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【明報專訊】上周網上流傳一條水中分娩的影片，短時間內觀看次數達1600萬。影片中的產婦在水中分娩，痛楚似乎很短暫，生產過程亦十分順利。<\/p>\n

香港公私營醫院均沒有提供水中分娩服務。另外，婦產科醫生指出，陣痛時若浸泡在溫水中，或會令產婦感到較放鬆，有助減痛；但在水中分娩卻可能對產婦和胎兒構成風險。<\/p>\n

想自然分娩，但又怕痛，除了止痛藥、麻醉劑外，還有什麼減痛方法？<\/p>\n

英國廣播公司上周報道，美國一名助產士在九月初上載一條孕婦水中分娩的影片，短時間內觀看次數達1600萬，得到10萬個讚和2.3萬個留言。片中孕婦站在浴缸，經歷短暫陣痛後，BB就出生了，媽媽立即將BB抱入懷中。<\/p>\n

無證據指水中有利生產 港醫院未提供<\/p>\n

香港公私營醫院均沒有提供水中分娩服務，但歐美不少人推崇水中分娩，指浸在溫水中，不單可以減痛，同時可以減少陰道損傷，然而這些說法仍欠研究支持。美國婦產科學院（The American College of Obstetricians and Gynecologists ）的指引亦表示，在產程第一階段，產婦浸在水中或許有助減痛、減少使用麻醉藥及加快分娩；然而，在水中分娩則帶有風險。<\/p>\n

明德國際醫院婦產專科醫生陳世樂解釋，產程分為三個階段﹕<\/p>\n

第一階段：陣痛至子宮頸全開<\/p>\n

第二階段：子宮頸全開至BB出生<\/p>\n

第三階段：BB出生至胎盤排出<\/p>\n

「產程第一階段浸泡在溫水中，或許令產婦感到較放鬆，而水的浮力或可給予一點支撐，但這純屬個人感受，有些產婦未必喜歡。」陳世樂指出，而到了產程第二、三階段，至今未有醫學證據，證明水中分娩有好處；相反，水中分娩帶有風險：<\/p>\n

倘情况不穩 水中難處理<\/p>\n

◆即使是低風險懷孕，分娩過程也不能保證是零風險，萬一出了問題，例如：媽媽或胎兒情况不穩定，需要持續監察，在水中難以處理<\/p>\n

◆醫護在接生過程中，難免接觸池水，當中有產婦的血液和分泌，有感染風險<\/p>\n

◆BB在水中出世，或會增加感染風險<\/p>\n

陳世樂指出，每一個產婦和胎兒承受風險不同，忍痛能力亦有差別，所以不要迷信某一種方法是最好；應是按自己情况，與醫生商討，選擇最適合自己的方法。<\/p>\n

■知多啲<\/p>\n

分娩姿勢借力 半蹲趴地一樣得<\/p>\n

分娩，沒有最好的方法。<\/p>\n

想自然分娩，但又怕痛，有很多減痛方法。醫學上減痛，可選擇笑氣、止痛針或無痛分娩，而非醫學的選擇則更多。陳世樂醫生舉例，有產婦選擇透過音樂治療紓緩痛楚，亦有人選擇以微電流刺激穴位減痛、有人利用健身球幫忙。<\/p>\n

另外，瑪麗醫院和明德國際醫院可讓產婦選擇不同的分娩姿勢，相信有助分娩。陳世樂說，「傳統躺臥在牀上，但對有些孕婦來說，例如有腰背痛，未必能夠用力，轉為側臥、趴或蹲，可能較容易發力」。<\/p>\n

明德國際醫院註冊助產士Sue Winstone表示，較多產婦嘗試的姿勢，其中一個是站在牀邊，雙手按着牀發力，雙腳半蹲，這姿勢令盆骨張開，有利胎兒滑下；另外，亦有媽媽選擇趴在地上，上半身攬着健身球幫助發力。<\/p>\n

哪一個姿勢最有利分娩？陳世樂指出，不能一概而論，有些人腳力不足，有些人腰力不夠，因此應視乎產婦感覺，也不是限定只用一個姿勢，「分娩時，產婦可嘗試不同姿勢，找出最能發力的姿勢」。然而，這必須在助產士和醫生協助和指導，產房亦需要有足夠空間，確保產婦和胎兒安全。<\/p>\n

文：鄭寶華<\/p>\n

圖：林俊源<\/p>\n

編輯：屈曉彤<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20160919\/news\/_19YD005_.jpg明德國際醫院婦產專科醫生陳世樂（圖：林俊源）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160919\/news\/_19YD001_X.jpg分娩不一定是躺臥在牀上，如產房有足夠空間和人手協助，產婦可以嘗試不同分娩姿勢，Sue Winstone 示範其中一個姿勢，上半身趴在健身球上分娩。（圖：林俊源）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160919\/news\/_19yd101.jpg註冊助產士Sue Winstone指出，陣痛時，雙腳張開坐在健身球上，有坐放鬆盆骨。（圖：林俊源）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":9851,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[1120,385,1124],"class_list":["post-8217","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-1120","tag-385","tag-1124"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 11:32:21","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/8217"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=8217"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/8217\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/9851"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=8217"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=8217"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=8217"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}