Ukukhetha umhlinzeki wezokunakekelwa kwezempilo ofanele wokukhulelwa nokubeletha

Unezinqumo eziningi okufanele uzenze lapho ulindele ingane. Okunye kokuqala ukunquma ukuthi hlobo luni lomhlinzeki wezokunakekelwa kwezempilo olifunayo ngokunakekelwa kwakho kokukhulelwa nokuzalwa kwengane yakho. Ungakhetha:

• Ozibelethisa
• Udokotela wokuzijwayeza umndeni
• Umhlengikazi-umbelethisi oqinisekisiwe

Ngamunye walaba bahlinzeki uchazwe ngezansi. Ngamunye unokuqeqeshwa okuhlukile, amakhono, nemibono mayelana nokukhulelwa nokubeletha. Ukukhetha kwakho kuzoya ngempilo yakho nohlobo lwesipiliyoni sokuzalwa osifunayo.

Nazi ezinye izinto okudingeka uzicabangele lapho uthatha isinqumo ngohlobo lomhlinzeki olifunayo:

• Izici zobungozi ongaba nazo ezinkingeni ngesikhathi sokukhulelwa nokubeletha
• Lapho ungathanda ukuletha khona ingane yakho
• Izinkolelo zakho nezifiso zakho ngokubeletha kwemvelo

Udokotela obelethisa (OB) ungudokotela onoqeqesho olukhethekile empilweni yabesifazane nokukhulelwa.

Odokotela be-OB bagxile ekunakekeleni abesifazane ngesikhathi sokukhulelwa nokubeletha, nasekuletheni izingane zabo.

Amanye ama-OBs aqhubekile nokuqeqeshwa ekunakekeleni ukukhulelwa okuyingozi kakhulu. Babizwa ngokuthi ochwepheshe bemithi yomama-fetal, noma i-perinatologists. Abesifazane bangelulekwa ukuthi babone uchwepheshe we-OB uma:

• Ngaba nokukhulelwa kwangaphambili okuyinkimbinkimbi
• Ingabe ulindele amawele, ama-triplets, noma ngaphezulu
• Yiba nesimo sezokwelapha esesivele sikhona
• Udinga ukulethwa ngokuhlinzwa (isigaba se-C), noma ube nakho ngaphambili

Udokotela womndeni (FP) ungudokotela ofundele ukwelashwa komndeni. Lo dokotela welapha ukugula nezimo eziningi, futhi welapha abesilisa nabesifazane beminyaka yonke.

Abanye odokotela bemindeni banakekela nabesifazane abakhulelwe.

• Abaningi bazokunakekela ngesikhathi ukhulelwe nalapho ubeletha ingane yakho.
• Abanye banikeza ukunakekelwa kokubeletha kuphela futhi banokunakekelwa kwe-OB noma umbelethisi ngesikhathi sokuzalwa kwengane yakho.

Odokotela bomndeni nabo baqeqeshelwe ukunakekela usana lwakho olusanda kuzalwa ngemuva kokubeletha.

Abahlengikazi abahlengikazi (CNM) abaqeqeshiwe baqeqeshelwe ubuhlengikazi nokubelethisa. Ama-CNM amaningi:

• Yiba neziqu ze-bachelor's in nursing
• Yiba ne-master degree kwezokubelethisa
• Iqinisekiswe yi-American College of Nurse-Midwives

Ababelethisi abangabahlengikazi banakekela abesifazane ngesikhathi sokukhulelwa, sokubeletha nokubeletha.

Abesifazane abafuna ukuthola ukubeletha ngokwemvelo ngangokunokwenzeka bangakhetha i-CNM. Ababelethisi babheka ukukhulelwa nokubeletha njengenqubo ejwayelekile, futhi basiza abesifazane ukuba babelethe ngokuphepha ngaphandle kokwelashwa noma banciphise ukusetshenziswa kwabo. Ukwelashwa kungafaka:

• Imithi yezinhlungu
• Umshini noma i-forceps
• C-izigaba

Ababelethisi abaningi basebenza nama-OB. Uma kuba nezinkinga noma izimo zezokwelapha ngesikhathi sokukhulelwa, owesifazane uzodluliselwa ku-OB ukuze kuboniswane naye noma athathe ukunakekelwa kwakhe.

Ukunakekelwa ngaphambi kokubeletha - umhlinzeki wezokunakekelwa kwempilo; Ukunakekelwa kokukhulelwa - umhlinzeki wezokunakekelwa kwempilo

I-American College of Obstetricians kanye newebhusayithi yamaGynecologists. Isitatimende esihlangene sobudlelwano bokuzijwayeza phakathi kwabahlengikazi kanye nababelethisi abaqinisekisiwe / ababelethisi abaqinisekisiwe. www.acog.org/clinical-information/policy-and-position-st izitement/statements-of-policy/2018/joint-statement-of-practice-relations-between-ob-gyns-and-cnms. Kubuyekezwe u-Ephreli 2018. Kufinyelelwe ngoMashi 24, 2020.

UGregory KD, uRamos DE, uJauniaux ERM. Ukuqagela kanye nokunakekelwa kokubeletha. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 6.

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

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