If yu de pripia fɔ bɔn pikin, wan pan di kwɛstyɔn dɛn we de na yu maynd na fɔ tru "Will I have to have an episiotomy ?". Pan ɔl we dis na bin kɔmɔn tin we dɛn bin de du we dɛn bin de bɔn wi mama ɛn grani dɛn, tin dɛn rili difrɛn tide. Bɔt sɔntɛnde dis kin nid fɔ apin bikɔs ɔf imejensi. So, lɛ wi tɔk bɔt dis klia ɛn simpul we.
Fɔ tɔk am simpul wan, wetin na episiotomy?
episiotomy na sכm sכm כpεrayshכn we dכkta kin mek na di εria bitwin di vagina εn di an (dεn kכl am mεdikal wan `perineum`) we i de bכn fכ mek di vagina opin fכ mek i izi fכ di pikin kכmכt. di men tin we mek dεn de du dis na fכ mek di pikin fכ kכmכt bכku.
Trade, dɛn bin de kɔt dis say pan ɔlmost ɛvri mama we bɔn pikin. Bɔt tide, dɛn nɔ de du am ɔltɛm. Bɔt, dis nɔto tin we dɔn pas ɔl.
Dɔn ɛn Naw: Wetin mek dis polisi chenj?
Dikɛd ia bifo naw, episi OT omy bin rili kɔmɔn. Ɛn rizin dɛn bin de fɔ dat.
Da tɛm de, bɔku dɔktɔ dɛn bin de yuz tin dɛn lɛk fɔsɛp fɔ ɛp fɔ bɔn pikin. So dɛn bin nid ɛkstra ples fɔ yuz dɛn inschrumɛnt dɛn de fayn fayn wan. Dɔn bak, di dɔktɔ dɛn we bin de da tɛm de bin tink se i bɛtɛ fɔ kɔt am fayn fayn wan pas fɔ lɛ i rɔtin fɔ insɛf. Dɛn bin biliv bak se dis kɔt go ridyus di prɔblɛm dɛn we kin apin fɔ lɔng tɛm afta dɛn bɔn pikin, lɛk we pɔsin nɔ ebul fɔ kɔntrol insɛf ɛn we i kin fil pen we i de du mami ɛn dadi biznɛs.
Bɔt, risach dɔn sho se nɔto so i bi.
Risach frɔm di 1990 dɛm dɔn sho se episiotomy nɔ de gi bɔku bɛnifit lɛk aw dɛn bin de tink bifo tɛm.
"Pan ɔl we i izi fɔ sidɔm pan episiotomy pas natura l kray wata, di risk de fɔ mek di kray wata skata mɔ ɛn mek mɔ damej," na so di ɔbstetrishan-gaynecologist dɛn pɔynt.
sכm stכdi dεm sho se lεk 85% pan di uman dεm kin gεt sכm digri fכ nכmal tearing we dεn de bכn pikin. Dɛn kray wata ya (ɛn di kɔt we dɛn kɔt di episiotomy) kin kɔmɔt frɔm smɔl to siriɔs (dɔktɔ dɛn kin klas dɛn as fɔs, sɛkɔn, tɔd, ɛn fɔs digri). We i kin rili bad, di mɔsul dɛn na di rɛktum ɛn di insay layn kin pwɛl , we kin mek i nɔ izi fɔ kɔntrol di bɔdi we de muv.
If dɛn du episiotomy, risk de fɔ mek di say we dɛn kɔt go skata pas aw i go te ɛn pwɛl di rɛktal mɔsul dɛn bay insɛf.
| Di kwaliti we pɔsin gɛt | Di biliv we bin de da tɛm de | Di tin dɛn we dɛn dɔn fɛn naw |
|---|---|---|
| Kɔt ɛn tear | If yu kɔt am fayn fayn wan, i bɛtɛ pas we yu kɔt am fayn fayn wan. | Di kɔt kin skata fa we nɔ nid ɛn i kin pwɛl bad bad wan. |
| De mɛn | Wan klin kɔt kin wɛl kwik kwik wan. | Bɔku tɛm, di natura l kray wata kin wɛl wit smɔl pen ɛn kwik kwik wan. |
| Prɔblɛm dɛn we kin de fɔ lɔng tɛm | I de mek prɔblɛm dɛn lɛk we yu nɔ ebul fɔ kɔntrol yu urinary. | No klia pruf nɔ de fɔ se dis kin mek dɛn nɔ gɛt dɛn kayn prɔblɛm dɛn de. |
So, ustɛm dɛn stil de du episiotomy tide?
Naw, dɔktɔ dɛn nɔ kin tɛl mama fɔ du episiotomy as opshɔn. Bɔt i kin nid fɔ apin we tin apin we nɔ izi fɔ du ɛn we i nid fɔ du mɛrɛsin, lɛk dɛn tin ya:
- If di pikin gɛt ɛni prɔblɛm (fetal distress): Fɔ ɛgzampul, if di pikin in at rit chenj wantɛm wantɛm.
- If di pikin big: I nɔ gɛt bɛtɛ ples fɔ mek di pikin kɔmɔt na do.
- If di pikin nid fɔ bɔn kwik kwik wan: If di pikin nid fɔ bɔn kwik kwik wan fɔ mek di mama ɔ di pikin sef.
Imajin, di dɔktɔ tɛl yu se, "Di pikin de gɛt prɔblɛm, ɛn dis tisu de delay fɔ bɔn di pikin." Dis na di tɛm we dɛn kin disayd fɔ du dis.Dis nɔ kin bi sɔntin we dɛn kin plan bifo tɛm, bɔt na sɔntin we dɛn kin disayd fɔ du di sem tɛm.
כlso, risεch dεn sho se episiotomy nכ de bכku yus fכ di imejensi situeshכn we dεn kכl ` Shoulder Dystocia` , usay di pikin in sכlda de stכk na di bכn kanal. Bikɔs if na so i bi, di tin we de ambɔg na di mama in bɛlɛ bon dɛn, nɔto di sɔft tisu dɛn.
Wetin fɔ ɛkspɛkt we dɛn de du episiotomy ɛn afta dɛn dɔn du am?
We dɛn de du di wok
Episiotomy na sɔntin we kin apin bifo yu ivin no am. Dɛn kin kɔt di say we dɛn kɔt insay smɔl sɛkɔn dɛn.
- If yu de gɛt epidural fɔ ridyus di pen, yu nɔ go fil natin.
- Ivin fɔ mama we de bɔn pikin bay insɛf, dɛn nɔ go fil dis say we dɛn kɔt am apat frɔm di pen we i de fil we i bɔn da tɛm de.
Afta di prɔses
Afta yu bɔn yu pikin, yu dɔktɔ go stich di say we dɛn kɔt ɛn mek am fayn. Yu kin gɛt sɔm pen ɛn swel fɔ sɔm dez afta dat. Dɛn tin ya kin ɛp:
- Fɔs 24 awa: Ays di eria.
- Di tin dɛn we dɛn kin yuz fɔ mɛn pen: Aks yu dɔktɔ fɔ gi yu wan fayn mɛrɛsin fɔ mek yu fil pen.
- Klin: Yuz swɛt bɔtul wit wata we wam fɔ klin di say.
- Sitz baths: If yu sidɔm na besin we gɛt wata we wam fɔ sɔm minit, dat kin rili ridyus di pen ɛn nɔ fil fayn.
Yu tink se dɛn go du episiotomy fɔ di nɛks pikin?
Sɔntɛm nɔto so. Jɔs bikɔs yu bin gɛt episiotomy di tɛm we yu bɔn yu fɔs nɔ min se yu fɔ gɛt wan fɔ yu sɛkɔn bɔn. Yu dɔktɔ kin disayd fɔ mek di kray wata apin bay insɛf di sɛkɔn tɛm.
Ɛni bɛlɛ ɛn bɔn pikin difrɛn. Fɔ ɛgzampul, if yu fɔs pikin bin big ɛn yu bin gɛt fɔ du episiotomy, bɔt yu sɛkɔn pikin smɔl, ɔ if di pikin de na difrɛn pozishɔn, yu nɔ go nid fɔ kɔt am. Di kray wata we kin apin bay insɛf kin smɔl pas we dɛn kɔt am we dɛn du ɔpreshɔn pan.
Bɔt if yu dɔn gɛt siriɔs kray wata ɔ episiotomy bifo we dɔn mek yu nɔ ebul fɔ kɔntrol yu fes, yu dɔktɔ kin tɛl yu fɔ du C-section fɔ yu nɛks pikin fɔ mek yu nɔ gɛt siriɔs kray wata bak ɛn mek yu gɛt prɔblɛm fɔ lɔng tɛm.
Yu tink se dɛn kin mek dɛn nɔ du episiotomy ɔ tear?
Nɔr 100% garanti nɔr de fɔ mek yu nɔr gɛt episiotomy ɔr tear, bɔt tin dɛn de we yu kin du fɔ ɛp fɔ ridyus di risk.
- Pɛrinial masaj: .Sɔm uman dɛn kin yuz wan kayn ɔyl fɔ masaj di say we de bitwin di vagina ɛn di anus insay di las mɔnt we dɛn gɛt bɛlɛ. Pan ɔl we sayɛns nɔ dɔn pruv se dis go bɛnifit, i nɔ bad bak.
- Slow, controlled delivery: Dis na di tin we impɔtant pas ɔl. we di pikin in ed kכmכt (krawn), insted fכ push tranga wan wan tεm, yuz "sכm sכm push dεm." dis de gi di vagina tisu dεm tεm fכ strεch sכmtεm. I rili impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɔ nɔs gi yu di rayt we.
Tɔk opin wan wit yu dɔktɔ bɔt ɛni fred ɔ dawt we yu gɛt bɔt fɔ bɔn pikin. I go ɛksplen di we we fit yu ɛn we nɔ gɛt wan prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Episiotomy nɔto kɔmɔn tin fɔ du dɛn tɛm ya.
- Dɛn kin du am nɔmɔ if i nid fɔ du am na di mɛrɛsin fɔ di mama ɔ di pikin in sef.
- Natural tears na kɔmɔn tin ɛn bɔku tɛm i kin wɛl fayn fayn wan.
- Bifo yu bɔn pikin, tɔk to yu dɔktɔ bɔt di tin dɛn we yu de fred ɛn di tin dɛn we de mɔna yu fɔ mek yu ɔndastand am gud gud wan.
- Afta yu dɔn kɔt ɔ te, fala yu dɔktɔ in instrɔkshɔn dɛn jɔs fɔ mek yu wɛl kwik kwik wan.
- If yu bɔn di pikin sloslo ɛn kɔntrol am, dat kin mek i nɔ gɛt bɛtɛ kray wata.
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