JPH1176326A - Sitting type delivery table - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a new delivery table by which a parturient woman can open both her legs smoothly. SOLUTION: This delivery table is composed of a back plate 1 for supporting a parturient woman W from her back to her waist, hip holder 6 for holding hips 22 of the parturient woman W continuously to the back plate 1, inclining means 3 for inclining this back plate from a horizontal angle to a prescribed angle while being arranged on a pedestal 2, leg holding part 8 attached to the top end of an arm 10, and turning means 9 arranged on the back plate 1 or the back of the hip holder for almost vertically turning the arm 10. In this case, the leg holding part 8 moves between a lower standby position S and an upper stop position E according to the turn of the arm 10 and by holding knees 13 of the parturient woman W with the leg holding part 8 at the stop position E, the parturient woman W can take a (semi-lying) lithotrity attitude or (semi-lying) squat attitude as a delivery attitude.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a sitting delivery table which is convenient for both women and physicians.

[0002]

2. Description of the Related Art The delivery position varies depending on the region and the age, but from the 18th century to the recent years, the supine position proposed by the French court obstetrician Morisot became the mainstream,
In Japan, the supine delivery table is widely used at present. This supine delivery table consists of a back plate, a hip support, a lower leg support (accurately, a popliteal support) or a heel support, and the lower leg of a sitting maternity woman is supported by the lower leg support or the heel is supported by the heel support. By supporting, the legs are kept open. The absence of another delivery table is due to the fact that a delivery position superior to the supine position was not devised for a long time.

However, the delivery table in the supine position has (1) the second delivery
The upper body moves during the period (until the fetus passes through the pelvic cavity and is delivered), making it difficult to obtain the abdominal pressure required for delivery and to assist delivery. In order to secure habitability (until the mouth is fully opened), the buttocks are generally widened, so opening the legs during the second stage of labor imposes a burden on the obstetrics. (3) Supine hypotension syndrome (4) The direction of fetal delivery does not match the gravity, the fetal delivery relies on the abdominal pressure of the woman, and (5) the entire delivery table is lowered to provide lateral assistance. In this case, the problem has been presented, such as the appearance of the maternity caregiver being overlooked by the childbirth assistant and the mental unpleasantness.

The present inventor has proposed a new sitting position delivery table in response to such a problem of the supine delivery table (Japanese Patent Publication No. Sho 61-2257).
7, No. 61-44019). This sitting delivery table features a thigh fixing piece provided on a back plate and a detachable buttocks support so that the stretcher can be connected to the back plate when the buttocks support is removed. The obstetrics carried by the stretcher take a posture of the back buttocks, the extension or the supine position with the stretcher connected to the backboard, thereby securing the degree of freedom in the first stage of delivery. When the second stage of labor is reached, the stretcher is removed, the buttocks are attached to the back plate, and the mother is placed in a sitting position (half-back, buttocks), and the thigh fixing piece is used to prevent the legs from closing. Since the sitting position is adopted as the delivery position, the above (3) to (5) are inevitably solved. The problems (1) and (2) are solved by supporting the thighs of the obstetrics from inside and below with the thigh fixing pieces. This sitting delivery table is currently becoming the only delivery table that uses a delivery position other than the supine position.

[0005]

In recent years, there has been a movement to review the delivery position, and not only the conventional supine position but also the above-mentioned sitting position.
In addition to (semi-dorsal buttocks), standing posture, squatting position, knee position, and lateral posture are also proposed as vertical postures.
It is becoming possible to change positions during the fourth term. However, with the above-described supine delivery table and sitting delivery table, it is not only difficult to realize such a new position, but the position cannot be changed.

[0006] In the sitting position delivery table proposed by the present inventors, the back plate is raised by 40 to 45 degrees in order to level the pelvic entrance. However, there was room for improvement that the legs could not be fully opened and the vulva was difficult to spread widely. Therefore, based on the recent situation accompanying the transition of the delivery position, based on the sitting position delivery table, in order to develop a new delivery table that can open the legs and flex the thigh without burdening the maternity, In particular, we decided to examine the parts that support maternity.

[0007]

As a result of the examination, what has been developed is a back plate for supporting the waist from the back of the maternity, a buttocks support for supporting the buttocks of the maternity continuously to the back plate, and a base plate. Tilting means for tilting the back plate from the horizontal to a predetermined angle, a leg support attached to the tip of the arm, and turning means arranged on the back plate or the buttocks receiving back surface for turning the arm substantially vertically. The leg support moves at least between the lower standby position and the upper stop position in accordance with the rotation of the arm, and supports the maternal popliteal fossa by the leg support at the stop position, thereby giving the delivery position to the mother. It is a sitting birthing table that makes a crushed or crouching position. 40 back plate to level pelvic entrance
In a state of being raised up to 45 degrees (the second stage of labor, etc.), the body position is accurately a crushed stone position or a crouched squat position.

[0008] The sitting position delivery table of the present invention supports the poplitea by the leg receiving portion at the upper stopping position and provides the delivery position to the woman.
(Semi-facing) The crushed stone position or (semi-facing) crouching position. In the crushed position, the leg is bent, abducted, and slightly abducted, so the traditional sitting position
It is more preferable as the delivery position than (half back and hip position). The leg support is moved to a lower standby position when not in use, and the stretcher can be connected to the backboard by attaching and detaching the buttocks support. The leg support may be at least selectively movable between the stop position and the standby position.For example, when the leg support is continuously moved while supporting the poplitea of the maternity, the frontal face of the maternity It is preferable to set a turning surface of the arm that is inclined with respect to each of the sagittal plane and the sagittal plane. The arm having the inclined turning surface moves the leg receiving portion in the frontal plane direction and the sagittal direction, respectively, to simultaneously advance the bending and abduction of the maternity, and to naturally perform the external rotation according to the bending and the abduction. Therefore, it does not put a burden on the women.

It is preferable that a handle to be held by the maternity is provided on the leg receiving portion, and that the arm be freely turned in the direction in which the maternity is pulled from the stop position of the leg receiving portion so that the leg receiving portion can be displaced as the handle is pulled. In this case, it is desirable that the turning surface of the arm is inclined outward at 70 to 90 degrees with respect to the horizontal plane.
By gripping the handle provided on the leg receiving part, in the second stage of labor, the maternity woman pulls the handle and pulls her knee to the trunk, temporarily shifting from the crushed position to the crouching position and delivering. To facilitate. When Ikimi subsides and the pull on the handle is loosened, the leg support returns to the stop position naturally, and the woman can return to the crushed position. From the crushed position to the squatting position, it is easier for the participant to open the legs slightly, so that the turning surface of the arm faces outward with respect to the horizontal plane so that the trajectory of the leg support is slightly open. Incline at 90 degrees, preferably around 80 degrees. Further, if the turning surface of the arm is inclined in this way, there is an advantage that when the leg receiving portion is moved to the standby position, the leg receiving portion enters below the stretcher connected to the back plate and does not become an obstacle.

[0010] In order to enable connection of the stretcher to the back plate, the buttocks support is preferably detachable. In addition, the hip support provided with thigh fixing pieces on the left and right of the center opening is made detachable with respect to the back plate, and the buttocks of the maternity are supported by the buttocks mounted on the back plate, and the thigh fixing piece is It is advisable to restrict the obstruction of the maternity by attaching it to the thigh from inside. With this, the closing of the leg of the woman is prevented by the function of the leg support and the thigh fixing piece, and the portion of the thigh fixing piece from the buttocks rests along the thigh from the buttocks of the woman, especially for the buttocks in the second stage of labor. This will prevent slippage. The buttock provided on the buttocks makes it easier to perform delivery during the second stage of delivery and suturing during the fourth stage of delivery.

[0011]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below with reference to the drawings. FIG. 1 is a plan view showing the use state of the sitting position delivery table of the present invention in the first stage of labor (pain),
FIG. 2 is a side view of the same, FIG. 3 is a plan view showing the use state of the delivery table in the second stage of delivery (delivery), FIG.
Is a plan view showing the use state of the delivery table in the second stage of delivery (Ikimi), FIG. 6 is a side view thereof, and FIG. 7 is the fourth stage of delivery (suture).
8 is a side view, FIG. 9 is a side view, FIG. 9 is a plan view showing the use state of the same delivery table in the fourth stage of delivery (follow-up observation), and FIG. It is a side view.

In the first stage of labor (labour), as shown in FIGS. 1 and 2, the back plate 1 is inclined by 45 degrees with respect to the base 2 by the tilting means 3. The back plate 1 is provided with a cushion 4 for supporting the head of the maternity woman W, and armrests 5 that rotate 45 degrees are provided on both sides. The buttocks support 6 is mounted on the lower end of the back plate 1 via a rotating shaft 7, and the leg receiving portion 8 is attached to the tip of an arm 10 extending from a turning means 9 coaxial with the rotating shaft 7. In the first stage of labor (pain), the stretcher 11 is connected so as to be continuous with the backboard 1 with both the buttocks support 6 and the leg support 8 lowered. Maternity W is a stretcher 11
Is carried to the delivery table by, and the first delivery is carried out in a semi-supine supine position with the elbow 12 on the armrest 5 rotated horizontally.
Spend a period (labour).

In the second stage of delivery (delivery), as shown in FIGS. 3 and 4, the armrest 5 is returned to the same plane as the back plate 1 and the leg support portion 8 is supported while the popliteus 13 of the maternity W is supported. Is moved upward in accordance with the rotation of the arm 10 to raise the buttocks support 6 so as to be connected to the back plate 1 and restrict the thigh 15 of the maternity W opened by the thigh fixing piece 14 from the inside. Since the buttocks 6 are provided with a cut 16, the buttocks 6 do not interfere with delivery. The turning surfaces of the arms 10 each have an outward inclination of 80 degrees and, as can be seen in FIG.
By the leg receiving portion 8 which moves to the stop position E while supporting the thirteen, the maternity W can shift to the semi-recessed crushed stone position where the trunk 17 and the thigh portion 15 become substantially 90 degrees while the legs are opened without any burden. . A handle 18 is provided on the leg receiving portion 8, and the maternity woman W extends both hands 19, 19 and grips the handle 18. The removed stretcher (not shown) can be used as a treatment table.

In the second stage of delivery (Ikimi), the maternity W pulls the handle 18 gripped by the aspiration to attract the knee 20 to the trunk 17 as shown in FIGS. Transition from the crushed stone position to the squatted position. At this time, if the turning surface of the arm 10 is inclined as described above, the leg receiving portion 8 moves so as to be slightly opened from the stop position E as shown in FIG. If only the poplitea 13 is supported, the lower leg 21 and lower of the maternity W will float in the air and become unstable, so that the leg support 8 is preferably supported from the popliteal 13 to the lower leg 21. In addition, in order to more stably support the buttocks 22 in the buttocks support 6 of this example, in this example, both sides of the buttocks support 6 are raised inward at approximately 45 degrees, and
23, 23 are formed, from the surface of the buttocks support 6 to the buttocks holding piece 23, so as to conform to the buttocks 22 of the maternity, and the right and left buttocks holding pieces
The buttocks 22 are clamped by the right and left at 23,23.

When the dead of the mother W stops, the pull of the handle 18 is relaxed, and the leg receiving portion 8 returns to the stop position E by itself. In order to realize such movement of the leg receiving portion 8, an arm
It is preferable that a one-way clutch in the pulling direction is provided in the turning means 9 of 10. Thus, the arm 10 is continuously or alternatively rotated by a motor or manually from the standby position S (see FIG. 2) to the stop position E, and the stop position E
In the above, the one-way clutch allows the leg receiver 8 to return to the stop position E at the same time as the end of the stroke, while the leg receiver 8 is moved only by the pull of the obstetrician W.

When delivery is completed and the placenta delivery in the third stage of delivery is completed and the fourth stage of delivery (suture) is reached, the state of the second stage of delivery (delivery) as shown in FIGS. While maintaining
Each part is integrally tilted until the back plate 1 becomes substantially horizontal. Since the birth woman W is in the crushed position, it is easy to perform a procedure such as suturing. In the last parturition fourth period (follow-up observation), as shown in FIG. 9 and FIG. 10, the buttocks receiver 6 and the leg receiver 8 are respectively lowered from the state of FIG. 7 and FIG.
The stretcher 11 is connected to the back plate 1 again, and the obstetrical woman is laid on her back, and the follow-up observation is performed. After that, the maternity woman W may be carried out by mounting it on the stretcher 11.

As described above, in this example, the obstetrical
(Semi-closed) The crushed stone position is shifted to (semi-closed) squatting position, and finally, the backboard and the stretcher are connected to form a bed, so that the mother can sleep. As described above, the sitting position delivery table of the present invention can take an appropriate posture at each stage of delivery, and at the time of delivery, the participant shifts between the crushed stone position and the squatted squat position by themselves according to the condition. Not only does this reduce the burden on the maternity, but the synergy of the buttocks support and the leg support makes it possible for the maternal to maintain an appropriate spread of the legs, making the delivery table easy for the doctor to treat.

[0018]

According to the present invention, especially in the second stage of labor, the maternity can be extended for a long time by the leg receiving portion moved to the upper stop position.
(Half recumbent) It is easier to maintain the lithotripsy position, and the obstetric woman can continuously switch between the (semily recumbent) lithotripsy position and the (semily recumbent) squatting position in response to ikimi. The effect can be made more natural, and the burden on the woman is greatly reduced. Furthermore, by integrating the buttocks and leg supports with the backboard so as to be able to evacuate, it is possible to make the maternity position suitable for each stage of labor simply by taking in and out the buttocks and leg supports appropriately,
Combination with a stretcher enables continuous processing. Thus, the present invention, on the one hand, reduces the burden on the obstetrics and women, and on the other hand, makes it possible to provide a sitting delivery table suitable for each treatment of the doctor.

[Brief description of the drawings]

FIG. 1 is a plan view showing a use state of a sitting position delivery table in a first stage of delivery (pain).

FIG. 2 is a side view of the same.

FIG. 3 is a plan view showing a use state of the delivery table in the second stage of delivery (delivery).

FIG. 4 is a side view of the same.

FIG. 5 is a plan view showing a use state of the delivery table in the second stage of delivery (Ikimi).

FIG. 6 is a side view of the same.

FIG. 7 is a plan view showing a use state of the delivery table in the fourth stage of delivery (suture).

FIG. 8 is a side view of the same.

FIG. 9 is a plan view showing a use state of the delivery table in the fourth stage of delivery (follow-up observation).

FIG. 10 is a side view of the same.

[Explanation of symbols]

 REFERENCE SIGNS LIST 1 back plate 2 base 3 tilting means 6 hip support 7 rotating shaft 8 leg support 9 turning means 10 arm 14 thigh fixing piece 16 cutting 18 handle 23 buttocks holding piece S standby position E stop position

Claims (4)

[Claims] A back plate for supporting the waist from the back of the mother;
A buttocks support that continuously supports the buttocks of the mother and wife on the back plate, a tilting means disposed on the base to tilt the back plate from horizontal to a predetermined angle, and a leg support attached to the tip of the arm, A swing means arranged on the back plate or the buttocks receiving back surface and turning the arm substantially vertically, the leg receiving portion moves between a lower standby position and an upper stop position at least according to the turning of the arm,
A sitting position delivery table in which the mother's popliteal fossae is supported by the leg receiving portion at the stop position, so that the delivery woman is in a crushed or crouching position as a delivery position. 2. A method in which a handle to be held by a woman is provided on the leg receiving portion, and the arm can be freely turned from the stop position of the leg receiving portion in the pulling direction of the woman so that the leg receiving portion can be displaced in accordance with the pull of the handle. Item 9. The sitting delivery table according to Item 1. 3. The sitting delivery table according to claim 1, wherein the turning surface of the arm is inclined at an angle of 70 to 90 degrees outward with respect to the horizontal plane. 4. A buttocks support provided with thigh fixing pieces on the left and right sides of a center opening front opening is made detachable with respect to the back plate, and the buttocks of the mother are supported by the buttocks support attached to the back plate, and the thigh fixing pieces are provided. The sitting position delivery table according to claim 1, wherein the closing position of the obstetrical woman is regulated by attaching the to the thigh of the obstetrical woman from the inside.