Yu dɔn de rɛdi fɔ leba, leba dɔn bigin, ɛn ɔltin bin de go fayn, bɔt wantɛm wantɛm ɔltin slo? I tan lɛk se yu kɔntrakshɔn nɔ kin apin so ɔltɛm ɛn i nɔ kin tranga? Na nɔmal tin fɔ mek mama fil fred ɛn wɔri sɔm tɛm lɛk dis. Bɔt nɔ wɔri. Insay kes dɛm lɛk dis, we natura l leba slo ɔ stɔp, dɔktɔ dɛn kin ɛp yu ɛn yu pikin fɔ dɔn di joyn sef wan bay we dɛn spid am bak. Tide, wi de tok abaut dis proses, we dem de kol ‘Augmentation of Labor’.
Fɔ tɔk am simpul wan, wetin na Augmentation of Labor?
‘Augmentation of Labor’ na we wan natura l leba we de apin nɔ de go bifo lɛk aw dɛn bin de ɛkspɛkt, dat na if di leba nɔ de go bifo di spid we dɛn want, den di prɔses de aksɛleret bay ɛp we kɔmɔt na do. Fɔ tɔk di kɔrɛkt tin, na fɔ mek yu uterin kɔntrakshɔn, ɔ kɔntrakshɔn, strɔng ɛn mɔ ɛn mɔ.
Insay dis, dɔktɔ dɛn kin yuz mɛrɛsin ɔ ɔda we fɔ mek di pikin bɔn kwik kwik wan. Dis we ya kin nid fɔ du am if di tɛm bitwin di kɔntrakshɔn tu lɔng, ɔ if di kɔntrakshɔn dɔn stɔp ɔl. Bikɔs di leba we kin las fɔ lɔng tɛm kin denja sɔntɛnde fɔ yu ɛn yu pikin.
Yu tink se Augmentation ɛn Induction na tu difrɛn tin dɛn?
Yɛs. Dis na di say we bɔku pipul dɛn kin kɔnfyus. Dɛn tu we ya rili difrɛn.
Indukshכn fכ leba na di prכsεs fכ artificially initiate leba (bay we dεn gi mεdikeshכn) to pכsin we nכ bigin fכ bכn yet.
Augmentation of Labor na di prכsεs we de mek di prכsεs spid fכ pכsin we dεn כlrεdi stat fכ leba, bכt i slo insay di prכsεs.
Fɔ mek i izi fɔ ɔndastand, lɛ wi luk am dis we.
| Di kwaliti we pɔsin gɛt | Indukshɔn fɔ Leba | Augmɛnt fɔ di Leba |
|---|---|---|
| Plan | We di wɛda nɔ bigin, stat am. | If di muvmɛnt we yu dɔn bigin fɔ muv wik, mek i strɔng ɛn aksɛleret am. |
| Chans | We di pikin nɔ bɔn ivin afta we i dɔn ful-ɔp, ɔ we di mama ɔ di pikin gɛt wɛlbɔdi prɔblɛm. | We di leba de drɛg fɔ bɔku awa (we nɔ de go bifo). |
Udat nid dis sistɛm?
Yu kin nid dis we if yu de na natura l leba (nɔto induced) ɛn di prɔses stɔp ɔ tek tumɔs. Dɔktɔ dɛn kin kɔl dis sik "failure to progress." dis min se di leba nכ dכn go bifo bכku afta 18-24 awa we dεn de leba.
Dis kin bi bikɔs ɔf sɔm rizin dɛn:
- Di amniotic sak nɔ dɔn brok yet.
- Wik ɔ i nɔ de muv di bɔdi ɔltɛm.
- Di kɔmplit stɔp we di wata de flɔ.
Wetin na di tin dɛn we kin apin we dis we fɔ du tin nɔ fayn?
Sɔntɛnde, dɔktɔ dɛn nɔ kin yuz dis we. Di rizin dɛn na:
- di pikin in posishכn: if di pikin de na komplεks posishכn (e.g. brich, transvas lay) pas fכ ed dכn.
- Prɔblɛm wit yu uterus: If yu gɛt ska tisu insay yu uterus (Asherman syndrome).
- Sizarian sɛkshɔn bifo: If yu gɛt skata na yu uterus frɔm C-sekshɔn ɔ ɔda ɔpreshɔn we yu bin dɔn du bifo, dɛn nɔ go fayn fɔ du dis bikɔs i kin mek di ska tisu pwɛl we di uterus kɔntrakt pasmak.
Aw fɔ mek di pikin leba kwik kwik wan?
Bifo dis prɔsidyu, yu dɔktɔ go tɔk to yu bɔt aw fɔ mɛn di pen we yu de bɔn. Bɔrku tɛm, yu kin gɛt epidural. Dɔn, i go dipen pan yu sik, yu dɔktɔ go pik di we we go fayn fɔ yu.
Tri we dɛn de mɔ:
1. Fɔ brok di bag we gɛt wata (Amniotomy):
Dis na wetin wi ɔl dɔn yɛri se na "brɛk di bag we gɛt wata." wetin de apin ya na di dכkta de yuz wan sכmכl plastic we lεk wan fכ brok di amniotic sak we de rawnd di pikin jisno. as di amniotic fluid de kכmכt, di pikin in ed kin push dayrekt pan di sεviks. dis prεshכn de mek di sεviks opin mכr, εn di kכntrikshכn dεm go bigin fכ kam mכr εn tranga wan.
2. Di mɛrɛsin dɛn we dɛn kin yuz:
Na ya, dɛn go gi yu wan mɛrɛsin tru wan salin drip (wan IV drip). Di mɛrɛsin we dɛn kin yuz mɔ na Oxytocin (brand nem Pitocin®). Dis na wan we we dɛn mek wit ɔmon we dɛn kin mek na wi bɔdi bay wilful. dis mεdikal de wok bay we i de mek di uterus kכntrakt εn mek di uterus strכng.
3. Balɔn Kateta: .
dis na we bak we dεn kin yuz fכ opin di sεviks. na ya, dεn kin put wan sכmכl balכn we gεt tכn tכb (kateta) insay yu sεviks εn inflate am. I tan lɛk se yu de blo smɔl bɔl. di prεshכn we de kכmכt na dis balכn de mek di sεviks dilayt, כ opin. we di sεviks opin inof, di balכn go fכl כtomatik.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
Di men bɛnifit na dat bɔku tɛm dɛn kin avɔyd fɔ du sizarian sɛkshɔn (C-section). Dis na big ɛp fɔ mek pɔsin bɔn pikin we i bɔn. Bikɔs di tɛm fɔ wɛl afta dɛn dɔn du C-section kin lɔng ɛn di pen kin mɔna.
Ɛn, lɛk ɔl di mɛrɛsin dɛn, sɔm prɔblɛm dɛn de we kin apin. Bɔt nɔ wɔri, dɛn risk ya kin smɔl bikɔs di mɛdikal tim go de wach yu ɛn yu pikin gud gud wan.
- di haypa stimulashכn fכ di uterus: sכmtεm, di mεdisin `(Oxytocin)` kin mek di kכntrikshכn tu tranga εn i kin apin fכs. dis kin mek sכm prεshכn pan di pikin (`fetal distress`). Dis min se di bכdi εn כksijεn we di pikin de gεt kin dכn. כltu, dεn kin kכntro dis biכs di dכkta de ajɔst di dכz fכ di mεdisin כltεm εn de kכntinyu fכ mכnitor di pikin in at bit (`ilεktronik fetal mכnitri`).
- Infεkshכn: Afta dεn dכn brok di bag fכ wata wit atifishal wan, baktri infεkshכn (chorioamnionitis) kin rili apin. Fɔ mek dis nɔ apin, dɛn go gi yu ɛn yu pikin antibayɔtik.
- Umbilical Cord Prolapse: Dis na tin bak we nɔ kin apin so ɔltɛm. dis min se afta di wata brok, di כmbilikal kכd de slip insay di vagina bifo di pikin in ed. Dis kin mek di pikin nɔ gɛt ɔksijɛn. Dis na imejensi ɛn i nid fɔ mek dɛn du C-sekshɔn we dɛn nid fɔ du am kwik kwik wan.
Fɔ wɛl ɛn ustɛm fɔ go to dɔktɔ
Di tɛm we yu go wɛl dipen pan aw di bɔn bin apin. If yu bin gɛt C-section, episiotomy, ɔ vagina tear, i kin tek lɔng tɛm fɔ wɛl ɛn yu kin gɛt mɔ pen.
If yu gɛt ɛni wan pan dɛn sik ya afta yu bɔn pikin, kɔl yu dɔktɔ wantɛm wantɛm.
- Chɛst de pen
- Diziz ɔr fɔdɔm (syncope) .
- Pen we rili bad
- Dischaj we de kɔmɔt na di vagina we pasmak ɛn we de smɛl fayn
- Blɔd we de kɔmɔt pasmak
- Nɔs ɛn vɔmit
- I nɔ kin izi fɔ yu fɔ blo
- Sayn dɛm fɔ sho se yu gɛt di sik, lɛk fiva ɛn kol
- swel na yu leg, yu an, ɔ yu fes (ɛdima) .
Dɛn kin yuz dɛn we ya nɔmɔ we nid de fɔ mɛn pipul dɛn, fɔ mek yu ɛn yu pikin sef. So if di delay fɔ bɔn pikin, nɔ panik ɛn tɔk to yu dɔktɔ fɔ disayd di bɛst tin fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- `Augmentation of Labor` na wan prosidכs we de εp fכ spid wan leba we dכn stat nכmal bכt we dכn slo dכn along di we.
- dis difrεn frכm di `Induction of Labor` mεtכd, we de stat leba frכm di biginin.
- Fɔ brok di bag we gɛt wata, fɔ gi mɛrɛsin lɛk `Oxytocin`, ɛn yuz `Balloon Catheter` na di men we dɛn we dɛn kin yuz ya.
- di men bεnεfit na dat i de εp fכ mek dεn nכ du C-sekshכn εn fכ mek i izi fכ bכn di pikin nכmal.
- Pan ɔl we sɔm prɔblɛm dɛn de, nid nɔ de fɔ fred bikɔs di mɛdikal tim go de wach yu ɛn yu pikin gud gud wan.
- If yu gɛt ɛni ɔda tin we nɔ kɔmɔn afta yu bɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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