If yu na mama we lɛk yu ɛn we de kam bɔn pikin, yu gɛt bɔku op ɛn yu de fred smɔl na yu at bɔt di bɔn we yu bɔn yu pikin. Sɔntɛnde, ɔltin nɔ kin go lɛk aw wi kin tink. Imajin se yu dɔn de push tranga wan fɔ lɔng tɛm, bɔt di pikin stil let fɔ kɔmɔt na do. Di dɔktɔ ɔndastand se yu taya bad bad wan ɛn dis nɔ kin izi fɔ di pikin. Na sɔm tɛm lɛk dis we di dɔktɔ kin tɛl yu bɔt "Forceps Delivery" as ɛp. Yu kin fred we yu yɛri dis nem. Bɔt we yu no gud gud wan wetin i bi, yu fred nɔ go de igen. Lɛ wi tɔk bɔt dis tide.
Fɔ tɔk am simpul wan, wetin na Forceps Delivery?
Fכsεps Dεlivεri na wan we we di dכkta de yuz spεshal tin fכ tek tεm pul di pikin if i gεt eni prכblεm we i de bכn. dis dεn kכl am bak "Assisted Vaginal Delivery". I min se na ɛp fɔ bɔn pikin we nɔmal.
Dɛn fɔs dɛn ya tan lɛk big big salad tong dɛn. Bɔt dɛn mek dɛn fɔ ol di pikin fayn fayn wan we nɔ go pwɛl di pikin in ed ɛn fɔ gayd di pikin fɔ kɔmɔt as yu de push. Di tin we impɔtant pas ɔl na dat na dɔktɔ we dɔn gɛt spɛshal trenin pan dis nɔmɔ go ebul fɔ yuz dɛn.
Bɔku tɛm, we di pikin de bɔn fɔ lɔng tɛm, na di las tin we dɛn kin du fɔ mek dɛn du sizarian (C-section). Bɔt if dɛn mit sɔm kɔndishɔn dɛn, dis we ya kin rili ɛp fɔ bɔn di pikin sef wan we dɛn nɔ nid fɔ du C-sekshɔn.
Wetin mek yu fɔ yuz fɔs fɔs we yu de bɔn pikin?
di tεm we di sεkכn stej fכ bכn, di stej we yu de push di pikin, sכmtεm di bכdi kin stכp εn i nכ kin go bifo. I nɔ mata aw yu push am tranga wan, di pikin nɔ go kɔmɔt na do. If na so i bi, di dɔktɔ dɛn go de wach yu ɛn yu pikin gud gud wan.
Bɔku men rizin dɛn de fɔ yuz fɔspɛs:
- Fɔ leba fɔ lɔng tɛm: If yu push fɔ lɔng tɛm ɛn di pikin nɔ mek i go dɔŋ di bɔn kanal, dis kin mek yu ɛn yu pikin strɛs.
- Mama in wɛlbɔdi: Sɔm mama dɛn kin gɛt tin dɛn lɛk ay blɔd prɛshɔn ɔ at sik, we kin mek i nɔ izi fɔ mek dɛn push fɔ lɔng tɛm. If dɛn kayn tin ya apin, dɔktɔ dɛn kin yuz dis we fɔ mek di mama nɔ gɛt bɔku prɔblɛm.
- Fetal Distress: sכmtεm dεn kin si chenj dεm na di pikin in at rεt. Dis kin mek di dɔktɔ dɛn no se di pikin de gɛt sɔm prɛshɔn insay di bɔn kanal ɛn i kin bi se i nɔ de gɛt bɛtɛ ɔksijɛn . If dis apin, di pikin nid fɔ bɔn kwik kwik wan.
If na so i bi, dɔktɔ dɛn kin yuz we dɛn we dɛn kin ɛp am lɛk Fɔspɛs Delivri ɔ Vaykum Ɛkstrakshɔn fɔ protɛkt di pikin ɛn di mama.
Fɔspɛs? Swip? Wetin na di difrɛns?
Yu go dɔn yɛri bak bɔt wan we we dɛn kɔl Vacuum Extraction. Di gud ɛn bad tin dɛn we dɛn tu we ya de du kin rili fiba. Dɔktɔ go pik wan pan dɛn tu ya bay aw dɛn tren, ɛkspiriɛns, ɛn aw yu ɛn yu pikin de da tɛm de.
Fɔsɛps Delivery na wan we we dɛn nɔ kin yuz bɛtɛ pas Vacuum Extraction bikɔs i nid mɔ skil ɛn trenin. Bɔt fɔsɛps kin rili yusful pan sɔm kes dɛm usay dɛn nɔ kin yuz di Vacuum we.
Lɛ wi tek tɛm luk di difrɛns bitwin dɛn tu we ya.
| Tin | Fɔsɛps fɔ Delivri | Vaykum Ɛkstrakshɔn |
|---|---|---|
| Di trenin we dɛn nid fɔ gɛt | I nid fɔ gɛt rili ay levul fɔ skil ɛn spɛshal trenin. | Fɔ tren pɔsin nɔ kin rili izi. |
| Bebi in pozishɔn | Ivin if di pikin in ed de tɔn to di rɔng say, dɛn kin ɛp am fɔ tɔn am to di rayt say. I kin ɛp bak fɔ breech bebi. | I kin bεst we di pikin de ed fכs εn i posishכn kכrekt. |
| Sakses rεt | Di sakses rɛt rili ay. | Di sakses ret de smɔl smɔl. Di vaykum kɔp kin kɔmɔt. |
| Posisibul impak pan di mama | Risk de fɔ mek yu vagina kray smɔl. Dɛn nid mɔ nid fɔ gɛt anestezi. | Di risk fɔ tear nɔ kin bɔku. |
Wetin na di situeshɔn dɛm we dɛn kin du fɔsps delivri ɛn dɛn nɔ kin du am?
Dis nɔto sɔntin we ɔlman go ebul fɔ du. Di dɔktɔ kin disayd fɔ du dis afta we i dɔn tink bɔt bɔku tin dɛn.
| Pozishɔn | Tɔk bɔt |
|---|---|
| Di tin dɛn we yu fɔ du bifo yu yuz fɔs | |
| Dɔktɔ in trenin | Di dɔktɔ we de du dis wok fɔ gɛt gud trenin ɛn ɛkspiriɛns pan am. |
| Di prɔgrɛs we di leba de go bifo | If yu dɔn de push fɔ sɔm awa (1-4) ɛn di delivri nɔ bin dɔn wok fayn. |
| Bebi in pozishɔn | di pikin fכ de lεk af we dכn di bכn kanal εn i fכ de na wan lεvεl usay dεn kin ol di fכsεps. |
| Bebi in wɛlbɔdi stetmɛnt | if di pikin in at bit sho se di pikin in bכdi de at εn dεn nid fכ pul di pikin kwik kwik wan. |
| Di tin dɛn we nɔ fayn fɔ yuz fɔspɛs | |
| dilayshכn na di sεvikal | If yu sεviks nכ fulכp dilayt. |
| Bebi in divεlכpmεnt | If di pikin pas 6 wik bifo di pikin bɔn. |
| Di pikin in mɛrɛsin kɔndishɔn | If di pikin gɛt blɔd ɔ bon prɔblɛm. |
| Bebi in pozishɔn | If wan pat pan di pikin, lεk in an, kכmכt fכs, כ if dεn nכ ebul fכ no di pikin in posishכn εksεkshכn. |
| Bebi saiz | If yu saspek se di pikin big pas yu pelvis. |
Aw dis prɔses kin apin?
Bifo yu yuz dis we, di dɔktɔ go ɛksplen ɔltin to yu ɛn mek yu gri fɔ du dat. Na da tɛm de nɔmɔ di prɔses go bigin.
Fɔ pripia
- If dɛn nɔ gi yu mɛrɛsin fɔ mɛn yu pen yet, dɛn go gi yu mɛrɛsin fɔ ridyus di pen.
- If di amniotic sak nɔ brok yet, i go brok.
- Dɛn kin put kateta fɔ ɛmti di blad. dis de mek di spεs na di bכn kanal bכku.
- sכmtεm, i kin nid fכ kכt sכmtεm na di εria bitwin di vagina εn di anus (di perineum) fכ mek rum fכ di fכsεps. Dɛn kɔl dis episiotomy .
Aw fɔ yuz fɔspɛs
Pan ɔl we yu go fil se dis divays de fred smɔl, dɛn mek am fɔ fit di shep we di pikin in ed gɛt ɛn di kɔba we di mama in bɛlɛ de kɔba.
Di prɔses go lɛk dis:
1. Dɛn mek yu ledɔm na bed wit yu leg dɛn we yu de spre apat.
2. Dɛn kin tɛl yu fɔ push we i at ɛn fɔ rɛst we i nɔ at.
3. We yu de rɛst, di dɔktɔ go tek tɛm put di fɔs bled dɛn, wan bay wan, na ɛni say na di pikin in ed.
4. Neks, as yu de push, di dכkta go yuz fכs f כ gayd di pikin jisno dכn.
5. If di pikin in ed tɔn to di rɔng say, tɔn am to di rayt say we nɔ pen.
Di impɔtant tin na dat, dis nɔto fos fɔ pul. Na jɔs we fɔ ɛp yu fɔ push. Bɔku tɛm, afta dɛn dɔn tray fɔ du am wan ɔ tu tɛm, di pikin go kɔmɔt na do. If di dɔktɔ si se dis nɔ de ɛp, i go lɛf dis we wantɛm wantɛm ɛn go to ɔda tin.
Wetin kin apin afta dɛn dɔn bɔn am wit fɔs fɔs?
If dεn bכn di pikin fayn fayn wan bay we dεn yuz fכs, yu bכn go εnd nכmal wan. Bɔt if dis we ya nɔ wok, yu dɔktɔ kin du C-sekshɔn fɔ bɔn di pikin.
Afta yu bɔn yu pikin, di dɔktɔ ɛn nɔs dɛn go tek tɛm chɛk yu ɛn yu pikin.
- If yu gɛt: vagina tear ɔ episiotomy, dɛn go ripɛnt am wit stich.
- Fɔ di pikin: Dɛn go chɛk di pikin in fes ɔ in ed fɔ si if i gɛt smɔl smɔl skrat ɔ brus frɔm di fɔs. Dɛn go de wach di pikin in wɛlbɔdi bak gud gud wan fɔ sɔm awa.
If no prɔblɛm nɔ de, yu kin go na os wit yu pikin lɛk aw yu kin go.
Yu tink se dis nɔ bad? Wetin na di prɔblɛm dɛn we kin apin?
Dis na di big kweshon we de fo evri mama in maind. Mɛmba se sɔm prɔblɛm dɛn de we kin apin we pɔsin bɔn ɛni pikin. Di wok we dɔktɔ dɛn kin du na fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn de fɔ yu ɛn yu pikin as dɛn ebul.
Dɔktɔ go jɔs yuz fɔsps fɔ bɔn pikin if i biliv se i nɔ gɛt bɛtɛ prɔblɛm pas fɔ nɔ du natin . Mɛmba se di bad tin we kin apin to di pikin we i de bɔn fɔ lɔng tɛm ɛn we i nɔ gɛt ɔksijɛn, pas di smɔl bad tin dɛn we pɔsin kin du we i gɛt fɔsɛp. Dɔn bak, di prɔblɛm dɛn we kin apin we dɛn du C-sekshɔn we dɛn nid fɔ du am kwik kwik wan, pas di wan dɛn we kin apin we dɛn plan fɔ bɔn pikin wit fɔs fɔs.
Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Bɔt, siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
| Udat dɛn de pan denja? | Sɔm prɔblɛm dɛn we kin apin |
|---|---|
| Risk to di mama | |
| Di wata we de kɔmɔt na di vagina | di risk fכ tear de hכy sכmtεm pas di tεm we di pikin de bכn nכmal. Sɔntɛnde, bad bad kray wata (3rd ɔ 4th degree tears) we de go te to di ans kin apin. |
| I nɔ kin izi fɔ yu fɔ pis | Urinary incontinence ɔr i nɔ kin izi fɔ urinary kin apin fɔ sɔm tɛm afta yu bɔn pikin. |
| Pεlvik כgan prolaps | pan ɔl we dis kin apin afta di pikin we dɛn bɔn nɔmal wan, di risk kin go ɔp we i de rɔtin bad bad wan. |
| Risk to di pikin (mɔs pan dɛn na fɔ shɔt tɛm nɔmɔ) . | |
| Supafishal skin lɛshɔn dɛn | Smɔl smɔl skrat ɔ brus kin de na di pikin in fes ɔ in ed usay di fɔs bled dɛn kin hit. Dɛn tin ya go wɛl kpatakpata insay sɔm dez. |
| Facial nerve palsy we pɔsin kin gɛt | If di fes nerve pwɛl fɔ sɔm tɛm, dat kin mek di mɔsul dɛn wik na wan say na di fes. Dis kin wɛl bak fɔ insɛf insay sɔm wiks. |
| Skul we de brok brok | Di pikin we dɛn jɔs bɔn in skel kin rili saf. Sɔntɛnde, smɔl smɔl fraktrɔs kin apin, bɔt dɛn kin wɛl fɔ dɛnsɛf we dɛn nɔ gɛt ɛni tritmɛnt ɛn dɛn nɔ kin pwɛl fɔ lɔng tɛm. |
| Blɔd we de kɔmɔt insay di skel | Dis na sik we nɔ kin apin so ɔltɛm ɛn we kin rili siriɔs. Dɔktɔ dɛn kin rili tek tɛm wit dis afta dɛn dɔn bɔn di pikin. |
Aw lɔng i kin tek fɔ mek i wɛl?
Yu go nid fɔ de na di ɔspitul fɔ wan ɔ tu dez afta yu dɔn bɔn yu fɔs wit fɔs, bɔt di tɛm we yu go wɛl wans yu go na os tan lɛk aw yu kin bɔn pikin. Bɔku tɛm, i kin tek lɛk siks wiks so. If i bin dɔn rɔtin bad bad wan ɛn dɛn bin nid fɔ stich am, i kin tek lɔng tɛm smɔl.
Yu stich dɛn go sɔlv insay lɛk wan mɔnt so. Yu go nid fɔ yuz pad dɛn lɛk aw yu kin yuz am. If pen de, yu kin kɔntrol am wit di ɔspitul pen kil we yu dɔktɔ gi yu. If yu nɔ ebul fɔ bia di pen, mek shɔ se yu tɛl yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Fɔspɛs fɔ bɔn pikin na sef we we dɔktɔ we tren kin du fɔ ɛp di mama ɛn di pikin if di pikin dɔn stɔp midul.
- Dis kin ɛp fɔ mek dɛn nɔ gɛt C-section.
- Lɛk ɛni mɛrɛsin, smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt bɔku tɛm di prɔblɛm we kin apin we pɔsin nɔ du natin kin pas dat.
- Bɔku pan di prɔblɛm dɛn we kin apin na fɔ shɔt tɛm nɔmɔ, ɛn siriɔs prɔblɛm dɛn nɔ kin apin so ɔltɛm.
- If yu de op fɔ bɔn pikin, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt dɛn imejensi ya bifo yu bɔn pikin ɛn fɔ tɛl yu bɔt ɛni kwɛstyɔn we yu go gɛt.
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