Izigaba eziyinhloko zabasebenzi

-Delile

• Isigaba sokuqala - Ukunwetshwa
• Isigaba sesibili - Ukuxoshwa
• Isigaba sesi-3 - Ukulethwa: Ukulethwa kweplasenta

Izigaba zomsebenzi ojwayelekile zenzeka ngokuqhubekayo futhi, ngokujwayelekile, zifaka ukunwebeka komlomo wesibeletho, isikhathi sokuxoshwa kanye nokuphuma kwe-placenta. Ngokuvamile, ukubeletha kuqala ngokuzenzekelayo phakathi kwamaviki angama-37 kuya kwangama-40 esibelethweni, futhi kunezimpawu ezikhombisa ukuthi owesifazane okhulelwe uzoqala ukubeletha, njengokuxoshwa kwepulaki eliconsisa amathe, okungukuphuma kuketshezi lwe-gelatinous, olubomvana noma olunsundu. ngokusebenzisa isitho sangasese sowesifazane nokuqhekeka kwesikhwama samanzi, okuyilapho kuqala ukuphuma uketshezi lwe-amniotic olusobala.

Ngaphezu kwalokho, owesifazane okhulelwe uqala ukuba nezinciphiso ezingajwayelekile, ezizokhula, zize zivame futhi kube nezikhathi eziyishumi emizuzwini eyi-10. Funda ukuthi ungazibona kanjani izingqinamba.

Ngakho-ke, lapho owesifazane okhulelwe enalezi zimpawu kufanele aye esibhedlela noma ekhulelwe, ngoba ukuzalwa kwengane kuseduze.

Isigaba sokuqala - Ukunwetshwa

Isigaba sokuqala sokubeletha sibonakala ngokuba khona kwezinciphiso kanye nenqubo yokunweba komlomo wesibeletho nomsele wokuzalwa uze ufike ku-10 cm.

Lesi sigaba sehlukaniswe saba isicashile, lapho ukunwebeka komlomo wesibeletho kungaphansi kwamasentimitha ama-5 futhi kubonakala ngokunyuka okuthe xaxa kokusebenza kwesibeletho, ukutholakala kokuphambana kwesibeletho okungajwayelekile nokwanda kwezimfihlo zomlomo wesibeletho, ngokulahleka kwe-plug mucous, kanye iyasebenza, lapho i-dilation ingaphezu kwama-5 cm futhi owesifazane uqala ukwethula ukuphambana okuvamile futhi okubuhlungu.

Isikhathi sesigaba sokuqala somsebenzi singahluka kusuka kowesifazane kuye kowesifazane, noma kunjalo kuthatha isilinganiso samahora ayisishiyagalombili kuya kwayi-14. Ngalesi sikhathi, kujwayelekile ukuthi abesifazane bezwe ubuhlungu ngenxa yezinciphiso, eziba njalo njalo futhi kube nesikhathi esifushane phakathi komunye nomunye njengoba kuqiniswa ukukhuliswa komlomo wesibeletho nomsele wesitho sangasese sowesifazane kuqinisekiswa.

Okufanele ukwenze kulesi sigaba: Kulesi sigaba, owesifazane okhulelwe kufanele aye ewadini labakhulelwe noma esibhedlela ukuze athole usizo kochwepheshe bezempilo. Ukwehlisa izinhlungu, owesifazane okhulelwe kufanele adonse umoya kancane nangokujulile ngesikhathi sokuncipha ngakunye, kube sengathi unuka imbali abuye akhiphe umoya sengathi ubhula ikhandlela.

Ngaphezu kwalokho, ungahamba kancane noma ukhuphuke izitebhisi, ngoba kuzosiza umbungu ukuthi uzimise ukuze uphume futhi, uma owesifazane elele phansi, angaphendukela ohlangothini lwesobunxele, ukwenza i-oxygenation engcono yombungu nokunciphisa izinhlungu . Thola ezinye izindlela zemvelo zokuheha abasebenzi.

Esibhedlela, phakathi nesigaba sokuqala sokubeletha, ukuthinta kwesitho sangasese kwenziwa njalo emahoreni ama-4 ukuhambisana nokwehliswa futhi kukhuthazwe ukunyakaza kuye endaweni eqondile. Ngaphezu kwalokho, esimweni sabesifazane abasengozini ephansi yokufuna i-anesthesia ejwayelekile, ukungena kuketshezi nokudla kuvunyelwe.

Isigaba sesibili - Ukuxoshwa

Isigaba sokusebenza esisebenzayo silandelwa isigaba sokuxoshwa, lapho umlomo wesibeletho usuvele usufinyelele ekuphakameni kwawo okuphezulu futhi isigaba sesikhathi sokuxoshwa siqala, esingathatha phakathi kwamahora amabili kuya kwamathathu.

Ukuqala kwesigaba sokuxoshwa kubizwa ngokuthi yisikhathi soguquko, esifushane futhi esibuhlungu impela futhi umlomo wesibeletho uthola ukunwebeka phakathi kuka-8 no-10 cm ekupheleni kwesikhathi. Lapho ukuqiniswa okwanele kuqinisekiswa, owesifazane kufanele aqale ukusebenzisa amandla okwehla kokwethulwa kombungu. Ngaphezu kwalokho, isikhundla sokulethwa singakhethwa ngowesifazane okhulelwe, inqobo nje uma kukhululekile futhi kuvuna isigaba sesibili somsebenzi.

Okufanele ukwenze kulesi sigaba: Ngalesi sigaba, owesifazane kufanele alandele imiyalo ayinikezwe ukuze akwazi ukubeletha. Ngakho-ke, kunconywa ukuthi owesifazane enze ukunyakaza kokucindezela ngokulandela umfutho wakhe, ngaphezu kokugcina ukuphefumula kulawulwa.

Ngalesi sigaba, kungenziwa namanye amasu okwehlisa ukuhlukumezeka kwi-perineum, njengokuhlikihla ngomlomo, ukucindezela okushisayo noma ukuvikelwa ngamandla ngezandla.Ukucindezelwa okwenziwa ngesandla kumlomo wesibeletho noma i-episiotomy akunconywa, okuhambelana nokwenza ukusika okuncane ku-perineum ukwenza lula ukuzalwa.

Yize i-episiotomy ingumkhuba ophindaphindiwe, ukusebenza kwayo akunconywanga kwabesifazane abangenankomba, lokhu kungenxa yokuthi izinzuzo zale ndlela ziyaphikisana futhi abukho ubufakazi obanele besayensi, ngaphezu kweqiniso lokuthi kubonwe ukuthi ukusebenza kwe le nqubo njalo ayikhuthazi ukuvikelwa phansi kwe-pelvic futhi ihambelana nembangela enkulu yobuhlungu, ukopha kanye nezinkinga ngesikhathi nangemva kokubeletha.

Isigaba sesi-3 - Ukulethwa: Ukulethwa kweplasenta

Isigaba sokulethwa yisigaba sesi-3 somsebenzi futhi senzeka ngemuva kokuzalwa kwengane, esivezwa ukuphuma kwe-placenta, engashiya ngokuzenzekelayo noma isuswe ngudokotela. Ngalesi sigaba, i-oxytocin ivame ukuphathwa, eyi-hormone ethanda ukubelethwa nokuzalwa kwengane.

Okufanele ukwenze kulesi sigaba: Kulesi sigaba, ngemuva kokuzalwa kwengane, iqembu lezokubelethisa kanye neqembu labahlengikazi lizokwenza ukuhlolwa okujwayelekile kowesifazane, ngaphezu kokwenza ukuthambeka okulawulwayo kwenkaba.

Ngemuva kokuzalwa futhi kungabikho zimpawu zezinkinga kumama noma enganeni, ingane esanda kuzalwa ibekwa ekuxhumaneni nomama ukuze kwenziwe ukuncelisa kokuqala.