懷孕及分娩常用術語與解析

懷孕及分娩常用術語與解析http://www.mitbbs.com/pc/pccon.php?id=3509&nid=39872 作者：home99發表時間：2008-06-17更新時間：2008-07-15瀏覽：816次評論：0篇引用：0次地址：10.0. ::: 欄目 ::: 懷孕和生寶寶時對於OB講的一些名詞，如dilation, effacement之類，即便找到對應的中文，仍是身在雲裏霧中、不解其義。這幾天研究了一番，現在將結果向JMs匯報一下，希望也能幫大家解決一些疑團啊。Abruptio Placenta (Placental Abruption,premature separation of planceta) 胎盤早剝: The placenta has started to separate from the uterine wall before the baby is born.ACOG 美國婦產科醫師學會: The American College of Obstetricians and Gynecologists is a private, voluntary, nonprofit organization of women\'s healthcare professionals. The ACOG currently has over 37,000 physician members. For more information, visit their website at http://www.acog.com/. Active Labor: The period of time when your cervix dilates between four and eight centimeters. Contractions usually come between three and five minutes apart, dilating the cervix approximately one centimeter (onefinger)per hour.Alpha-Fetoprotein 甲胎蛋白: A test that assesses the risk (does not diagnose) of neural tube defects and Down Syndrome. Usually given between the 15-20 weeks; preferred at 16 weeks.＊Amniocentesis 羊膜穿刺: This procedure entails drawing a small quantity of amniotic fluid from the sac surrounding the fetus. The particles of the baby\'s sloughed-off skin cells floating in the water are then tested for fetal abnormalities.＊Amniotic Fluid 羊水: This protective liquid, consisting mostly of fetal urine and water, fills the sac surrounding the fetus.Amniotic Sac(bag of waters) 胎膜囊: The sac that holds the protective liquid called amniotic fluid that surrounds the fetus.＊Anemia 貧血: An iron deficiency common in pregnancy.Anesthesiologist 麻醉師: A doctor who administers drugs like an epidural.Anterior 前部： Baby faces the correct way (face down) when emerging from the uterus.Apgar Score 阿氏評分 : This is a measurement of a newborn\\\'s response to birthand life outside the womb. Ratings are based on Appearance (color); Pulse (heartbeat); Grimace (reflex); Activity (muscle tone) and Respiration (breathing). The score is taken at 1 and 5 minutes (sometimes also at 10 minutes) after birth, the high score being 10 and the low score being 1. This scale was named for its creator, Virginia Apgar (1909-1974).Areola 乳暈 : The dark area encircling the nipple. (When breastfeeding, you will need to make sure the baby latches onto the areola, not just the nipple.)Arias-Stell reaction　阿-斯反應：簡稱A-S反應。宮外孕時子宮內膜上皮細胞及核呈肥大改變。AROM 人工破水: Acronym stands for artificial rupture of membranes. It means that a doctor or midwife breaks the woman\'s water to begin labor. Basal Body Temperature (BBT)基礎體 : Your base body temperature - that is, before movement, caloric consumption or anything else is factored in.Betamethasone 倍他米鬆: A common drug used to help develop the baby\\\'s lungs when it appears the woman will deliver prematurely. Given by injection into the mother\\\'s muscle. Bilirubin 膽紅素: The waste product that results from the breakdown of hemoglobin molecules from worn out red blood cells. It is normally excreted from the body as the main component of bile. See Jaundice.Birthing Ball : A large rubber ball, about 25 inches in circumference, usedduring labor. The woman can sit on the ball and rock or bounce lightly, or she can lie on top of the ball and rock.Birthing Center: A medical facility used as an alternative to a homebirth or a hospital birth. Usually simulates the homebirth experience, but has medical resources.Bloody Show 見紅: Blood-tinged mucous from the vagina. May mean you are losing the mucous plug that has sealed off the cervix up to this point.Bradley Method 布雷德利法: Also known as Husband-coached Childbirth, instructors teach natural breathing, encourage husband support, breastfeeding, etc. For more information, see the Bradley Method site.Braxton-Hicks Contractions 早期宮縮(醫學名稱叫布雷頓希克斯宮縮): Thesepractice contractions occur at various times during pregnancy, but can increase in intensity during your last month. They happen at random and are typically not painful. They do not dilate the cervix as real contractions do.＊Breech Presentation 臀先露 : Where the fetus is positioned head up to be born buttocks first or with one or both feet first. Breech positioning is relatively uncommon, occurring in fewer than five percent of all births.Brethine (Terbutaline) 硫酸特布他林: Drug used in pregnancy to slow or stoplabor because even though it is an asthma medication, it relaxes smooth muscles, and the uterus is a smooth muscle.Catheter 導管: A small, flexible tube. Catheters are commonly used in epidurals and when a woman cannot urinate (a catheter is placed up the urethra and into the bladder)--commonly referred to as being cathed. Cephalopelvic Disproportion (CPD) 頭盆不稱: The term given when the size, presentation, and position of the baby\'s head in relationship to the mom\'s pelvis prevents dilation of the cervix and/or decent of the baby\'s head. The baby is too large to safely pass through the mother\'s pelvis.Cervidil 地諾前列酮製劑: A medication used to ripen the cervix before induction (or to induce labor by itself).＊Cervix 宮頸: The entrance to the uterus.＊Cesarean(C.S) 剖宮產: An incision through the abdominal and uterine walls for extraction of the fetus; it may be vertical or more commonly, horizontal. Also called abdominal delivery; commonly called C-Section.　(-section, -birth, -delivery)Chorionic Villus Sampling (CVS)絨毛標本采取: This procedure tests for genetic fetal defects by analyzing a piece of chorion, which is the outer tissues of the sac surrounding the embryo. CVS can be done earlier than amniocentesis, typically between 9 and 11 weeks of pregnancy.＊＊Colostrum 初乳: Baby\'s first food, this is a thin white fluid discharged from the breasts at the beginning of milk production, and usually noticeableduring the last few weeks of pregnancy (though may appear in tiny amounts as early as 16 weeks). Colostrum is rich in antibodies.Complete Breech 完全臀位: The baby\'s buttocks are presenting at the cervix, but the legs are folded indian style,making vaginal delivery difficult orimpossible.Conception 妊娠，受孕: When the sperm penetrates the egg, a new life has been created.＊Contraction 宮縮: The regular tightening of the uterus, working to dilate and efface the cervix and to push the baby down the birth canal.Cord Prolapse 臍帶脫垂: Describes a condition where the umbilical cord slipsdown below the baby and into the vaginal canal during birth and is directlyblocking the baby from being born without compressing the cord (which wouldcut off baby\'s oxygen and blood supply).Crowned/Crowning 著冠: Describes when the baby\'s head is pushing though the fully dilated cervix and ready to pass into the birth canal.Demerol 度冷丁: A narcotic pain reliever commonly used in labor and delivery. ＊＊Dilation 子宮口擴張度，一般用0-10指來表示: The amount the cervix has opened in preparation for childbirth, dilation is measured in centimeters or, less accurately, in fingers. Fully dilated means you\'re at 10 centimeters and are ready to push. Doppler 多普勒儀: A device which employs ultrasound to listen to the fetal heart. Sometimes referred to as a Doptone.Doula 助產士: The Greek definition is trusted servant or woman\'s servant. Also known as a monitrice, the term refers to a woman who helps a couple through childbirth.Early labor: This is usually when you\'ve had regular contractions for two hours or more, as frequent as every five minutes to every twenty minutes. Your cervix dilates up to three or four centimeters during this stage. Eclampsia 子癇： Pregnancy-induced hypertension, a dangerous condition that may occur during pregnancy. Symptoms may include elevated maternal blood pressure, swelling of ankles and hands, sudden weight gain and protein in the urine. More information here. See also pre-eclampsia.＊Ectopic (Tubal) Pregnancy 異位妊娠: A pregnancy that occurs outside of theuterus. The large majority of ectopic (tubal) pregnancies occur in the fallopian tube, but some can occur in the abdominal cavity as well.Edema 水腫，浮腫: Swelling of soft tissues as a result of excess water retention.＊＊Effacement 子宮頸薄化度或成熟度，用百分比來表示: This refers to the thinning of the cervix in preparation for birth, and is expressed in percentages. You\'ll be 100% effaced when you begin pushing.elderly primipara　高齡初產婦 ：妊娠年齡大於或等於35歲者Electronic Fetal Monitor (EFM): This electronic instrument is used to record the heartbeat of the fetus and contractions of the mother\'s uterus.Embryo 胚胎: From conception to the eighth week of pregnancy, the baby growing inside you is called an embryo.Endometrium 子宮內膜: The blood-rich mucus membrane lining the uterus (whichis usually shed as your period). The embryo implants into this lining, and takes early nourishment from it.＊＊Engaged 入盆: When the baby\'s presenting part (usually the head) has settled into the pelvic cavity, usually in the last month of pregnancy. You are likely to notice that the baby\'s position has visibly changed and may also feel increased pressure on your bladder. engagement 胎頭降入盆腔(醫學上稱銜接)，lightening或dropping 為同一詞義＊＊Epidural 硬膜外麻醉: A common method of administering anesthesia during labor. A small amount of anesthesia is inserted through a narrow catheter threaded thorough a needle inserted into the dura space near the spinal cord.Episiotomy 會陰切開術: An incision made during childbirth to the perineum, the muscle between the vagina and rectum, to widen the vaginal opening for delivery.External Version 外旋轉: Performed late in pregnancy, this is where a doctormanually attempts to move a breech baby into the typical head-down positionfor birth.＊Face Presentation 麵先露: A relatively uncommon labor presentation, when the baby is head down but has its neck extended, as if looking down the birth canal, rather than with its chin tucked. (Also similar: brow presentation)Failure to Progress 功能障礙性分娩: Also called dysfunctional labor. Diagnosis given to a woman who does labor does not follow a normal patternand is severely prolonged. Fallopian Tubes 輸卵管: Two narrow tubes leading from either side of the uterus to the ovaries.False Labor 假臨產 : This is where you experience regular and/or painful contractions that do not dilate or thin the cervix. It may be impossible foryou to differentiate from real labor.Fentanyl 芬太尼: A narcotic drug generally used sparingly. Many hospitals donot offer this type of narcotic for labor pain. Fetal Distress 胎兒窘迫: Condition when the baby is not getting enough oxygen or is experiencing some other complication. Immediate delivery may berequired.Fetal Scalp Electrode 胎兒頭皮電極: Instrument used to monitor the baby\'s heartbeat while still in the uterus. This device is placed just under the skin of the baby\'s scalp. See Internal Monitoring. Fetus 胎兒: The baby in utero, after 8 weeks of pregnancy until delivery. (Before then, it\'s considered an embryo.) The word fetus means young one. (Derivative: fetal) ＊Fontanelle 囟門： One of two \'soft spots\' between the unfused sections of the baby\'s skull. These spots may allow the baby\'s head to compress slightlyduring passage through the birth canal.＊Footling Breech 足式臀位: The baby is upside-down and one or both of the baby\'s feet are presenting at the cervix before the buttocks.Forceps 產鉗: A tong-like instrument which may be placed around the baby\'s head to help guide it out of the birth canal during delivery.Frank Breech 伸腿臀: The baby\'s buttocks are presenting at the cervix and the baby\\\'s legs are extended straight up to the baby\'s head.Gestation 懷孕期，妊娠期: The length of pregnancy is called Gestation. ＊Gestational Diabetes 妊娠期糖尿病: A form of diabetes that appears during pregnancy (gestation). Most pregnant women are tested for this condition. Itmay or may not remain after the baby is born.Group B Strep 乙型鏈球菌: An infection that affects 10-25% of all pregnant women and can cause serious health problems in a newborn. Many doctors screen pregnant women now because the infection can be passed to the newbornduring delivery, more commonly under certain conditions (mother has fever or infection is present, amniotic bag has been ruptured for more than 18 hours or baby is premature). The bacteria that causes Strep B is commonly found in the vagina and intestinal tract.Hemorrhage 出血: Bleeding or flow of blood either internally or externally. Hemorrhoid 痔瘡: Enlarged veins in the anus or rectum, generally caused by constipation or straining to have a bowel movement. Very common in pregnancyor after childbirth.High-Risk Pregnancy 高危妊娠: A pregnancy where there are complications or special circumstances that may require specific medical attention or bed rest.＊Human Chorionic Gonadotrophin (HCG)絨毛膜促性腺激素: The hormone pregnancy tests look for, secreted by the placenta. This hormone prolongs the life span of the corpus luteum as well as stimulates production of progesterone, thereby creating the ideal environment for the embryo.＊Hydramnious 羊水過多: The medical term for a condition which involves having too much amniotic fluid.Hyperemesis 妊娠劇吐: Extremely severe nausea (morning sickness), resulting in weight loss of five percent or more, ketosis, and electrolyte imbalance. It can lead to hospitalization if dehydration occurs.Hypospadias 尿道下裂: A congenital defect of the penis where the urethra is not at the tip of the penis, but rather in the shaft. Corrected surgically. Incompetent Cervix 子宮頸閉鎖不全: A cervix that does not function properly during pregnancy and is likely to dilate prematurely and cause a miscarriage.Incontinence 失禁: Inability to control excretions. During pregnancy, urinary incontinence can occur as the baby becomes heavy on the bladder.＊Induced Labor 催產素引產: When labor is started or accelerated through intervention, such as by using an IV drip of the hormone oxytocin (Pitocin),placing prostaglandin gel on the cervix, or by rupturing the membranes.Internal Monitoring 內監護: During labor, internal monitoring may be needed and isusually in the form of an electrode placed under the baby\'s scalp. See Fetal Scalp Electrode. Intramuscular Narcotics 肌肉注射止痛法: Pain relievers that are administered by injection into the muscle. Intrathecal 鞘內的: This procedure involves administering medicine into the fluid around the spinal cord. Intubate 插管: Meaning to put a tube in, refers to procedure where a tube is placed down the person\'s throat to assist breathing or for other medical reasons. IUGR 宮內(胎兒)生長遲緩,宮內發育遲緩: Intrauterine growth retardation: The growth of the fetus is abnormally slow. After the birth, the baby appears smaller than thedates say he or she should be. Jaundice (neonatal) 新生兒黃疸: A somewhat common condition in newborn babies, marked by a yellowing of the skin and caused by the immature liver\\\'sinability to process excess red blood cells. Treatment for mild cases will include allowing your baby to spend time in sunlight, though in more severe cases, the baby will be admitted to the hospital and placed under lights which synthesize the sun\'s rays (minus harmful UV radiation).Kegel Exercises 凱格爾運動或骨盆底肌肉運動(pelvic floor muscle exercises): These exercises are done in order to strengthen the pelvicfloor during delivery (to help you push more efficiently) and to assist your body in recovering from childbirth. They are most simply done by contracting and holding the muscles used to stop the flow of urine.Labia 陰唇: The inner and outer lips of the vulva (vagina) - the external female genitalia. The outer labia (labia majora) usually have pubic hair andthe smaller inner lips (labia minora) are mostly hidden inside.＊Labor 陣痛: Regular contractions of the uterus that result in dilation andeffacement of the cervix.＊Lamaze 呼吸減產痛——拉瑪澤生產呼吸法: A childbirth preparation method where relaxation, breathing techniques and informed decisions are paramount. For more information, see the Lamaze homepage.Leopold Maneuver 利奧波德手法: A set of four movements used to ascertain the baby\'s position within the uterus. This is done by your healthcare provider placing his or her hands on your belly, and to used determine the baby\'s presentation (head up or down) and lie (facing right, left, back or front). ＊Leukorrhea 白帶: Whitish mucousy vaginal discharge, common during pregnancy. Talk to your healthcare provider if there is a lot of discharge, you notice a strong or offensive odor, or if accompanied by labial.vaginal itching or swelling.＊Lightening 胎兒下降感 : When the baby \\drops\\ in preparation for delivery.See also Engagement.LMP 末次月經: Acronym stands for last menstrual period. ＊Lochia 惡露: A period-like discharge from the vagina that occurs after delivery. The discharge will probably be exceptionally heavy at first and may last five to six weeks.Magnesium Sulfate 硫酸鎂: One of the stronger drugs given through IV to stopor slow labor.Malpresentation 先露異常: Baby is not \\presenting\\ (positioned in the pelvis)in the anterior (normal) position. There are different types of malpresentation (see breech presentation, face presentation, and posterior).＊Meconium 胎糞: Baby\\\'s first bowel movement, this is the greenish substancethat builds up in the bowels of a growing fetus and is normally discharged shortly after birth.Midwife 助產士，接生婆: A DEM (Direct Entry Midwife) assists homebirths while a CPM (Certified Professional Midwife) assists births that take place in the hospital or birthing center. Both health care providers offer prenatal care and strive to reduce c-section rates, traumatic deliveries andun-needed medical intervention.Mittelschmerz 經間痛: Some women feel an abdominal pain or twinge - mittelschmerz, literally meaning \\middle pain\\ - upon ovulation.Molding 塑形: Because the newborn\\\'s skull bones are not yet fused (to assist the birthing process), baby\\\'s heads can look \\coned\\ or squished. This molding will not be permanent. Mucous Plug 子宮口的粘液栓塞，平時用來防止細菌，分娩前會流出，造成分泌物增多:Pinkish mucous discharge - which blocks the cervix during pregnancy - that you may see when the cervix starts to open. Also called the \\\'show\\\' or \\\'bloody show\\\', it is generally considered a sign that labor will soon begin.＊Neonatal 新生兒的: Referring to the newborn period (the first four weeks oflife). Neonatalogist 新生兒學家: A specialist who cares for newborns.NICU 新生兒重症監護治療病房: Acronym standing for Neonatal Intensive Care Unit.Non-stress Test 非應激試驗(人為引起子宮收縮查胎兒心搏數、了解胎兒健康情況): Anoninvasive test in which fetal movements are monitored and recorded, alongwith changes in fetal heart rate.Nubain納布啡注射劑: Synthetic narcotic pain reliever commonly used in labor and delivery.＊Obstetrician 產科醫師: A doctor who specializes in pregnancy, labor and delivery.＊Oligohydramnious 羊水過少: The medical term for a condition which involveshaving too little amniotic fluid.Oxytocin 催產素: The hormone secreted by the pituitary gland that stimulates contractions and the milk-eject reflex (let-down). Pitocin is the synthetic form of this hormone.Pelvic Floor 骨盆底: Describes the area of the vulva, perineum, and anus. Thepelvic floor muscles are the muscles a woman tries to loosen while giving birth.Perineum 會陰: The muscle and tissue between the vagina and the rectum.Phenergan 異丙嗪: A drug used as a sedative and also to control nausea and vomiting.pregnancy-induced hypertension(PIH) 妊娠誘發的高血壓: Pregnancy Induced Hypertension. See Eclampsia and Pre-eclampsia.＊Pitocin 催產素: Synthetic oxytocin (a hormone that stimulates contractions, among other things) given through intravenous drip (IV) to stimulate labor.Placenta Previa 前置胎盤: This condition is usually discovered in late pregnancy when the placenta partially or completely covers the cervix.. (Theplacenta lies very low in the uterus, so that the opening of the uterus is partially or completely covered.)＊Placenta 胎盤: This is the tissue which connects the mother and fetus that transports nourishment and takes away waste.Posterior 後部，臀部: Describing the baby\\\'s face-up position during delivery. Normal presentation is anterior (face down). Posterior deliveries generally cause back labor (back pain).Postpartum 產後: The period of time after a baby\\\'s birth.postterm pregnancy， prolonged pregnancy　過期妊娠 : Pregnancy lasting more than 42 weeks.precocious pregnancy 　幼女妊娠，妊娠年齡小於或等於12歲者。Pre-eclampsia 先兆子癇: The precursor to eclampsia, this a condition involving high blood pressure, swelling due to fluid retention, and abnormalkidney function. More information here.presentation 胎兒先露 有頭部先露(cephalic vertex of presentation), 臀部先露(breech of presentation)， 肩部先露也稱橫位( shoulder of presentation)Preterm 早產: Babies born earlier than 37 weeks.＊PROM 胎膜早破: Acronym stands for premature rupture of membranes and means a woman\\\'s water has broken early. Prostaglandin Cream or Gel 前列腺素膠: Medication used to ripen the cervix before induction. Pubic Symphysis 恥骨聯合: The joint between the pubic bones at the front of the pelvis.PUBS 經皮臍血抽樣，經皮臍帶血標本: Percutaneous umbilical blood sampling: Similar to amniocentesis. A needle is inserted into the mother\\\'s abdominal wall and through the uterus, but is also inserted into the umbilical cord atthe base of the placenta. Blood is drawn for diagnostic purposes. Pudendal Block 陰部神經阻滯: A term used to describe a procedure that gives regional pain relief in the perineum area during birth. Also used when repairing an episiotomy. Rh Factor / Rh Disease Rh因子；凝集因子: Occurs in Rh positive infants whosemothers have Rh Negative blood (lacking the Rh factor)and the father has Rhpositive blood. If some of the baby\\\'s Rh positive blood cells get into the mother\\\'s blood stream, her body produces antibodies that will try to fight them off. If this happens during pregnancy or childbirth, the mother\\\'s cellstry to destroy the baby\\\'s red blood cells.＊Ruptured Membranes 膜破裂: Usually referred to as \\breaking of the water bag\\, this is when the fluid-filled sac that surrounds the baby breaks or tears. You may notice a gush of water or a slow leak, and may not even be certain that what you\\\'re experiencing isn\\\'t simple incontinence. If you suspect your water has broken, you must inform your health care provider immediately. You should also prepare to have your baby, as the risk of infection increases if the baby is not delivered within 24 hours of the rupture. Shoulder Dystocia 肩難產: The baby\\\'s shoulder gets caught on the mother\\\'s pubic bone during delivery. Silver Nitrate 硝酸銀: Generally administered in both eyes within the first hour of life, this medication is used to prevent serious problems in the newborn\\\'s eyes in the event that the mother has gonorrhea (a VSD that is common and can be present without symptoms). Tetracycline and erythromycin can be substituted.Speculum 窺器，張開器: A metal or plastic instrument used to open the vagina slightly wider so that the cervix can be seen more easily.Stadol 酒石酸布托啡諾製劑: A narcotic pain reliever commonly used during labor and delivery. Station: This is the measure of how far the baby has traveled down the birthcanal. \\Zero station\\ means he hasn\\\'t yet descended, while \\fully engaged\\ means he is ready to be born. Stress Test 應力試驗: This test records the fetal heart rate in response to induced mild contractions of the uterus. See also Non-stress test.Teratogens 致畸原: Agents such as drugs, chemicals and infections that can cause birth defects when a mother is exposed to them during pregnancy.Term 足月妊娠: Referring to a 40 week pregnancy (\\full term\\, \\preterm\\ and \\post term\\). Timing contractions: Contractions are usually measured from the beginning of one until the beginning of the next. Time your contractions with a stopwatch or the second hand on a clock. Take note also of the duration of each individual contraction.Toxemia 妊娠中毒症: Pregnancy-induced hypertension, a dangerous condition that may occur during pregnancy. Symptoms may include elevated maternal blood pressure, swelling of ankles and hands, sudden weight gain and proteinin the urine. See Eclampsia and PIH.Toxoplasmosis 弓形體病: This disease is caused by an organism found in raw and rare meat, garden soil and cat feces. It is typically not harmful to adults, but can cause injury to the fetus and placenta.Transition: This is the phase after active labor when the cervix finishes dilating to 10 centimeters. Contractions are the strongest and closest together during this phase (which is also the shortest phase). Transverse 橫的，橫位的: Describes the side-lying (where the baby\\\'s body length is horizontal in the uterus) position of the baby before birth. Unless moved, the baby will have to be delivered by c-section.＊Ultrasound 超聲: This test uses sound waves to view and examine the fetus or view the internal organs. It can also be used to measure bone size (usually femur length and skull diameter) to aid in gauging the gestational age of the fetus.＊Umbilical Cord 臍帶: The cord that carries blood, oxygen and nutrients to the baby from the placenta during pregnancy.＊Uterus 子宮: The uterus is your baby\\\'s home during gestation. Also referredto as the womb, the uterus is hollow with a thick, muscular wall, and is considered the strongest muscle in the human body.Vacuum Extractor 真空吸引器: An instrument that attaches to the baby\\\'s headand helps guide it out of the birth canal during delivery.Vagina 陰道: The internal female genitalia where sperm are deposited. Also called the vaginal canal during birth.VBAC: Acronym stands for vaginal birth after cesarean.Vernix: A greasy white substance coats and protects the baby\\\'s skin in utero. Some babies happen to be born with lots of vernix still on the skin. It is harmless, no longer necessary, and will be washed or wiped off.Vulva 外陰: The vulva is the external female genitalia, and includes the labia, clitoris, and vaginal opening.Waterbirth 水中分娩: A birth that takes place in a sterile birthing tub or pool.