多吃富含蛋白质和维生素的食物，还有补充钙质，为身体的恢复提供足够的能量，如鸡蛋、牛奶、鱼汤、瘦肉、小米粥等，还要多吃新鲜的水果和蔬菜，但是对于较硬较凉的水果要避免食用。
 
3、按摩：高危产妇在生产时可能会承受更多的痛苦，特别是剖腹产的妈妈，需要卧床的天数也比普通产妇多。家人在此时要多给产妇做按摩，帮助产妇放松身体，防止肌肉萎缩，同时多按摩还有助于产妇的身体恢复。
 

怎样避免成为高危产妇

孕妈妈要想避免在生产时发生危险，平时在孕期一定要多加注意，如果怀孕期间忽视身体的某些不适，可能就会大大生产时的风险，那么，怎样才能避免在生产时出现高风险呢？
 
1、在最合适的年纪怀孕生子
 
女性在35岁以后，身体各机能明显下降，这一点有些二胎妈妈最有发言权，明明怀头胎的时候身体很好，可是二胎时身体怎么会出现各种不适呢？这都跟年龄脱不开关系，年龄越大，生产时面临的风险就越大，因此女性尽量选择在最合适的年龄怀孕生子。
 
2、定期体检：怀孕后一定要按时体检，各项检查都不可错过。孕检不光要检查胎儿的发育状况，包括孕妇的身体情况都是检查的范围，一旦出现任何异常，医生都可以及时给治疗处理，避免病情被延误从而加大生产时的风险。
 
3、控制体重：怀孕时切不可为了增加营养而胡吃海喝，导致体重增加过快或者体重超标。体重超标会增加妊娠高血压、糖尿病等并发症的概率，从而使分娩变得异常危险。
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