Yu de we yu fɔ bɔn yu dɔn ɔlrɛdi dɔn? Ɔ di dɔktɔ dɔn tɛl yu fɔ bigin fɔ bɔn pikin kwik kwik wan bikɔs ɔf sɔm wɛlbɔdi prɔblɛm fɔ yu ɔ yu pikin? Dis na wetin wi kɔl Induced Labor, ɔ artificially inducing labor. We yu yɛri dɛn wɔd ya, dat kin mek yu fred smɔl ɛn wɔri. Bɔt nɔ wɔri. Dis na fɔ yu ɛn yu pikin in sef. Lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan.
Wetin na induced labor?
Fɔ tɔk am simpul wan, dis min se dɔktɔ dɛn kin put an pan di tin we dɛn kin du fɔ bigin di pikin we dɛn bɔn pikin ɛn dɛn nɔ kin wet fɔ lɛ di pikin bigin fɔ bɔn pikin bay dɛnsɛf. Tink bɔt am lɛk fɔ gi smɔl ɛp to motoka injin we sɔntɛnde nɔ go bigin fɔ insɛf. Dɔktɔ dɛn kin yuz dis we if risk de fɔ yu ɔ yu pikin as yu bɛlɛ de go bifo, ɔ if di leba nɔ bigin fayn wans i bigin.
Di tin we impɔtant pas ɔl na fɔ mek dɛn disayd fɔ du dis wit yu wɛlbɔdi ɛn sef ɛn yu pikin we nɔ gɛt bɛlɛ fɔs.
Fɔ us rizin dɛn dɔktɔ dɛn kin mek dis kayn chaos?
Bɔku rizin dɛn de we mek dɛn kin du atifishal insemineshɔn. Dɛn nɔ de du dis fɔ natin. Gud rizin de fɔ mɛn pipul dɛn ɔltɛm. Lɛ wi luk di men rizin dɛn.
| Rizin | Simpul Ɛksplen |
|---|---|
| Skip di de we dɛn fɔ pe am | if yu pas 41 ɔ 42 wiks we yu gɛt bɛlɛ, di pikin kin bigin fɔ pwɛl smɔl smɔl, we kin mek di ɔksijɛn ɛn tin dɛn we yu pikin nid nɔ bɔku. |
| Rupchɔ na wata (PROM) . | if di amniotic sak dכn rכp, bכt di kכntrikshכn nכ stat afta sכm awa, risk de fכ infεkshכn. So, dɔktɔ dɛn kin mek dɛn bɔn pikin. |
| Mama in wɛlbɔdi kɔndishɔn | If yu gɛt sik lɛk gestational diabetes, high blood pressure, ɔ preeclampsia, fɔ kɔntinyu fɔ gɛt bɛlɛ kin bi risky fɔ yu ɛn yu pikin. |
| Bebi in growth arest | If skan sho se di pikin in divεlכpmεnt nכ de go lεk aw dεn bin de op, i bεtε fכ tek di pikin kכmכt kwik. |
| Insufishɛnt amniotic fluid | If di wata we de rawnd di pikin (Oligohydramnios) tu smɔl, i kin mek di pikin nɔ fil fayn. |
| Plasεnta Abrupshכn | if di plasεnta dεn bigin fכ separet frכm di uterin wכl, i de mek di pikin nכ gεt כksijεn. Dis na imejensi. |
| Infεkshכn na di uterus (Chorioamnionitis) . | If infεkshכn apin na di bεlε, i kin denja fכ di mama εn di pikin. |
| Di muvmɛnt nɔ de go bifo. | sכmtεm di bכdi kin stat εn di sεviks kin opin sכmtεm, bכt afta dat i kin bi se i nכ go go bifo fכ sכm awa. Dɔn yu nid fɔ ɛp smɔl. |
Us we dɛn kin yuz fɔ mek pipul dɛn gladi?
Yu dɔktɔ go chɛk yu ɛn disayd us we fɔ yuz bay di kɔndishɔn na yu sɛviks. if yu sεviks nכ "rayp," we min se i nכ rεdi fכ bכn (i stil tik εn klos), di fכs tin fכ du na fכ pripia am. Lɛ wi tek wan luk pan dɛn step ya.
Step Wan: Di Sɛvikal Ripin
Dis tan lɛk we yu put ki na domɔt bifo yu opin am fɔ mek i izi fɔ opin. wetin kin apin ya na we di sεviks kin sof, tכn, εn opin sכmtεm.
- Fɔ pul di mɛmbran dɛm: Yu dɔktɔ go put wan finga we gɛt glɔv tru yu vagina ɛn rɔb di mɛmbran dɛm we de kɔnɛkt di bag we gɛt wata to yu uterus jisnɔ. dis kin mek kεmεkal dεm we dεn kכl prostaglandin nכmal wan εn εp yu sεviks fכ bigin fכ sכft. Dis nɔ kin woke fɔ ɔlman, bɔt na simpul we fɔ tray fɔs.
- Prostaglandins: Dis na tin dεm we de wok lεk כmon dεm na wi bכdi. Dɛn kin tek dɛn as pil, vagina jel, ɔ suppository. dis dכg dεm (e.g., Misoprostol, Dinoprostone) de εp fכ sכft di sεviks εn mek i opin.
- balכn kateshכn: Insay dis, dεn kin put wan sכmכl balכn we de na di εnd pan wan tכn tכb insay di sεviks εn fulכp am wit salin. di sכmtεm prεshכn we dεn de mek we di balכn de fכm de mek di sεviks opin sכmtεm.
Step Tu: Indyuz ɔ Inkrisayz Kɔntrakshɔn
we di sεviks dכn rεdi fכ bכn, di uterus nid fכ kכntrakt (dilayt). Dɛn kɔntrakshɔn ya de push di pikin dɔŋ.
- Amniotomy: afta di sεviks dכn opin sכmtεm, di dכkta go yuz wan sכmכl plastic instrכmεnt we lεk huk fכ brok di amniotic sak. Yu nɔ go fil ɛni pen we yu de du dis prɔsidyu. Yu go fil se smɔl wata de flɔd dɔŋ. Dis kin mek yu kɔntrakt mɔ.
- Oxytocin (Oxytocin/Pitocin®): Oxytocin na wan כmon we de na wi bכdi we de mek wi bכn pikin. sכmtεm dεn kin mek dis כmon wit atifishal wan (dεn kכl am Pitocin®) εn dεn kin gi am tru wan salin sכlushכn (IV) insay wan vein na yu an. dis de stat di uterin kכntrikshכn כ i de mek di kכntrikshכn dεm we de naw strכng. Di dɔktɔ ɛn di nɔs dɛn go tek tɛm kɔntrol di doz.
Aw lɔng dis prɔses kin tek?
No rayt tɛm nɔ de fɔ dis. I kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin. Sɔm mama dɛn kin gɛt leba wantɛm wantɛm afta dɛn dɔn bigin fɔ du dɛn tin ya. Fɔ ɔda pipul dɛn, i kin tek sɔm awa, ɔ ivin sɔm dez. I dipen pan aw yu bɔdi de ansa. bכt כltεm, mכst pipul dεm de enta "aktiv lεba" (di sεviks de dilayt lεk 6 sεntimita) insay 24 awa afta dεn bigin indyuz leba.
Wetin na di bɛnifit ɛn risk dɛn we pɔsin kin gɛt we i de bɔn pikin?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit dɛn de ɛn smɔl smɔl prɔblɛm dɛn de. Bɔt mɛmba se yu dɔktɔ go jɔs tɛl yu fɔ du dis if di bɛnifit dɛn pas di prɔblɛm dɛn we yu go gɛt fa fawe.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk dɛn we kin apin |
|---|---|
| di men bɛnifit na dat we yu kɔntinyu fɔ gɛt bɛlɛ, dat kin mek yu nɔ gɛt prɔblɛm dɛn fɔ di mama ɔ di pikin. Fɔ ɛgzampul, i kin mek i nɔ du bad to di pikin we i gɛt bɛlɛ let. I kin kɔntrol bak tin dɛn lɛk ay blɔd prɛshɔn na di mama. |
|
Yu tink se we pɔsin de bɔn pikin we i want fɔ bɔn kin mek i fil pen?
Dis na prɔblɛm fɔ bɔku pipul dɛn. Di tru tin na dat, fɔ leba na tin we kin mek pɔsin fil pen. Induced leba na bikɔs ɔf kɔntrakshɔn, so yes, i kin mek i fil pen. Sɔm mama dɛn kin se di we aw dɛn kin bɔn pikin we dɛn mek wit atifishinal, kin rili tranga smɔl pas di we aw dɛn kin bɔn pikin.
Bɔt di gud nyus na dat, if yu nɔ ebul fɔ bia wit di pen, bɔku tin dɛn de fɔ du.
Yu kin gɛt epidural bak, we dɛn kin yuz fɔ ridyus di pen we yu de bɔn pikin. If yu gɛt prɔblɛm fɔ bia wit di pen, tɛl yu dɔktɔ ɔ nɔs. Dɔn dɛn go gi yu mɛrɛsin fɔ mek yu fil pen.
Yu tink se ‘nɛchral’ we dɛn de fɔ mek gadin na os?
Dis na tin we rili impɔtant. Difrɛn stori dɛn de we de skata na intanɛt ɛn bitwin padi dɛn, lɛk "We yu it dis go mek yu gɛt bɛlɛ", "We yu drink dis go mek yu gɛt pikin".
Duya, fɔ no rizin, tray fɔ mɛn kol na os we yu nɔ go to dɔktɔ.
Sɔm pipul dɛn kin se tin dɛn lɛk fɔ du mami ɛn dadi biznɛs ɛn fɔ mek yu nipple stimulate kin mek yu gɛt bɔku bɔku bɔdi. Bɔt sayɛns nɔ dɔn pruv dis. Dɔn bak, we yu drink difrɛn ɔyl, ti, ɔ ɔda tin dɛn , dat kin mek yu ɛn yu pikin denja.
Wi ɔndastand aw yu kin gladi ɛn aw yu kin fred fɔ si yu pikin. Bɔt di tin we nɔ bad fɔ du na fɔ peshɛnt, tɔk bɔt ɔltin wit yu dɔktɔ, ɛn du am ɔnda in gayd.
Mɛsej we dɛn kin kɛr go na os
- Induced labor na disizhɔn we dɔktɔ dɛn kin disayd we nid de, fɔ di sef fɔ yu ɛn yu pikin.
- Dɛn kin tɔk bɔt dis ɔltɛm we di bɛnifit dɛn pas di prɔblɛm dɛn.
- Difrɛn we dɛn de fɔ dis, ɛn yu dɔktɔ go pik di we we go fayn fɔ yu sik.
- Nɔ ɛva fred fɔ aks di dɔktɔ ɔ nɔs dɛn ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt di we aw dɛn de du am, di we aw dɛn de mɛn yu pen, ɔ ɛnitin we de mɔna yu.
- Nɔ tray, ɔnda ɛni sikɔstɛms, fɔ mek dɛn bɔn pikin na os we yu nɔ gɛt dɔktɔ advays. I rili denja.
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