Ukuzalwa komfazi emva kwecandelo le-C

Ukuba ubuzelwe ngo-cesarean (C-icandelo) ngaphambili, oko akuthethi ukuba kuya kufuneka uhambise ngendlela efanayo kwakhona. Abasetyhini abaninzi banokuhanjiswa ngokwesini emva kokuba necandelo le-C kwixa elidlulileyo. Oku kubizwa ngokuba ngumfazi wokuzalwa emva kokuhlinzwa (VBAC).

Uninzi lwabasetyhini abazama i-VBAC bayakwazi ukuhambisa ngokwesini. Zininzi izizathu ezilungileyo zokuzama i-VBAC kunokuba ube neC-c. Ezinye zezi:

• Ukuhlala nje kancinci esibhedlele
• Ukuchacha ngokukhawuleza
• Akukho tyando
• Umngcipheko omncinci wosulelo
• Amathuba ambalwa okuba uyakufuna utofelo-gazi
• Unokuwathintela amacandelo e-C exesha elizayo-into elungileyo kubafazi abafuna ukuba nabantwana ngakumbi

Umngcipheko obaluleke kakhulu nge-VBAC kukuqhekeka (ikhefu) lesibeleko. Ukuphulukana negazi kuqhekeko kunokuba yingozi kumama kwaye kunokumenzakalisa umntwana.

Abasetyhini abazama i-VBAC kwaye bangaphumeleli nabo kunokwenzeka ukuba badinga ukutofelwa igazi. Kukho umngcipheko omkhulu wokufumana usulelo esibelekweni.

Ithuba lokophuka lixhomekeke ekubeni mangaphi amacandelo e-C kwaye uluhlobo luni ngaphambili. Unokwazi ukuba ne-VBAC ukuba ubunakho kuphela ukuhanjiswa kwecandelo le-C ngaphambili.

• Ukunqunyulwa kwesibeleko sakho kwicandelo elidlulileyo le-C kufanele kube yile nto ibizwa ngokuba yi-low-transverse. Umboneleli wakho wezempilo unokucela ingxelo kwicandelo lakho elidlulileyo leC.
• Akufanele ube nembali edlulileyo yokuqhekeka kwesibeleko sakho okanye amanxeba avela kolunye utyando.

Umboneleli wakho uya kufuna ukuqinisekisa ukuba i-pelvis yakho inkulu ngokwaneleyo ekuzalweni kwesini kwaye uya kukujonga ukuze ubone ukuba unomntwana omkhulu. Kusenokungakhuseleki ukuba umntwana wakho adlule kwi-pelvis yakho.

Kungenxa yokuba iingxaki zinokuvela ngokukhawuleza, apho uceba ukwenza unikezelo lwakho nalo luyinto.

• Kuya kufuneka ube kwindawo apho unokubekwa esweni kuyo yonke imisebenzi yakho.
• Iqela lezonyango kubandakanya i-anesthesia, i-obstetrics kunye nabasebenzi kwigumbi lokusebenza kufuneka babe kufutshane benze icandelo le-C likaxakeka ukuba izinto azihambi njengoko bekucwangcisiwe.
• Izibhedlele ezincinci zingenakuba neqela elifanelekileyo. Kuya kufuneka ukuba uye kwisibhedlele esikhulu ukuze ubelethe.

Wena kunye nomboneleli wakho uya kuthatha isigqibo sokuba ngaba i-VBAC ikulungele. Thetha nomboneleli wakho malunga neengozi kunye nezibonelelo zakho kunye nosana lwakho.

Wonke umngcipheko wabasetyhini wahlukile, ke ubuze ukuba zeziphi izinto ezibaluleke kakhulu kuwe. Xa uyazi ngakumbi nge-VBAC, kuya kuba lula ukugqiba ukuba kulungile yini kuwe.

Ukuba umboneleli wakho uthi unokuba ne-VBAC, amathuba alungile onokuba nawo ngempumelelo. Uninzi lwabasetyhini abazama i-VBAC bayakwazi ukuhambisa ngokwesini.

Gcina ukhumbula, unokuzama i-VBAC, kodwa usenokufuna icandelo-C.

VBAC; Ukukhulelwa - i-VBAC; Ezabasebenzi - VBAC; Ukuhanjiswa-VBAC

I-Chestnut DH. Uvavanyo lomsebenzi kunye nokuzalwa kwelungu lobufazi emva kokubeleka. Ku: Chestnut DH, Wong CA, Tsen LC, et al, ii-eds. I-Chestnut's Obstetric Anesthesia: Imigaqo kunye nokuziqhelanisa. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 19.

ILandon MB, iGrobman WA. Ukuzalwa komfazi emva kokubeleka. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 20.

UWilliam DE, uPridjian G. Obstetrics. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

• Icandelo leCesarean
• Ukubeleka