New care model to make labor smoother

In the past, there was a concern that not shaving could cause bacterial infections, but in fact, as long as it is sterilized, it can be avoided, and foreign studies have found that there is no difference between shaving and not shaving; *** also, as long as it is sterilized, it will not be because of the defecation in the process of delivery will not affect.

As for the cut perineum, in comparing the rate of cut perineum in various countries, we found that the rate in Taiwan is very high, many hospitals are more than 90%, and even up to 98%, in the past, I think the benefit of the cut perineum is that the wound is more intact and better, and then the research confirms that, preventive cutting of the perineum, but in the process of production, so that the wound is more to the downward cracks, do not cut, instead, there is also a line of defense. The doctor may feel that not cut will crack more serious, in fact, depends on the skills, the principle is not to let the head of the fetus rushed too fast, in the head of the fetus is coming out, the doctor should guide the mother to control the force of force, and protection of the perineum, perineum ***, etc., as long as the supporting measures to do a good job, more will not have a problem, and the majority of doctors can do it, but only the habit of the problem.

In terms of hypnosis, most mothers do not need to rely on drugs to hypnosis, although hypnosis can shorten the duration of labor, but excessive hypnosis may lead to uterine contraction is too strong, and the fetus rushed too fast, which in turn caused serious perineal laceration, and it may be hypnosis to make the woman more painful, or even can't stand to ask for a cesarean section, whether hypnosis is needed must be dependent on the situation, for example, the duration of the labor is too slow, or the water breaks, but there is no progress, only then consider hypnosis. The first thing you need to do is to get your hands on a new one, and you'll be able to do that.

2. Replenishing manpower in obstetrics and gynecology: There is a shortage of manpower in obstetrics and gynecology, and the phenomenon of overworked doctors is becoming more and more serious.

Lu Li Zheng, director of the Department of Labor, said that some mothers said that the first baby cut the perineum wound is very painful, and the second baby does not cut the perineum, feel much more relaxed.

In addition, the addition of a midwife can shorten the entire labor process and reduce the rate of cesarean section. In the past, because of the labor process is too long or fear of pain, the mother will ask for a cesarean section, but in the midwife (nurse) from the side of the assistance, it can be difficult to deliver and reduce the chance of mothers asking for a cesarean section.

As for the dispute over the delivery, who should bear the responsibility? The first time I saw this, I was able to get a good look at it, and I was able to get a good look at it, and I was able to get a good look at it, and I was able to get a good look at it. Since the implementation of this program, there have been no complications in the pilot hospitals, mainly due to the unchanged medical and nursing manpower during labor and delivery, and also proved the competence of the midwife (nurse).

At this stage, Taiwan will not be able to choose to have all births attended by midwives in the same way as Europe and the United States in a short period of time, but we can consider this model of care where obstetricians and gynecologists and midwives work together, which means that additional manpower will be added to allow mothers to be accompanied by an additional midwife during labor.

The new care model allows for a smoother birth Referring to the experience of the pilot hospitals to make the birth system better

Wu Wen-cheng, Deputy Executive Director, emphasized that the pilot project of the "Friendly, Multi-disciplinary and Gentle Birth Hospital" is focused on the mother, and that the birth process is very gentle and friendly, and that mothers can make their own choices, and that they no longer have to resort to routine medical treatments such as fasting, shaving, and ****, as well as cold and icy The newest addition to the list is the newest addition to the list, the newest addition to the list, the newest addition to the list.

The care model implemented under this pilot program allows pregnant women to have autonomy during childbirth, and hospitals will respect the wishes of women to make choices, rather than having to be decided by physicians; in addition, it also allows previously licensed midwives (doctors) to return to the hospital to assist in the establishment of the Obstetrics and Gynecology Department, midwife **** with the care model, which can address the lack of manpower in the Department of Obstetrics and Gynecology and reduce the number of physicians who must be present in the maternity ward 24 hours a day, the hardest thing to do is to make sure that you have a good understanding of what you are doing. However, because obstetricians and gynecologists have been receiving

Wu Wenzheng Experience: Deputy Director and Acting Director of Bali Sanatorium, Ministry of Health and Welfare; Visiting Scholar at Harvard University; Currently: Consultant Physician at Taoyuan Hospital, Ministry of Health and Welfare; Deputy Executive Director of the Management Association of Affiliated Health and Social Welfare Institutions, Ministry of Health and Welfare; Adjunct Assistant Professor at Fu Jen Catholic University

This is the first time that we've seen this kind of thing in action, and it's a great opportunity for us to see what it's all about. Education: National Taiwan University, Department of Medicine Experience: Fellowship in Obstetrics and Gynecology, Yale University, Attending Physician, Department of Obstetrics and Gynecology, Cathay Hospital, Taipei, Taiwan Currently: Director, Department of Obstetrics and Gynecology, National Taiwan University, Department of Health and Welfare, Taoyuan Hospital