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庸甯祝
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1 VBAC 剖腹产转顺产和剖腹产比, 阴道试产的优点有哪些? 对于妈妈来说 : 对于宝宝来说 : 产后康复更快更早地进行母婴接触出现呼吸问题的风险更低住院时间更短完全没有因为手术而产生的各种问题 ( 感染肠道或能够更大程度地享受妈妈的照顾需要输血的可能性更低尿道受损失血 ) 可能受益于早期的接触和联系产后感染风险更小因为没有手术带来的疼痛, 产妇能更快恢复日常活动止痛药的用量减少以后再怀孕生产时, 阴道生产的可能性更大能够获得更好的分娩体验在之后的怀孕中, 胎盘附着所产生的风险降低是否所有有剖腹产经历的产妇都能进行阴道试产? 如果剖腹产的伤疤是在子宫体的切口或者是子宫下段的纵行切口, 最好不要尝试阴道试产, 因为在子宫收缩的时候, 疤痕撕裂, 从而造成子宫破裂的风险会很大而子宫下段横切口的妈妈, 子宫破裂的风险会小很多, 可以考虑阴道试产如果您之前有过两次甚至是更多的剖腹产经历而并没有成功阴道分娩过, 那么您子宫破裂的风险也会增高, 因此阴道试产也将是不建议的您的主治医生和助产士会为您评估这些风险剖腹产后阴道试产和第二次择期性剖腹产比有哪些风险呢? 低危产妇的 VBAC 子宫破裂比例是 0.5% 即 1000 名产妇中发生 5 例因为子宫上有前次剖腹产的瘢痕, 您也有发生子宫破裂的危险, 通常是在产程中发生子宫破裂总体来说, 在剖腹产后阴道分娩的过程中, 输血子宫切除异常凝血反应和感染的风险都会大大增加但这些风险都是针什么情况下选择 VBAC? 对于一些妈妈来说阴道分娩是至关重要的阴道分娩的产妇产后不适感比较少, 在医院待的时间更短, 而且和剖腹产后的产妇相比, 精神上感觉更加良好另一些选择剖腹产的女性, 是因为她们不想经历产程与剖腹产分娩风险相比, 她们可能更加关注子宫破裂阴道分娩的风险因素对那些阴道试产失败的产妇而言在剖腹产后阴道试产的过程中, 宝宝死亡或者严重受伤的概率和正常的第一次阴道分娩是一样的和择期性再次剖腹产比, 剖腹产后阴道试产的宝宝死亡或者是严重受伤的风险会高一点可能还有一些其他的优点和风险, 有些可能是精神上的, 可能还有其他一些选择我们建议您和您的医生以及家人一起商讨未来宝宝计划 : 如果妈妈非常坚信将不会再要其他宝宝, 那么 VBAC 在减少子宫疤痕以及有利于下一胎的胎盘着床的优势可能不再有用, 这时剖腹产可能会更好点但是如果计划再次怀孕, 哪怕很小 10%-20% 的几率, 低风险的 VBAC 仍将是理想选择 VBAC 上海和睦家医院在 VBAC 方面有哪些经验? 上海和睦家医院提供 VBAC 服务已经有 11 年之久 60 到 80 出现而宝宝受伤风险的增高是和产程时间以及胎盘损伤密切相关剖腹产后试做阴道生产 VBAC 的产妇可能会成功产下婴儿的一旦发现这些问题, 我们都有相应的应急措施来应对但是, 我们能够为您提供麻醉师, 还会为宝宝安排富有经验的儿科医生, 任何分娩都存在着风险, 风险永远不可能完全被消除我们和您手术室全天 24 小时待命您子宫破裂的风险和产程, 决定了这的目标是一致的, 就是 : 让健康的妈妈产下健康的宝宝些人是否为您提供服务如果子宫破裂, 宝宝受伤的风险怀二胎的妈妈, 如果头胎是剖腹产, 第二胎想尝试顺产, 请注意以下内容 : 当生育二胎的女性在选择进行剖腹产后阴道试产时, 她的主治医生加收 20,000 元 ; 如果您尝试进行剖腹产后还有助产士需要密切关注, 以防任何意外的发生大多数健康低危阴道分娩时, 经阴道试产失败而改为实施紧急剖腹产, 的产妇, 都可以选择剖腹产后阴道试产并能通过阴道进行自然分娩您需要补交的费用除了所选顺产套餐与剖腹产套餐之间如果您尝试进行剖腹产后阴道分娩 ( 既往有剖腹产史的孕妇再次的差价之外, 还需加收 20,000 元妊娠时进行阴道分娩 ) 并且顺产成功, 需在顺产套餐价格基础上

Vaginal Delivery Package Vaginal Delivery Package Premium Package 2 postpartum nights Total PriceRMB 94,291 Package PriceRMB 59,000 37 For Mother Medications as required for labor and delivery,

2 Vaginal Delivery Package Vaginal Delivery Package Premium Package 2 postpartum nights Total PriceRMB 94,291 Package PriceRMB 59, For Mother Medications as required for labor and delivery, including but not limited to postpartum anti-hemorrhage and analgesic drugs, except labor induction drugs, elective maternal vaccinations, and anemic supplements Ringer solution x500ml, Normal saline irrigation x500ml, Oral Tylenol 650mg or similar analgesic, Enema/glycerin suppository, antiseptic solutions Lubricating jelly Prenatal+NVD Package 2 postpartum nights Routine lab tests Package Price: RMB 80,000 RMB 5000 deduction has already been given when purchased NVD package with prenatal at same time. Room Charge LDRP room for up to 24 hours labor and delivery plus postpartum nights (including all meals) Midwife Appointment 1 visit (can be used during pregnancy or up to three months postpartum) Physician/CNM Fee Normal delivery (NVD) including postpartum care (hospital and 1 office visit within 8 weeks) - mother only Normal new born subsequent hospital care, per day, during routine maternal hospitalization Nursing Care One-to-one nursing care during labor Newborn care, Basic breastfeeding counseling Labor and Delivery Equipment and Disposable Supplies (as required) Labor and delivery-related equipment and consumables Daily care-related equipment and consumables IV therapy-related equipment and consumables Neonatal resuscitation Oxygen delivery CTG monitor Medications (as required) Vaccination: BCG vaccination (injection fee included during hospitalization period) Hepatitis B vaccination, first dose (injection fee included during hospitalization period) Routine lab test Conditions The patient is entitled use their UFH Lifetime Membership in advance, instead of after delivery, upon the purchase of a delivery package. Entonox Drugs or devices used to promote cervix softening during labor Additional antibiotic use Prepartum or postpartum complications, blood transfusions, and other procedures outside of routine Cesarean section delivery Additional postpartum hospital days and related consultation fees, tests, medications or consumables Neonatal intensive care treatment Others If the trial of vaginal delivery fails and an urgent Cesarean section is required, then total hospitalization days will be charged by the chosen Cesarean Section Delivery Package. Epidural for labor is not included in the package and will be charged at RMB 7,000 if requested by the patient, and other discount does not apply for this epidural price. For multiple births, a surcharge of RMB 12,075 will apply for each child, and other discount does not apply for this price. Refunds of delivery packages will be charged a RMB 5,000 administrative fee except when the pregnancy is unexpectedly terminated. This package is a special promotion; no itemized bill will be made available. No membership discount or further discount will be given on the package price.

3 The Truth About Vaginal Birth After Cesarean (VBAC) What are the benefits of VBAC compared to a planned Cesarean birth? For mother: For Baby: Faster time to heal after birth Less risk that the baby will have breathing problems Shorter hospital stay More likely to be cared for by the mother, as she is physically able to Less risk of infection after delivery Baby may benefit from early contact and bonding Less chance of needing a blood transfusion Less need for strong pain relief after birth May feel more satisfied with their birth experience Increase their chances of having early contact with their baby No chance of problems caused by surgery (infection, injury to bowel or urinary tract, or blood loss) Quicker return to normal activities because there is no pain or complications from surgery Greater chance of having a vaginal birth in later pregnancies Less risk of problems with how the placenta attaches in future pregnancies Can all women with previous Cesarean births attempt VBAC? Some women should not try VBAC. If the Cesarean scar is in the upper part of the uterus, where contractions occur, the risk of the uterus tearing (also called uterine rupture) is high. Women with a scar in the lower part of the uterus have a lower risk of the uterus tearing and VBAC is considered safe. If you have had two or more Cesarean births and no vaginal births, the risk of the uterus tearing during labor also increases and VBAC is not recommended. Your doctor or midwife will review these risks with you. Overall, what are the risks of VBAC compared to a repeat Cesarean birth without labor? VBAC The risk of the uterus tearing during a low-risk VBAC is 5 in 1,000 (0.5%). Because you have a scar on your uterus from your prior cesarean birth, you will always be at risk for having a tear in your uterus. Tears usually occur during labor. The risk of serious injury or even mortality during VBAC is the same as it was during a mother's first vaginal labor. With VBAC, there is a higher risk compared to a planned and erpeated Cesarean birth. Overall, the risk of blood transfusion, hysterectomy, blood clots and infection are increased in women who attempt vaginal delivery. These increased risks are from the women who are not successful in vaginal delivery. How do women make a choice about VBAC? Having a vaginal birth is very important to some women. For many, Other women choose Cesarean birth because they do not want the benefits of trying a vaginal birth outweigh the risks. Women who deliver to go through labor. They may be more concerned about the risk vaginally have less postpartum discomfort, shorter hospital stays, and describe of the uterus tearing and vaginal delivery than the risks of Cesarean a feeling of wellness sooner than those recovering from Cesarean section. birth. There may be added benefits and risks, some of them emotional, with Future childbearing: If a woman is very certain in her desire to have no either choice. We want you to discuss these with your provider and family. more children, then the VBAC benefit of less uterine scarring and a better The purpose of this information is to help you make the choice that is best for you. place for the placenta to attach is not present and a repeat Cesarean section may be best. However, if there is even a small chance (10-20%) of another pregnancy, a low-risk VBAC may be the better choice. What is my hospital's experience with VBAC? Shanghai United Family Hospital has been performing VBAC for 11 years % of women who try VBAC have a vaginal birth. SHU has anesthesia staff, an experienced doctor for the baby and operating room services available 24 hours a day. Your risk of a tear in the uterus and how far along you are in labor determine if all these people are present in the hospital. In cases of uterine tearing, injury to the baby may occur. The risk of injury to the infant increases with the time it takes to deliver the baby and damage to the placenta. We have specific response plans once a problem is detected. However, there is risk associated with every pregnancy. Risk can never be completely removed. We share the same goal as you: a healthy baby delivered to a healthy mother. We will make every effort to ensure this. For a woman who has previously had a Cesarean birth chooses to attempt a natural birth: If you would like to attempt a VBAC (vaginal birth after C-section), an additional RMB 20,000 will be added to your Vaginal Delivery Package price. If your attempted VBAC (vaginal birth after C-section) is unsuccessful and follows an emergency Cesarean section, you need to pay the difference between your Vaginal Delivery Package and a Cesarean Section Delivery Package. In addition, a surcharge of RMB 20,000 will be applied

4 产套餐顺产套餐针对母亲的药品及化验根据需要用于分娩的药物如下 ( 引产药物为母亲选择性接种的疫苗和贫血补充剂不包括在内 ) 顺顺产精选套餐产后住院两晚林格氏液 x 500ml 生理盐水冲洗 x 500ml 总价 :RMB 94,291 催产素 37 口服泰诺林 650mg 或类似止痛药套餐价 : RMB 59,000 ( 包括一盒出院带药 ) 灌肠剂 / 甘油栓消毒液润滑剂产检 + 顺产精选套餐产后住院两晚常规化验检查套餐价 : RMB 80,000 已享受产检和顺产一起购买立减 5000 元优惠, 此价格不适用于购买孕晚期产检套餐 + 生产套餐者住院顺产可享用产休一体式产房, 最多 24 小时标准私人病房 ( 含产妇用餐 ) 助产士门诊 1 次助产士门诊 ( 可在怀孕期间或延至产后 3 个月内使用 ) 医生 / 助产士费用顺产含产后访视 ( 院内及 8 周内的产后复诊 ) 只针对母亲母亲常规住院期间护理, 正常的新生儿检查评估护理及治疗护理产时一对一助产及护理产后产妇及新生儿的日常护理分娩 / 生产设备及一次性用品按需要待产及分娩相关消耗品日常护理相关消耗品静脉输液治疗相关消耗品新生儿复苏相关消耗品吸氧产程中胎心监护针对婴儿的药品及化验用于婴儿的药品 ( 按需要 ) 疫苗 : 卡介苗接种 ( 注射费含在住院期间费用内 ) 乙肝疫苗接种首次接种 ( 注射费含在住院期间费用内 ) 常规化验检查常见顺产套餐外内容如下可享受 8 折终身会员福利安桃乐治疗顺产时需要用到促进宫颈软化的药物或者球囊装额外使用的抗生素产前产后的并发症输血以及其他常规剖腹产以外的操作产后住院天数延长及其相关的诊费检查药品和消耗新生儿重症监护治疗其他如果阴道试产失败转为紧急剖腹产, 则按剖腹产套餐收费, 总住院天数按所选择的剖腹产套餐计算 ; 阴道试产相关的产房护理及医生费用不再另外收取硬膜外麻醉减痛分娩 ( 按患者要求 ) 加收 7,000 元, 不再适用其他优惠对于多胎分娩, 每个额外的婴儿加收 12,075 元, 不再适用其他优惠此套餐若需现金或信用卡退款, 将收取 5,000 人民币手续费以下情况手续费不适用终止妊娠 ( 需提供医学证明 ) 外院紧急生产 ( 需提供医学证明 ) 上海和睦家医生根据实际妊娠情况决定需要转院本套餐为特惠促销活动, 只能开具不列明具体项目的账单套餐价格不再享受会员折扣或进一步折扣

5000 元优惠, 产套餐已享受产检剖腹产一起购买立减剖腹产套餐剖腹产精选套餐总价 :RMB 146,837 套餐价 : RMB 98,000 产后住院四晚 33 针对母亲的药品及化验林格氏液 x500ml 生理盐水冲洗 x500ml 催产素口服泰诺林 650mg 或类似止痛药 ( 包括一盒出院带药 ) 润滑剂哌替啶注射常规化验检其他 : 抗血栓弹力袜产检 + 剖腹产精选套餐

5 5000 元优惠, 产套餐已享受产检剖腹产一起购买立减剖腹产套餐剖腹产精选套餐总价 :RMB 146,837 套餐价 : RMB 98,000 产后住院四晚 33 针对母亲的药品及化验林格氏液 x500ml 生理盐水冲洗 x500ml 催产素口服泰诺林 650mg 或类似止痛药 ( 包括一盒出院带药 ) 润滑剂哌替啶注射常规化验检其他 : 抗血栓弹力袜产检 + 剖腹产精选套餐产后住院四晚针对婴儿的药品及化验套餐价 : RMB 119,000 此价格不适用于购买孕晚期产检套餐 + 生产套餐者住院家庭式标准私人病房 ( 含产妇用餐 ) 助产士门诊 1 次助产士门诊 ( 可在怀孕期间或延至产后 3 个月内使用 ) 医生 / 助产士费用剖腹产含术后访视 ( 住院诊疗及 8 周内的产后复诊 ) 只针对母亲母亲常规住院期间护理, 正常的新生儿检查评估护理及治疗护理产时一对一助产及护理产后产妇及新生儿的日常护理分娩 / 生产设备及一次性用品按需要手术室的使用剖腹产相关用品日常护理相关用品 ( 更换敷料 ) 静脉输液治疗相关用品新生儿复苏吸氧胎心监护 x1 硬膜外麻醉麻醉用耐乐品芬太尼注射剂吗啡注射剂布比卡因注射剂异丙嗪注射剂 25mg 麻黄碱注射剂用于婴儿的药品 ( 按需要 ) 疫苗 : 卡介苗接种 ( 注射费含在住院期间费用内 ) 乙肝疫苗接种首次接种 ( 注射费含在住院期间费用内 ) 常规化验检查复杂分娩复杂分娩非自主选择项目, 由医生诊断告知, 包含如下情况 : 臀位阴道分娩前置胎盘胎盘粘连 / 侵入性胎盘 / 穿透性胎盘明显的子宫病变, 如子宫肌瘤子宫纵膈子宫腺肌症孕期患胰岛素依赖性糖尿病孕期静脉血栓综合症辅助自然分娩所需的胎头吸引术和产钳助产术 ( 剖宫产后顺产除外 ) 2 次或以上剖宫产史 ( 剖宫产后顺产除外 ) 1 次剖宫产史加收人民币 4,000 元 ) 剖宫产时发现严重的盆腔粘连任何需要紧急处理或剖宫产手术的母婴并发症其他孕期严重合并症 ( 医生会提前诊断告知 ) 剖腹产套餐细则 : 常见的剖腹产套餐外内容如下, 需另行付费 ( 可享受 8 折终身会员福利 ): 额外使用的抗生素产前产后的并发症输血以及其他常规剖腹产以外的操作产后住院天数延长及其相关的诊费检查药品和消耗品新生儿重症监护治疗其他对于多胎分娩, 每个额外的婴儿加收 12,552 元, 不再适用其他优惠此套餐若需现金或信用卡退款, 将收取 5,000 人民币手续费以下情况手续费不适用 : 终止妊娠 ( 需提供医学证明 ) 外院紧急生产 ( 需提供医学证明 ) 上海和睦家医生根据实际妊娠情况决定需要转院只能开具不列明具体项目的账单套餐价格不再享受会员折扣或进一步折扣剖腹

6 Cesarean Section Delivery Package Premium Package 4 postpartum nights Total PriceRMB 146, Package PriceRMB 98,000 For Mother Ringer solution x500ml, normal saline x100ml Normal saline irrigation x500ml Oxytocin 10IU (quantity as required) Oral Tylenol 650mg or similar analgesic, including 1 pack for discharge home Meperidine injection Lubricating jelly Routine lab tests Other: Anti-embolism stockings or SCD treatment Prenatal+CS Package 4 postpartum nights For Baby Cesarean Section Delivery Package Package PriceRMB 119,000 RMB 5000 deduction has already been given when purchased CS package with prenatal at same time. Room Charge Private suite includes all meals. Midwife Appointment 1 visit (can be used during pregnancy or up to three months postpartum) Physician / CNM Fee Cesarean section including postpartum care (hospital and 1 office visit within 8 weeks) mother only Normal new born subsequent hospital care, per day, treatment, during routine maternal hospitalization Nursing Care One-to-one nursing care during recovery period Continuing postpartum nursing care Newborn care Labor and Delivery Equipment and Disposable Supplies (as required) Operating room use Daily care-related (dressing changes) IV therapy related Neonatal resuscitation Oxygen delivery NSTx1 For Epidural Naropin for anesthesia, fentany linjection, morphine injection, bupivacaine injection, promethazine injection 25mg, ephedrine injectioon Medications (as required) Vaccination: BCG vaccination (injection fee included during hospitalization period) Hepatitis B vaccination, first dose (injection fee included during hospitalization period) Routine lab tests Complicated Delivery is mandatory if indicated by your physician and may include the following: Breech position, vaginal delivery Placenta previa Placenta accreta / increta / percreta Significant uterine pathology, such as uterine fibroids, uterine septum, and adenomyosis Insulin dependent diabetes in pregnancy Thrombocytophilia patient in pregnancy Assisted vaginal delivery requiring vacuum and forceps (excluding VBAC) Previous c-section (x2 times) or above (excluding VBAC) (RMB 4,000 surcharge for previous c-section (x1 time) Severe pelvic adhesions during c-section Any maternal/fetal complications requiring emergency/ crash c-section Other severe medical conditions in pregnancy (doctor will indicate upfront) Conditions The following items are not included in the Cesarean Section Delivery Package and need to be paid for separately (20% off from Lifetime Membership benefit will be provided): Additional antibiotic use Prepartum or postpartum complications, blood transfusions, and other procedures outside of routine Cesarean section delivery Additional postpartum hospital days and related consultation fees, tests, medications or consumables Neonatal intensive care treatment Others For multiple births, a surcharge of RMB 12,552 will apply for each child, and other discount does not apply for this price. Refunds of delivery packages will be charged a RMB 5,000 administrative fee except when the pregnancy is unexpectedly terminated. No membership discount or further discount will be given on the package price.

8 妈妈孕产指南 From Conception to Postpartum: Your Complete Motherhood Handbook 2018 上海和睦家医院 Shanghai United Family Hospital and Clinics

10 产前检查套餐姓名 : 联系方式 : 产前检查套餐 7-13 周 36 周 B 超 B 族链球菌培养 CBC 全血细胞计数 ABO/Rh 血型促甲状腺激素肝功能红细胞抗体筛查乙肝丙肝筛查人类免疫缺陷病毒 1&2 型 RPR 梅毒筛查 37 周风疹抗体 IgG/IgM 弓形虫抗体 IgG 淋球菌糖化血红蛋白衣原体周 38 周 NT 胎儿颈项透明度 & 培养 B 超周 39 周无创 DNA 周 40 周胎儿大排畸胎心监护周检查次数 OGTT 葡萄糖耐量试验 ( 需要禁食 ) CBC 全血细胞计数尿常规周仅限于在上海和睦家医院产检的准妈妈 B 超总价 : RMB 套餐价 : RMB 26, 周病历号您是如何知道上海和睦家医院的? 和睦家网站朋友推荐网上预约线上预约第三方网站媒体天猫其他渠道推荐其他

11 Prenatal Check-up Package Prenatal Check-up Package 7-13 weeks Ultrasound CBC, ABO/Rh, TSH, liver function panel, redcell antibody screening HBsAg, HCV, HIV 1&2, RPR, rubella IgG/ IgM, toxoplasma IgG, GC, HbA1c chlamydia weeks NT and urine culture weeks Noninvasive DNA weeks Anatomy weeks Obstetrical assessment OGTT CBC urine dipstick weeks 36 weeks GBSB urine analysis 37 weeks 38 weeks Ultrasound 39 weeks 40 weeks NST Times Repeat Ultrasound 34 weeks For those who only do a prenatal check-up at Shanghai United Family Hospital Total PriceRMB 36,875 Package PriceRMB 26, MRN How do you know SHU? UFH Owned Websites Friend recommended Online Tour Booking Online Phone Call 3rd party Web site Social media/ KOL T-Mall Referral Others MRN: Contact:

12 我们妇产科的协调员很高兴为您的就诊提供协调和指导服务预约妇产科门诊, 请致电预约中心 : 如需了解生育套餐详情, 敬请垂询上海和睦家医院联系电话 :(021) 转 3801 Our OB Coordinator will be happy to provide online coordination and guidance for your appointment. To make an appointment or for more information, please call our Appointment Center at Please call (021) ext for more details about prenatal and delivery packages.

Pneumonia - Traditional Chinese

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