Yu bin gɛt skan we yu gɛt bɛlɛ dɔn we tɛl yu se yu pikin de na brich pozishɔn, nɔto ed-dɔwn pozishɔn? Dat min se i de na ‘breech’ pozishɔn. Bɔku mama dɛn kin fred smɔl we dɛn yɛri dis, ɛn dɛn kin tink se, ‘O, a go gɛt fɔ du C-section naw?’ Bɔt nɔ wɔri. Nɔto ɔl breech pikin nid fɔ gɛt C-sekshɔn. Sɔntɛnde, dɔktɔ dɛn kin tɔn di pikin na do, ɛn dɛn nɔ kin go ɔpreshɔn . Tide wi de tɔk bɔt da spɛshal we de fɔ du tin, we dɛn kɔl External Cephalic Version , ɔ ECV as wi ɔl no am.
Wetin na ECV simpul wan?
Tink bɔt yu pikin lɛk smɔl os we de na yu bɛlɛ. Bɔku tɛm, as di pikin de kam nia fɔ bɔn, yu pikin go tɔn in ed dɔŋ, ɛn rɛdi fɔ kɔmɔt na do di izi we. Wi kin kɔl dis di ‘sɛfalik’ pozishɔn. Dis na di bεst εn sef posishכn fכ yu pikin fכ bכn.
Bɔt sɔntɛnde, bebi dɛn kin difrɛn smɔl. Dɛn ed ɔp, wit dɛn bɔt ɔ dɛn leg we de fes dɔŋ. pan mεdikal tεm, wi kin kכl dis di ‘breech posishכn’ . we dεn de na dis posishכn, fכ bכn di pikin nכmal wan, dat na fכ di vagina, kin bi sכm mכr komplikεt εn risky.
Da tɛm de, di dɔktɔ go put in an dɛn pan yu bɛlɛ ɛn, i go tek tɛm ɛn yuz wan spɛshal we fɔ mek yu pikin tɔn in ed dɔŋ, we dɛn kɔl External Cephalic Version (ECV) . fכ sכmtεm, dis na sכmכl 'flip' fכ di pikin insay di bכdi, we de bכn am insay di kכrekt posishכn.
Aw dɛn kin du dis ECV we?
Dis kin tan lɛk se i de mek pɔsin fred smɔl, bɔt dɛn kin tek tɛm du am ɛn sef wan.
- Dɔktɔ: Na di ɔbstetrician we go de kia fɔ yu ɔl di tɛm we yu gɛt bɛlɛ kin du dis.
- Monitoring: dεn de kכntinyu fכ mכnitor di pikin in at bit bay mashin fכ lεk 30 minit bifo di ECV bigin. Dis impɔtant fɔ mek shɔ se di pikin de du wɛl.
- Rilaks di uterus: Sɔntɛnde, dɛn kin gi yu mɛrɛsin tru wan vein (IV) na yu an fɔ rilaks di mɔsul dɛn na yu uterus. Dis nɔ go ambɔg di pikin, bɔt i kin mek am izi fɔ di dɔktɔ fɔ tɔn di pikin.
- Fɔ tɔn di pikin: Dɔn, di dɔktɔ go put in an dɛn pan yu bɛlɛ ɛn prɛs am tranga wan, bɔt saful wan fɔ tray fɔ tɔn di pikin rili saful wan.
- Yuz fɔ Ɔltrasɔund : .Insay dis ɔl dis, di dɔktɔ kin yuz ɔltra saund mashin fɔ si di rayt say usay di pikin de, usay di plasɛnta de, ɛn us we di pikin de tɔn.
Yu tink se ECV kin at bad bad wan?
Dis na big prɔblɛm fɔ bɔku mama dɛn. Fɔ tɔk tru, i kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Di dɔktɔ gɛt fɔ prɛs di pikin smɔl fɔ mek i tɔn di pikin. So sɔm mama dɛn kin si dis nɔ kin fil fayn, ɛn ɔda wan dɛn kin fil pen smɔl.
Bɔt bɔku uman dɛn kin gɛt ECV we dɛn nɔ gɛt ɛni mɛrɛsin fɔ mek dɛn fil pen. Bɔt if yu de gɛt bɔku prɔblɛm, nɔ wɔri. Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu fil pen, lɛk fɔ yuz epidural. Na smɔl tɛm nɔmɔ, dɛn kin put yu na slip. Bi opin to yu dɔktɔ bɔt ɛni diskɔmfɔt we yu de gɛt.
Ɔlman kin du ECV? Wetin na di prɔblɛm dɛn we kin apin?
Pan ɔl we ECV na tin we rili sef , i nɔ fayn fɔ ɔl uman dɛn we gɛt bɛlɛ. Sɔntɛnde, we pɔsin du am, i kin du mɔ bad pas gud. Lɛ wi luk sɔm pan di rizin dɛn we mek yu nɔ fɔ gɛt ECV.
| Kɔndishɔn dɛn we kin mek dɛn nɔ du ECV |
|---|
| If yu de ɛkspɛkt twins ɔ mɔ pikin dɛn. |
| If dɛn dɔn arenj fɔ mek yu du sizarian sɛkshɔn (C-section) fɔ ɔda rizin. |
| If yu dɔn gɛt blɔd na yu vagina insay di las 7 dez. |
| If di pikin in at nɔ de bit ɔ di pikin gɛt ɔda wɛlbɔdi prɔblɛm. |
| If yu wata bag dɔn ɔlrɛdi brok. |
| If di pikin in saiz big pas di avrej. |
| if di amount of amniotic fluid we de rawnd di pikin tu lכw כ tu hכy. |
| if yu gεt plasεnta we de lכw (placenta previa). |
| if yu uterus shep lεk at (bicornuate uterus). |
Apat frɔm dɛn tin ya, sɔm prɔblɛm dɛn de we nɔ kin apin so ɔltɛm we kin kam wit ECV. fכ egzampl, chenj dεm na di pikin in at rεt, di plasεnta abrupshכn, כ di biginin fכ bכn bifo di tεm. Na dat mek dɛn kin du ECV ɔltɛm na dilivri rum wit tin dɛn fɔ mek dɛn du imejensi sizarian sɛkshɔn if nid de.
Wetin na di chans fɔ mek ECV go bifo?
Di sakses rεt fכ wan ECV na bכt 50% . Dat min se wan pan ɔl tu pipul dɛn we gɛt am go ebul fɔ du am. Sɔntɛnde, if i nɔ wok di fɔs tɛm, di dɔktɔ kin tray bak insay lɛk wan wik so.
Opportunities wit ay chans fɔ sakses
- dis kin bi afta 36 wiks we di pikin bεlε , bifo di pikin tu big.
- if yu dכn bכn bifo (di uterus dεn strεch sכmtεm, so mכr rum de).
- if inof amniotic fluid de rawnd di pikin.
I nɔ go izi fɔ mek i ebul fɔ du am
- if di pikin de ingayj/drכp tu lכw insay di bכdi.
- If yu uterus fil tayt ɛn tɛnsi.
- If di dɔktɔ gɛt prɔblɛm fɔ fil di pikin in ed ɛn fɛn am kɔrɛkt wan.
Sɔntɛnde, ivin afta di ECV dɔn wok fayn ɛn dɛn dɔn tɔn di pikin to di rayt say, di brek pikin dɛn kin tɔn bak to di ol pozishɔn. Semweso, sɔm pikin dɛn kin tɔn to di rayt say na di las minit fɔ dɛnsɛf, ivin if dɛn nɔ gɛt ECV.
If di ECV nɔ wok fayn, wetin na di opshɔn dɛn?
Imajin se di dɔktɔ bin tray bɔt i nɔ bin ebul fɔ tɔn di pikin. Nɔ wɔri, yu stil gɛt sef opshɔn dɛn.
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2. Fɔ bɔn pikin bay sizarian sɛkshɔn (C-section):Bɔku tɛm, dɛn kin tek sizarian sɛkshɔn se i nɔ gɛt bɛtɛ prɔblɛm fɔ mama ɛn pikin pas fɔ bɔn pikin we gɛt brich bay vagina, so bɔku tɛm dɔktɔ dɛn kin se dɛn fɔ du dis.
Tɔk bɔt dɛn tin ya wit yu dɔktɔ fɔ disayd us we go fayn fɔ yu ɛn yu pikin, ɛn uswan we go mek yu nɔ gɛt wan prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- ECV na sef we we de tray fɔ gi pikin we de na brich pozishɔn di chans fɔ bɔn nɔmal we i nɔ nid fɔ du sizarian sɛkshɔn.
- Dis nɔto fɔ ɔlman. Yu dɔktɔ go disayd if dis fayn fɔ yu.
- Yu kin fil sɔm kayn pwɛl hat wae yu de du ECV, bɔt nɔto pen wae yu nɔr go ebul fɔ bia. Yu kin tek mɛrɛsin fɔ mek yu fil pen if nid de.
- Dis gɛt 50% chans fɔ gɛt sakrifays. If i nɔ wok, sizarian sɛkshɔn na fayn tin fɔ yu ɛn yu pikin.
- If yu gɛt pen fɔ bɔn pikin, blɔd de kɔmɔt, ɔ chenj di we aw yu pikin de muv afta ECV , tɛl yu dɔktɔ wantɛm wantɛm.
- Tɔk bɔt ɔl yu kwɛstyɔn ɛn tin dɛn we yu de fred wit yu dɔktɔ. Dɛn go gi yu di bɛst sɔlvishɔn.
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