Wetin kin apin we di pikin de kam bɔn? Lɛ wi lan ɛksaktɔli bɔt di Stej dɛm fɔ Leba!

Yu de kam bring yu pikin kam na di wɔl. Dis na rili spɛshal, ɛn di sem tɛm, i kin mek pɔsin fred smɔl ɛn i kin mek i gladi. So, aw dis prɔses fɔ bɔn pikin kin apin? Tide, wi go tɔk bɔt di difrɛn stej dɛn we i de du. I rili impɔtant fɔ mek yu no bɔt dɛn tin ya, bikɔs da tɛm de yu kin ebul fɔ bia wit dis spɛshal ɛkspiriɛns fayn fayn wan ɛn wit kɔnfidɛns.

Fɔ tɔk am simpul wan, fɔ bɔn pikin na di we aw yu pikin ɛn di plasɛnta de kɔmɔt na yu uterus tru yu vagina. Tri men stej dɛn de fɔ dis.

1. fכs stej: di biginin fכ bכn, we min se di uterus de kכntrikshכn de bigin.

2. Sεkכn stej: fכ push εn bכn di pikin.

3. di tכd stej: di dεlivεri fכ di plasεnta.

Dɔktɔ dɛn kin kɔl dis bak "nɔmal leba." Bɔt mɛmba se nɔto ɔlman in leba na "nɔmal." Yu kin gɛt sɔm pan dɛn stej ya, bɔt dɛn kin bɔn yu pikin bay sizarian sɛkshɔn (C-section). Ɔ, if yu bin dɔn plan fɔ du C-section, yu nɔ go gɛt dis fɔs stej atɔl. Ɛn if yu gɛt induced labor, i kin difrɛn smɔl. Ɔlman in wok ɛkspiriɛns na in yon.

Na nɔrmal tin fɔ fil frayd wae yu nɔr no bɛtɛ bɛtɛ wan wetin go apun wit sɔmtin wae big dis kayn tin. Pan ɔl we di dɔktɔ dɛn we de kia fɔ yu gɛt rɔf aidia bɔt aw yu bɔn go tan lɛk, dɛn nɔ kin ebul fɔ tɛl yu di rayt we aw yu bɔn go go. Bɔt nɔ wɔri, dɛn go de wit yu ɛn ɛp yu fɔ pas dis joyn. Di wangren gol fɔ yu ɛn di dɔktɔ dɛn na fɔ bɔn pikin fayn fayn wan.

di fכs stej fכ di bכdi: di biginin fכ di bכdi pen

dis stej de bigin we yu uterus bigin fכ kכntrikshכn rεgulεr, we na kכntrikshכn we de mek yu fil pen. dis stej de dכn we yu sεviks fulכp dilayt εn efface.

Bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ tɛm di tɛm bitwin di kɔntrakshɔn. We yu du dis, i izi fɔ mɛzhɔ di tɛm insay sɛkɔn frɔm di tɛm we wan kɔntrakshɔn bigin te to di tɛm we di nɛks kɔntrakshɔn bigin.

rεgulεr kכntrikshכn na kכntrikshכn we rili strכng εn de kam rεgulεr intaval, lεk εvri tri to fayv minit. dis dεm difrεn frכm di kכntrikshכn dεm we de kכmכt wan wan, we nכ kin tranga, εn we nכ kin kכmכt frכm "tren" we dεn kכl Braxton Hicks. Yu kin go na leba yu wan, ɔ yu kin gɛt leba indyuz na ɔspitul (mɛdikal indukshɔn).

Dis fכs stej kin las εnisay frכm 12 to 19 awa. If yu dɔn bɔn pikin bifo, dis stej kin dɔn kwik.

Tu ɔda sab-stej dɛn de na dis fɔs stej:

• di pikin we yu bכn kwik: Dis na we yu sεviks de opin to lεk 6 sεntimita. Dis kin tek lɛk 6 to 12 awa so.
• Aktiv leba: Dis na we yu sεviks fulכp dilayt, to 10 sεntimita. Yu kin fil lɛk fɔ push yu pikin. Dis kin tek lɛk 4 to 8 awa so.

Yu dɔktɔ go mɔs tɛl yu se yu kin de na os di tɛm we yu de bɔn pikin. Bɔt yu fɔ rɛdi fɔ go na ɔspitul. Wae yu bigin fɔ go na aktif leba, yu go mɔs nid fɔ de na ɔspitul.

Wetin yu go du fɔ mek di fɔs pat izi?

Insay dis fɔs pat, yu go si se i go fayn fɔ du dɛn tin ya:

• Du saful saful strɛch dɛn sloslo.
• Tink gud wan.
• Wok bak ɛn biɛn, chenj pozishɔn.
• Praktis fɔ du ɛksɛsayz fɔ blo dip dip wan.
• Tek wata ɔ shawa wit wata we wam (nɔto ɔt).
• Yuz bɔl fɔ bɔn pikin fɔ ɛp fɔ bɔn pikin.
• Waka.

Dɔn bak, i rili impɔtant fɔ gɛt pɔsin fɔ sɔpɔt yu. I kin bi yu man, yu fambul, padi, ɔ ivin `(doula)`.

If yu nɔ ebul fɔ bia di pen, tɔk to yu mɛdikal tim bɔt di tin dɛn we yu go ebul fɔ du fɔ mek yu nɔ fil pen.

Yu kin slip wit di pen we yu kin gɛt we yu de bɔn kwik kwik wan?

Ɔlman kin bia wit pen difrɛn we. in jεnarכl, i bεst fכ slip tru di εli leba pen dεm εn rεst if yu ebul. Bɔt, i kin tranga smɔl fɔ slip tru di pen.

sεkכn stej fכ bכn: fכ push εn bכn

dis stej de bigin we yu sεviks fulכp dilayt (10 sεntimita). I kin dɔn we dɛn bɔn yu pikin. Dis kin tek ɛnisay frɔm af awa to sɔm awa.

Ilɛksɛf yu push ɔ yu nɔ push am, di pikin go muf smɔl smɔl dɔŋ di vagina. Dis na di sɛkɔn stej fɔ bɔn pikin:

• Di pen kin kam ɛvri tu to fayv minit, i kin te lɛk 60-90 sɛkɔn.
• Yu go gɛt fɔ push we di pen kam, bɔt yu kin rɛst di tɛm we di pen de. Di dɔktɔ go tɛl yu ustɛm fɔ push.
• yu pikin in ed de stat fכ sho (bebi krawn).
• di dכkta go εp yu fכ pul di pikin na di vagina.
• afta dεn bכn di pikin, di dכkta kin kכt di כmbilik kכd.

Yu kin gɛt plan ɔ imejensi C-section instead fɔ bɔn vagina.

di tכd stej fכ di pikin we de bכn: di pikin we de bכn di plasεnta

dis stej de bigin afta dεn bכn di pikin εn i de εnd wit di kכlכshכn fכ di plasεnta. Dis na di stej we shɔt pas ɔl, bɔku tɛm i nɔ kin tek pas 30 minit.

Insay di tɔd stej we di pikin de bɔn:

• di pen dεm kin bigin fכ kam bak bitwin 5 εn 30 minit afta dεn bכn di pikin. dis pen dεm de εp di plasεnta fכ separet frכm di uterus.
• Sɔntɛm yu go gɛt fɔ push. Ɔ di dɔktɔ kin prɛs yu bɛlɛ fɔ ɛp di plasɛnta fɔ kɔmɔt.
• bכku bכdi kin kכmכt fכ sכm tεm, we di plasεnta kכmכt כ afta.
• Sɔm mama dɛn kin fil kol ɔ fiva. If yu gɛt dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ.

if yu bin du C-section, di dכkta go pul di plasεnta we dεn pul di pikin na di uterus.

di dכkta go chεk fכ mek sכh se di plasεnta dεn dכn bכn kכmplit wan. dis na biכs di prodakt dεm we dεn rεtεn fכ bכn kin mek kכmplikεshכn dεm. If yu dɔn du episiotomy (we dɛn kɔt bitwin di vagina ɛn di an) ɔ if yu vagina dɔn rɔtin, di dɔktɔ go stich di plasɛnt afta dɛn dɔn bɔn am.

Aw leba kin bigin? Wetin kin mek i apin?

Sayɛnsman dɛn nɔ shɔ ustɛm di pikin kin rili bigin fɔ bɔn pikin, bɔt dɛn tink se na bikɔs ɔf sɔm chenj dɛn we de apin na yu uterus ɛn di sɛviks. Yu bɔdi ɛn yu pikin ɔl tu de ɛp fɔ mek dɛn chenj ya.

yu sεviks we tayt εn klos we yu bεlε, fכ tכn εn opin we yu de bכn. yu uterus fכ stat bak fכ kכntrakt (swεl).

Masta sabi bukman dεm biliv se we yu pikin rεdi fכ bכn, yu bכdi de pul wan sכm sכmtin we de mek yu כmon dεm wok εn stat di bכdi. fכ bכku pipul dεm, dis kin apin fכ insεf bitwin 37 εn 42 wik dεm we dεn bεlε. Sɔntɛnde, dɔktɔ go mek uman bɔn pikin.

Tu men tin dεm de we de afekt di biginin εn di kכntinyu fכ bכn:

• Prostaglandins: Dɛn tin ya na tin dɛn we de wok lɛk ɔmon. na di sεl dεm we de na di uterus de mek dεn. dεn de εp di sεviks fכ opin εn di uterus kכntrakt.
• Oxytocin: We yu pikin push pan yu sεviks, i de mek yu pituitary gland pul wan כmon we dεn kכl oxytocin. dis כksijεn de travul go na yu uterus εn i de mek yu kכntrikshכn.

Bɔku sayn dɛn kin de we kin sho se di pikin de kam bigin fɔ bɔn. Dɛn tin ya na:

• Bak pen
• Blɔdi mכkus dischaj (`blɔd sho` - pas di `mכkus plɔg`)
• Rɔnbɛlɛ
• Fɔ bisin bɔt tin dɛn lɛk fɔ klin di os ɛn ɔganayz tin dɛn (`Nɛst`)

Yu tink se leba dɔn rili bigin? Wetin na di fɔs sayn dɛn?

I kin at fɔ no fɔ tru if yu rili de bɔn pikin. If dis na yu fכs pikin, i izi fכ mistek כda simptom dεm, lεk Braxton Hicks kכntrikshכn we nכ de rεgulεr, fכ tru tru leba. Wan patna de fɔ tru tru leba, ɛn i kin bɔku smɔl smɔl as tɛm de go.

If yu de rial leba, pe atɛnshɔn to dɛn tri tin ya:

• Ɔmɔs tɛm:Aw ɔltɛm yu kin gɛt kɔntrakshɔn? Kip dɛn rikodɔ na buk ɔ na leba ap na yu fon fɔ si if dɛn kin kam ɔltɛm.
• Di tɛm we i fɔ tek: Aw lɔng ɛni kɔntrakshɔn kin las? as di leba de go bifo, di tεm we di kכntrikshכn dεm go tek go inkrεs. Kip wan wach ɔ tayma na yu fon nia yu ɛn rayt aw lɔng ɛni kɔntrakshɔn de.
• Intensity: De pen wae yu de fil kin go ɔp smɔl smɔl? Yu kin fil pen mɔ ɛn mɔ as yu de go tru di stej dɛm we yu de bɔn. Kip trak aw yu de fil lɛk aw yu de fil as tɛm de go.

Wetin na "abnɔmal leba"?

Fɔ protɛkt yu ɛn yu pikin in wɛlbɔdi, dɔktɔ dɛn kin fala di lɔ dɛn we de sho wetin na "nɔmal leba." Dɛn kin du dis so dat dɛn go no ustɛm fɔ invayt fɔ mek dɛn nɔ gɛt prɔblɛm. Bifo dɛn du ɛni mɛdikal intavɛnshɔn, yu mɛdikal tim go ɛksplen wetin dɛn de wɔri bɔt ɛn di tin dɛn we yu go ebul fɔ du.

Abnɔmal tin dɛn na di fɔs stej

Dɔktɔ dɛn kin tink se fɔ leba kwik kwik wan fɔ lɔng tɛm if :

• If yu de bɔn pikin fɔ di fɔs tɛm, i go tek pas 20 awa.
• If yu dɔn bɔn pikin bifo, i pas 14 awa.

Dɔktɔ dɛn kin tek aktif leba fɔ lɔng tɛm if :

• if yu mεmbran dεm dכn rכp εn yu dכn de bכn fכ awa, yu sεviks nכ de dilayt pas 6 sεntimita.
• If yu wata brok, dɛn gi yu ɔksitɔsin (Pitocin®), ɛn yu sɛviks stil nɔ dilayt pas 6 sɛntimita afta siks awa we yu dɔn bɔn.

Abnɔmal tin dɛn na di sɛkɔn stej

Dɔktɔ dɛn kin tink se di sɛkɔn stej fɔ bɔn pikin fɔ lɔng tɛm if:

• If yu de bɔn pikin fɔ di fɔs tɛm, dis stej kin tek pas tri awa we yu nɔ gɛt epidural, ɔ pas 4 awa we yu nɔ gɛt epidural.
• If yu dɔn bɔn pikin bifo, dis stej kin tek pas tu awa we yu nɔ gɛt epidural, ɔ pas tri awa we yu nɔ gɛt epidural.

Abnɔmal tin dɛn na di tɔd stej

di dכkta dεm kin tek di tכd stej abnכmal if di plasεnta de insay yu uterus pas 30 minit afta dεn bכn di pikin.

Ustɛm yu nid fɔ go na ɔspitul?

Di bɛst tin fɔ du na fɔ de na ɔspitul we yu de na aktif leba. dis na di sεkכn stej fכ di fכs stej fכ bכn.

If yu gɛt kɔntrakshɔn we de las fɔ at le wan awa, kɔl yu dɔktɔ ɔ di ɔspitul materniti wɔd. If yu wata brok, kɔl yu dɔktɔ ɔ di ɔspitul, ilɛksɛf yu fil ɛni pen ɔ yu nɔ fil. If yu tink se yu stil de na di fɔs stej fɔ bɔn pikin, ɔ if yu tink se dɛn tin ya na Braxton Hicks kɔntrakshɔn, mek yu wɛlbɔdi tim no wetin de apin.

Go to dɔktɔ wantɛm wantɛm if yu gɛt dɛn sik ya:

• Chɛst de pen
• Diziz ɔr fɔdɔm (syncope) .
• Siriɔs nɔs ɛn vɔmit
• I nɔ izi fɔ blo (dyspnea) .
• swel na yu leg, yu an, ɔ yu fes (ɛdima) .
• Ebi ebi blɔd we de kɔmɔt
• di pikin in muvmεnt dεm we de dכn bכku bכku wan

Wetin kin apin we yu go na ɔspitul?

We yu rich na di ɔspitul, yu go nid fɔ chɛk insay di rɛjista kɔnta na di materniti yunit. Yu go mɔs sɛn na `triage` rum fɔs. Dis na pat pan di admɛshɔn prɔses. Ɔspitul dɛn kin aks fɔ mek yu jɔs briŋ wan pɔsin wit yu na di `triage` rum.

Afta di `Triage` rum, dɛn go kɛr yu go na di leba, dilivri, ɛn rikavari rum (`LDR` rum):

• Dɛn go gi yu ɔspitul gɔn fɔ wɛr.
• Dɔktɔ go chɛk yu puls, blɔd prɛshɔn, ɛn fiva.
• dεn de put wan εksternal fetal mכnitor rawnd yu bεlε fכ mכsu di uterin kכntrikshכn εn di pikin in at rεt.
• Dɔktɔ go du wan sɛvikal ɛgzam fɔ si aw fa along di leba dɔn go bifo.
• Yu kin gɛt IV layn (wan kayn layn we dɛn kin put insay yu bɛlɛ) we dɛn put na wan vein na yu an fɔ gi yu wata ɛn mɛrɛsin.

Aw lɔng a go gɛt fɔ de na ɔspitul?

di lεng tεm we yu de na di כspitul de dipכnt pan di כspitul εn di kayn dεlivεri we yu gεt. Jɛnɛral wan, yu go gɛt fɔ de na ɔspitul fɔ lɔng tɛm if yu gɛt ``C-section'', bikɔs na ɔpreshɔn. Dɔn bak, if yu gɛt ɛni prɔblɛm ɔ wɛlbɔdi prɔblɛm we yu de bɔn pikin, yu kin gɛt fɔ de na ɔspitul fɔ lɔng tɛm.

Yu tink se di nɔmba 4 stej de fɔ bɔn pikin?

sכm masta sabi pipul dεm kin tink se di fכs tu to tri awa afta dεn bכn di plasεnta na di fכs stej fכ bכn. Dis na we yu bigin fɔ gɛt tayt padi biznɛs wit yu nyu bɔbɔ. Yu uterus sɛf kin bigin fɔ rilaks, ɛn dɔktɔ dɛn go wach fɔ ɛni blɔd we nɔ kɔmɔn.

Aw lɔng i kin tek fɔ bɔn pikin?

Fɔ mama we bɔn fɔ di fɔstɛm, di pikin we de bɔn kin tek bitwin 12 ɛn 24 awa. di bεlε we de afta dat kin tek sכm tεm (arawnd 8 to 10 awa). di fכs stej fכ di bכdi kin tek di lכng tεm.

Na nɔmal tin fɔ gɛt difrɛn kayn filin dɛn we yu de pripia fɔ bɔn pikin. Na nɔmal tin bak fɔ fil smɔl frayd, ɛn bak fɔ fil gladi. We yu tɔk to yu dɔktɔ bɔt dɛn tin ya ɛn yu sik kin ɛp yu fɔ ɔndastand wetin fɔ ɛkspɛkt.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Fɔ bɔn pikin na sɔntin we pɔsin nɔ go ɛva fɔgɛt ɛn we nɔ gɛt wan kɔmpitishɔn na mama in layf. If yu no bɔt dɛn stej ya, dat go ɛp yu fɔ rɛdi yu maynd ɛn bɔdi fɔ dis waka. Mɛmba se ɛnibɔdi we dɛn bɔn, difrɛn. Yu mɛdikal tim, yu famili, ɛn yu patna na dɛn de sɔpɔt yu pas ɔlman insay dis tɛm. Dɛn go ɛp yu fɔ bia wit dis ɛkspiriɛns fayn fayn wan ɛn wit kɔnfidɛns as yu ebul. Nɔ fred ɛnitin, ɛn if yu gɛt ɛni kwɛstyɔn ɔ dawt, aks yu dɔktɔ.Wi de wish yu ɛn yu pikin fɔ bɔn wɛlbɔdi, gladi at!

` Pikin, stej dεm we di pikin de bכn, bεlε, afta i bכn, fכ bכn pikin, hεlth tips, mama εn pikin