Ukuhamba ngasekunene: Isitishi seFetal kwezabasebenzi kunye nokuhanjiswa

Umxholo

• Yintoni isikhululo somntwana?
• Ukumisela isikhululo somntwana wakho
• Itshathi yesitishi somntwana
• Kutheni ukulinganisa isikhululo somntwana?
• Iinkonzo
• Bendlela
• Isikhululo seFetal kunye nenqaku leBhishophu
• Ukuthatha

Yintoni isikhululo somntwana?

Njengoko uhamba nomsebenzi, ugqirha wakho uya kusebenzisa amagama ahlukeneyo ukuchaza indlela umntwana wakho aqhubeka ngayo ngokuzala. Elinye lala magama "sisikhululo" somntwana wakho.

Isikhululo se-Fetal sichaza ukuba ihla kangakanani intloko yosana lwakho kwi-pelvis yakho.

Ugqirha wakho umisela isikhululo somntwana ngokuvavanya umlomo wakho wesibeleko kunye nokufumana apho elona candelo lisezantsi lomntwana wakho linxulumene nesinqe sakho. Ugqirha wakho uya kuthi ke abele inombolo ukusuka -5 ukuya ku-5 ukuchaza ukuba indawo apho umntwana wakho abonisa khona (ihlala iyintloko).

Eli nani limele inani leesentimitha umntwana ehle waya esinqeni.

Ukumisela isikhululo somntwana wakho

Ugqirha uhlala esenza uvavanyo lomlomo wesibeleko ukumisela ukuba ubanzi kangakanani umlomo wakho wesibeleko kwaye umgama omde kangakanani usana lwakho.

Ugqirha wakho uya kuthi ke abele inombolo ukusuka -5 ukuya ku-5 ukuchaza ukuba umntwana wakho uphi na ngokunxulumene ne-ischial spines. Iintsiba ze-ischial ziipronyus ezifumaneka kwindawo emxinwa yesinqe sakho.

Ngexesha lovavanyo lobufazi, ugqirha wakho uya kuziva ngentloko yomntwana wakho. Ukuba intloko iphezulu kwaye ayikabandakanyeki kumjelo wokuzalwa, inokuhamba emanzini.

Kule nqanaba, isitishi somntwana ngu -5. Xa intloko yomntwana wakho ilingana neentsika ze-ischial, isikhululo se-fetal zero. Nje ukuba intloko yosana lwakho igcwalise ukuvulwa kwelungu lobufazi, kanye ngaphambi kokuzalwa, isikhululo somntwana esibelekweni singama +5.

Utshintsho ngalunye kwinani luthetha ukuba umntwana wakho wehle enye isentimitha kwi-pelvis yakho. Nangona kunjalo, ukunika inombolo luqikelelo.

Ngokwesiqhelo malunga neeveki ezimbini ngaphambi kokubeleka, umntwana wakho uya kwehlela kumsele wokuzalwa. Oku kubizwa ngokuba “kukuganana.” Okwangoku umntwana wakho usesikhululweni se-0. Oku kwehla kumjelo wokuzalwa kubizwa ngokuba ngumbane.

Uya kuziva igumbi elininzi lokuphefumla okunzulu, kodwa isinyi sakho sinokucinezelwa ngenxa yoko kuya kufuneka uchame rhoqo. Rhoqo, izixa ezincinci zomchamo ziqhelekile. Jonga ugqirha wakho ukuba kukho iintlungu okanye ukutshisa xa uchama.

Itshathi yesitishi somntwana

Isikhululo se-Fetal sinokubaluleka kugqirha njengoko i-American Congress ye-Obstetricians kunye ne-Gynecologists ingacebisi ukuhanjiswa kwe-forceps ngaphandle kokuba umntwana eqhubele phambili kwisikhululo esithile.

Oogqirha balinganisa isikhululo semveku kwisikali ukusuka -5 ukuya +5. Abanye oogqirha banokusebenzisa -3 ukuya +3. Ngokubanzi, oku kulandelayo ziimpawu zomhlaba ngokusekwe kwisikhululo somntwana:

Umahluko wenani ukusuka -5 kuye -4, njalo-njalo, ziyalingana nobude ngeesentimitha. Xa usana lwakho lusuka kwisikhululo se-zero luye kwisikhululo se +1, zihambe malunga nesentimitha enye.

Kutheni ukulinganisa isikhululo somntwana?

Isikhululo se-Fetal kubalulekile ukubeka iliso. Inceda oogqirha bavavanye indlela umsebenzi oqhubeka ngayo.

Eminye imilinganiselo ugqirha wakho angayithatha ingqalelo kubandakanya ukunyuka komlomo wesibeleko, okanye ubuninzi bomlomo wakho wesibeleko uye wakhulisa umntwana wakho ukuba adlule kuwo, kunye nokupheliswa komlomo wesibeleko, okanye indlela encinci ngayo umlomo wesibeleko sakho ukukhuthaza ukuhanjiswa.

Ngokuhamba kwexesha, ukuba umntwana akaqhubeki ngomlomo wesibeleko, ugqirha unokufuna ukuqaphela ukuhanjiswa ngokuhanjiswa kwe-cearean okanye ngoncedo lwezixhobo ezinjenge-forceps okanye i-vacuum.

Iinkonzo

Uvavanyo lomlomo wesibeleko ukumisela isikhululo somntwana kunokuba kukukhawuleza kwaye kungabi nazintlungu. Le ndlela isetyenziselwa ukumisela ukuba umntwana uqhuba njani kumjelo wokuzalwa. Lo mlinganiselo uhlala ungenye yezinto ezininzi ezinokusetyenziswa ngugqirha ukumisela inkqubela phambili yomsebenzi.

Enye indlela yokuvavanywa komlomo wesibeleko kwisitishi se-fetal isebenzisa umatshini we-ultrasound, osebenzisa amaza esandi ukumisela indawo yomntwana.

Ngokophando olupapashwe kwiphephancwadi, i-ultrasound ihlala isebenza ngokukuko njengovavanyo lomntu ukufumana imeko yomntwana.

Oogqirha banokukhetha ukusebenzisa esi sixhobo sokucinga njengenye indlela okanye indlela yokuqinisekisa into abayibona njengesikhululo semveku.

Bendlela

Enye yeengxaki ezinokubakho ekusebenziseni isikhululo somntwana kukuba ngumlinganiso ophantsi. Ugqirha ngamnye useka ukuzimisela kwabo kwisikhululo sikalusapho apho bacinga ukuba zikho iintsiba ze-ischial.

Oogqirha ababini banokwenza uvavanyo lomlomo wesibeleko ukuzama ukumisela isikhululo somntwana kwaye beze namanani amabini ahlukeneyo.

Ukubonakala kwesinqe kunokwahluka kumfazi kumfazi. Abanye abantu basetyhini banokuba nesinqe esifutshane, esinokuthi sitshintshe indlela ugqirha anokulinganisa ngayo isikhululo somntwana.

Esinye isizathu sokuba ugqirha wakho afune ukusebenzisa isilumkiso ngokusebenzisa isikhululo somntwana kukuba iimviwo ezininzi zangasese zenziwe ngelixa umntu osebenzayo enokwenzeka.

Kwakhona kunokwenzeka ukuba umntwana abe kwindawo eyaziwa ngokuba yi-"face" presentation. Oku kuthetha ukuba ubuso bosana, endaweni yasemva kwentloko yabo, bukhomba ngaphambili kwintshontsho likanina.

Ubume bentloko yentsana kwesi sikhundla kunokubangela ukuba ugqirha acinge ukuba umntwana ungaphaya komjelo wokuzalwa kunokuba kunjalo.

Isikhululo seFetal kunye nenqaku leBhishophu

Isikhululo seFetal lelinye lamacandelo amanqaku oBhishophu. Oogqirha basebenzisa le nkqubo yokufumana amanqaku ukumisela ukuba iyimpumelelo kangakanani into yokungeniswa emsebenzini kunye nokuba kungenzeka ukuba uya kuba nakho ukuhambisa ngokwesini okanye ufuna ukuhanjiswa ngoqhaqho.

Izinto ezintlanu zamanqaku kaBhishophu zezi:

• Ukudibanisa. Ukulinganiswa ngeesentimitha, ukuxubusha kuchaza indlela owandiswe ngayo umlomo wesibeleko.
• Ukusebenza. Ukulinganiswa kwipesenti, ukuchithwa kuyimilinganiselo yendlela encinci ngayo kunye nomlomo wesibeleko.
• Isitishi. Isitishi ngumlinganiso wosana olunxulumene nemithambo ye-ischial.
• Ukungqinelana. Ukuqala ukusuka ekuqineni ukuya kuthambile, oku kuchaza ukungaguquguquki komlomo wesibeleko. Okuthambileyo umlomo wesibeleko, kufutshane ekuhambiseni usana.
• Indawo. Oku kuchaza indawo ekuyo umntwana.

Amanqaku ka-Bishop angaphantsi kwe-3 kuthetha ukuba akunakulindeleka ukuba uhambise ngaphandle kwento ethile yoqheliso, njengamayeza anikwe ukukhuthaza ukubetha. Amanqaku kaBhishophu aphezulu kune-8 kuthetha ukuba kunokwenzeka ukuba uhambise ngokuzenzekelayo.

Ugqirha uya kunika amanqaku ukusuka ku-0 kuye ku-3 kwisigqibo ngasinye esahlukileyo. Amanqaku asezantsi ayi-0, kwaye elona liphezulu li-15.

Iindlela oogqirha abafumana amanqaku ngazo zezi zilandelayo:

Oogqirha banokusebenzisa amanqaku ka-Bishop ukuthethelela iinkqubo ezithile zonyango, njengokufakwa emsebenzini.

Ukuthatha

Ngelixa isikhululo somntwana sinokungacacanga, kwaye imilinganiselo inokwahluka kugqirha ukuya kugqirha, sisiqwenga esibalulekileyo sovavanyo lukagqirha wakho malunga nendlela umsebenzi wakho oqhubeka ngayo.