8+ 会 陰 切開 保険 適用 Article
The Basics
In Japan, 会陰切開 (ka’in setsu-kai) is a surgical procedure that involves making an incision in the perineum, the area between the anus and the vaginal orifice, to widen the birth canal during delivery. This procedure is commonly performed when the baby is too large to pass through the birth canal, or when the mother’s pelvic bones are too small to accommodate the baby’s head.
Insurance Coverage
Many Japanese health insurance plans cover 会陰切開 (ka’in setsu-kai) as a medically necessary procedure. However, coverage may vary depending on the type of insurance plan and the specific circumstances of the patient. Some insurance plans may require a doctor’s referral or pre-authorization before the procedure can be performed.
The Procedure
During a 会陰切開 (ka’in setsu-kai) procedure, the patient is typically given local anesthesia or an epidural to numb the area. The surgeon then makes a small incision in the perineum and widens the birth canal to allow the baby to pass through. The incision is then closed with stitches, which usually dissolve on their own within a few weeks.
Risks and Complications
Like any surgical procedure, 会陰切開 (ka’in setsu-kai) carries some risks and potential complications. These may include infection, bleeding, pain, and scarring. In rare cases, the incision may extend into the anal sphincter, leading to incontinence or other complications.
Recovery and Aftercare
After a 会陰切開 (ka’in setsu-kai) procedure, patients can expect some pain and discomfort in the perineal area. It is important to keep the area clean and dry, and to avoid strenuous activity for several weeks. Patients may also need to use a sitz bath or other methods to promote healing and reduce pain.
Alternatives
In some cases, 会陰切開 (ka’in setsu-kai) may not be necessary. Other methods of delivery, such as assisted vaginal delivery or cesarean section, may be considered instead. However, these methods also carry their own risks and potential complications, and should be discussed with a doctor or other healthcare provider.
Conclusion
会陰切開 (ka’in setsu-kai) is a common surgical procedure in Japan that can help facilitate delivery in certain circumstances. While it carries some risks and potential complications, it is generally considered safe and effective when performed by a qualified healthcare provider. Patients should work closely with their doctor to determine the best course of action for their individual needs and circumstances.
Sources
- https://www.nhp.or.jp/policy/insurance/healthinsurance/program/childbirth/ka-in.html
- https://www.mayoclinic.org/tests-procedures/episiotomy/about/pac-20393815
- https://www.healthline.com/health/pregnancy/episiotomy
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