Unikezelo lwentetho

Inkcazo-ntetho yokuhanjiswa ichaza indlela olubekwe ngayo usana ukuba lwehle umjelo wokuzalwa xa luzalwa.

Umntwana wakho kufuneka adlule kumathambo akho e-pelvic ukufikelela kuvulo lobufazi. Ukukhululeka kwesi siqendu kuya kwenzeka kuxhomekeke kwindlela umntwana wakho abekwe ngayo ngexesha lokubeleka. Esona sikhundla silungileyo sokuba umntwana abe nakho ukudlula kwi-pelvis inentloko kwaye umzimba ujonge ngasemva kukanina. Esi sikhundla sibizwa ngokuba yi-occiput anterior (OA).

Kwimeko yokuphola, amazantsi omntwana ajonge ezantsi endaweni yentloko. Umboneleli wakho wokhathalelo lwempilo uhlala ekufumanisa oku kutyelelo eofisini ngaphambi kokuba uqalise umsebenzi. Uninzi lweentsana luya kuba kwindawo ephantsi entloko malunga neeveki ezingama-34.

Inxalenye yokhathalelo lwakho lwangaphambi kokubeleka emva kweeveki ezingama-34 kuyakuquka ukuqinisekisa ukuba umntwana wakho ukwisikhundla sentloko.

Ukuba umntwana wakho unomoya opholileyo, akukhuselekanga ukubeleka kwilungu lobufazi. Ukuba umntwana wakho akakho kwisikhundla esisezantsi emva kweveki yakho yama-36, umboneleli wakho unokuchaza ukhetho lwakho kunye nemingcipheko yabo ukukunceda uthathe isigqibo ngamanyathelo oza kuwathatha ngokulandelayo.

Kwimeko yangasemva ye-occiput, intloko yosana lwakho iphantsi, kodwa ijonge ngaphambili kunina endaweni yomqolo.

Kukhuselekile ukuhambisa usana olujonge ngale ndlela. Kodwa kunzima ukuba umntwana angene kwi-pelvis. Ukuba umntwana ukule ndawo, ngamanye amaxesha uya kujikeleza ngexesha lokubeleka ukuze intloko ihlale phantsi kwaye umzimba ujongane nomqolo kanina (isikhundla se-OA).

Umama unokuhamba, anyikime, kwaye azame iindawo ezahlukeneyo zokuhambisa ngexesha lokubeleka ukunceda ukukhuthaza umntwana ukuba ajike. Ukuba umntwana akaguquki, ukubeleka kungathatha ixesha elide. Ngamanye amaxesha, umboneleli unokusebenzisa i-forceps okanye isixhobo sokucoca ukunceda ukuphuma komntwana.

Umntwana kwindawo ejikelezayo esecaleni. Rhoqo, amagxa okanye umqolo ungaphezulu komlomo wesibeleko sikamama. Oku kukwabizwa ngokuba ligxalaba, okanye i-oblique, isikhundla.

Umngcipheko wokuba nosana kwindawo eguqukayo uyanda ukuba:

• Yiya emsebenzini kwangethuba
• Ndizale amaxesha ama-3 okanye nangaphezulu
• Yiba ne-placenta previa

Ngaphandle kokuba umntwana wakho aguqulwe abe phantsi kwentloko, ukuzalwa kwelungu lobufazi kuya kuba yingozi kuwe nakumntwana wakho. Ugqirha uya kuzisa umntwana wakho ngokuzalwa ngoqhaqho (icandelo-C).

Ngesikhundla sokuqala, intloko yentsana ibuyela emva (njengokujonga phezulu), kwaye ibunzi likhokelela phambili. Esi sikhundla sinokuqheleka ngakumbi ukuba ayisiyiyo into yokuqala yokukhulelwa kwakho.

• Umboneleli wakho unqabile ukufumanisa esi sikhundla ngaphambi komsebenzi. I-ultrasound inokukwazi ukuqinisekisa ubungqina benkcazo.
• Kungenzeka ukuba umboneleli wakho abone esi sikhundla ngelixa usabasebenzi ngexesha lovavanyo lwangaphakathi.

Ngokuma kobuso bokuqala, intloko yosana yandiswa yabuya umva nangaphezulu kune-brow kuqala.

• Uninzi lwexesha, amandla okuchasana abangela ukuba umntwana abe kwindawo yokuqala.
• Kufunyaniswa kwakhona xa umsebenzi ungaqhubeki.

Kwezinye zezi ntetho, ukuzalwa kwelungu lobufazi kunokwenzeka, kodwa ukusebenza ngokubanzi kuya kuthatha ixesha elide. Emva kokubeleka, ubuso bomntwana okanye ubuso buya kudumba kwaye bunokubonakala buxakile. Olu tshintsho luza kuhamba kwiintsuku ezimbalwa ezizayo.

Ukukhulelwa-ukuhanjiswa kwenkonzo; Umsebenzi-unikezelo lwenkonzo; Indawo yangasemva ye-Occiput; I-Occiput yangaphandle; Inkcazo-ntetho

ILanni SM, Gherman R, Gonik B. Ukungeniswa. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 17.

Thorp JM, Grantz KL. Iinkalo zonyango lwezinto eziqhelekileyo nezingaqhelekanga zabasebenzi. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 43.

IVora S, iDobiesz VA. Ukubeleka ngokukhawuleza. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 56.

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