Yu kin bi mama we lɛk am insay di las wik dɛn we yu gɛt bɛlɛ. Ɛnitɛm we yu go fɔ skan fɔ si yu pikin, yu kin gɛt bɔku op. Bɔt wantɛm wantɛm di dɔktɔ se, "Di pikin de na brich pozishɔn." Dat min se di pikin in ed de ɔp ɛn di bɔt de dɔŋ. Dis na wetin wi kin kɔl ``breech position.'' Na nɔmal tin fɔ fil smɔl frayd ɛn wɔri na tɛm lɛk dis. Yu kin de tink se, "O, a go gɛt fɔ du sizarian sɛkshɔn naw?" Bɔt nɔ wɔri. Sɔntɛnde, we de fɔ tray fɔ tɔn di pikin bifo i go fɔ ɔpreshɔn. Na dat wi de tok abaut tide.
Fɔ tɔk am simpul wan, wetin na Ɛksternal Sɛfalik Vɛshɔn (ECV)?
εksternal sεfalik vεshכn, כ ECV as wi kכl am fכ sכt, na di prכsidכs we di dכkta de put in an dεm pan yu bεlε εn i de aplay vεri kεriכs εn prεsis prεshכn fכ tכn di pikin insay di bεlε frכm ``breech`` posishכn to ``hed-dכwn`` posishכn. Fɔ tɔk di kɔrɛkt tin, na dis say dɛn kin tɔn di pikin so dat di ed go dɔŋ.
Tink bɔt am, arawnd 36 wiks insay yu bɛlɛ, bɔku pikin dɛn kin tɔn ed dɔŋ natin nɔ de fɔ du am. Dis na di bεst εn sef posishכn fכ vagina dilivεri. Bɔt nɔto ɔl bebi dɛn kin tɔn da we de. fכ tכk roughly, lεk 3 pan 100 bebi dεm kin stil de na di brich posishכn na dis tεm. Na da tɛm de yu dɔktɔ go tɛl yu fɔ du ECV. dis kin bi arawnd 37 wiks insay yu bεlε.
Aw yu kin du dis? Yu tink se i de mek pɔsin fil bad?
Dis kin tan lɛk se yu de mek yu fred smɔl. I nɔmal fɔ gɛt bɔku kwɛstyɔn dɛn we de kam na yu maynd, lɛk, "O, i go at if a prɛs di bɛlɛ ɛn tɔn di pikin? I go at di pikin?" Lɛ wi si aw dis kin rili apin.
Dis prosidur na yu obstetrician de du am.
1. Aw fɔ pripia: Fɔs, dɛn go tek tɛm chɛk yu ɛn yu pikin dɛn wɛlbɔdi. Dɛn go de wach tin dɛn lɛk aw di pikin in at de bit.
2. uterus rilaks: Bɔku tɛm, dɛn go gi yu mɛrɛsin fɔ rilaks di mɔsul dɛn na yu uterus. Dis go mek am izi fɔ di pikin fɔ tɔn ɛn i go mek yu nɔ fil fayn bak.
3. Fɔ tɔn di pikin: Neks, di dɔktɔ go put in an dɛn pan yu bɛlɛ ɛn put am stedi, ivin prɛshɔn fɔ tɔn di pikin jisnɔ. Dis prɛshɔn go las fɔ sɔm minit.
4. Monitoring: Ivin afta dεn tכn di pikin, dεn de mכnitor tin dεm lεk di pikin in at bit bak fכ mek sכh se di pikin de du fayn.
di tin we imכtant pas ɔl na dat dεn nɔ de put natin insay yu vagina we dis de apin. Ɔltin kin apin oba di bɛlɛ.
We wi de tɔk bɔt pen, yes, we yu de prɛs yu bɛlɛ, yu kin fil sɔm kayn prɔblɛm, tayt, lɛk we yu de gɛt kramp we yu de gɛt mɔnt. Bɔt i nɔto pen we pɔsin nɔ go ebul fɔ bia. Sɔm dɔktɔ dɛn kin gi dɛn mɛrɛsin bak fɔ mek pɔsin fil pen, bɔt dat nɔ impɔtant.
Di wan ol tin we dɛn kin du, ivin di tɛst dɛn, kin tek lɛk tu awa so. Fɔ sef rizin, dɛn kin du dis na ples nia ɔpreshɔn rum. Dis na bikɔs if prɔblɛm kam wantɛm wantɛm, dɛn kin du wan imejensi C-sekshɔn kwik kwik wan. Dis na fɔ tek tɛm, nɔto garanti fɔ se dis kayn tin go apin.
Wetin na di bɛnifit ɛn risk dɛn we ECV kin gɛt?
Lɛk ɛni mɛrɛsin, ECV gɛt in bɛnifit ɛn sɔm rili smɔl risk dɛn. Yu dɔktɔ go ɛksplen dɛn tin ya to yu ditayli. Lɛ wi ɔndastand dis klia wan.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| di men advantej na di chans we de bכku fכ bכn di vagina. Bɔku mama dɛn kin lɛk fɔ bɔn pikin bay vagina pas fɔ mek dɛn du sizarian. If ECV wok fayn, yu go gɛt da chans de. | Mɛmba se dɛn prɔblɛm ya nɔ kin apin so ɔltɛm . |
| Fɔ avɔyd fɔ du sizarian sɛkshɔn (C-section). Sizarian sɛkshɔn na big ɔpreshɔn. I gɛt risk dɛn we gɛt fɔ du wit am ɛn i kin tek lɔng tɛm fɔ mek i wɛl. ECV kin mek dis nɔ apin. | - di membran dεm we de rכp bifo tεm: `(Prεmature rupture of the membranes)` - plasεnta abrupshכn: `(Plasεnt abrupshכn)` - di leba we de bigin kwik kwik wan: `(Preterm labor)` - Diskɔmfɔt na di pikin: di at bit we di pikin nɔ de bit (Fetal distress) . - blɔd we de kɔmɔt na di vagina: `(Blɔd we de kɔmɔt na di vagina)` |
Di sef fɔ yu ɛn yu pikin na di tin we impɔtant pas ɔl ɔltɛm, so yu dɔktɔ go tɔk to yu bɔt dɛn prɔblɛm ya ɛn ɛp yu fɔ disayd if dis rayt fɔ yu.
Ɔlman kin du dis ECV?
Nɔ, nɔto ɔl uman we gɛt bɛlɛ kin ebul fɔ du dis. Sɔm tin dɛn de we dɛn nɔ kin ebul fɔ du ECV, we min se dɛn nɔ kin fayn fɔ du am. Yu dɔktɔ go disayd if dis nɔ bad fɔ yu bay yu mɛrɛsin histri.
| We dɛn nɔ kin advays fɔ yuz ECV |
|---|
| - If yu de gɛt bɔku pikin dɛn, lɛk twins . |
| - If yu jɔs dɔn gɛt blɔd na yu vagina . |
| - if di amount of amniotic fluid we de rawnd di pikin sכmtεm . |
| - If di pikin in at rit nɔ de rit . |
| - if yu gεt `Placenta Previa` (wan kכndishכn we di plasεnta de na di bכtכm pat pan di uterus εn i de kכba di sεviks). |
| - If yu uterus shep abnכmal . |
| - If yu gɛt wɛlbɔdi prɔblɛm we yu nɔ ebul fɔ kɔntrol, lɛk ay blɔd prɛshɔn ɔ dayabitis. |
| - If dɛn dɔn schedul fɔ du sizarian sɛkshɔn ɛni we fɔ ɔda mɛrɛsin rizin. |
Wetin na di chans fɔ mek ECV go bifo?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. di avrej sakses rεt fכ wan ECV na bכt 58% . Dat min se, nɔto wan pan ɛvri tu ECV dɛn we dɛn kin du kin wok fayn. Pan ɔl we dis nɔto 100% garanti, na gud chans fɔ tray fɔ gɛt nɔmal delivri.
Wetin kin apin if di ECV nɔ wok fayn?
Imajin se yu dɔktɔ dɔn tray bɔt i nɔ ebul fɔ tɔn yu pikin. If dat apin, nid nɔ de fɔ panik. As di nɛks tin we yu fɔ du, yu dɔktɔ go tɔk to yu ɛn arenj fɔ mek dɛn du C-section we yu dɔn plan fɔ du leta . Na smɔl tɛm nɔmɔ, sɔm dɔktɔ dɛn we gɛt ɛkspiriɛns kin ebul fɔ bɔn pikin we de na brich pozishɔn bay vagina. Bɔt i dipen pan bɔku tin dɛn, lɛk yu ɛn yu pikin in wɛlbɔdi ɛn di ɛkspiriɛns we di dɔktɔ gɛt. Di las tin we yu kin disayd fɔ du kin kam dɔŋ to yu sef ɔltɛm.
Mɛmba se yu plan fɔ bɔn pikin kin chenj, bɔt di tin we impɔtant pas ɔl na fɔ mek di dɔktɔ in fɔs ɛn wangren gol na fɔ bɔn pikin we gɛt wɛlbɔdi to mama we gɛt wɛlbɔdi.
So, tɔk to yu dɔktɔ bɔt ɔl di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred. Ɔndastand di prɔses, di gud ɛn bad tin dɛn we i gɛt, ɛn mek di bɛst disizhɔn togɛda.
Mɛsej we dɛn kin kɛr go na os
- External Cephalic Version (ECV) na sef mεdikal prosidכs we dεn de tכn di brich pikin in ed dכn bay we dεn de rכt in an oba di bεlε.
- di men advantej fכ dis na dat i de avכyd sizarian sekshכn εn i de inkrεs di chans fכ nכmal vagina dilivεri.
- Di sakses rεt fɔ ECV pas 50%, we min se i fayn fɔ tray.
- Dis nɔ fayn fɔ ɔl mama. Yu dɔktɔ go disayd if dis fayn fɔ yu.
- Ɔltɛm tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt dis. Yu sef ɛn yu pikin in sef na di tin we impɔtant pas ɔl.
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