迎接一個新生命的來臨令人期待,然而生產過程的疼痛,卻讓大多數的孕婦「痛不欲生」。產科麻醉需要同時照顧母親與胎兒的安全,對生產方式的選擇,剖腹手術的時機與決定,應該全權交給產科醫師決定,還是尊重準媽媽的意願,往往是道德的兩難。無痛分娩的施行,或剖腹產的麻醉,都在考驗麻醉醫師的智慧與經驗。產科麻醉執行疼痛控制是團隊作業,須與產科醫師、護理人員相互配合。麻醉方式通常是孕婦的希望,產科醫師的需求,及麻醉醫師的判斷來決定。希望藉由良好的產科麻醉醫療倫理,提高照顧孕婦之醫療品質。
Bringing a new life into the world comes with many expectations; however, the majority of pregnant women suffer the pain of childbirth which makes the expecting mothers feel hopeless and discouraged. Obstetric anesthesia must take care of the maternal and fetal safety simultaneously. Whatever the selection of delivery mode, the timing and decision to do a cesarean delivery should be based on the obstetrician's professional diagnosis, otherwise the expecting mother will are an ethical dilemma. The performance of either the epidural anesthesia or cesarean anesthesia challenges the skill and experience of the anesthesiologist. To perform pain control in obstetric anesthesia is a team work which depends on the cooperation with the obstetrician and nursing staff, The mode of anesthesia should be bases on the expectation of patients, the requirements of the obstetrician and the judgment of the anesthesiologist. We shape the quality of patients care and improve it through the good ethics in obstetric anesthesia.