妊娠临产要安详,腹内虽疼切莫慌,舒身仰卧容胎转,静待生时不用忙。
【注】妊娠月足临产,腹内如觉动转疼痛,须要安详,莫自慌乱。舒体仰卧,时时缓步,
使儿身转正,静以待之,至其生育之时,自然顺生,不用忙也。
产室寒温要适时,严寒酷热总非宜,夏要清凉冬要暖,病者医人俱要知。
【注】产室之内,四时俱要寒温适中,若太热、太寒,均不相宜。夏月必须清凉,勿
令炎热,致产母中暑晕迷,倘有其事,不妨少与凉水以解之。冬月必须温暖,勿令寒冷,
以致血凝难产。当多备火炉,使产母腰背下体就火烘之。此临产之家及医人,皆当知之
者也。
临产稳婆须预择,老成历练又精明,无故莫教使手法,宽心宁耐待时生。
【注】临产之家必用收生婆,须预先择老成历练明白经事之人。无故切勿令其先使手
法,如试水探浆等事,但嘱令宽心宁耐,以待生时可也。
人语喧哗产母惊,心虚气怯号惊生,急须止静休嘈杂,产母心安胎自宁。
【注】产房之内不可多人,人多则语声暄哗,产母之心必惊。惊则心气虚怯,至产时
多致困乏,号曰惊生。有如此者,须急急摒出,只留服役一二人,使寂静而无嘈杂之声,
则母心始安,安则其胎亦宁静矣。
月数未足腹中痛,痛定如常名试胎;临月腹痛腰不痛,或作或止名弄胎。二者均非正产候,但须宁静莫疑猜。
【注】妊娠八九个月时,或腹中痛,痛定仍然如常者,此名试胎,宜养血以安其胎。若
月数已足,腹痛或作或止,腰不痛者,此名弄胎,不宜轻动。二者均非正产之时,切勿
躁扰疑惑,惟宜宁静以待其时。
妊娠临产要安详,腹内虽疼切莫慌,舒身仰卧容胎转,静待生时不用忙。
译文:妊娠临近分娩时要保持心态安详,虽然腹部疼痛也不要惊慌失措,舒展身体仰卧以便胎儿转动体位,静静等待分娩时刻自然到来,无需匆忙。
【注】妊娠月足临产,腹内如觉动转疼痛,须要安详,莫自慌乱。舒体仰卧,时时缓步,使儿身转正,静以待之,至其生育之时,自然顺生,不用忙也。
译文:妊娠月份已满即将分娩时,如果感觉腹部有胎动和疼痛,必须保持安详,不要自己慌乱。舒展身体仰卧,不时缓慢行走,使胎儿身体转正,静静等待它,到了生育的时候,自然会顺利出生,不需要着急。
产室寒温要适时,严寒酷热总非宜,夏要清凉冬要暖,病者医人俱要知。
译文:分娩室的温度要适宜,极寒或极热都不合适,夏天要清凉冬天要温暖,患病产妇和医生都必须知道这一点。
【注】产室之内,四时俱要寒温适中,若太热、太寒,均不相宜。夏月必须清凉,勿令炎热,致产母中暑晕迷,倘有其事,不妨少与凉水以解之。冬月必须温暖,勿令寒冷,以致血凝难产。当多备火炉,使产母腰背下体就火烘之。此临产之家及医人,皆当知之者也。
译文:在产房内部,四季都要保持寒温适中,如果太热或太冷,都不适宜。夏季必须保持清凉,不要让环境炎热,导致产妇中暑昏迷;如果有这种情况发生,可以适当给少量凉水解暑。冬季必须保持温暖,不要让环境寒冷,以免导致血液凝滞引发难产。应当多准备火炉,让产妇的腰部、背部和下身靠近火源烘烤。这是临产家庭及医生都应当知道的常识。
临产稳婆须预择,老成历练又精明,无故莫教使手法,宽心宁耐待时生。
译文:临产时接生的稳婆(助产士)必须预先选择,要求是老练、有经验且精明的人,没有特殊情况不要让她使用手法干预,只需让产妇放宽心情、耐心等候时机自然分娩。
【注】临产之家必用收生婆,须预先择老成历练明白经事之人。无故切勿令其先使手法,如试水探浆等事,但嘱令宽心宁耐,以待生时可也。
译文:临产的家庭必须使用接生婆,必须预先选择那些老练、有经验、通晓事务的人。没有正当理由千万不要让她提前使用手法操作,比如试水、探浆等情况,只需嘱咐她让产妇放宽心情、耐心等待,等到分娩时机即可。
人语喧哗产母惊,心虚气怯号惊生,急须止静休嘈杂,产母心安胎自宁。
译文:周围人声喧哗会让产妇受惊,这种因心神虚弱、气息怯懦导致的惊恐性分娩称为“惊生”,必须立即停止喧闹,消除嘈杂声音,产妇内心安宁了,胎儿自然也会平静。
【注】产房之内不可多人,人多则语声暄哗,产母之心必惊。惊则心气虚怯,至产时多致困乏,号曰惊生。有如此者,须急急摒出,只留服役一二人,使寂静而无嘈杂之声,则母心始安,安则其胎亦宁静矣。
译文:产房内不可以有很多人,人多了说话声音就会喧哗,产妇的心一定会受到惊吓。受惊会导致心气虚弱怯懦,到了分娩时往往导致极度困乏,这被称为“惊生”。遇到这种情况,必须急忙将无关人员清退出去,只留下一两个服务人员,使环境寂静而没有嘈杂的声音,这样产妇的心才能安定,心安定后胎儿也就宁静了。
月数未足腹中痛,痛定如常名试胎;临月腹痛腰不痛,或作或止名弄胎。二者均非正产候,但须宁静莫疑猜。
译文:妊娠月份未满而腹部疼痛,疼痛停止后身体如常的,叫做“试胎”;临近预产期时腹部疼痛但腰部不痛,疼痛时有时无的,叫做“弄胎”。这两种情况都不是真正的分娩征兆,只需要保持宁静,不要怀疑猜测。
【注】妊娠八九个月时,或腹中痛,痛定仍然如常者,此名试胎,宜养血以安其胎。若月数已足,腹痛或作或止,腰不痛者,此名弄胎,不宜轻动。二者均非正产之时,切勿躁扰疑惑,惟宜宁静以待其时。
译文:妊娠八到九个月时,有时腹部疼痛,疼痛停止后依然像平常一样的,这叫“试胎”,适宜通过养血来安胎。如果月份已经足月,腹部疼痛时有时无,但腰部不痛的,这叫“弄胎”,不适宜轻易扰动。这两种情况都不是真正分娩的时候,千万不要急躁干扰或产生疑惑,只应保持宁静等待时机。
Pregnancy approaching labor requires composure; although abdominal pain occurs, do not panic. Extend the body and lie supine to allow fetal rotation, quietly waiting for delivery without haste.
[Note] When pregnancy reaches full term and labor is imminent, if one feels fetal movement and abdominal pain, one must remain composed and avoid self-induced panic. Extending the body and lying supine, while occasionally taking slow steps, helps correct the fetal position. Wait quietly; when the time for birth arrives, natural smooth delivery will occur without urgency.
The temperature of the delivery room should be appropriate; extreme cold or heat is always unsuitable. Summer requires coolness, winter requires warmth; both the patient and the physician must know this.
[Note] Inside the delivery room, the temperature must be moderate in all four seasons. If it is too hot or too cold, it is inappropriate. In summer, it must be cool to prevent the parturient from suffering from heatstroke and fainting; if this occurs, a small amount of cool water may be given to relieve it. In winter, it must be warm to prevent blood stasis leading to difficult labor. Many fire stoves should be prepared so that the parturient's waist, back, and lower body can be warmed by the fire. This is knowledge that families awaiting childbirth and physicians alike should possess.
A midwife for labor must be selected in advance; she should be mature, experienced, and astute. Without cause, do not instruct her to use manual techniques; instead, advise calmness and patience until the time of birth.
[Note] Families in labor must employ a midwife, who must be selected in advance as someone mature, experienced, and knowledgeable. Without valid reason, do not let her perform manual interventions beforehand, such as testing waters or examining amniotic fluid. Simply instruct her to maintain calmness and patience, waiting for the time of birth.
Noisy conversation startles the parturient; deficiency of heart qi and timidity are termed "startled birth" (Jing Sheng). It is urgent to stop noise and cease clamor; when the mother's mind is at peace, the fetus naturally becomes tranquil.
[Note] There should not be too many people in the delivery room. Too many people lead to noisy chatter, which necessarily startles the parturient. Startle causes heart qi to become deficient and timid, often leading to exhaustion at the time of labor, termed "startled birth." In such cases, irrelevant persons must be quickly removed, leaving only one or two servants, ensuring silence without noise. Then the mother's mind can settle; once settled, the fetus also becomes tranquil.
Abdominal pain before full term, with return to normal after pain subsides, is named "testing fetus" (Shi Tai); abdominal pain near term without lumbar pain, occurring intermittently, is named "playing fetus" (Nong Tai). Neither is a sign of true labor; one must remain calm and free from doubt.
[Note] During the eighth or ninth month of pregnancy, occasional abdominal pain that returns to normal after subsiding is called "testing fetus"; nourishing blood to calm the fetus is appropriate. If the months are full, abdominal pain occurs intermittently but there is no lumbar pain, it is called "playing fetus," and should not be lightly disturbed. Neither represents the time of true labor; one must not be restless or doubtful, but rather remain calm and wait for the proper time.