另類的生產教育課程──由剖腹產後自然生產談起

An Alternative in Childbirth Education: Vaginal Delivery Following Earlier Cesarean Delivery

台灣的剖腹產率已高達33.10%，位居世界第三名，而「一次剖腹產終身剖腹產」的觀念在國內仍影響許多人，所謂剖腹產後自然生產是指前一胎剖腹生產而此胎自然生產，許多婦女對於剖腹產後自然生產的觀念仍是存有許多疑慮，這些疑慮是可以再澄清及再教育的。目前國內大多數醫院所推廣的生產教育課程內容都是為一般生產個案所開設，並未有針對前一胎剖腹產而這一胎想自然生產的個案開設課程，本文陳述剖腹產後自然生產的現況與推廣需求、剖腹產後自然生產之生產教育課程的必要性、剖腹產後自然生產之生產教育課程的目標與內容及筆者之經驗談，提供給更多的護理人員作為開設剖腹產後自然生產之生產教育課程的參考，以嘉惠更多的婦女。

The cesarean rate in Taiwan, at 33.10 percent, is the third highest in the world. Many women who have had a cesarean section for one birth opt to do so for all subsequent deliveries. The VBAC (vaginal birth after c-section) is defined as a vaginal birth subsequent to a cesarean birth. Many women remain skeptical about VBAC, but education can do much to dispel their doubts. Currently, the childbirth education provided by most hospitals in Taiwan is designed solely for women expecting a vaginal birth; it takes no account of those who have previously had a cesarean birth and are considering a vaginal birth. This article describes the current situation as regards VBAC, the reasons why it needs to become a more widespread practice, the necessity for childbirth education to cover the aims and nature of VBAC, and the author’s experiences, to serve as a reference for caregivers providing training in VBAC in order to benefit more women.