Yu de wɔri bɔt aw yu pikin in at de bit? Lɛ wi tɔk bɔt Ilektronik Fetal Monitoring (EFM)!

If yu de kam bɔn pikin, ɔ if pɔsin na yu famili de kam bi mama, dis stori go rili impɔtant to yu. Tide wi go tɔk bɔt wan we fɔ wach di pikin in wɛlbɔdi, mɔ di at bit, we di mama de na di bɛlɛ ɛn we i de bɔn pikin. dis na wetin wi kin kכl `Ilektronik Fetal Monitorin` כ `(EFM)`. Fɔ tɔk am simpul wan, i kin kɔntinyu fɔ wach aw di pikin in at de bit.

Wetin mek dɛn de du dis `EFM`? Wetin i impɔtant?

Tink bɔt am, we mama de bɔn pikin, we min se we di pikin de tray fɔ kɔmɔt na do, in uterus kin kɔntrakt. Dɛn kɔntrakshɔn ya kin mek sɔm pan di blɔd vesel dɛn we de gi ɔksijɛn to di pikin kin kɔnstrikt. Bɔrku tɛm, dis nɔr kin bi big prɔblɛm fɔ di pikin , as dɛn kin gɛt di ɔksijɛn we dɛn nid. Bɔt sɔntɛnde, di ɔksijɛn kin go dɔŋ. If dat apin, yu go notis se di pikin in at de bit chenj.

so, wetin dis `EFM` de du na fכ kכntinyu fכ mכnitor di pikin in at bit, fכ no εni prכblεm kwik, εn tek di step dεm we nid fכ protεkt di pikin. sכm tεm we di pikin kin gεt sכm diskomfכt (fetal distress) bikoz i nכ gεt כksijεn. Den dis `EFM` kin kech am kwik kwik wan.

Dis `EFM` na rili somtin we evribodi nid?

Naw yu go de tink se, ‘So i fayn fɔ mek ɔlman du dis.’ Bɔt tink bɔt am. Sɔm stɔdi dɛn dɔn sho se EFM ɔltɛm fɔ uman dɛn we gɛt bɛlɛ we nɔ gɛt bɔku prɔblɛm dɔn mek di nɔmba fɔ di sizarian sɛkshɔn we nɔ nid fɔ bɔn ɛn di pikin dɛn we dɛn de bɔn we dɛn de yuz vaykum divays ɔ fɔspɛs.

Dɔn bak, dɛn nɔ si ɛni impɔtant rilayshɔn bitwin EFM ɛn if di pikin dɛn we dɛn jɔs bɔn gɛt bɛtɛ Apgar skɔ (wan mak we de mɛzhɔ di wɛlbɔdi fɔ di pikin afta dɛn bɔn am), ɔ if di kɔndishɔn dɛn lɛk sɛribra palsi, divɛlɔpmɛnt delay, nyurolɔjik injuri, ɔ if dɛn admit pikin dɛn na nyu bɔbɔ in intensiv kia yunit (NICU) dɛn dɔn ridyus.

Bɔku dɔktɔ dɛn we de mɛn uman dɛn we gɛt bɛlɛ ɛn uman dɛn we de mɛn uman dɛn biliv se EFM nɔ nid fɔ gɛt bɛlɛ uman dɛn we nɔ gɛt bɔku prɔblɛm dɛn . Di dɔktɔ kin chɛk di pikin in at bit wan wan tɛm wit stetɔskɔp ɔ ɔltra saund. Dɛn kɔl dis tin we dɛn kɔl intermittent auscultation.

So ustɛm dɛn kin rɛkɔmɛnd EFM?

Okay, so sɔm kes dɛn de we dɛn kin rɛkɔmɛnd EFM spɛshal wan. Di American College of Obstetricians and Gynecologists se if dɛn dɔn gi yu mɛrɛsin fɔ mek yu bɔn pikin ɔ dɛn dɔn gi yu wan epidural fɔ mek yu nɔ fil pen, yu fɔ yuz EFM.

Dɔn bak, if dɛn no se uman gɛt bɛlɛ we gɛt ay risk, dɛn kin yuz di EFM. Fɔ ɛgzampul:

• di hεlth kכndishכn dεm fכ di mama: `(preeclampsia)` (dis na kכndyushכn fכ ay blכd prεshכn we de apin we i bεlε), `(diabetes)`, if i bin dכn du sizarian sekshכn bifo, if i bin gεt bכdi we i bεlε.
• if yu pikin pas mεkoniכm stכl we i de bכn, dis kin sho sכmtεm di pikin in bכdi de at. Dɛn kɔl dis mɛkoniɔm, we na di pikin in fɔs stɔl.
• if di pikin sכm (smכl fetal saiz) כ i gεt eni abnכmaliti we dεn bכn am.

Pan ɔl dɛn tin ya we dɛn dɔn tɔk bɔt, bɔku dɔktɔ dɛn we de mɛn uman dɛn ɛn uman dɛn we de mɛn uman dɛn stil de yuz EFM ɔltɛm. So i fayn fɔ tɔk to yu dɔktɔ bɔt dis.

Yu don eva yuz `EFM` fo entataynment?

Yes, sכmtεm dεn kin mכnitor di pikin in hεlth wit EFM bifo di bכdi ivin bigin. Ɛspɛshali if bad bad tin dɔn apin to di mama in bɛlɛ , lɛk afta 20 wiks we i gɛt bɛlɛ, di dɔktɔ kin se yu fɔ wach di pikin wit EFM fɔ 4 to 24 awa.

Dɔn bak, EFM kin ɛp fɔ no if di leba na tru ɔ na lay . Sɔntɛnde, mama dɛn kin fil pen, bɔt nɔto tru tru leba. Di sayn dɛm fɔ lay lay leba na:

• De pen kin de wan wan, nɔr kin kɔntinyu, ɛn di gap bitwin de pen nɔr de dכn.
• De pen kin stɔp wae yu de waka, rɛst, ɔr chenj yu pozishɔn.

Us kayn `EFM` de?

Tu men kayn `EFM` de. Lɛ wi si wetin dɛn bi.

1. EFM we de na do

Dis na di we aw dɛn kin du am pas ɔl. Sɔntɛm yu go dɔn si am bifo. Yu dɔktɔ de yuz tu ɛlastik band dɛn ɛn tay tu tin dɛn na yu bɛlɛ.

• Wan pan dɛn na tin we tan lɛk ɔltra saund. Dɛn kin put am oba di say we dɛn tink se di pikin de ɛn i kin mɛzhɔ di pikin in at bit.
• Di ɔda wan na prɛshɔn gej. i de put am na di כp bכdi εn i de mכsu aw כltεm εn aw lכng di uterin kכntrikshכn de apin. Bɔt dis we ya nɔ kin ebul fɔ mɛzhɔ di kayn we aw di kɔntrakshɔn dɛn kin tranga, dat na aw ɔltɛm dɛn kin apin.

2. Intanɛt EFM

Dis na tin we kɔmplikt smɔl pas di wan we de na do, bikɔs i kin min fɔ put tin dɛn insay, ɛn dɛn nɔ kin du am fɔ ɔlman. כltu, dεn kin yuz dis we i at fכ mכsu di at rεt kכrekt wit di εksternal `EFM` we di mama de muv rawnd.

• insay dis, dεn de mכsu di at bit bay we dεn de put wan tכn waya (ilεktroyd) tru di vagina εn tay am na di pikin in sכl (dεn nכ kin tכk כdasay).
• כlso, fכ no aw di uterus de kכntrakt, dεn kin put wan tin tכb we dεn kכl kateshכn insay di uterus.

di tin we imכtant pas כl na dat dεn kin כnli du intanεt EFM if di wata dכn brok εn di sεviks dכn dilayt sכmtεm.Dis mεtכd kin yus bכku tεm we di data frכm di εksternal `EFM` nכ klia, כ we dεn nid fכ obsכv mכr prεsis.

Aw dis `EFM` de wok? Aw i tan lɛk?

Dɛn tu divays ya (ɛksternal ɔ intanɛnt) kɔnɛkt to ɛksternal monita. Dis na di say we dɛn kin rayt ɔl dɛn tin ya we dɛn kin du na ilɛktronik we ɔ na pepa (rid ɔut). Sɔntɛm yu dɔn si am na fim dɛn, usay dɛn kin rɛkɔd tu layn dɛn we de go ɔp ɛn dɔŋ.

Yu dɔktɔ go fɔs tek yu pikin in beslayn at rit ɛn chɛk dis chɔt wan wan tɛm. Sɔm chenj dɛn na yu pikin in at rit we i de kɔntrakt na nɔmal tin. Bɔt chenj dɛn we go sho se prɔblɛm de na:

• Fɔ gɛt at rit we pas di nɔmal (tachycardia) ɔ at rit we smɔl pas di nɔmal (bradycardia) fɔ lɔng tɛm.
• sho abnכmal patεn dεm fכ slo di hat rεt we di kכntrikshכn de kכntrakt.

Sɔm EFM divays dɛn kin ivin gɛt alam dɛn we dɛn dɔn sɛt fɔ wɔn di mɛdikal tim if denja chenj de na di pikin in at rit.

I at fɔ muv rawnd we yu wɛr dis?

Yɛs, sɔm tin dɛn kin de we nɔ kin fil fayn. We yu gɛt ɛksternal EFM, bɔku tɛm yu kin gɛt fɔ de na bed ɔ chia. Bɔt sɔm ɔspitul dɛn gɛt wayales tɛlimɛtri monitarin fasiliti fɔ ɛksternal EFM. Dɔn yu kin muv rawnd smɔl mɔ fri wan. Wit wan intanɛnt EFM, yu fɔ rili gɛt fɔ de na bed.

Wetin na di risk dɛm fɔ `EFM`?

Pan ɔl we `EFM` na tin we rili yusful, lɛk ɔl ɔda tin, i kin gɛt sɔm smɔl smɔl risk dɛn bak.

Kɔmɔn `EFM` (espɛshali ɛksternal) kin mek:

• Lay alam kin mek pɔsin wɔri we nɔ nid fɔ wɔri ɛn i kin mek dɛn du tɛst we nɔ nid fɔ apin.
• Di ebul fɔ muv rawnd nɔ bɔku. Infakt, we yu muv ɛn chenj di pozishɔn we yu de bɔn pikin, dat kin ɛp fɔ ridyus di pen ɛn mek i izi fɔ bɔn pikin.
• If dɛn mek mistek fɔ biliv se di pikin gɛt prɔblɛm wit in bɛlɛ, dɛn kin disayd fɔ bɔn di pikin bay we dɛn yuz sizarian sɛkshɔn, vaykum divays, ɔ fɔspɛs, we nɔ kin nid fɔ bɔn.

Ɔda spɛshal risk dɛn de insay intanɛnt `EFM`:

• di ilektroyd (waya) we dεn yuz fכ intanεt EFM kin mek sכm wund כ skrach pan di pikin in skel .
• di mama kin gεt di mama infεkshכn (rεli).
• di chans de fכ pas sik dεm lεk HIV כ genital hεpi frכm mama to pikin (fכ mama dεm we gεt dεn tin ya).

tin dεm we kin apin wit kateshכn (fכ mכsu di kכntrikshכn) we dεn put na di uterus (dεn tin ya nכ kin apin bכku):

• di כmbilikal kכd kin tכn.
• di uterus kin gɛt pɔt.
• di plasεnta kin chεr.

Pan ɔl we i impɔtant fɔ no bɔt dɛn prɔblɛm ya, i impɔtant bak fɔ mɛmba se dɛn tin ya nɔ kin apin ɔltɛm. Dɔktɔ dɛn kin jɔs yuz dɛn we i rili nid fɔ du dat.

Aw lɔng i kin tek fɔ gɛt di rizɔlt? Wetin fɔ du if di pikin gɛt prɔblɛm wit in bɛlɛ?

Yu dɔktɔ ɛn di nɔs wokman dɛm go kɔntinyu fɔ luk dis EFM chɔt ɔl di de ɛn dɛn go tɛl yu bak aw yu pikin de du. Dis na infɔmeshɔn we de apin insay rial tɛm.

If yu rid di EFM we nɔ fayn, dat nɔ min se di pikin de pan denja. Di dɔktɔ kin tɛl yu fɔ chenj yu pozishɔn (e.g., tɔn to yu lɛft). If yu du dat, i go mek di pikin in blɔd flɔ fayn ɛn sɔlv di prɔblɛm. Dɛn kin gi di mama ɛkstra ɔksijɛn ɔ salin bak.

Bɔt if sɔm pan di we aw di at de bit kɔntinyu fɔ bi abnɔmal, we min se di pikin de rili sɔfa, di dɔktɔ go disayd if fɔ du sizarian sɛkshɔn wantɛm wantɛm ɔ fɔ bɔn di pikin bay vagina bay we i yuz vaykum divays ɔ fɔspɛs.

Fɔ dɔn, wetin fɔ mɛmba

So, yu go mɔs ɔndastand wetin na EFM ɛn wetin i de du. Sɔntɛnde, EFM kin ɛp wi fɔ mek shɔ se di pikin de du wɛl ɛn fɔ no ɛni prɔblɛm we nid fɔ bɔn kwik kwik wan. כltu, fכ bכku uman dεm we de gεt bεlε we gεt hεlth, lכw risk εn we nכ de tek mεdikeshכn fכ bεlε (dεn nכ mεdikal bεlε), i nכ nid fכ Ilektronik Fetal Monitoring.

We yu de plan fɔ bɔn yu pikin, tɔk to yu dɔktɔ bɔt dɛn jenɛral prɔsis bɔt EFM. Nɔ fred fɔ aks kwɛstyɔn lɛk, "Dɔkta, a go nid EFM? Wetin na di gud ɛn bad tin dɛn we i gɛt we yu gi mi sityueshɔn?" We yu tɔk bifo tɛm bɔt wetin yu want, yu go rɛdi fɔ disayd fɔ du di bɛst tin fɔ yu ɛn yu pikin.

Mɛmba se ɛvri bɛlɛ ɛn ɛvri pikin we dɛn bɔn kin difrɛn. I impɔtant fɔ tɔk to yu dɔktɔ opin wan bɔt wetin de mɔna yu ɛn wetin de na yu maynd. Dɔn yu kin ebul fɔ bia wit dis impɔtant tɛm wit kolat na yu maynd.

` di pikin in at bit, ilektronik fetal mכnitri, EFM, pikin, bεlε, leba, di pikin in hεlth