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孕媽強(qiáng)撐左側(cè)臥睡，胎動(dòng)顯異常，醫(yī)生：兩類孕婦是特例，慎選

出處：@搞笑茂又亦 日期：2024-07-30 13:31:09 編輯：網(wǎng)絡(luò)收集

懷孕后的準(zhǔn)媽媽們被各種不適折磨得坐立難安，特別是孕后期睡覺時(shí)拖著沉重的肚子，實(shí)在是輾轉(zhuǎn)難眠，為此選擇一個(gè)舒適的睡姿尤為重要，而在多數(shù)人的潛意識(shí)里都被灌輸左側(cè)臥是最佳睡姿，當(dāng)真如此嗎？

案例

肖肖是懷有8個(gè)月身孕的準(zhǔn)媽媽，因?yàn)榈谝淮萎?dāng)媽難眠經(jīng)驗(yàn)欠缺，只能向過來人取經(jīng)，她沒事兒就喜歡在小區(qū)和大家聊天，聽聞孕晚期左側(cè)臥睡覺對(duì)胎兒最好，于是肖肖便刻意改成這種睡姿。

可是對(duì)于長(zhǎng)年習(xí)慣右側(cè)臥睡覺的它而言，這無疑是對(duì)自己良好睡眠的最大挑戰(zhàn)，可是為了胎寶寶好，哪怕自己在床上翻來覆去夜不能寐，也要強(qiáng)迫自己遵循，結(jié)果不僅自己感到不舒服，夜夜失眠，就連胎兒也跟著“難受”，時(shí)不時(shí)用強(qiáng)烈的胎動(dòng)表示抗議，當(dāng)她換回右側(cè)臥睡覺后才趨于正常。

其實(shí)，孕晚期左側(cè)臥睡覺確實(shí)有一定的好處，這點(diǎn)毋庸置疑——

左側(cè)臥可以減輕孕晚期日益增大的子宮對(duì)下腔靜脈的壓迫，從而增加回到心臟的血流量，繼而增多腎臟血流量，有效避免和減輕妊娠高血壓綜合征的發(fā)生，同時(shí)減輕子宮對(duì)主動(dòng)脈的壓迫，為此子宮動(dòng)脈與胎盤間的正常血流量，保證胎兒生長(zhǎng)所需物質(zhì)的正常供給。

左側(cè)睡能夠有效減緩子宮右旋的程度，減輕子宮血管的張力，保證胎盤血流量和供給胎兒的血氧量，避免胎兒缺氧。

當(dāng)然，醫(yī)生建議的左側(cè)臥睡姿并不是針對(duì)整個(gè)孕期，而是適用孕后期，可是這并不意味著一定要長(zhǎng)時(shí)間保持這種睡姿，如果孕媽強(qiáng)行逼迫自己左側(cè)睡，反而會(huì)增加心理壓力和身體不適，偶爾變換自己覺得舒服的睡姿，只要不傷害到寶寶就行。

兩種孕媽不適合左側(cè)臥睡姿

正如肖肖一樣，子宮左旋的孕媽最好是右側(cè)臥睡。

正常情況下，女性的子宮是居中的，位于盆骨腔中央，夾在膀胱和直腸之間，可是懷孕后，隨著子宮不斷變大，它會(huì)發(fā)生一定的偏移，由于左側(cè)有乙狀結(jié)腸和直腸占著位，子宮被擠得歪向右邊，呈稍微右旋的狀態(tài)。

多數(shù)孕婦在妊娠晚期時(shí)，都伴有不同程度的子宮右旋，當(dāng)然，不排除有子宮左旋的情況發(fā)生，只要旋轉(zhuǎn)度不超過30度就屬于正常。如果超過90度并伴有腹痛，則需要引起重視，扭轉(zhuǎn)的角度越大，導(dǎo)致胎兒宮內(nèi)缺氧的情況越嚴(yán)重。

人的心臟位于身體左側(cè)，如果孕媽患有心臟病的話，左側(cè)睡會(huì)加重心臟的負(fù)擔(dān)，繼而影響血液回流到心臟的速度，容易出現(xiàn)心律不齊、血壓升高的狀況，進(jìn)而造成胎兒缺氧。

針對(duì)存在如上兩種情況的孕媽而言，右側(cè)臥睡明顯比左側(cè)臥要好，那么仰臥睡行不行呢？

孕晚期不宜長(zhǎng)時(shí)間采取仰臥睡姿。因?yàn)檠鏊瘯r(shí)，膨大子宮容易壓迫下腔靜脈，影響血循環(huán)，容易發(fā)生下肢水腫、靜脈曲張，還會(huì)使下肢回流到心臟的血液量減少，造成大腦缺血、缺氧，孕媽會(huì)出現(xiàn)頭暈、心慌、惡心、呼吸不暢等癥狀。

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