Umntwana wakho kumjelo wokuzalwa

Ngexesha lokubeleka kunye nokuhanjiswa, umntwana wakho kufuneka adlule kumathambo akho e-pelvic ukufikelela kuvulo lobufazi. Injongo kukufumana eyona ndlela ilula yokuphuma. Izikhundla ezithile zomzimba zinika umntwana ubume obuncinci, nto leyo eyenza ukuba kube lula ukuba umntwana wakho adlule kule ndawo inzima.

Esona sikhundla silungileyo sokuba umntwana adlule kwi-pelvis inentloko kwaye umzimba ujonge ngasemva kukanina. Esi sikhundla sibizwa ngokuba yi-occiput ngaphambili.

Amagama athile asetyenziselwa ukuchaza isikhundla somntwana wakho kunye nokuhamba ngomjelo wokuzalwa.

IZIKO LOKUGQIBELA

Isikhululo seFetal sibhekisa apho indawo yokubonisa ikwisinqe sakho.

• Inxalenye yokubonisa. Inxalenye yokubonisa yinxalenye yosana ekhokelela kwindlela kumjelo wokuzalwa. Rhoqo, yintloko yosana, kodwa isenokuba ligxalaba, iimpundu, okanye iinyawo.
• Imiqolo yeIschial. La manqaku ethambo kwi-pelvis yomama. Ngokwesiqhelo imiqolo ye-ischial lelona candelo lincinci lethambo.
• 0 isikhululo. Yilapho intloko yomntwana ikwanazo neentsika ze-ischial. Usana kuthiwa "luyabandakanyeka" xa eyona nxalenye inkulu yentloko ingene esinqeni.
• Ukuba icandelo lokubonisa lilele ngaphezulu kwemijelo ye-ischial, isikhululo sixelwa njengenombolo engeyiyo ukusuka -1 kuye -5.

Kumaxesha okuqala oomama, intloko yosana inokuthi ibandakanyeke kwiiveki ezingama-36 zokukhulelwa. Nangona kunjalo, ukubandakanyeka kunokwenzeka emva kwexesha lokukhulelwa, okanye kwangelo xesha lokubeleka.

UBUXOKI BENDALO

Oku kubhekisa kwindlela umqolo womntwana ohambelana ngayo nomqolo kanina. Umqolo womntwana wakho uphakathi kwentloko yakhe kunye nethambo lomsila.

Ingane yakho iya kuhlala ihlala kwindawo ye-pelvis ngaphambi kokuba uqale umsebenzi.

• Ukuba umqolo womntwana wakho ugijimela kwicala elinye (elingqinelanayo) njengomqolo wakho, umntwana kuthiwa ubuxoki obude obude. Phantse zonke iintsana zixoka ngobude obude.
• Ukuba umntwana usecaleni (kwi-90-degree angle ukuya kumqolo wakho), umntwana kuthiwa ubuxoki obujikelezayo.

ISIMO SENGQONDO

Isimo sengqondo sokukhula sichaza indawo yamalungu omzimba wosana lwakho.

Isimo sengqondo esiqhelekileyo somntwana ngokufuthi sibizwa ngokuba sisikhundla somntwana.

• Intloko ifakwe phantsi esifubeni.
• Iingalo nemilenze zitsaliwe ngaphakathi kwisifuba.

Isimo sengqondo esingaqhelekanga sesibeleko siquka intloko ethambekele emva, ngoko ibunzi okanye ubuso buqala kuqala. Amanye amalungu omzimba angabekwa ngasemva. Xa oku kusenzeka, icandelo lokubonisa liya kuba likhulu njengoko lidlula kwi-pelvis. Oku kwenza ukuhanjiswa kube nzima ngakumbi.

UKWENZIWA KWENKONZO

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

Esona sikhundla silungileyo somntwana wakho ngaphakathi kwesibeleko sakho ngexesha lokuhanjiswa yintloko phantsi. Oku kubizwa ngokuba yinkcazo ye-cephalic.

• Esi sikhundla senza ukuba kube lula kwaye kukhuseleke ukuba umntwana wakho adlule kumjelo wokuzalwa. Inkcazo yeCephalic yenzeka malunga ne-97% yokuhanjiswa.
• Kukho iintlobo ezahlukeneyo zentetho ye-cephalic, exhomekeke kwisikhundla samalungu omntwana kunye nentloko (isimo sengqondo somntwana).

Ukuba umntwana wakho ukwesiphi na isikhundla ngaphandle kwentloko, ugqirha unokucebisa ukuhanjiswa kwe-cearean.

Umboniso weBreech kuxa amazantsi omntwana ephantsi. Inkcazo yeBreech yenzeka malunga neepesenti ezi-3 zexesha. Kukho iintlobo ezimbalwa zebreech:

• Umoyana opheleleyo kuxa iimpundu zikhona kuqala kwaye zombini ihips kunye namadolo atshintsha.
• I-frank breech kuxa iinyonga ziguquka ukuze imilenze ithe tye kwaye inyukele ngokupheleleyo esifubeni.
• Ezinye izikhundla ze-breech zenzeka xa iinyawo okanye amadolo ekhona kuqala.

Igxalaba, ingalo, okanye isiqu sinokubonisa kuqala ukuba umntwana ongekhoyo uyaxoka. Olu hlobo lwenkcazo lwenzeka ngaphantsi kwe-1% yexesha. Ubuxoki obunqamlezileyo buqheleke kakhulu xa uhambisa ngaphambi komhla wokugqibela, okanye unamawele okanye amawele.

UKUTSHINTSHWA KWEEKHADI LOKUSEBENZA

Njengoko umntwana wakho edlula kumjelo wokuzalwa, intloko yomntwana iya kutshintsha indawo. Olu tshintsho luyafuneka ukuze umntwana wakho alingane kwaye ahambe ngesinqe sakho. Ezi ntshukumo zentloko yosana lwakho zibizwa ngokuba ziintshukumo zentshukumo zabasebenzi.

Uthethathethwano

• Yilapho xa inxenye ebanzi yentloko yosana lwakho ingene kwisinqe.
• Ukuzibandakanya uxelela umboneleli wakho wokhathalelo lwempilo ukuba i-pelvis yakho inkulu ngokwaneleyo ukuba ivumele intloko yosana ukuba iye ezantsi (yehle).

Inzala

• Yilapho xa intloko yentsana yakho ihla (ihla) iqhubela phambili kwi-pelvis yakho.
• Rhoqo, ukwehla kwenzeka ngexesha lomsebenzi, nokuba umlomo wesibeleko uyahla okanye emva kokuba uqalise ukutyhala.

Ukutshintsha

• Ngexesha lokuzalwa, intloko yosana iyathanjiswa ukuze isilevu sichukumise isifuba.
• Xa i-chin ibotshiwe, kulula ukuba intloko yomntwana idlule kwi-pelvis.

Ujikelezo lwangaphakathi

• Njengokuba intloko yosana lwakho isihla isihla, intloko iya kuhlala ijikeleza ke emva kwentloko iphantsi nje kwethambo lakho le-pubic. Oku kunceda intloko ilingane nemilo yamanqatha akho.
• Ngokwesiqhelo, umntwana uya kujongana nomqolo wakho.
• Ngamanye amaxesha, umntwana uya kujikeleza ke ajonge ejonge kwithambo le-pubic.
• Njengoko intloko yomntwana wakho ijikeleza, iyanda, okanye iguquguquka ngexesha lomsebenzi, umzimba uya kuhlala ubambeke egxalabeni elinye ezantsi uye emqolo kunye nelinye igxalaba liye esiswini sakho.

Ulwandiso

• Njengokuba umntwana wakho efikelela kuvulo lobufazi, ngesiqhelo umva wentloko unxibelelana nethambo lakho le-pubic.
• Okwangoku, umjelo wokuzalwa ujika uye phezulu, kwaye intloko yosana kufuneka ibuye umva. Iyajikeleza ngaphantsi kwaye ijikeleze ithambo le-pubic.

Ujikelezo lwangaphandle

• Njengoko intloko yomntwana ihanjiswa, iya kujikeleza ikota yokujika ukuze ihambelane nomzimba.

Ukugxothwa

• Emva kokuba intloko ihanjisiwe, igxalaba eliphezulu lihanjiswa phantsi kwethambo le-pubic.
• Emva kwegxalaba, umzimba uphela uhlala uhanjiswa ngaphandle kwengxaki.

Ukunikezelwa kwamagxa; Ukungeniswa; Ukuzalwa kweBreech; Inkcazo yeCephalic; Ubuxoki bomntwana; Isimo sengqondo somntwana; Inzala yomntwana; Isikhululo seFetal; Iintshukumo Cardinal; Umsebenzi wokuzala; Ukuhanjiswa komjelo wokuzalwa

• Ukubeleka
• Ukubeleka ngokukhawuleza
• Ukubeleka ngokukhawuleza
• Unikezelo lwentetho
• Icandelo le-C-uthotho
• Breech - uthotho

I-Kilpatrick S, iGarrison E. Umsebenzi oqhelekileyo kunye nokuhanjiswa. 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 12.

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.