Izethulo zokulethwa

Isethulo sokulethwa sichaza indlela ingane ebekwe ngayo ukwehla emgodini wokuzalwa ukuze ubelethe.

Ingane yakho kufanele idlule emathanjeni akho okhalo ukufinyelela esikhaleni sangasese. Ubulula lapho le ndima izokwenzeka khona kuncike ekutheni ingane yakho imi kanjani ngesikhathi sokubeletha. Isikhundla esihle kunazo zonke lapho umntwana ezongena khona kudlule isinqe ikhanda lakhe libheke phansi nomzimba ubheke ngasemuva kukanina. Lesi sikhundla sibizwa ngokuthi yi-occiput anterior (OA).

Esimweni sokushaywa umoya, phansi kwengane kubheke phansi esikhundleni sekhanda. Umhlinzeki wakho wezokunakekelwa kwempilo uzovame ukukuthola lokhu ekuvakasheni kwehhovisi ngaphambi kokuqala kokuhlinzwa kwakho. Iningi lezingane lizoba sesimweni sokubhekela phansi cishe amasonto angama-34.

Ingxenye yokunakekelwa kwakho ngaphambi kokubeletha ngemuva kwamasonto angama-34 izobandakanya ukuqinisekisa ukuthi ingane yakho isesimweni sokubheka phansi.

Uma ingane yakho ipholile, akuphephile ukubeletha ngokobulili. Uma ingane yakho ingekho esimweni sokubheka phansi ngemuva kweviki lakho lama-36, umhlinzeki wakho angachaza izinketho zakho nobungozi bazo ukukusiza unqume ukuthi yiziphi izinyathelo ozozithatha ngokulandelayo.

Esimweni sokuma ngemuva kwe-occiput, ikhanda lengane yakho liphansi, kepha libheke phambili kukanina esikhundleni somhlane wakhe.

Kuphephile ukubeletha ingane ibheke ngale ndlela. Kepha kunzima ukuthi ingane idlule esinqeni. Uma ingane ikule ndawo, kwesinye isikhathi izungeza ngesikhathi sokubeletha ukuze ikhanda lihlale phansi nomzimba ubhekane nomhlane kanina (isikhundla se-OA).

Umama uyakwazi ukuhamba, amatshe, futhi azame izikhundla ezahlukahlukene zokubeletha ngesikhathi sokubeletha ukusiza ukukhuthaza ingane ukuba iphenduke. Uma ingane ingaphenduki, ukubeletha kungathatha isikhathi eside. Kwesinye isikhathi, umhlinzeki angasebenzisa i-forceps noma i-vacuum device ukusiza ukukhipha ingane.

Ingane esendaweni eguqukayo isemaceleni. Imvamisa, amahlombe noma emuva kungaphezulu kwesibeletho sikamama. Lokhu kubizwa nangokuthi isikhundla sehlombe, noma se-oblique.

Ingozi yokuba nengane esimweni esiphambanweni iyanda uma:

• Qalisa ukubeletha kusenesikhathi
• Ubelethe izikhathi ezintathu noma ngaphezulu
• Yiba ne-placenta previa

Ngaphandle kokuthi ingane yakho ingaguqulwa ibe yindawo ebheke phansi, ukuzalwa kwesitho sangasese sowesifazane kuzoba yingozi kakhulu kuwe nasenganeni yakho. Udokotela uzoletha ingane yakho ngokuzalwa ngokuhlinzwa (isigaba se-C).

Ngesikhundla sokuqala, ikhanda lomntwana libuyele emuva (njengokufuna phezulu), nebunzi lihola phambili. Lesi sikhundla singavame kakhulu uma lokhu kungesikho ukukhulelwa kwakho kokuqala.

• Umhlinzeki wakho akavamile ukuthola lesi sikhundla ngaphambi kokubeletha. I-ultrasound ingakwazi ukuqinisekisa isethulo se-brow.
• Kungenzeka ukuthi umhlinzeki wakho azobona lesi sikhundla ngenkathi usabasebenzi ngesikhathi sokuhlolwa kwangaphakathi.

Ngokuma kobuso bokuqala, ikhanda lengane lilulelwa emuva kakhulu nangaphezulu kunokuma kuqala kwebunzi.

• Isikhathi esiningi, amandla ezinciphiso abangela ukuthi ingane ibe sesimweni sokuqala kobuso.
• Kuyatholwa futhi lapho umsebenzi ungaqhubeki.

Kwezinye zalezethulo, ukuzalwa kwesitho sangasese sowesifazane kungenzeka, kepha ukubeletha ngokuvamile kuzothatha isikhathi eside. Ngemuva kokubeletha, ubuso bomntwana noma ibunzi lakhe lizovuvukala futhi kungahle kubonakale kulimele. Lezi zinguquko zizohamba ezinsukwini ezimbalwa ezizayo.

Ukukhulelwa - isethulo sokulethwa; Isethulo sabasebenzi - ukulethwa kwezidingo; I-Occiput ngemuva; I-Occiput yangaphakathi; Isethulo se-Browser

ULanni SM, uGherman R, uGonik B. Izethulo. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 17.

UThorp JM, uGrantz KL. Izici zomtholampilo zabasebenzi abajwayelekile nabangajwayelekile. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2019: isahluko 43.

UVora S, Dobiesz VA. Ukubeletha okuphuthumayo. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 56.

• Ukubeletha