Ongakulindela Ngesikhathi Sokudilizwa Kwesitho Sobulili

-Delile

• Ukukhetha ukulethwa kwesitho sangasese sowesifazane
• Izinhlelo zokuzalwa: Ingabe kufanele ube neyodwa?
• Izigaba zokuqala zabasebenzi
• Isikhwama se-Amniotic
• Ukuhlukaniswa
• Ukunwebeka komlomo wesibeletho
• Umsebenzi kanye nokulethwa
• Ukuzalwa
• Ukuletha i-placenta
• Ubuhlungu nokunye ukuzwa ngesikhathi sokubeletha
• Uma ukhetha ukubeletha kwemvelo
• Uma ukhetha ukuba ne-epidural
• Ukudabuka okungenzeka
• Umbono

Ukukhetha ukulethwa kwesitho sangasese sowesifazane

Konke ukulethwa kuhlukile futhi kukodwa njengomama ngamunye nosana. Ngaphezu kwalokho, abesifazane bangaba nokuhlangenwe nakho okuhluke ngokuphelele ngomsebenzi ngamunye omusha kanye nokubeletha. Ukubeletha kungumcimbi oguqula impilo ozoshiya umbono kuwe impilo yakho yonke.

Vele, uzofuna lokhu kube yinto enhle futhi wazi ukuthi yini ongayilindela. Nalu ulwazi mayelana nokuthi kungenzeka yini njengoba uhambisa ingane yakho.

Izinhlelo zokuzalwa: Ingabe kufanele ube neyodwa?

Njengoba usondela engxenyeni yokugcina yokukhulelwa kwakho, ungahle uthande ukubhala uhlelo lokuzalwa. Cabanga ngokucophelela okubalulekile kuwe. Inhloso ephelele ngumama nengane enempilo.

Uhlelo lokuzalwa luchaza ukuzalwa kwakho okuhle futhi kungadinga ukulungiswa lapho isimo sangempela siqhubeka.

Khuluma nomlingani wakho bese ninquma ukuthi ubani ofuna ukuba khona lapho ezalwa. Eminye imibhangqwana inomuzwa wokuthi lesi yisikhathi sangasese futhi ikhetha ukungabi khona kwabanye.

Uhlelo lokuzalwa lungafaka ezinye izifundo ezinjengokudambisa izinhlungu ngesikhathi sokubeletha, izikhundla zokubeletha, nokuningi.

Izigaba zokuqala zabasebenzi

Isikhwama se-Amniotic

Isaka le-amniotic ulwelwesi olugcwele uketshezi oluzungeze ingane yakho. Lesi sikhwama cishe ngaso sonke isikhathi siyophuka ngaphambi kokuzalwa kwengane, noma kwezinye izimo ihlala ingashintshi ize ibelethe. Lapho iqhuma, kuvame ukuchazwa ngokuthi "ukuphuka kwamanzi" kwakho.

Ezimweni eziningi, amanzi akho azophuka ngaphambi kokuya emsebenzini noma ekuqaleni kokubeletha. Iningi labesifazane lizwa ukwephuka kwamanzi njengokugeleza ketshezi.

Kufanele icace futhi ingenaphunga - uma iphuzi, iluhlaza okotshani, noma nsundu, xhumana nodokotela wakho khona manjalo.

Ukuhlukaniswa

Iziphambeko ukuqina nokukhululwa kwesibeletho sakho. Le minyakazo ekugcineni izosiza ingane yakho ukuthi idlulele emlonyeni wesibeletho. Ukuchasana kungazizwa njengokuchotshozwa okusindayo noma ingcindezi eqala emuva kwakho futhi iye phambili.

Ukuchasana akusiyona inkomba ethembekile yomsebenzi. Kungenzeka ukuthi usuzizwile izingqinamba zeBraxton-Hicks, okungenzeka ukuthi zaqala ekuqaleni kwenyanga yakho yesibili.

Umthetho ojwayelekile ngukuthi uma uba nezinciphiso ezihlala umzuzu, zihlukaniswe imizuzu emihlanu, futhi kube njalo ihora, ususebenze ngokweqiniso.

Ukunwebeka komlomo wesibeletho

Umlomo wesibeletho yingxenye ephansi kunazo zonke yesibeletho evulekela esithweni sangasese sowesifazane. Umlomo wesibeletho uyisakhiwo se-tubular cishe amasentimitha ama-3 kuye kwayi-4 ubude ngendinyana exhuma umgodi wesibeletho esithweni sangasese.

Ngesikhathi sokubeletha, indima yomlomo wesibeletho kufanele iguquke ekulondolozeni ukukhulelwa (ngokugcina isibeletho sivalekile) kuye ekwenzeni lula ukulethwa kwengane (ngokuvula, noma ukuvula, ngokwanele ukuvumela ingane ukuthi idlule).

Izinguquko ezibalulekile ezenzeka ngasekupheleni kokukhulelwa ziholela ekuthambekeni kwezicubu zomlomo wesibeletho nokuncipha komlomo wesibeletho, zombili ezisiza ukulungisa umlomo wesibeletho. Kuyiqiniso, ukusebenza okusebenzayo kuthathwa njengokuqhubeka lapho umlomo wesibeletho usukhulisiwe ngamasentimitha ama-3 noma ngaphezulu.

Umsebenzi kanye nokulethwa

Ekugcineni, umsele wesibeletho kufanele uvuleke kuze kube yilapho ukuvuleka komlomo wesibeletho uqobo kufinyelele kumasentimitha ayi-10 ububanzi futhi ingane ikwazi ukudlulela emgodini wokuzalwa.

Njengoba ingane ingena esithweni sangasese, isikhumba sakho nemisipha yakho kuyelula. Ilebia ne-perineum (indawo ephakathi kwesitho sangasese sowesifazane kanye nengxenyeni) ekugcineni ifinyelela iphuzu lokuzelula. Kuleli qophelo, isikhumba singazizwa sengathi siyasha.

Abanye abafundisi bokubeletha bakubiza lokhu ngokuthi yindandatho yomlilo ngenxa yomuzwa oshisayo ozwakala lapho izicubu zikamama zizelula ekhanda lengane. Ngalesi sikhathi, umhlinzeki wakho wezokunakekelwa kwempilo anganquma ukwenza i-episiotomy.

Ungasizwa noma ungasizwa i-episiotomy ngoba isikhumba nemisipha kungalahlekelwa umuzwa ngenxa yokuthi weluleke kangakanani.

Ukuzalwa

Njengoba ikhanda lengane livela, kukhona ukukhululeka okukhulu ekucindezelekeni, yize mhlawumbe usazozwa ukungakhululeki okuthile.

Umhlengikazi noma udokotela wakho uzokucela ukuthi uyeke ukuphusha isikhashana ngenkathi umlomo nekhala lengane limunca ukukhipha i-amniotic fluid ne-mucus. Kubalulekile ukwenza lokhu ngaphambi kokuba ingane iqale ukuphefumula nokukhala.

Imvamisa udokotela uzungezisa ikhanda lengane ikota yesikhathi ukuze ihambisane nomzimba wengane, okusengaphakathi kuwe. Ngemuva kwalokho uzocelwa ukuthi uqale uphusha futhi ukuletha amahlombe.

Ihlombe eliphezulu liza kuqala bese kuba ihlombe elingezansi.

Ngemuva kwalokho, ngokudonsa kokugcina, uletha ingane yakho!

Ukuletha i-placenta

I-placenta nesaka le-amniotic elasekela futhi lavikela ingane izinyanga eziyisishiyagalolunye lisesibeletho ngemuva kokubeletha. Lokhu kudinga ukulethwa, futhi lokhu kungenzeka ngokuzenzekelayo noma kungathatha isikhathi esifinyelela kwengxenye yehora. Umbelethisi wakho noma udokotela angasigcoba isisu sakho ngaphansi kwenkinobho yesisu sakho ukusiza ukuqinisa isibeletho nokukhulula i-placenta.

Isibeletho sakho manje sesicishe silingane nesithelo samagilebhisi esikhulu. Ungadinga ukusunduza ukusiza ukuletha i-placenta. Ungazizwa unengcindezi ethile njengoba i-placenta ixoshwa kepha hhayi ingcindezi ecishe ibe njengaleyo lapho ingane izalwa.

Umhlinzeki wakho wezokunakekelwa kwempilo uzohlola i-placenta ehanjisiwe ukuqinisekisa ukuthi ilethwe ngokugcwele. Ezimweni ezingavamile, enye ye-placenta ayikhiphi futhi ingahlala inamathele odongeni lwesibeletho.

Uma lokhu kwenzeka, umhlinzeki wakho uzongena esibelethweni sakho ukuze asuse izingcezu ezisele ukuze avimbele ukopha okunzima okungavela ku-placenta edabukile. Uma ungathanda ukubona i-placenta, sicela ubuze. Imvamisa, bazojabula ukukubonisa.

Ubuhlungu nokunye ukuzwa ngesikhathi sokubeletha

Uma ukhetha ukubeletha kwemvelo

Uma uthatha isinqumo sokubeletha "kwemvelo" (ukulethwa ngaphandle kwemithi yezinhlungu), uzozwa zonke izinhlobo zemizwa. Imizwa emibili ozoyizwa kakhulu ubuhlungu nobunzima. Lapho uqala ukucindezela, enye ingcindezi izokhululeka.

Njengoba ingane yehlela emgodini wokuzalwa, noma kunjalo, uzosuka ekubhekaneni nengcindezi kuphela ngesikhathi sokufinyela uye ekuzameni ukucindezelwa okungapheli nokwandayo. Kuzozizwa into efana nesifiso esinamandla sokuba nokunyakaza kwamathumbu njengoba ingane icindezela phansi kulezo zinzwa ezifanayo.

Uma ukhetha ukuba ne-epidural

Uma une-epidural, lokho okuzwayo ngesikhathi sokubeletha kuzoncika ekusebenzeni kwe-epidural block. Uma umuthi ubulala kahle izinzwa, ungahle ungazizwa lutho. Uma isebenza ngokulingene, ungazizwa unengcindezi ethile.

Uma kumnene kanjalo, uzozwa ingcindezi engase ingakuphathi kahle noma ingahle ingakuphathi kahle. Kuya ngokuthi ubekezelela kangakanani ukuzwa kwengcindezi. Ungase ungakuzwa ukunwetshwa kwesitho sangasese sowesifazane, futhi mhlawumbe ngeke uzwe i-episiotomy.

Ukudabuka okungenzeka

Yize ukulimala okuphawulekayo kungavamile, ngesikhathi senqubo yokwelula, umlomo wesibeletho ungadabula futhi ekugcineni udinge ukulungiswa.

Izicubu zangasese zithambile futhi ziyaguquguquka, kepha uma ukulethwa kwenzeka ngokushesha noma ngamandla amakhulu, lezo zicubu zingadabula.

Ezimweni eziningi, ama-lacerations mancane futhi alungiswa kalula. Ngezikhathi ezithile, zingaba zimbi kakhulu futhi ziholele ezinkingeni zesikhathi eside.

Umsebenzi ojwayelekile kanye nokubeletha kuvame ukuholela ekulimaleni kwesitho sangasese sowesifazane kanye / noma umlomo wesibeletho. Abesifazane abangamaphesenti angama-70 abathola umntwana wabo wokuqala bazoba ne-episiotomy noma uhlobo oluthile lwezinyembezi zesitho sangasese esidinga ukulungiswa.

Ngenhlanhla, isitho sangasese sowesifazane nomlomo wesibeletho sinegazi elinothile. Yingakho ukulimala kulezi zindawo kuphulukisa ngokushesha futhi kushiye isibazi esincane noma kungabi bikho okungaholela ezinkingeni zesikhathi eside.

Umbono

Akunakwenzeka ukuzilungiselela ukubeletha nokulethwa, kepha kuyinqubo engaziwa yokuqagela. Ukuqonda umugqa wesikhathi nokuzwa ngokuhlangenwe nakho kwabanye omama kungasiza kakhulu ekwenzeni ukubeletha kungamangalisi.

Omama abaningi abakhulelwe bakuthola kuwusizo ukubhala uhlelo lokuzalwa nabalingani babo bese belabelana neqembu labo lezokwelapha. Uma wenza uhlelo, lungela ukushintsha umqondo wakho uma kunesidingo. Khumbula ukuthi inhloso yakho ukuthola umntwana ophilile kanye nokuhlangenwe nakho okunempilo, okuhle.