As yu de kam nia fɔ bi mama, yu gɛt bɔku kwɛstyɔn dɛn. I nɔmal fɔ mek yu fred smɔl ɛn want fɔ no bɔt wetin yu go gɛt, mɔ we yu gɛt pikin. Tide, lɛ wi tɔk bɔt di prɔses fɔ bɔn pikin, ɔ jɔs di `Stages of Labor` as dɔktɔ dɛn kin kɔl am. We yu no dis, dat go mek yu gɛt bɔku kolat na yu maynd.
Wetin na di Stej dɛm fɔ Leba?
Fɔ tɔk am simpul wan, leba na di ɔl di prɔses we yu pikin, di plasεnta, ɛn di pikin de kɔmɔt na yu uterus ɛn tru yu vagina. Dis nɔ kin apin wan tɛm, bɔt i kin apin smɔl smɔl, insay sɔm stej dɛn.
Wi kin sheb dis to tri men stej:
1. Fכs stej: di biginin fכ leba pen (kontrakshכn) .
2. Sεkכn stej: fכ push εn bכn di pikin
3. di tכd stej: di dεlivεri fכ di plasεnta
Sɔntɛnde dɔktɔ dɛn kin kɔl dis "nɔmal leba." Bɔt mɛmba se nɔto ɔlman in ɛkspiriɛns na di sem . Sɔntɛm yu nɔ go gɛt ɔl dɛn stej ya di sem we. Fɔ ɛgzampul, yu kin bigin sɔm stej dɛn kwik, bɔt yu kin dɔn fɔ gɛt C-section. Ɔ, if yu bin dɔn plan fɔ du C-section, yu nɔ go gɛt di fɔs stej atɔl. If yu gɛt induced labor, yu ɛkspiriɛns kin difrɛn. So, nɔ kɔmpia yu ɛkspiriɛns to ɔda pipul dɛn .
Na nɔrmal tin fɔ fil frayd wae yu nɔr no bɛtɛ bɛtɛ wan wetin go apun wit sɔmtin wae big dis kayn tin. Bɔt yu dɔktɔ ɛn nɔs dɛn ɔl de fɔ ɛp yu. Yu ɛn dɛn ɔl tu gɛt di sem gol fɔ gɛt pikin we gɛt wɛlbɔdi .
Fɔs stej: Di biginin fɔ leba (Leba - Kɔntrakshɔn) .
dis na di fכs εn we kin lכng tεm we di pikin de bכn. I kin bigin we yu bigin fɔ gɛt kɔntrakshɔn ɔltɛm ɔltɛm . dis stej de dכn we yu sεviks fulכp dilayt εn efface.
Bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ no ustɛm yu kin bigin fɔ fil pen. De tεm wae yu nid fכ luk na di tεm frכm di biginin fכ wan pen te to di stat fכ di nεks pen. I izi fɔ mɛzhɔ dis insay sɛkɔn.
Kɔntrakshɔn ɔltɛm na kɔntrakshɔn we kin kam ɔltɛm, lɛk ɛvri tri to fayv minit. Dɛn nɔ tan lɛk Braxton Hicks kɔntrakshɔn, we nɔ kin kam wan tɛm. Sɔm pipul kin gɛt dɛn kɔntrakshɔn ya fɔ dɛnsɛf, ɔ dɛn kin indyuz dɛn na ɔspitul tru mɛdikal indukshɔn.
Dis fכs stej kin las εnisay frכm 12 to 19 awa. Bɔt if yu dɔn bɔn pikin bifo, i go mɔs bi se dis tɛm go shɔt pasmak.
Dis fɔs stej gɛt tu pat bak:
- 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 di sεviks fulכp dilayt, to 10 sεntimita. Dis tɛm ya, yu kin fil se yu want fɔ push di pikin kɔmɔt. Dis kin tek lɛk 4 to 8 awa so.
Bɔku tɛm, dɔktɔ dɛn kin se yu kin de na os we yu de bɔn pikin kwik kwik wan. Bɔt yu nid fɔ rɛdi fɔ go na di ɔspitul usay yu go bɔn yu pikin. Wae aktif leba bigin, i rili bεst fɔ de na di ɔspitul.
Aw fɔ kɔntrol di pen na di fɔs stej?
Dis fɔs stej kin at fɔ bia smɔl. Tray dɛn tin ya insay dis tɛm:
- Du saful saful strɛch dɛn sloslo.
- Tink gud wan.
- Nɔ de na di sem ples, muv rawnd, chenj di we aw yu de tinap.
- Praktis fɔ blo dip dip wan.
- Tek wata ɔ shawa wit wata we wam (nɔto ɔt).
- Yu kin yuz bɔl fɔ bɔn pikin fɔ ɛp fɔ bɔn pikin.
- Tek wan waka waka.
I rili impɔtant bak fɔ gɛt pɔsin fɔ ɛp yu dis tɛm, we na ``leba sɔpɔt pɔsin``. Dis kin bi yu man, yu fambul, padi, ɔ ``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 di tɛm we di pikin de bɔn kwik kwik wan?
Ɔlman kin bia wit pen ɛn diskɔmfɔt difrɛn we. In jɛnɛral, i bɛtɛ fɔ slip ɛn rɛst di tɛm we yu de fil pen fɔs if yu ebul. Bɔt sɔntɛnde, i kin tranga smɔl fɔ slip tru di pen.
Sɛkɔn stej: Fɔ push ɛn bɔn pikin
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. Na dis na wetin kin apin insay dis sɛkɔn stej:
- Di kɔntrakshɔn kin apin ɛvri tu to fayv minit. Ɛni kɔntrakshɔn kin las bitwin 60 ɛn 90 sɛkɔn.
- Yu fɔ push we di pen kam. Yu kin rɛst we di pen dɔn go. Yu dɔktɔ go tɛl yu ustɛm fɔ push.
- di pikin in ed bigin fכ sho (di pikin krawn).
- di dכkta rili tek tεm εp fכ pul di pikin kכmכt na di vagina.
- As soon as di pikin bכn, di dכkta de kכt di כmbilikal kכd.
Sɔntɛnde, instead fɔ bɔn pikin bay vagina, dɛn kin bɔn pikin bay sizarian sɛkshɔn (C-section), we dɛn plan fɔ bɔn am ɔ we i bi imejensi.
di tכd stej: di pikin we de bכn di plasεnta
Dis stej de bigin we dεn bכn yu pikin. i de dכn we dεn de gi di plasεnta. Dis na di shɔt stej we di pikin de bɔn . Bɔku tɛm, i nɔ kin tek pas 30 minit.
Dis na wetin kin apin na dis tɔd stej:
- bitwin 5 εn 30 minit afta dεn bכn di pikin, di kכntrikshכn dεm kin bigin fכ kam bak. dis na di pen dεm we de εp di plasεnta fכ separet frכm di uterus.
- Sɔntɛm yu go nid fɔ push smɔl mɔ. Ɔ di dɔktɔ kin prɛs yu bɛlɛ fɔ ɛp di plasɛnta fɔ kɔmɔt.
- hεvi vagina blכd kin apin fכ sכm tεm, we di plasεnta kכmכt כ afta i dכn rich.
- Sɔm pipul dɛn kin fil kol ɔ gɛt fiva. If yu gɛt dɛn sik ya, yu fɔ rili tɛl yu dɔktɔ.
if yu du sizarian sekshכn (C-section), di dכkta go pul di plasεnta jכs we dεn pul di pikin kכmכt na di uterus.
di dכkta go fכs chεk fכ si if di plasεnta dכn kכmכt kכmplit wan. dis na biכs di prכduk dεm we dεn rεtεn fכ bεlε kin mek difrεn prכblεm dεm if pat dεm na di plasεnta de stil de na di uterus. If yu dɔn du episiotomy (smɔl kɔt na di vagina) ɔ if yu gɛt vagina tear, di dɔktɔ go stich am afta di plasɛnta dɔn kɔmɔt.
Aw leba kin bigin? (Wetin kin mek pɔsin bɔn?)
Sayɛnsman dɛn stil nɔ no bɛtɛ bɛtɛ wan aw di pikin kin rili bigin fɔ bɔn pikin, bɔt dɛn tink se na bikɔs ɔf sɔm chenj dɛn we de apin na di uterus ɛn di sɛviks. Yu bɔdi ɛn yu pikin ɔl tu de ɛp fɔ mek dɛn chenj ya.
di sεviks we tayt εn klos we uman bεlε, fכ tכn εn opin we i de bכn. di uterus fכ bigin fכ kכntrakt bak.
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. Fɔ bɔrku pipul dɛm, dis kin apin bay insɛf bitwin 37 ɛn 42 wik. Sɔntɛnde, dɔktɔ go mek uman bɔn pikin.
Tu men tin dεm de afekt di biginin εn di kכntinyu fכ bכn:
- di prostaglandin dεm: dεn tin ya we lεk כmon we dεn kכl prostaglandin na di sεl dεm we de na di uterus de mek dεm. dis dεm de εp di sεviks fכ opin εn di uterus kכntrakt.
- Oxytocin: We yu pikin push pan yu sεviks, yu pituitary gland de pul wan כmon we dεn kכl oxytocin. dis כksijεn de travul go na yu uterus εn i de mek yu kכntrikshכn.
Bifo yu bigin fɔ bɔn pikin, yu kin si sɔm sayn dɛn lɛk:
- Bak pen
- Blɔdi sho - fɔ lɔs yu myukɔs plɔg
- Rɔnbɛlɛ
- Di intres fɔ klin di os ɛn arenj tin dɛn (Nɛst) .
Wetin na di sayn dɛn we de sho se pɔsin de bɔn pikin kwik kwik wan?
Sɔntɛnde, i kin at fɔ no fɔ tru if yu rili de bɔn pikin. If dis na yu fɔs tɛm, i izi fɔ mistek ɔda sayn dɛm, lɛk lay lay kɔntrakshɔn we nɔ de ɔltɛm (Braxton Hicks contractions), fɔ rial leba pen. Rial leba pen gɛt wan patɛn, ɛn i kin go ɔp smɔl smɔl as tɛm de go.
If yu rili de bɔn pikin, pe atɛnshɔn to dɛn tri tin ya:
- Frɛkuɛns: Aw ɔltɛm yu kin gɛt kɔntrakshɔn? Kip dis na buk ɔ na leba ap na yu fon. Dis go ɛp yu fɔ trak if dɛn kin kam ɔltɛm.
- Di tɛm we i fɔ tek: Aw lɔng ɛni kɔntrakshɔn kin las? As di leba de go bifo, di tɛm we ɛni kɔntrakshɔn go tek go ɔp. Yuz stɔpwatch, wach we yu kin wach ɔltɛm, ɔ di tayma na yu fon fɔ rayt aw lɔng ɛni kɔntrakshɔn kin las.
- Intensity: Yu tink se di kɔntrakshɔn dɛn de kam tranga mɔ ɛn mɔ? Yu go fil di pen mɔ ɛn mɔ as yu de go bifo pan di stej dɛm we yu de bɔn. Pe atɛnshɔn to aw de pen 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 abnɔmal leba. Dɛn kin du dis so dat dɛn go no ustɛm fɔ invayt, ɛn fɔ tray 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.
Fɔs stej we nɔ kɔmɔn
Dɔktɔ dɛn kin tink se fɔ leba kwik kwik wan fɔ lɔng tɛm:
- If yu de bɔn pikin fɔ di fɔs tɛm, i go tek pas 20 awa.
- If yu dɔn bɔn pikin bifo, if i bin las pas 14 awa.
Dɛn kin tek aktif leba fɔ lɔng tɛm we:
- yu mεmbran dεm dכn rכp (כ "wata brok") if yu sεviks nכ dכn dilayt pas 6 sεntimita pan כl we fכ awa we yu de bכn.
- if di sεviks nכ dכn dilay pas 6 sεntimita afta di bag fכ wata dכn brok, dεn dכn gi am כksitosin (Pitocin®), εn di leba dכn las fכ siks awa.
Ɛkstra ɔdinari 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, di spɛshal tap go las pas tri awa we yu nɔ gɛt epidural, ɔ pas 4 awa wit epidural.
- If yu dɔn bɔn pikin bifo, if i las pas tu awa we yu nɔ gɛt epidural, ɔ pas tri awa wit epidural.
Ekstra ɔdinari tɔd stej
if di plasεnta stil de na di uterus 30 minit afta dεn bכn di pikin, dכkta dεm kin tek di tכd stej as abnכmal.
Ustɛm a fɔ go na ɔspitul?
I bεst fɔ de na say usay dɛn de bɔn pikin, dat na ɔspitul, we yu de du aktif leba. Dis na di sɛkɔn pat pan di fɔs stej.
If yu gɛt kɔntrakshɔn ɛvri fayv minit fɔ at le wan awa, kɔl yu dɔktɔ ɔ di ɔspitul leba flo. If yu wata brok, kɔl yu dɔktɔ ɔ di ɔspitul leba flo, ilɛksɛf yu fil ɛni pen ɔ yu nɔ fil. Ivin if yu de na di fɔs stej fɔ leba, if yu tink se yu de gɛt Braxton Hicks kɔntrakshɔn, mek yu wɛlbɔdi tim no wetin de apin.
If sɔntin lɛk dis apin, gɛt ɛp wantɛm wantɛm:
- Chɛst de pen
- Diziz ɔr fɔdɔm (syncope) .
- Siriɔs nɔs ɛn vɔmit
- Fɔ blo shɔt (dyspnea) .
- Swɛlin na di leg, an ɔ fes (Swɛlin - ɛdima) .
- Ebi ebi blɔd we de kɔmɔt
- signifyant dεkrεshכn pan di fetal muvmεnt
Wetin kin apin we yu go na ɔspitul?
We yu rich na di ɔspitul, yu go nid fɔ rɛjista na di leba ɛn dilivri dɛsk. I go mɔs bi se dɛn go kɛr yu go na wan triage rum fɔs. Dis na pat pan di admɛshɔn prɔses. Ɔspitul dɛn kin aks fɔ mek yu kam wit wan pɔsin nɔmɔ na di triage rum.
Afta di triaj rum, dɛn go kɛr yu go na wan LDR rum (Labor, Delivery, and Recovery rum):
- Yu go gɛt fɔ wɛr ɔspitul klos.
- Dɔktɔ go chɛk yu puls, blɔd prɛshɔn, ɛn fiva.
- dεn de put wan εksternal fetal mכnitor rawnd yu bכdi fכ mכnitor di uterin kכntrikshכn εn di pikin in at rεt.
- Yu dɔktɔ go du wan sɛvikal ɛgzam fɔ si aw fa along yu leba de.
- Yu kin gɛt IV layn we dɛn put insay 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 aw yu bכn yu pikin. Tipikli, if yu bin gɛt sizarian sɛkshɔn (C-section), yu go gɛt fɔ de na ɔspitul fɔ lɔng tɛm, 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 de rilaks bak insay dis tεm, εn dכkta dεm go de wach yu fכ eni abnכmal bכdi we de bכn.
Aw lɔng i kin tek fɔ bɔn pikin?
di avrej fכs bכn pikin kin tek bitwin 12 εn 24 awa. di pikin dεm we dεn bכn afta dat kin las sכmtεm (bitwin 8 εn 10 awa). di fכs stej we di pikin de bכn na in kin lεng pas כl.
Na nɔmal tin fɔ fil difrɛn kayn filin dɛn we yu de pripia fɔ bɔn pikin. Na nɔmal tin fɔ mek yu fil gladi ɛn fred smɔl. If yu tɔk to yu dɔktɔ bɔt dɛn sayn ɛn sik ya, dat go mek yu no mɔ bɔt wetin fɔ ɛkspɛkt. Yu patna ɛn di mɛdikal tim de fɔ sɔpɔt yu. Dɛn go ɛp yu fɔ naviget dis leba as kɔmfyut ɛn kɔnfidɛns as yu ebul.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Fɔ bɔn pikin na big ɛkspiriɛns na layf. If yu no dis bifo tɛm, dat go gi yu bɔku trɛnk fɔ bia da tɛm de.
- tri stej dεm de fכ bכn: di biginin fכ bכn, di pikin we i bכn, εn we dεn dכn dכn di plasεnta.
- Ɔlman in ɛkspiriɛns difrɛn: Nɔ kɔmpia yu ɛkspiriɛns wit ɔda pipul dɛn.
- We dɛn de fɔ kɔntrol di pen: ɛksesaiz fɔ blo, chenj di pozishɔn, ɛn ɔda tin dɛn kin ɛp. If yu nɔ ebul fɔ bia di pen, go to dɔktɔ.
- No ustɛm fɔ go na ɔspitul: Kɔl di dɔktɔ we di pen de kam ɔltɛm, we di bag we gɛt wata brok.
- Nɔto yu wan de: yu mɛdikal tim, yu famili, ɛn yu patna ɔl de fɔ ɛp yu.
Wi op se dis infɔmeshɔn go ɛp yu. Wi de wish yu wan wɛlbɔdi bebi!
` Leba, bכn pikin, bεlε, pen, fכ bכn pikin, stej dεm fכ bכn, plasεnta
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