Ukuzalwa Kwasekhaya Ngemuva Kokubeletha (HBAC): Okudingeka Ukwazi

-Delile

• Uthini ucwaningo?
• Izinzuzo ze-HBAC
• Izingozi ze-HBAC
• Indaba yowesifazane oyedwa
• Ingabe uyilungu le-HBAC?
• Ukuthatha

Kungenzeka ujwayelene negama elithi VBAC, noma ukuzalwa kwesitho sangasese sowesifazane ngemuva kokuhlinzwa. I-HBAC imele ukuzalwa kwasekhaya ngemuva kokuhlinzwa. Ngokuyinhloko i-VBAC eyenziwa njengokuzalwa ekhaya.

Ama-VBAC nama-HBAC angahle ahlukaniswe ngenani lokudiliva okwedlule okwenziwe ngokuhlinzwa. Isibonelo, i-HBA1C isho ukuzalwa kwasekhaya ngemuva kokuhlinzwa okukodwa, kuyilapho i-HBA2C isho ukuzalwa kwasekhaya ngemuva kwama-cearean amabili.

Kunezimpikiswano ezinothando zombili eziphikisana namaHBAC.

Kubalulekile ukuqaphela ukuthi imihlahlandlela ebekwe yi-American College of Obstetricians and Gynecologists incoma ukuthi ama-VBAC enzeke ezibhedlela. Ake sibheke ezinye izinzuzo, ububi, nezinye izimo okufanele sizicabangele njengoba uhlela ukuzalwa kwakho.

Uthini ucwaningo?

Abaphenyi e-United States babika ama-HBAC ayi-1 000 ngo-2008, enyuka esuka ku-664 ngo-2003 kwathi angama-656 kuphela ngo-1990. Ngo-2013, lelo nani lakhuphukela ku-1,338. Ngenkathi kusenokungajwayelekile, inani lama-HBAC libonakala landa unyaka nonyaka, abacwaningi abababaza ngemikhawulo kuma-VBAC esimweni sesibhedlela.

Kuthiwani ngamazinga okuphumelela? Ucwaningo olulodwa luhlolisise abesifazane abangu-1,052 abazama i-HBAC. Izinga le-VBAC eliphumelelayo lalingamaphesenti angama-87 ngesilinganiso sokudluliswa kwesibhedlela ngamaphesenti ayi-18. Ukuqhathanisa, ucwaningo luphinde lwahlola abesifazane abangu-12,092 abazama ukulethwa ekhaya ngaphandle kokuhlinzwa okwedlule. Izinga lokudluliswa kwabo esibhedlela lalingamaphesenti ayi-7 kuphela. Isizathu esivame kakhulu sokudluliswa ukwehluleka ukuthuthuka.

Amanye amasheya ocwaningo ukuthi amazinga empumelelo ngokuvamile aphakathi kwamaphesenti angama-60 kuya kwangama-80, kanti aphakeme kakhulu avela kubantu asebevele bethole okungenani impumelelo eyodwa yokulethwa kowesifazane.

Izinzuzo ze-HBAC

Ukuletha ingane yakho ngesitho sangasese sangasese esikhundleni sokusebenzisa isigaba esikhethiwe sokuhlinzwa sisho ukuthi ngeke uhlinzwe noma uhlangabezane nezinkinga zokuhlinzwa. Lokhu kungasho ukululama okufushane kusukela ekuzalweni nokubuyela ngokushesha emisebenzini yakho yansuku zonke.

Ukulethwa ngokuya ocansini kungakusiza futhi ukuthi ugweme izingozi zokulethwa okuningi okuhlinzwa - izinkinga zeplacenta, ngokwesibonelo - ekukhulelweni okuzayo, uma ukhetha ukuba nezingane eziningi.

Izinzuzo ezibonakalayo zokulethwa ekhaya zivame ukuba zemvelo uqobo. Zingafaka:

• ukukhetha nokunikeza amandla
• umuzwa wokulawula
• izindleko eziphansi
• ukunaka imikhuba yenkolo noma yamasiko
• ukuxhumeka nokunethezeka esikhaleni sokubeletha

Futhi ngenkathi ungezwa ukuhlangana okungekuhle nokuzalwa okuhleliwe ekhaya, kusikisela ukuthi akukho kwanda ekufeni kwezinsana uma kuqhathaniswa nokuzalwa esibhedlela. Omama bangenza okungcono ekhaya, babike ukungenelela okumbalwa kanye nezinkinga, kanye nokwaneliseka okuphezulu ngalo lonke ulwazi lokuzalwa.

Izingozi ze-HBAC

Vele, kukhona izingozi ngokulethwa kwesitho sangasese sowesifazane ngemuva kokuhlinzwa, futhi. Futhi lezi zingozi zingakhuliswa uma ukhetha ukuletha ingane yakho ekhaya.

Ucwaningo oluthile lwembula ukuthi labo abazama i-HBAC babeka engcupheni ukulahleka kwegazi okuningi, ukutheleleka ngemuva kokubeletha, ukuqhekeka kwesibeletho, kanye nokwamukelwa egumbini labagula kakhulu lapho kuqhathaniswa nokubeletha ekhaya ngaphandle kokuhlinzwa okwedlule.

Ingozi ebucayi kakhulu ukuqhekeka kwesibeletho, okuthinta amaphesenti ayi-1 abantu abazama i-VBAC kunoma yisiphi isimo. Yize kungavamile, ukuqhekeka kwesibeletho kusho ukuthi izinyembezi zesibeletho zivuleka ngesikhathi sokubeletha, zidinga isigaba esiphuthumayo sokuhlinzwa.

Komama be-VBAC, lokhu kuphuka kuvame ukuhambisana nolayini wesibeletho kusuka ekuhlinzweni kwangaphambilini.Ukopha kakhulu, ukulimala nokufa enganeni, kanye ne-hysterectomy okungenzeka konke kuyizinkinga ezingadinga ukunakekelwa okuphuthumayo okutholakala kuphela esibhedlela.

Indaba yowesifazane oyedwa

UChantal Shelstad ubelethe ingane yakhe yesithathu ekhaya ngemuva kokuthi ingane yakhe yokuqala yethule ibreech futhi ilethwe ngengxenye yokuhlinzwa. Uyabelana, “Ngemuva kokuthi izinhlelo zami zokuzalwa ngokwemvelo nengane yami yokuqala ziphenduke kwaba ngumuntu obelethayo, ukululama okunzima, kanye nokudangala kwangemva kokubeletha nokukhathazeka, ngangazi ukuthi ngidinga ukuzalwa okwehlukile futhi ngafunga ukuthi ngeke ngiphinde ngikwenze esibhedlela, uma Ngingakugwema. ”

“Sashesha kakhulu iminyaka emithathu nohhafu, futhi ngangibeletha (i-VBAC) enganeni yethu yesibili esikhungweni semvelo sokubeletha eSouth Korea, sizungezwe ababelethisi, abahlengikazi no-OB omuhle owangisekela noma ngabe ukwethulwa kanjani wengane yami. Besizokhetha ukuzalelwa ekhaya ukube besikade sise-stateide, kepha isikhungo sokuzalwa bekuyisipiliyoni esihle kakhulu. ”

Uma kukhulunywa ngengane yakhe yesithathu, uShelstad wakhetha ukubelethela ekhaya. "Ingane yethu yesithathu neyokugcina yazalelwa egumbini lami lokulala, kubhavu wokuzalwa, cishe eminyakeni emibili ngemuva kwesibili sethu," kuchaza uShelstad.

“Ngesikhathi ngikhulelwa - sasazi ukuthi sifuna ukuzalwa ekhaya. Sixoxisane nababelethisi abambalwa abasendaweni futhi sathola eyodwa esichofoze ngayo futhi izosisekela uma ingane yethu iphefumula kahle. Isipiliyoni sonke sokubeletha sasikhululekile futhi siqinisekisa. Isikhathi esibekelwe ngaso besingathatha ihora lonke, lapho besingaxoxa khona, sixoxe ngamasu, futhi sidlale ngezimo ezahlukahlukene zokuzalwa. ”

“Lapho kufika isikhathi sokusebenza, ngangikuthanda ukuthi angidingi ukushiya ikhaya lami. Eqinisweni, ukusebenza kwami ​​kwakushesha kakhulu - cishe amahora amabili okusebenza - kanti umbelethisi wami wayekhona imizuzu engama-20 kuphela ngaphambi kokuba indodana yami izalwe. Kusukela kubhavu wokuzalwa ngangikwazi ukuya embhedeni wami ukuphumula nokubamba ingane yami, ngenkathi umndeni unginikeza ukudla futhi unakekela ezinye izingane. Esikhundleni sokuphuma esibhedlela ngemuva kwezinsuku, ngahlala ngaphakathi endlini ngiphumula futhi ngilulama. Kwakumangalisa. ”

Ingabe uyilungu le-HBAC?

Indaba kaShelstad ibonisa ezinye zezinqubo ezenza umuntu abe ngumqokelwa omuhle we-HBAC.

Isibonelo, ungahle ufaneleke uma:

• uke waba nokulethwa kowesifazane okukodwa noma ngaphezulu kwangaphambili
• imbobo yakho ingaphansi kokuhamba phansi noma imile mpo
• awukaze ube nokulethwa okungaphezulu kokudlula okubili ngaphambilini
• sekuyizinyanga eziyi-18 noma ngaphezulu ngemuva kokulethwa kwakho kokugcina ukubeletha
• azikho izingqinamba ezingathinta ukulethwa kwesitho sangasese sowesifazane, njengezinkinga ze-placental, isethulo, noma ukuphindaphinda kwe-oda eliphakeme
• awukaze ubhekane nokudabuka kwesibeletho phambilini

Noma kunjalo, imininingwane eminingi oyitholayo incoma ukuthi i-VBAC kufanele izanywe kuphela ezikhungweni ezikwazi ukuphatha ukulethwa okuphuthumayo kokuhlinzwa. Lokhu kusho ukuthi ukulethwa ekhaya akukhuthazwa ngokujwayelekile esilinganisweni esibanzi. Qiniseka ukuthi uxoxa ngohlelo lokudluliswa kwesibhedlela nomhlinzeki wakho wokunakekela, ongasiza ekuqondiseni isinqumo sakho esimweni ngasinye.

Gcina wazi ukuthi noma ngabe ungumuntu ophelele we-HBAC, ukudluliselwa esibhedlela kungadingeka uma ukubeletha kwakho kungaqhubeki, uma ingane yakho isenkingeni, noma uma wopha.

Ukuthatha

"Ngiyazi ukuthi ama-HBACs angangethusa, kepha kimi, ukwesaba kwami ​​bekungukuya esibhedlela," kusho uShelstad. “Nganginokulawula nokunethezeka okwengeziwe ekhaya. Benginethemba lenqubo yokuzalwa kanye nobungcweti bombelethisi wami nethimba lokuzalwa, futhi bengazi ukuthi uma kuphakama isimo esiphuthumayo, sinezinhlelo ezimbalwa zesibhedlela esingazithola. ”

Ekugcineni, isinqumo sokuthi ingane yakho izalwa kuphi futhi kanjani sikuwe kanye nomhlinzeki wakho wezokunakekelwa kwempilo. Kuyasiza ukubuza imibuzo futhi ulethe ukukhathazeka ngaphambi kokunakekelwa ngaphambi kokubeletha ukuze uthole ulwazi oluhle kakhulu ongaluthola ukusiza ukwenza isinqumo sakho.

Njengoba usuku lwakho olubekiwe lusondela, kubalulekile ukuhlala uguquguquka nohlelo lwakho lokuzalwa uma kukhulunywa ngezimo ezingathinta impilo yakho noma yengane yakho.