Woabɛn awo bɛn? Hwehwɛ mu denam Bishop Score no so!

Ebia ehu aka wo kakra na wopɛ sɛ wuhu awo a ɛreba no, ɛnte saa? Nnuruyɛfo fa ɔkwan titiriw bi so hu sɛnea wobɛn awo ne sɛnea wo nipadua ayɛ krado ama awo. Wɔfrɛ no Bishop Score . Momma yɛmfa nsɛm a ɛnyɛ den nka eyi ho asɛm nnɛ.

Dɛn ne Bishop Score?

Sɛ yɛbɛka no tiawa a, Bishop Score yɛ akontabuo a ɛboa nnuruyɛfoɔ ma wɔbu sɛdeɛ wobɛn sɛ wobɛkɔ awoɔ mu. Wo duruyɛfo anaa awogyefo no bɛhwɛ wo awotwaa no mu na wagyina nsakrae a aba mu ne baabi a wo ba no ti wɔ so ahu nkontaahyɛde no. Nkonimdi a wubenya nyinaa betumi aboa ma woahu sɛ ebia wubetumi awo awo wɔ ɔbea no awotwaa mu denam awo a wɔde hyɛ mu so anaa. Nkonimdi no betumi afi zero kosi 13. Nkonimdi a ɛyɛ zero kyerɛ sɛ wunsiesiee wo ho mmaa adwumayɛ ho nhyehyɛe de besi nnɛ. Sɛ wunya nkontaa 13 a, ɛkyerɛ sɛ ɛda adi sɛ wubenya awo a edi mu.

Fa w’awotwaa no sɛ ɔpon ketewaa bi a ɛka w’awotwaa no ne awo kwan no bom. Abue kakra wɔ mfinimfini, te sɛ donut. Bere a wo nipadua resiesie ne ho ama awo no, saa awotwaa yi yɛ mmerɛw, ɛyɛ teateaa, na efi ase bue. Eyi betumi asi adapɛn kakraa bi anaa nna kakraa bi mpo ansa na wo ba no awo. Enti, Bishop Score no susuw sɛnea wo awotwaa no ayɛ krado yiye ama awo.

Ɛtɔ mmere bi a wɔsan frɛ eyi sɛ pelvic score anaa cervix score .

Dɛn ankasa na wode eyi rehwɛ?

Bishop Score no titiriw yɛ susudua a ɛkyerɛ sɛnea wo nipadua ayɛ krado ama awo. Eyi yɛ gyinapɛn pɔtee bi a nnuruyɛfo de di dwuma. Ɛdenam nsakrae a ɛba wo awotwaa mu ne baabi a wo ba no ti gyina so no, wo duruyɛfo betumi akyerɛ sɛ ebia induction no bedi nkonim anaa. Wɔ wɔn a wɔwɔ anidaso sɛ wɔbɛwo wɔn awotwaa mu no, saa nkontaahyɛde yi betumi aboa wo ma woate sɛnea ɛda adi sɛ wubetumi ayɛ saa no ase.

Bere bɛn na wobu Bishop Score no ho akontaa?

Nnuruyɛfo ntaa mmu wo Bishop Score kosi sɛ wubedi adapɛn 40. Ɛte saa efisɛ mpɛn pii no, wobu induction sɛ ɛyɛ post-term, a ɛkyerɛ sɛ woanyinsɛn adapɛn 41 anaa 42 akyi. Nanso, sɛ wo duruyɛfoɔ te nka sɛ ɛho hia a, wɔbɛtumi ahwɛ wo Bishop Score ansa na adapɛn aduanan adu.

Nea ɛho hia: Ebia Bishop Score no a wɔde bedi dwuma no sua a egyina ayaresa tebea horow bi ne wo ne wo ba no akwahosan nyinaa so.

So obiara rehwɛ eyi?

Dabi Sɛ nhwɛso no, sɛ wowɔ awotwaa a ɛba fam (placenta previa) , ebia ɛbɛyɛ nea asiane biara nni ho sɛ wɔbɛyɛ oprehyɛn a wɔde twa oprehyɛn (C-section). Anaasɛ, sɛ wo nsu no abubu ntɛm (ntini a ɛpaapae ntɛm) a, asiane betumi aba sɛ wobɛyɛ wo akyi berɛmo mu nhwehwɛmu. Enti ɛnyɛ biribi a ɛsɛ sɛ obiara yɛ.

Ɔkwan bɛn so na wobu Bishop Score yi?

Wo duruyɛfoɔ de nneɛma anum yi na ɛbu Bishop Score no:

• 1. Awotwaa no a ɛtrɛw: Eyi ne sɛnea wo awotwaa no trɛw. Awotwaa a atrɛw koraa no bɛyɛ sɛntimita 10. Nnuruyɛfo de wɔn nsateaa susuw eyi na afei wɔdannan no sɛntimita.
• 2. Effacement of the cervix: Effacement yɛ sɛnea wo awotwaa no ayɛ teateaa anaasɛ ayɛ tiaa. Sɛ wɔpopa koraa (wɔpopa 100% a), ɛkyerɛ sɛ awotwaa no yɛ "krataa teateaa."
• 3. Sɛnea awotwaa no yɛ pɛpɛɛpɛ: Eyi kyerɛ sɛnea wo awotwaa no mu yɛ den anaasɛ ɛyɛ mmerɛw. Ɛnyɛ den sɛ awotwaa a ɛyɛ mmerɛw na ɛyɛ mmerɛw no bebue. Fa no sɛ nsonsonoe a ɛda wo hwene ano a ɛyɛ den ne w’anofafa a ɛyɛ mmerɛw ntam.
• 4. Awotwaa no gyinabea: Bere a awo rebɛn no, wo awotwaa no gyinabea bɛbɛn awo kwan no. Wɔfrɛ eyi anterior , a ɛkyerɛ sɛ ɛwɔ anim. Sɛ awotwaa no wɔ akyi a , ɛkyerɛ sɛ woakɔ akyiri kakra wɔ awo mu.
• 5. Fetal position anaa fetal station: Eyi kyerɛ baabi a akokoaa no ti wɔ wɔ abusuabɔ a ɛda ischial spine a ɛwɔ wo pelvis mu no ho. Nnuruyɛfo ma eyi nya nkontaa denam hwɛ a wɔhwɛ sɛ ebia akokoaa no ti wɔ ischial akyi berɛmo no atifi anaasɛ ɛwɔ ase no so. Botae a ɛyɛ papa (+) kyerɛ sɛ akokoaa no ti si fam kɔ ​​awo kwan no mu, na bo a enye (-) kyerɛ sɛ akokoaa no ti da so ara korɔn.

Sɛnea wɔbɔ nkontaa

Wɔma nneɛma yi mu biara nkyerɛwde. Afei, wɔde nkontabuo a ɛwɔ saa nneɛma anum yi mu no bom ma wo ma wo Bishop Nkonimdie nyinaa. Sɛ wonya nkontaa a ɛkorɔn a, ɛkyerɛ sɛ ɛda adi sɛ induction no bedi nkonim.

Sɛ nhwɛso no, susuw ho hwɛ:

Sɛ wo awotwaa no trɛw sɛntimita 4 (nkontabuo 2), wo awotwaa no wɔ anim gyinabea (nkontabuo 2), 50% effaced (nkontabuo 1), wo awotwaa no mu yɛ den (nkontabuo 0), na wo ba no ti wɔ awotwaa no gyinabea (nkontabuo 2), wo Bishop Score yɛ 7.

Nnuruyɛfo binom de nsɛntitiriw foforo ka wo Bishop Score ho sɛ wowɔ tebea bi te sɛ preeclampsia , anaasɛ sɛ woadi kan anya nyinsɛn a ɛfata a. Eyi te saa efisɛ ɛda adi sɛ wobenya induction a edi mu. Wobetumi nso atwa nkontabuo mu sɛ woakyɛ (bɛboro adapɛn 40), anaasɛ sɛ woanwo awoɔ wɔ ɔbea no awotwaa mu pɛn a. Nanso, ɛnyɛ nnuruyɛfo nyinaa na wɔde nsɛntitiriw ka ho anaasɛ woyi fi mu wɔ saa kwan yi so.

Ɔkwan bɛn so na wo duruyɛfo susuw eyi?

Wo duruyɛfo no bebu saa nkontaa yi denam wo awotwaa mu nipadua mu nhwehwɛmu a ɔbɛyɛ so. Wɔsan frɛ eyi sɛ dijitaal sɔhwɛ efisɛ wɔde nsateaa a wɔde nsateaa ahyɛ mu na edi dwuma. Wubetumi nso de ultrasound scan ahu baabi a akokoaa no ti wɔ, anaasɛ wo duruyɛfo betumi ate wo yafunu nka. Wo duruyɛfo bɛhwɛ saa nneɛma yi nyinaa na wama wo nkontaa a egyina nhwehwɛmu no so.

Sɛ wowɔ awotwaa a ɛba fam (placenta previa) anaasɛ wo ntini a ɛpaapae ntɛm a, ɛda adi sɛ wo duruyɛfo bɛkwati sɛ ɔbɛyɛ nipadua mu nhwehwɛmu te sɛ eyi efisɛ ebetumi aka wo awotwaa no na ɛde nsɛnnennen aba.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan bere a wɔreyɛ ɔbea awotwaa mu nhwehwɛmu no?

Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a wɔreyɛ wo awotwaa mu nhwehwɛmu no. Wo duruyɛfo bɛka akyerɛ wo sɛ da nhwehwɛmu pon so a wo nan ayɛ stirrups. Afei, ɔde nsateaa a wɔde nsateaa ahyɛ mu bɛhyɛ wo awotwaa mu na wahwɛ wo awotwaa mu. Bɔ mmɔden sɛ wobɛhome brɛoo na woakɔ akyiri wɔ saa bere yi mu. Sɛ wote ɛyaw anaa wo ho nyɛ wo dɛ a, ka kyerɛ wo duruyɛfo.

Dɛn na me Bishop Score kyerɛ?

Wɔnam nkontabuo a ɛfiri nneɛma anum a yɛaka ho asɛm wɔ atifi hɔ no mu a wɔde bɛka abom so na ɛbu wo nkontabuo nyinaa. Nea efii saa nkontaahyɛde ahorow no mu bae ni:

• Sɛ wunya nkontaa 8 anaa nea ɛboro saa a: Ɛda adi sɛ wo awo no befi ase nnansa yi ara. Sɛ wɔkanyan a, ɛda adi kɛse sɛ wɔbɛwo no yiye wɔ ɔbea no awotwaa mu.
• Sɛ nkontabuo no wɔ 6 ne 7 ntam a: Induction betumi ayɛ yie anaasɛ ɛrentumi nyɛ yie. Eyi yɛ hokwan foforo a oduruyɛfo no betumi de asi gyinae.
• Sɛ wunya nkontaa 5 anaa nea ennu saa a: Wo nipadua nnya nsiesiee ne ho mmaa awo. Hokwan kakraa bi na ɛwɔ hɔ sɛ awo befi ase wɔ awosu mu.

Kae sɛ, ɛnyɛ Bishop Score nko ara na ɛkyerɛ sɛ ebia wobɛhia induction anaa. Ɛyɛ adwinnade a ɛbɛboa wo ne wo duruyɛfo ma moagyina wo nyinsɛn no fã ne w’aduruyɛ ho abakɔsɛm so asi gyinae a eye sen biara kɛkɛ. Nnipa binom wɔ Bishop Score a ɛba fam na wɔda so ara wɔ vaginal awo a edi mu wɔ induction akyi. Saa ara nso na nnipa binom wɔ Bishop Score a ɛkorɔn na wɔda so ara wɔ induction a entumi nyɛ yiye.

Dɛn ne Bishop Score pa?

Nkonimdi a ɛkorɔn kyerɛ sɛ awo abɛn na hokwan kɛse wɔ hɔ sɛ induction bedi nkonim. Wobu Bishop Score pa sɛ nkontabuo a ɛyɛ 8 anaa nea ɛboro saa.

Bere bɛn na induction ho hia sɛnea Bishop Score kyerɛ no?

Gyinae a wosi sɛ wɔbɛma awo no gyina nneɛma pii so. Wɔtaa yɛ bere a ayaresa tebea horow bi wɔ hɔ anaa bere a oduruyɛfo no te nka sɛ ɛnyɛ nea asiane biara nni ho sɛ ɔbɛtwɛn ma awo afi ase wɔ awosu mu no. Bishop Score yɛ adwinnadeɛ a ɛboa nnuruyɛfoɔ ma wɔsi gyinaeɛ nko ara, na ɛnyɛ ɛno nko ara na ɛkyerɛ sɛ wɔbɛkanyan awoɔ anaa.

Dɛn na Bishop Score a ɛyɛ 10 kyerɛ?

Bishop Score a ɛyɛ 10 kyerɛ sɛ ɛda adi sɛ wobɛkɔ awo mu nnansa yi ara. Afei nso, sɛ wɔhyɛ wo a, hokwan a ɛwɔ hɔ sɛ wobɛwo no yiye wɔ ɔbea no awotwaa mu no yɛ kɛse yiye.

Adɛn nti na wɔfrɛ eyi "Bishop Score"?

Wɔfrɛ saa nkontabuo nhyehyɛeɛ yi "Bishop Score" de hyɛ Oduruyɛfoɔ Edward Bishop a ɔde saa kwan yi baeɛ wɔ afe 1964 mu de saa gyinapɛn anum yi dii dwuma de kyerɛɛ nkonimdie a ɛbɛba wɔ awo a wɔde bɛkanyan mu no anuonyam.

Dɛn ne Bishop Score a Wɔayɛ no Mmerewa?

Bishop Score a Wɔayɛ no Mmerewa kyerɛ sɛ wo duruyɛfo no susuw nneɛma abiɛsa pɛ ho sen sɛ obesusuw anum a yɛadi kan aka ho asɛm no ho. Nneɛma abiɛsa a wɔde dii dwuma wɔ Simplified Bishop Score yi mu ne:

1. Awotwaa mu a ɛtrɛw

2. Awotwaa mu a wɔpopa

3. Fetal gyinabea

Wɔma eyinom mu biara nkyerɛwde fi zero kosi abiɛsa. Wɔ nhyehyɛe a wɔayɛ no mmerɛw yi mu no, wobu nkontaa a ɛboro anum sɛ ɛkorɔn (a ɛkyerɛ sɛ ɛda adi sɛ induction bedi nkonim).

Tebea horow bɛn mu na wɔde afiri a wɔde yɛ ɛyaw ba?

Nneɛma ahorow nti na wɔkanyan awo. Ebia wɔbɛkamfo akyerɛ sɛ wo nyinsɛn no atwam adapɛn 41 anaa 42 a. Eyi te saa efisɛ wɔ nyinsɛn adapɛn 42 akyi no, asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no yɛ kɛse, na ebia wo awotwaa no rentumi nyɛ adwuma yiye. Sɛ ayaresa tebea horow bi wɔ ɛna anaa akokoaa no mu, anaa bere biara a oduruyɛfo no bɛte nka sɛ ɛho hia a, wobetumi ama awo nso.

Wo Bishop Score betumi aboa wo ne wo duruyɛfoɔ ma wɔasi gyinaeɛ sɛ ebia awoɔ a wɔde bɛkanyan no yɛ ɔkwan pa a wobɛfa so. Wo ne wo duruyɛfo nka mfaso ne ɔhaw ahorow a ɛwɔ awo a wɔde bɛma wo so ne sɛ ebia ɛfata wo anaa. Awiei koraa no, botae biako pɛ a wo ne wo duruyɛfo wɔ ne sɛ wobɛma wo ne wo ba no anya apɔwmuden.

Nea etwa to no, nneɛma a ɛsɛ sɛ wɔma ɛtra w’adwenem (Take-Home Message) .

Mewɔ anidaso sɛ seesei moanya nteaseɛ pa wɔ Bishop Score no ho. Sɛ yɛbɛbɔ no mua kakra a:

• Bishop Score no yɛ susudua a ɛkyerɛ sɛnea wo nipadua ayɛ krado ama awo.
• Eyi betumi ama wɔanya biribi a ɛkyerɛ sɛ ebia ɛyaw a wɔde nsa ayɛ no bedi nkonim anaa.
• Mpɛn pii no wobu nkontaahyɛde 8 anaa nea ɛboro saa sɛ eye .
• Ɛnyɛ eyi nkutoo ne ade a esi gyinae. Wo duruyɛfo no besusuw nneɛma afoforo pii ho bere a ɔresisi gyinae no.
• Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo a, nsuro da sɛ wo ne wo duruyɛfo bɛka ho asɛm .

Yɛpɛ sɛ wonya awo a ahobammɔ ne apɔwmuden wom! Ɛmmra sɛ wo ne wo ba no nnya akwahosan pa!

` Bishop score, awo, awotwaa, awo a wɔde nsa ayɛ, nyinsɛn, awo mu ɛyaw, akwahosan ho afotu