产科医生学会这几句，来产检的老外孕妇绝对膜拜你

小白老师说：今天的文章是应读者要求而写，主要是两个内容：一是孕晚期孕检医患对话；二是如何用英语指导孕妇缓解孕晚期的各种不适。非常实用的产科口语素材，希望能对大家有用。**

读者Lily：白老师您好！我最近有一个外国朋友孕中期来中国，然后国内要进行各项孕期检查，她也选择在国内分娩，能否提供一些关于孕期检查以及分娩期间常用的医学对话？谢谢！

这位同学不用谢！我们现在开始上课。首先“产科医生” 在英语里叫做 obstetrician ▼

而妇科医生在英语里叫做 gynecologist ▼

在美国，如果一个医生既是产科医生又是妇科医生，那就被称之为 OB/GYN ▼

你选择妇产科医生还是接生婆？

好了，接下来我们来听一段产科医生和孕晚期孕妇的对话。

点击这里播放对话音频**▼**

D = Doctor，P = Patient

D: Have you felt the baby move at all?

P: Well, just a little bit. I felt this sort of fluttering（颤动的；翅膀拍打的） feeling in my tummy. The first time I thought it was wind（肠气） but then it came back again, so I think it must have been the baby kicking.

D: Have you had any other problems, any burning（灼痛） or stinging（刺痛） when you pass your urine（小便）?

P: Yes, it’s very uncomfortable at times and I have also had this discharge（分泌物） from down below and it’s been getting itchy（发痒的） and really unpleasant.

D: Well, we’ll have to have a look down there and we’ll probably take a swab（拭子取样） but it sounds as though you might have a touch of thrush（鹅口疮） which is something common in pregnancy and quite easily sorted out … Have you had your ultrasound scan（超声检查） recently?

P: No, I’m due for one next week. （还没有，我应该下周做 B 超。）

D: They can show whether the baby is growing well. Sometimes they can tell whether it’s going to be a girl or a boy from the scan.

P: I’m not really sure I want to know.

实用句子总结：

• Have you felt the baby move? 你感觉到有胎动了吗？
• Have you had any stinging when you pass urine? 你小便的时候有刺痛感吗？
• Have you had an ultrasound recently? 你最近做过超声检查吗？
• Have you noticed any discharge from down below? 下面有发现什么分泌物吗？
• Have you decided whether you want to know if it is a boy or a girl? 你要不要提前知道宝宝性别？

好了，接下来就是教大家如何用英语指导孕妇缓解各种不适，针对常见的 10 种孕晚期不适症状，都给出了详细的口语素材，既科学又得体，跟老外孕妇吹吹牛也是极好的！产科的同学们快快学起来！

作为一名产科女医生，如果你自己刚好也有过孕产经历，那就不妨从自己当年的孕期体会说起，非常容易拉近与产妇的距离，能让你的医嘱充满了人情味。这在心理学上叫做“共情”，歪果仁对这一招很受用。在国内，产科门诊的压力那么大，估计大家也没时间跟产妇们唠嗑，所以大家就先学了以后留着出国工作的时候再用吧。▼

While it’s easy to tell anyone that there are certainly many joys of pregnancy, like feeling the baby move, there are also downsides. During my last pregnancy I continually got up to go to the bathroom in the middle of the night. It suddenly occurred to me that my urinary frequency was setting the pace of once every hour and eight minutes. And that was just for starters!

So here’s a list of common symptoms at the end of pregnancy and what you can do about them!

1. Insomnia 失眠

Not being able to sleep is really annoying, and pregnancy insomnia is no different. It comes in a couple of forms: being exhausted and not able to sleep and just not able to sleep but feeling fine. At least with the latter, you can be productive. Advice is to try some form of exercise earlier in the day, avoid caffeine after early evening, relax before bed, and even the old standard of a glass of warm milk.

2. Back Pain 后背痛

Back pain in pregnancy is one of the top complaints. Seriously, try the massage route, if you can’t find anyone to help here, pelvic tilts work really well. I also find that stretching and the use of warm compress, like a rice sock or warm bath, work really well. Another thing to try is to shower on hands and knees allowing the water to hit you in the back.

3. Leg Cramps 腿痉挛（小腿抽筋）

Many women report that the experience leg cramps in pregnancy, particularly towards the end of pregnancy and most often at night.

Stretching prior to bed and not pointing your toes are great starts. Some also claim that nutritional deficiencies like lack of potassium contribute to this problem.

4. Shortness of Breath 呼吸急促

As the baby grows and compresses your diaphragm you have less room to breathe. Stretching and doing pelvic tilts to allow the baby to settle works for some women.

Another good piece of advice is to try sleeping sitting up. I just double fold my body pillow and lean it on the headboard. Other women find that a recliner or other chair is better for them.

5. Exhaustion 疲惫

Believe it or not growing a baby takes a lot of energy, this means that a lot of pregnant women will report feeling fatigue in all trimesters, but it does seem worse in the third trimester. My best advice is hard to follow, but a gem…nap! Seriously if you can get in a brief nap or rearrange your schedule to allow you to sleep when you are the most sleepy, life will be much easier. Add insomnia to the mix and its killer.

6. Heartburn & Other Gastrointestinal Delights 胃灼热以及其他消化道不适

Heartburn, belching, and gas, all very lovely and all a result of the baby growing healthy! Avoid offending foods, staying upright after meals and just a plain old sense of humor are about all you can do here. Sometimes a glass of milk with honey will help with heartburn.

7. Contractions 宫缩

These delightful things are great for practicing everything you learned in childbirth class, and even give you a run for your money at times. My best advice is to ignore them as much as possible.

Real labor won’t let you sleep. Try napping, changing positions, taking a bath and relaxation. Usually, these will help. Sometimes women will have periods of contractions that return at a certain point each day or some will seem to have non-stop contractions for the last few weeks. Both are fairly normal.

8. Pubic Bone Pain 耻骨疼痛

First off, your pubic bone is not really a bone, but it sure can hurt. Some women often described this feeling as being a plastic doll and getting your legs ripped off sideways. If you suffer from pubic bone pain in pregnancy, you can no longer stand on one leg to put your pants on and even lifting a leg to get into the tub becomes interesting.

A rice sock or other warm compress can feel really good for this odd sore spot.

9. Urinary Frequency 尿频

Do you remember this from the beginning of your pregnancy? The goods news is that as the baby prepares to be born s/he comes down further into the pelvis. The bad news is that this means more time in the bathroom because you feel like you need to relieve yourself more frequently. Try to watch what you drink just before bed and to always know where the restroom is located.

10. Pressure 压迫

Another delight of baby dropping down into the pelvis is the feeling of constant pressure. Short of hanging upside down there’s not a lot to do but take comfort in the fact that it’s a good sign that baby will be here soon. Swimming or simply being in deeper water can help, as can pelvic tilts.