【発明の詳細な説明】 本発明は妊産婦が胎児を楽に出産でき、かつ介
助人も楽に助産ができる座位分娩台に関するもの
である。DETAILED DESCRIPTION OF THE INVENTION The present invention relates to a seated delivery table on which a pregnant woman can easily give birth to a fetus and an attendant can easily give birth.
従来の分娩台はその殆どが水平のベツド状で、
仰臥位あるいは砕石位での分娩に用いられるもの
である。仰臥位での分娩は助産作業は楽である
が、妊産婦本人にとつては娩出力が不足し、児頭
下降に時間を要するので、妊産婦の疲労がはげし
い。更に仰臥位のため、胎児の娩出状態や新生児
の取扱いを妊婦が目で確認することができず、精
神的不安をもたらす欠点もある。 Most conventional delivery tables are horizontal bed-shaped,
It is used for childbirth in the supine or lithotomy position. Giving birth in the supine position is easier for midwives, but the mother herself suffers from severe fatigue because her childbirth output is insufficient and it takes time for the baby's head to descend. Furthermore, since the pregnant woman is placed in a supine position, she cannot visually check the delivery condition of the fetus or the handling of the newborn, which has the disadvantage of causing mental anxiety.
そこで、最近になつて、仰臥位に代えて座位分
娩が見直され、座位分娩台もいくつか開発されて
いるが、それらはいずれも、座板と背もたれとか
らなるリクライニング式椅子の変形にすぎず、娩
出力を効果的に発揮できる形状のものではない。
それは、座位分娩に近いものではあるが、臀部の
支えが十分でなく、臀部が滑つて不安定なため
と、股受の形状は依然として仰臥位分娩台と変化
ないためと考えられる。 Therefore, in recent years, sitting delivery has been reconsidered instead of the supine position, and several seated delivery tables have been developed, but all of these are merely modified versions of reclining chairs consisting of a seat board and a backrest. , it does not have a shape that allows it to effectively exert its delivery force.
This is thought to be because, although it is similar to a seated delivery table, there is not enough support for the buttocks, causing the buttocks to slip and become unstable, and because the shape of the crotch support is still the same as that of a supine delivery table.
米国特許第2073094号のように、大腿部の下部
（後部）が接する支持台の内壁を外側よりも若干
高くした例もみられるが、分娩時に必要とされる
大腿部の固定が不充分で、股の開きを一定にして
強固に支持し、娩出力を楽に得る構造とはなつて
いない。 There are some examples, such as U.S. Patent No. 2073094, in which the inner wall of the support base where the lower part (rear part) of the thigh touches is slightly higher than the outside, but this does not provide sufficient fixation of the thigh during childbirth. However, the structure is not designed to maintain a constant crotch opening, provide strong support, and provide easy delivery force.
本発明の座位分娩は、座位分娩において十分な
娩出力を得るためには幼児が母親に背部より両股
をかかえられて排便をする形に近い体位をとらせ
るのがよいのではないかとの思想に基き、種々検
討を加えた結果、それが極めて効果的なことを実
証して完成をみたものである。この座位分娩台の
特徴は、中央前方が開放されたくり（刳り）を有
する座板と、傾斜角度変更可能な背もたれとから
なり、前記座板に臀部受の左右下方から内股にか
けて大腿部をかけて湾曲して添い大腿部を開いて
かかえて支持する大腿固定片１０を股の開きを一
定に保つべく大腿部の上部（前部）に至るまで設
けたことにある。その他、座位分娩を効果的にす
るための種々の工夫が加えられている。 The idea behind the sitting delivery of the present invention is that in order to obtain sufficient delivery force during sitting delivery, it is best for the infant to be held by the mother's back between her legs and take a position similar to that of defecating. As a result of various studies based on this, it was demonstrated that it was extremely effective and was completed. The features of this seated delivery table include a seat plate with a hollow that is open at the front center and a backrest whose inclination angle can be changed. The thigh fixing piece 10, which curves and supports the thigh while opening it, is provided up to the upper part (front part) of the thigh in order to maintain a constant opening of the thigh. In addition, various efforts have been made to make sitting birth more effective.
以下、図面によつて詳細に説明する。 A detailed explanation will be given below with reference to the drawings.
第１図は座位分娩台の分娩時状態の斜視図、第
２図は分娩前後のベツドにした状態の斜視図であ
る。第１図における分娩時の座板が臀部受と股受
の形状において重要なものである。 FIG. 1 is a perspective view of the sitting delivery table in a state during childbirth, and FIG. 2 is a perspective view of the bed in a state before and after childbirth. The seat plate during childbirth in Figure 1 is important in the shape of the buttock support and crotch support.
座位分娩台は、大別してベース部１と座板２と
背もたれ３とから構成する。ベース部１はこの場
合台形ボツクス型で、伸縮脚４と駆動装置を収納
している。伸縮脚４上に座板ベース５を設け、こ
れに背もたれ３をリクライニング式に固定し、座
板ベース５の前方に座板２を着脱可能に取付け、
下方に引出板６を前後摺動可能に取付けている。 The seated delivery table is broadly divided into a base portion 1, a seat plate 2, and a backrest 3. The base part 1 is in this case trapezoidal box-shaped and houses the telescopic legs 4 and the drive device. A seat plate base 5 is provided on the extendable legs 4, a backrest 3 is fixed to this in a reclining manner, and a seat plate 2 is detachably attached to the front of the seat plate base 5.
A drawer plate 6 is attached to the lower part so as to be slidable back and forth.
背もたれ３の上部に枕７を上下摺動可能に設け
るのは、従来の診察台と同様である。また、背も
たれ３の傾斜角度は０〜80度位あればよく、通常
の座分娩時は40〜60度位で使用する。更に伸縮脚
４自体も幾分傾斜して本体を５〜10度位後方へ傾
くようにすると好都合である。引出板６は分娩時
に前方へ引出して器具置場、胎児の落下防止及び
後産受に使用し、用済後は台の後方へ押し込んで
収納する。座板ベース５の上部後方には柔軟なパ
ツドを張つて妊産婦の尾骨が位置しても十分緩衝
するようにしている。 The pillow 7 is provided on the upper part of the backrest 3 so as to be slidable up and down, as is the case with conventional examination tables. Further, the inclination angle of the backrest 3 may be about 0 to 80 degrees, and is used at about 40 to 60 degrees during normal seated childbirth. Furthermore, it is convenient if the telescoping legs 4 themselves are slightly inclined so that the main body is tilted backward by about 5 to 10 degrees. The drawer plate 6 is pulled out to the front during childbirth and used as a place to store instruments, to prevent the fetus from falling, and to receive the baby after delivery, and after being used, it is pushed into the rear of the table and stored. A flexible pad is placed at the rear of the upper part of the seat plate base 5 to provide sufficient cushioning even when the coccyx of a pregnant woman is located.
座板２は、第１図にみられるように特殊な形状
で、これにより座位分娩時の娩出力が満足に得ら
れるのである。すなわち、座板２の中央前方を開
放したくり８の左右両端が臀部受９，９となり、
この臀部受９，９の下方から内股にかけて妊産婦
の大腿部を内側からかかえて支持する大腿固定片
１０，１０を設けたのである。大腿固定片１０，
１０は、前述したように、幼児の排便時における
幼児をかかえた母親の手の形に似ているのであ
る。大腿固定片１０は内股の締りを規制するので
あるが、股の開きを妨げてより安定に固定させる
ために締結バンド１１を大腿固定片のまわりに取
付ける。また、大腿固定片１０の前方から斜め下
前方へ足置きアーム１２を突出させ、足置きアー
ム１２の先端へ足置き板１３を上下移動可能に設
ける。また、くり８の周囲にはカーテン１４を垂
下して汚物の飛散を防いでいる。この座板２は座
板ベース５から容易に脱着できるようにねじ止
め、その他の方法で着脱可能な構造あるいは下方
への回動折り返し、左右への２分割回動開き構造
などとし、そのあとへ補助ベツドを当接して出産
後は分娩台をベツドに変更する。 The seat plate 2 has a special shape as shown in FIG. 1, which allows a satisfactory delivery force to be obtained during sitting delivery. That is, both left and right ends of the hollow 8 which opens the center front of the seat plate 2 serve as the buttock supports 9, 9.
Thigh fixing pieces 10, 10 are provided from below the buttock supports 9, 9 to the inner thighs to support the pregnant woman's thighs from the inside. Thigh fixation piece 10,
As mentioned above, the number 10 resembles the shape of a mother's hand holding an infant when the infant defecates. The thigh fixing piece 10 regulates the tightening of the inner thigh, but a fastening band 11 is attached around the thigh fixing piece in order to prevent the thigh from opening and fix it more stably. Further, a footrest arm 12 is made to protrude diagonally downward and forward from the front of the thigh fixing piece 10, and a footrest plate 13 is provided at the tip of the footrest arm 12 so as to be movable up and down. Further, a curtain 14 is hung around the chest 8 to prevent dirt from scattering. This seat plate 2 has a structure in which it can be easily attached and detached from the seat plate base 5 by screwing or by other means, or it has a structure in which it can be rotated downwards, or it can be divided into two parts to the left and right, and it can be rotated open. After the birth, the delivery table is changed to the bed after the birth by applying the auxiliary bed.
第２図は座位分娩台をベツドに変更した状態を
示しており、上述の座板２を取りはずして、前方
から補助ベツド１５を座板ベース５と合一させた
ところを示している。 FIG. 2 shows a state in which the seated delivery table has been changed to a bed, and the above-mentioned seat plate 2 has been removed and the auxiliary bed 15 has been joined to the seat plate base 5 from the front.
本発明の座位分娩台は、以上のような構造とし
たために、次のように使用して極めて効果的に楽
な分娩が約束できることとなつたのである。 Because the seated delivery table of the present invention has the above-described structure, it can be used in the following manner to ensure an extremely effective and comfortable delivery.
まず最初は、第２図に示すベツドの状態で妊産
婦を寝かせて、分娩第１期の子宮頚管全開大まで
の待期時間は側臥位あるいは仰臥位を取らせるこ
とができる。 Initially, the expectant mother is placed in bed as shown in Figure 2, and can be placed in a lateral or supine position during the waiting period until the cervix is fully dilated during the first stage of labor.
次に分娩第２期になると、補助ベツド１５を座
板ベース５からはずし、ここへ座板２を取付け、
妊産婦の大腿部固定片１０，１０へ締結バンド１
１でしつかりと固定する。足は足置き板１３へ当
接し、ふんばりの助けとする。背もたれ３は起し
て適当な角度とし、枕７も妊産婦の頭部に合せ、
座分娩位を確保する。引出板６も前方へ引出し、
第１図の状態にする。 Next, in the second stage of labor, the auxiliary bed 15 is removed from the seat plate base 5, and the seat plate 2 is attached thereto.
Fastening band 1 to the pregnant woman's thigh fixation pieces 10, 10
Fix firmly with step 1. The feet come into contact with the foot rest plate 13 to help the user stand upright. Raise the backrest 3 and set it at an appropriate angle, and align the pillow 7 with the head of the pregnant woman.
Ensure a seated delivery position. Pull out the drawer plate 6 forward,
Set the state as shown in Figure 1.
座板２のために臀部から大腿部が固定安定し、
十分な娩出力が発揮されるのである。 Because of the seat plate 2, the buttocks and thighs are fixed and stable,
Sufficient childbirth output is exerted.
出産後は、座板２を座板ベース５から取りはず
し、再び補助ベツド１５を座板ベース５に合一さ
せて、妊産婦を側臥位あるいは仰臥位にする。こ
の期間は後出血が多く十分な経過観察を要する重
要な時期であるが、本発明の座位分娩台は第２図
のようにベツドとなるので好適である。 After childbirth, the seat plate 2 is removed from the seat base 5, the auxiliary bed 15 is joined to the seat base 5 again, and the pregnant woman is placed in a lateral or supine position. This period is an important period when there is a lot of post-natal bleeding and sufficient follow-up observation is required, but the sitting delivery table of the present invention is suitable because it becomes a bed as shown in FIG.
以上のように、本発明は座位分娩台において大
腿固定片を有する座板を設けたことを特徴とし、
更にこれを着脱可能にして補助ベツドとドツキン
グさせるようにしたために、従来の下肢を固定す
る方式の分娩台では得られない十分な娩出力が楽
に発現する結果となり、かつ、出産前後において
側臥位や仰臥位に適用できるベツドにも変更可能
となり、出産に伴う妊産婦の疲労を著しく軽減で
きる効果が得られたのである。 As described above, the present invention is characterized in that a sitting delivery table is provided with a seat plate having a thigh fixing piece,
Furthermore, by making it removable and docking it with the auxiliary bed, it is possible to easily generate sufficient delivery force that cannot be obtained with conventional delivery tables that fix the lower limbs, and it is also possible to do so while lying on the side before and after childbirth. The bed can now be changed to a supine position, which has the effect of significantly reducing the fatigue of expectant and nursing mothers during childbirth.
第１図は座位分娩台の分娩時状態の斜視図、第
２図は分娩後ベツドにした状態の斜視図である。 １……ベース部、２……座板、３……背もた
れ、５……座板ベース、８……くり、９……臀部
受、１０……大腿固定片、１１……締結バンド、
１２……足置きアーム、１３……足置き板、１５
……補助ベツド。 FIG. 1 is a perspective view of the sitting delivery table in the state during childbirth, and FIG. 2 is a perspective view of the child on the bed after childbirth. 1... Base portion, 2... Seat plate, 3... Backrest, 5... Seat plate base, 8... Chestnut, 9... Buttock support, 10... Thigh fixing piece, 11... Fastening band,
12... Foot rest arm, 13... Foot rest board, 15
...Auxiliary beds.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP56178702AJPS5881032A (en) | 1981-11-07 | 1981-11-07 | Precedence delivery table |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP56178702AJPS5881032A (en) | 1981-11-07 | 1981-11-07 | Precedence delivery table |
| Publication Number | Publication Date |
|---|---|
| JPS5881032A JPS5881032A (en) | 1983-05-16 |
| JPS6122577B2true JPS6122577B2 (en) | 1986-06-02 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP56178702AGrantedJPS5881032A (en) | 1981-11-07 | 1981-11-07 | Precedence delivery table |
| Country | Link |
|---|---|
| JP (1) | JPS5881032A (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH01126972A (en)* | 1987-10-17 | 1989-05-19 | Robert Bosch Gmbh | Device for closing capsule comprised of two parts |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3500313A1 (en)* | 1984-01-07 | 1985-07-18 | Kabushiki Kaisha Morita Seisakusho, Kyoto | Seat-like delivery couch |
| US4894876A (en)* | 1988-07-15 | 1990-01-23 | Hill-Rom Company, Inc. | Multipurpose maternity care bed |
| US6282738B1 (en) | 1998-08-07 | 2001-09-04 | Hill-Rom, Inc. | Ob/Gyn stretcher |
| EP2085065B1 (en) | 2000-06-02 | 2012-08-01 | Hill-Rom Services, Inc. | Foot support for a patient support |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2073094A (en)* | 1934-03-05 | 1937-03-09 | Dolph D Bugh | Adjustable obstetrical chair |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH01126972A (en)* | 1987-10-17 | 1989-05-19 | Robert Bosch Gmbh | Device for closing capsule comprised of two parts |
| Publication number | Publication date |
|---|---|
| JPS5881032A (en) | 1983-05-16 |
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