Lɛ wi tɔk bɔt di we aw yu fɔ bɔn pikin we yu nid fɔ no we yu de ɛkspɛkt pikin.

If yu na mama we de op fɔ bɔn pikin dɛn tɛm ya, sɔntɛm yu de fil gladi ɛn wɔri smɔl, nɔto so? As yu de kam nia fɔ bɔn pikin, i nɔmal fɔ gɛt bɔku kwɛstyɔn dɛn lɛk, "Aw i go bi? Aw dɛn go bɔn di pikin?" Bɔku pipul dɛn kin gɛt plan na dɛn maynd se dɛn fɔ de gi dɛn dis kayn we. Bɔt i nɔ kin izi fɔ tɔk bifo tɛm se na so dɛn go bɔn di pikin. Bɔt i rili impɔtant fɔ mek yu no bɔt sɔm we dɛn fɔ bɔn pikin. Tide, lɛ wi tɔk bɔt wetin na dɛn we ya fɔ bɔn pikin.

Wetin na di men we dɛn fɔ bɔn pikin?

Fɔ tɔk am simpul wan, bɔku men we dɛn de fɔ mek pikin kam na dis wɔl. Yu dɔktɔ ɔ midwayf go disayd di bɛst we fɔ yu bay yu wɛlbɔdi ɛn di pikin in kɔndishɔn. Lɛ wi tek tɛm luk wetin na dɛn we dɛn de.

• Di pikin we dɛn kin bɔn na di vagina
• di vagina dεlivεri we dεn εp - bay we dεn de εkstrakt di vaykum כ fכs dεlivεri.
• Fɔ bɔn pikin bay sizarian sɛkshɔn (C-section / Sizarian bɔn) .
• Vagina bɔn afta sizarian (VBAC) fɔ pɔsin we dɔn du sizarian sɛkshɔn bifo

Naw lɛ wi tɔk bɔt ɛni wan pan dɛn we ya smɔl mɔ , okay?

1. Dilivεri we dεn de du bay vagina

Dis na di we we sef ɛn we dɛn kin yuz fɔ bɔn pikin . Bɔku tɛm, pas nɔmɔ if spɛshal rizin de fɔ mɛn pipul dɛn, dɔktɔ dɛn kin se dɛn fɔ du dis. Dɛn kin bɔn am bitwin 37 ɛn 42 wik. tri men stej dεm de fכ dis: bכn, bכn, εn fכ bכn di plasεnta.

Wetin na di bɛnifit dɛn we dis we ya de du?

• Yu kin wɛl kwik kwik wan: We yu kɔmpia am to ɔda we dɛn, yu kin kam bak to nɔmal kwik kwik wan afta yu dɔn bɔn pikin bay we yu bɔn am.
• Sef fɔ yu ɛn yu pikin: Bɔku tɛm, dis na di we we nɔ gɛt bɛtɛ risk.
• Di risk fɔ gɛt di sik nɔ bɔku.
• Dɛn se pikin dɛn nɔ kin gɛt prɔblɛm wit di we aw dɛn de blo , ɛn dɛn imyun sistɛm kin strɔng bak .
• Bɔku tɛm, i kin izi fɔ gi pikin milk ɛn fɔ gi pikin in bɛlɛ.

Tu we de fɔ bɔn pikin bay vagina:

• di pikin we de bכn bay insεf: insay dis, di pikin de bigin fכ bכn di pikin in nכmal wan εn di pikin de bכn witout nכ mεdikeshכn. Dis kin apin mɔs arawnd 40 wik.
• Indyuz vagina dilivεri:Sɔntɛnde, if yu gɛt wɛlbɔdi prɔblɛm ɔ if di de we yu fɔ bɔn dɔn pas, yu dɔktɔ go gi yu mɛrɛsin ɔ ɔda we fɔ mek yu bɔn pikin. Bɔku tɛm dɛn kin du dis wit wan mɛrɛsin we dɛn kɔl Pitocin® (wan sɛntetik we fɔ di ɔmon we dɛn kɔl Oxytocin). Dis de ɛp yu sɛviks fɔ sof ɛn opin.

Wetin kin apin if yu nɔ push di tɛm we yu de bɔn pikin bay vagina?

Bɔrku tɛm, we yu sɛviks dɔn ful-ɔp ɛn yu dɔktɔ ɛn ɔda pipul dɛn dɔn rɛdi, dɛn go tɛl yu fɔ push we di pen kam. Bɔt difrɛn opinion dɛn de bɔt ustɛm fɔ push, aw lɔng fɔ push, ɛn if fɔ push smɔl leta (delayed pushing).

I at fɔ tɔk klia wan wetin go apin if yu nɔ push ɔ if yu nɔ ebul fɔ push, bikɔs ɔlman in ɛkspiriɛns difrɛn. Bɔt sɔm stɔdi dɛn dɔn sho se if yu nɔ push ɔ delay fɔ push, ilɛksɛf yu fɔ du am , i kin mek yu gɛt infekshɔn, yu blɔd bɔku, ɔ yu gɛt injury na yu bɛlɛ . So i fayn fɔ tɔk to yu dɔktɔ bɔt aw fɔ push bifo yu go na di leba.

2. Assisted Vaginal Delivery

Sɔntɛnde, di dɔktɔ kin gɛt fɔ yuz fɔs ɔ vaykum fɔ pul di pikin na di vagina. dis dεn kכl am εsistεd vagina dεlivεri. Dis kin apin pan kes dɛm lɛk dis:

• If yu dɔn de na leba fɔ lɔng tɛm .
• If leba nɔ de go bifo ɛn i tan lɛk se i dɔn stɔp .
• If yu taya fɔ push ɛn yu nɔ ebul fɔ push igen, .
• If yu ɔ yu pikin de sho ɛni prɔblɛm .

Bɔt dis kayn ɛp fɔ gi pikin dɛn kin jɔs du am if dɛn mit sɔm kɔndishɔn dɛn.

Wetin na ɛgzampul dɛn bɔt pikin dɛn we dɛn kin ɛp fɔ bɔn pikin dɛn?

Di we aw yu dɔktɔ tɛl yu fɔ du, dipen pan di tin dɛn we yu de gɛt we yu de bɔn pikin.

• Fɔspɛs delivri: Dis na tin we tan lɛk fɔssɛp. Di dɔktɔ kin yuz am fɔ tek tɛm ol di pikin in ed ɛn ɛp am fɔ kɔmɔt na di say we dɛn de bɔn am.
• di dεlivεri we dεn kכl di vεkyum: Insay dis, di dכkta de put wan sכmכl sכkshכn kכp pan di pikin in ed. I kɔnɛkt to wan pɔmp. As yu de push, di dɔktɔ de yuz di kɔp fɔ pul di pikin kɔmɔt jisnɔ.

Di bɛnifit ɛn bad tin dɛn we dɛn tu we ya gɛt, bɔku pan dɛn na di sem. Bɔku tɛm, di tin we dɛn kin pik bitwin dɛn tu tin ya kin bi bay di ɛkspiriɛns we di dɔktɔ gɛt.

3. Fɔ bɔn pikin bay sizarian sɛkshɔn (C-section / Sizarian bɔn) .

Sizarian sɛkshɔn (C-section) na we di dɔktɔ kin kɔt yu bɛlɛ ɛn yu uterus fɔ bɔn yu pikin. Sɔntɛnde, dɛn kin plan fɔ du sizarian sɛkshɔn bifo tɛm fɔ mɛrɛsin rizin. Ɔ, if prɔblɛm kam we dɛn de bɔn pikin, i kin nid fɔ mek dɛn du sizarian sɛkshɔn we dɛn nɔ plan fɔ du.

Wetin na di rizin dɛn fɔ mek dɛn plan fɔ du C-section?

• If yu dɔn bɔn pikin bifo bay sizarian sɛkshɔn .
• If yu de op fɔ gɛt bɔku bɔku pikin dɛn, lɛk twins .
• If yu gɛt plasɛnta we de dɔŋ (placenta previa) .
• If di pikin na breech , dat min se di bɔt ɔ di leg dɛn de fes dɔŋ instead fɔ di ed.
• if di pikin wet tu mכch (`Fetal macrosomia`) .
• If yu gɛt uterin fibroid ɔ ɔda tin dɛn we de ambɔg yu uterus .

Us kes dɛn go du C-section we dɛn nɔ plan fɔ du?

Sɔntɛnde, di kɔndishɔn kin chenj we dɛn de bɔn pikin ɛn i nid fɔ du sizarian sɛkshɔn fɔ mek yu ɛn yu pikin sef.

• If di pikin de insay sɔm kayn diskɔmfɔt (`Fetal distress`) , dat na if i tan lɛk se di pikin de gɛt prɔblɛm fɔ bia di pen we i de fil we i de bɔn.
• If leba nɔ de go bifo ɛn i stɔp .
• if di כmbilikal kכd kam dכn εn kכmכt (`Umbilical cord prolapse`).
• if di plasεnta separet frכm di uterus bifo tεm (plasεnta abrupshכn).
• If blɔd de kɔmɔt pasmak (`Ɛmoraji`).

Wetin na di prɔblɛm dɛn we kin apin we pɔsin du sizarian?

Lɛk ɛni ɔpreshɔn, sizarian sɛkshɔn kin gɛt sɔm prɔblɛm dɛn. in jεnarכl, di risk dεm fכ sizarian sekshכn kin hכy sכmtεm pas di wan dεm we dεn bכn pikin bay vagina.

• Infεkshכ n kin apin.
• Sɔntɛm blɔd kin kɔmɔt pasmak , ɛn i kin nid fɔ transfyushɔn blɔd.
• bכdi kכlכt kin fכm εn travul tru wan bכdi vεsεl εn i kin blכk (embolism).
• Di intestin ɔ di blad kin wund .
• I kin tek lɔng tɛm fɔ mek i wɛl , ɛn di tɛm we dɛn kin de na ɔspitul kin lɔng.
• di tisu dεm we de insay di bכdi kin stik togeda (abdominal adhesions).

Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i du sizarian?

Sɔm pipul dɛn kin lɛk fɔ du sizarian bikɔs dɛn tink se dɛn kin pik di de we dɛn go bɔn pikin. Dɛn kɔl dis ilɛktiv C-sɛkshɔn. Sɔm dɔktɔ dɛn go alaw dis ilɛksɛf no mɛrɛsin nɔ de, bɔt bɔku pan dɛn nɔ kin ɛnkɔrej am. Bɔku pan di sizarian sɛkshɔn dɛn kin bi bikɔs dɛn nid fɔ du am pan mɛrɛsin.Di American Congress of Obstetricians and Gynecologists (ACOG) se dɛn nɔ fɔ du sizarian sɛkshɔn we dɛn dɔn plan bifo 39 wik pas nɔmɔ if na mɛrɛsin rizin.

Sɔm bɛnifit dɛn we pɔsin kin gɛt we i du sizarian we yu kɔmpia am wit we i de bɔn pikin bay vagina na:

• di risk fכ trauma sכmtεm we di pikin kam tru di vagina.
• Di risk fɔ mek di pikin nɔ gɛt ɔksijɛn we i de bɔn pikin nɔ bɔku.
• Di risk fɔ mek pɔsin nɔ ebul fɔ urinary incontinence ɔ fɔ mek i nɔ ebul fɔ du mami ɛn dadi biznɛs di we aw Gɔd nɔ want kin ridyus leta.

4. Vajinal Bɔn Afta Sizarian (VBAC) .

If yu bin dɔn gɛt sizarian dilivri bifo, yu kin ebul fɔ bɔn yu nɛks pikin bay vagina, dat na, nɔmal wan. dis dεn kכl am `VBAC` (Vajinal Bכn Afta Sizarian). Bɔt bikɔs sizarian sɛkshɔn de mek wan say we dɛn kɔt na di uterus, wan ska de fɔm de. So, pipul dεn de fred se di prεshכn fכ gεt di vagina dεlivεri bak kin mek di uterus rכp na di say we di ol ska de. So, sɔm kɔndishɔn dɛn de we yu fɔ mit if yu go tray fɔ yuz `VBAC`.

I pɔsibul fɔ bɔn pikin nɔmal wan afta dɛn dɔn du sizarian?

Yɛs, yu kin ebul. If yu mit dɛn kɔndishɔn ya, yu gɛt ay chans fɔ gɛt saksesful `VBAC`:

• If di dɔktɔ dɔn mek wan lɔw transvas insayshɔn we dɛn bin de du sizarian sɛkshɔn bifo. Dis na aw dɛn kin du bɔku pan di sizarian sɛkshɔn dɛn, pas nɔmɔ we dɛn gɛt imejensi.
• If yu gɛt ɛni ɔda skata ɔ abnɔmal tin na yu uterus.
• If yu dɔn bɔn pikin bay vagina bifo .
• If yu nɔ bin dɔn gɛt uterin rupchɔ bifo.

Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt if yu fit fɔ gɛt VBAC. I go rivyu yu kɔmplit mɛdikal istri ɛn advays yu fɔ du dat.

Ɔda tin dɛn we yu fɔ no we yu de bɔn pikin

Sɔm ɔda wɔd dɛn de we yu fɔ no bɔt bɔn pikin. I go izi fɔ yu fɔ ɔndastand if di dɔktɔ tɔk bɔt dɛn.

Wetin na episiotomy?

episiotomy na smɔl ɔspitul kɔt we dɛn kin mek fɔ mek di say we yu vagina opin smɔl fɔ mek i izi fɔ mek di pikin in ed kɔmɔt. Bɔku pipul dɛn nɔ nid dis. tu kayn episiotomy de: wan midlayn kכt, we dεn kin kכt dayrekt fכ di anus, εn wan mediolateral kכt, we dεn kin kכt sכmtεm na di sayd fכ di an.

Amniotomy / Brek yu bag we gɛt wata

``Amniotomy`` na di prכsεs we yu de mek yu mεmbran dεm artificially rכp (``AROM`` - artificially rupturing your membranes), di sak we fulכp wit wata we de rawnd yu pikin. Yu dɔktɔ kin du dis fɔ dɛn rizin ya:

• Either fכ stat leba כ fכ spid am (`induce or progress leba`).
• Put wan intanɛnt monita fɔ chɛk yu kɔntrakshɔn.
• put wan monita insay di pikin in ed fכ mכnitor di pikin in hεlth.
• Chek fɔ di pikin in fɔs stɔl (`Meconium`). (Dis na tin we gɛt grɔn-brawn).

Di dɔktɔ de yuz wan tin we dɛn kɔl ``Amniohook'', we tan lɛk nidul fɔ nit. afta dεn dכn du dis, dεn fכ bכn di pikin insay 24 awa fכ mek i nכ gεt infεkshכn.

Monitoring fɔ di pikin we de na di bɛlɛ

``Fetal mכnitor`` na di prכsεs fכ mכnitor di pikin in at rεt we i de bכn. Dis kin bi na do (``externally``) ɔ insay (``internally``). We di dɔktɔ no aw di pikin de bia wit di pikin we i de bɔn, i kin disayd if i fɔ kɔntinyu fɔ bɔn ɔ i fɔ bɔn di pikin kwik kwik wan.

• insay external fetal monitoring , dεn de put wan ultrasound divays pan yu bכdi εn i de rεkכd tin dεm lεk yu pikin in at rεt, aw כltεm yu kכntrikshכn de kam, εn aw lכng i de las.
• insay intanεt mכnitri , dεn kin tay wan sכm εlektrod na di pikin in sכl fכ rεkכd di pikin in at rεt. Yu wata go dɔn brok fɔ mek yu ebul fɔ gɛt dis ilɛktrɔd. Yu kin mek dɛn put prɛshɔn sɛns bak nia yu pikin fɔ no aw di kɔntrakshɔn dɛn strɔng.

Wetin na di we aw pɔsin kin bɔn pikin we kin mek i fil pen pas ɔl?

Dis na sɔntin we kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔku tin kin afɛkt dis, lɛk if yu de yuz mɛrɛsin fɔ mɛn pen, us kayn mɛrɛsin yu de yuz fɔ mɛn pen, ɛn aw yu de bia wit pen. di bεst tin fכ du na fכ tכk to yu dכkta bכt di opshכn dεm we de fכ mek yu fil pen bifo yu go na di bכdi. Da we de, yu go ɔndastand di prɔblɛm dɛn ɛn bɛnifit dɛn we ɛni wan pan di tin dɛn we yu kin du kin gɛt.

Tu men tin dɛn de we yu kin du: fɔ gi pikin dɛn we yu nɔ yuz drɔgs ɔ we yu nɔ gɛt natin fɔ du wit am, ɔ fɔ yuz mɛrɛsin fɔ mek yu fil pen. Yu nɔ go ebul fɔ gɛt sizarian sɛkshɔn if yu nɔ gɛt mɛrɛsin.

Di tin dɛn we yu kin du fɔ ridyus di pen we yu de bɔn pikin na:

• Di mɛrɛsin dɛn we de mek pɔsin fil pen: Dɛn tin ya kin mek pɔsin nɔ fil pen, bɔt dɛn nɔ kin pul di sɛns ɔ di mɔsul dɛn we de muv kpatakpata. Wan pan di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn di pikin we dɛn de bɔn pikin na we dɛn kin yuz epidural. Yu kin gɛt epidural fɔ bɔn pikin bay vagina ɔ fɔ sizarian sɛkshɔn.
• Anestetik dɛn:Dɛn drɔgs ya (`Anesthesia`) de blok di signal dɛm we de go na yu bren, we de mek yu nɔ fil pen. dεn kin gi dεm as injεkshכn כ tru wan ``IV - intravenכs`` layn. Fɔ sizarian sɛkshɔn, dɛn kin gi yu ``Jɛnɛral anestesia``, we kin mek yu slip kɔmplit wan. Wan ɔda tin we yu kin du na ``Local anesthesia``. dis na we dεn injekt mεdisin na wan patikyula εria na yu bכdi, fכ egzampl, di vagina εn di nεv dεm we de rawnd.

Wan ɔda tin we kin afɛkt di disayd fɔ no us we fɔ du tin we go mek yu fil pen pas ɔl na di tɛm we yu go wɛl. Jɛnɛral wan, i izi fɔ mek pɔsin wɛl we dɛn bɔn am wit vagina pas we dɛn du sizarian sɛkshɔn.

Mɛmba se di ɛkspiriɛns we yu bɔn we yu bɔn na yu yon. i fayn fכ no di difrεn we dεn fכ bכn pikin εn di tεmכn dεm we yu bεlε. Yu dɔktɔ go tɛl yu di we we sef fɔ bɔn pikin bay yu mɛrɛsin istri ɛn di stej we yu gɛt bɛlɛ.

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

Fɔ bɔn pikin na big ɛkspiriɛns na layf. Ɛn i kin mek pɔsin fred smɔl. Bɔt we yu no bɔt dɛn tin ya, dat kin mek yu gɛt bɔku kɔnfidɛns.

• Ɛvri bɔn difrɛn: nɔ tink se wetin apin to yu padi go apin to yu.
• Trɔst yu dɔktɔ: Tɔk to am bɔt ɛni prɔblɛm ɔ fred we yu gɛt.
• Yu fɔ plan fɔ du sɔntin, bɔt yu fɔ chenj di we aw yu de du tin: Sɔntɛm tin nɔ go go di we aw yu want. Di tin we impɔtant pas ɔl na yu ɛn yu pikin in sef.
• Tɔk bɔt aw fɔ mɛn yu pen kwik kwik wan: Fɔ no us opshɔn yu gɛt ɛn wetin na dɛn gud ɛn bad tin.

A de wish yu ɛn yu famili ɔl di bɛst pan dis spɛshal waka! Mek yu gladi wit pikin we gɛt wɛlbɔdi!

` Fɔ bɔn pikin, fɔ bɔn pikin, sizarian sɛkshɔn, nɔmal dilivri, leba pen, bɛlɛ, di we aw dɛn de bɔn pikin