Ukuzalwa kwesitho sangasese sowesifazane ngemuva kwesigaba se-C

Uma ngabe wazalwa ngokuhlinzwa (i-C-section) phambilini, akusho ukuthi kuzofanele uphinde uhambise ngendlela efanayo. Abesifazane abaningi bangabeletha esithweni sangasese sowesifazane ngemuva kokuthola isigaba se-C esikhathini esedlule. Lokhu kubizwa ngokuthi ukuzalwa kwesitho sangasese sowesifazane ngemuva kokuhlinzwa (VBAC).

Iningi labesifazane abazama i-VBAC bayakwazi ukubeletha ngokobulili. Kunezizathu eziningi ezinhle zokuzama i-VBAC kunokuba nesigaba se-C. Eminye yile:

• Ukuhlala isikhashana esibhedlela
• Ukululama ngokushesha
• Akukho ukuhlinzwa
• Ubungozi obuncane bokutheleleka
• Amathuba amancane okuzodinga ukumpontshelwa igazi
• Ungazigwema izigaba ze-C zesikhathi esizayo - into enhle kwabesifazane abafuna ukuba nezingane eziningi

Ingozi ebucayi kakhulu nge-VBAC ukuqhekeka (ikhefu) lesibeletho. Ukwehla kwegazi ekuqhekekeni kungaba yingozi kumama futhi kungalimaza ingane.

Abesifazane abazama i-VBAC futhi abangaphumeleli nabo banamathuba amaningi okudinga ukumpontshelwa igazi. Kukhona nengozi enkulu yokuthola ukutheleleka esibelethweni.

Ithuba lokuqhekeka lincike ekutheni zingaki izigaba ze-C nokuthi wawunaluphi uhlobo ngaphambilini. Ungahle ukwazi ukuba ne-VBAC uma ngabe ubunokulethwa okukodwa kwesigaba se-C esikhathini esedlule.

• Ukusikwa kwesibeletho sakho kusuka esigabeni esidlule se-C kufanele kube yilokho okubizwa nge-low-transverse. Umhlinzeki wakho wezokunakekelwa kwempilo angacela umbiko ku-C-section yakho edlule.
• Akufanele ube nomlando owedlule wokuqhekeka kwesibeletho sakho noma izibazi ezivela kokunye ukuhlinzwa.

Umhlinzeki wakho uzofuna ukuqinisekisa ukuthi i-pelvis yakho inkulu ngokwanele ukuzalwa kwesitho sangasese sowesifazane futhi uzokuqapha ukubona ukuthi unengane enkulu yini. Kungenzeka kungaphephi ukuthi ingane yakho idlule okhalweni lwakho.

Ngoba izinkinga zingenzeka ngokushesha, lapho uhlela ukuthi ukulethwa kwakho nakho kube yisici.

• Uzodinga ukuba kwenye indawo lapho ungabhekwa khona kuwo wonke umsebenzi wakho.
• Ithimba lodokotela elibandakanya i-anesthesia, i-obstetrics kanye negumbi lokuhlinzwa kumele libe seduze ukuze lenze isigaba se-C esiphuthumayo uma izinto zingahambi njengoba bekuhleliwe.
• Izibhedlela ezincane kungenzeka zingabi nalo iqembu elifanele. Ungadinga ukuya esibhedlela esikhudlwana ukuletha.

Wena nomhlinzeki wakho niyonquma ukuthi ngabe i-VBAC ikulungele yini. Khuluma nomhlinzeki wakho mayelana nobungozi nezinzuzo zakho kanye nengane yakho.

Ubungozi bawo wonke umuntu wesifazane buhlukile, ngakho-ke buza ukuthi yiziphi izinto ezibaluleke kakhulu kuwe. Lapho wazi okwengeziwe nge-VBAC, kuzoba lula kakhulu ukunquma ukuthi kukulungele yini.

Uma umhlinzeki wakho ethi ungaba ne-VBAC, amathuba amahle ukuthi ungaba nayo ngempumelelo. Iningi labesifazane abazama i-VBAC bayakwazi ukubeletha ngokobulili.

Gcina engqondweni, ungazama i-VBAC, kepha usengadinga isigaba se-C.

I-VBAC; Ukukhulelwa - VBAC; Ezabasebenzi - i-VBAC; Ukulethwa - i-VBAC

I-Chestnut DH. Ukuvivinywa kokubeletha nokuzalwa kwesitho sangasese sowesifazane ngemuva kokubeletha ngokuhlinzwa. Ku: Chestnut DH, Wong CA, Tsen LC, et al, ama-eds. I-Chestnut's Obstetric Anesthesia: Izimiso kanye Nokuzijwayeza. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 19.

ILandon MB, iGrobman WA. Ukuzalwa kwesitho sangasese sowesifazane ngemuva kokubeletha ngokuhlinzwa. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 20.

UWilliams DE, uPridjian G. Obstetrics. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

• Isigaba se-Cesarean
• Ukubeletha