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		<h1 class="catchCopy">無痛分娩システムを安全に立ち上げる！ チーム医療の実践ガイド</h1>
		

		<h1 class="title">無痛分娩みんなのギモン<span class="version"></span></h1>
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				<ul class="property"><li class="disc">B5変型判・228頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2865-8</li><li class="disc">2026年11月4日発行予定</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">安全対策やインフォームドコンセントといった基本から，脊髄幹鎮痛の解剖・薬理・手技，維持・記録，帝王切開移行まで解説．さらに副作用・合併症への即応，助産ケア，産後観察や症例振り返りまで網羅．全項目に豊富な図表やイラスト，コラムを交え，臨床の実務とチーム連携に必要な知識を学べます．「無痛分娩を始めたいけれど何から手をつければいいか分からない」そんな時に活用できる一冊です．</section><section class="indexes">1章　無痛分娩　まずこれを知っておこう！ <br>1　無痛分娩の流れ<br>2　妊婦の生理的変化<br>3　分娩の流れ<br>4　胎児心拍数陣痛図<br>5　分娩時の痛み<br>6　分娩時の鎮痛法<br>7　無痛分娩のメリット<br><br>2章　無痛分娩の安全を守る取り組みは？ <br>1　JALA<br>2　「母体安全への提言」からの学び<br>3　無痛分娩の体制づくり<br>4　緊急時に備えた薬剤<br>5　安全のための物品<br>6　無痛分娩中の飲食<br>7　ノンテクニカルスキル<br><br>3章　無痛分娩に向けて備えることは？<br>1　妊婦の意思決定を支える<br>2　無痛分娩の鎮痛前評価<br>3　インフォームドコンセント（脊髄幹鎮痛）<br>4　インフォームドコンセント（分娩関連）<br><br>4章　脊髄幹鎮痛のキソ <br>1　解剖と生理<br>2　適切な鎮痛範囲と深度<br>3　脊椎超音波による穿刺部位の同定<br>4　脊髄幹鎮痛に注意を要する疾患<br>5　清潔操作のために<br>6　局所麻酔薬<br>7　重炭酸ナトリウム（メイロン）とアドレナリン<br>8　フェンタニル<br><br>5章　脊髄幹鎮痛を実践するには？ <br>1　鎮痛開始のタイミング<br>2　導入時の体位<br>3　鎮痛の開始方法<br>4　鎮痛の維持方法<br>5　鎮痛中の観察項目<br>6　突発痛への対応<br>7　鎮痛記録<br>8　子宮内胎児死亡<br>9　帝王切開移行時の麻酔<br><br>6章　脊髄幹鎮痛の副作用と合併症 <br>1　分娩への影響<br>2　高位脊麻<br>3　局所麻酔薬中毒<br>4　脊髄幹鎮痛による神経障害<br>5　母体発熱<br>6　胎児一過性徐脈<br><br>7章　脊髄幹鎮痛にあわせた分娩管理とは？ <br>1　計画分娩/オンデマンド<br>2　分娩中の助産ケア<br>3　微弱陣痛<br>4　回旋異常<br>5　器械分娩<br>6　分娩中に注意すべき重篤な産科疾患<br>7　局所浸潤麻酔と陰部神経ブロック<br><br>8章　無痛分娩後も観察して考えよう <br>1　観察・診察項目<br>2　硬膜穿刺後頭痛<br>3　産後の下肢神経障害<br>4　分娩後閉尿<br>5　腰痛・骨盤痛<br>6　分娩後のメンタルヘルス<br>7　無痛分娩体制の構築と症例振り返り<br><br>索引</section></article>
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