Yu tink se di de we yu fɔ bɔn yu dɔn dɔn? Ɔ yu dɔktɔ dɔn tɛl yu se yu go nid fɔ mek dɛn bɔn pikin bifo dɛn bɔn di pikin? Na nɔmal tin fɔ mek tin kam na yu maynd pan tɛm lɛk dis. "Wetin na am?" "I go at?" "I gud fɔ di pikin?" I go mɔs bi se yu gɛt bɔku kwɛstyɔn dɛn na yu maynd. Nɔ wɔri. Tide, lɛ wi tɔk bɔt wetin i min fɔ mek pɔsin leba artificially, wetin mek dɛn kin du am, ɛn aw.
Wetin i min fɔ mek pɔsin bɔn pikin bay we dɛn mek am?
Fɔ tɔk am simpul wan, fɔ stat fɔ bɔn pikin wit atifishal wan, ɔ ‘inducing labor’ , na we yu dɔktɔ ɔ di mɛdikal tim de yuz mɛrɛsin fɔ bigin fɔ bɔn bifo i bigin fɔ bɔn pikin.
Mɛmba se sɔntɛnde if yu kɔntinyu fɔ gɛt bɛlɛ, dat kin mek yu ɛn yu pikin we nɔ bɔn yet pan denja. Dɔn bak, sɔntɛnde di leba kin bigin bay insɛf, bɔt i kin stɔp bak af-af. Dis na we dɔktɔ dɛn kin disayd fɔ du dis. Mɛmba se dis na fɔ yu ɛn yu pikin fɔ sef ɔltɛm.
Wetin mek dɔktɔ disayd fɔ mek dɛn bɔn pikin?
Bɔku rizin dɛn kin de fɔ dis. Di dɔktɔ kin disayd dis afta we i dɔn tek tɛm chɛk yu ɛn yu pikin in kɔndishɔn. Lɛ wi luk sɔm pan di men rizin dɛn.
| Rizin dɛn fɔ mek dɛn mek pipul dɛn wok | Fɔ tɔk am simpul wan... |
|---|---|
| Di de we dɛn fɔ pe am dɔn pas | if yu pas 41 כ 42 wiks na di bεlε, di plasεnta kin de wok sכmtεm, we min se yu pikin nכ de gεt di כksijεn εn di nyutriεnt dεm we i nid. |
| Brek di wata bag | if di amniotic sak dכn brok bכt di uterin kכntrikshכn nכ stat, di pikin de pan risk fכ infεkshכn. Dɛn kɔl dis sik we dɛn kɔl Premature Rupture of Membranes (PROM) . |
| Mama in wɛlbɔdi kɔndishɔn | If yu gɛt wan sik lɛk gestational diabetes, high blood pressure, or preeclampsia , i bɛtɛ fɔ bɔn yu pikin kwik pas fɔ mek yu gɛt bɛlɛ fɔ lɔng tɛm. |
| Bebi in growth arest | If di pikin in grow na di bɛlɛ dɔn stɔp ɔ i dɔn slo bad bad wan, dat min se i nɔ gɛt wɛlbɔdi igen fɔ di pikin fɔ de na di bɛlɛ. |
| Ɔda prɔblɛm dɛn we kin apin | fכ egzampl, di pikin kin nid fכ bכn kwik kwik wan if di amniotic fluid dכn lכw (oligohydramnios) , di plasεnta abrupshכn , כ infεkshכn na di uterus (chorioamnionitis) . |
Us we dɛn dɔktɔ dɛn kin yuz fɔ mek dɛn bɔn pikin?
Di dɔktɔ go disayd us we fɔ yuz bay aw yu sɛviks ‘rayp’, dat na aw i saf, tan, ɛn opin. Dis prɔses kin sheb to tu pat.
1. Fɔs, pripia di sɛviks
if di sεviks nכ rεdi yet fכ bכn, dat min se if i at εn klos, di fכs tin fכ du na fכ sof εn opin am.
- fכ pul di mεmbran dεm: insay dis prכsidכs, di dכkta de put wan finga we gכg gכl tru di vagina εn jכnt fכ rכb di mεmbran dεm we de rawnd di sεviks. dis de mek di kεmikכl dεm we de kכmכt na di nכmal we dεn kכl prostaglandin, we de εp di sεviks fכ sכft εn stat fכ kכntrikshכn.
- Prostaglandins: Dis na drɔgs we de wok lɛk ɔmon. Dɛn kin tek dɛn as pil ɔ as sɔpɔsitɔri fɔ mek di sɛviks sof ɛn rɛdi am fɔ bɔn pikin. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na Misoprostol ɛn Dinoprostone .
- balכn kateshכn: Insay dis, dεn kin put wan tכn tכb wit sכm balכn tru di sεviks εn dεn kin fulכp di balכn wit salin. di prεshכn we dεn kin mek we dεn fכ blo di balכn de mek di sεviks opin sכmtεm.
2. Neks, di uterus de bigin fכ kכntrakt.
we di sεviks dכn rεdi fכ bכn, dεn kin yuz dεn mεtכd dεm ya fכ mek כ inkrεs di uterin kכntrikshכn (pen) we nid fכ push di pikin dכn.
- Amniotomy: afta di sεviks dכn opin sכmtεm, di dכkta go yuz wan sכmכl plastic instrכmεnt we lεk huk fכ brok di amniotic sak. Dis nɔ de mek pɔsin fil pen. Yu go jɔs fil wan wam wata we de kɔmɔt na yu vagina wantɛm wantɛm ɔ wan wan tɛm.
- Oxytocin (Pitocin®): Oxytocin na כmon we nכmal we de mek di uterin kכntrikshכn na wi bכdi. Yu dɔktɔ go gi yu wan sɛntetik vɛshɔn fɔ dis ɔmon tru wan salin sɔlvushɔn (IV). Dis kin ɛp fɔ bigin fɔ bɔn pikin ɔ fɔ bigin fɔ bɔn bak we dɔn stɔp.
di mכst imכtant, di mεdikal tim go kכntinyu fכ wach yu εn yu pikin in at bit כl dis כl prכsεs, so yu rili sef.
Ɛni risk de we dis kin apin?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt yu fɔ ɔndastand se dɔktɔ kin disayd dis bikɔs di bɛnifit dɛn we pɔsin kin gɛt we i bigin fɔ bɔn pikin, pas dɛn prɔblɛm dɛn de fa fawe.
- כva stimulashכn fכ di uterus: sכmtεm, di drog (Oxytocin) kin mek di uterus kכntrikshכn fast כ kכntinyu pas aw i nid. Dis kin afɛkt di pikin in at rit. Bɔt di mɛdikal tim de wach dis ɔltɛm ɛn dɛn go tek step kwik kwik wan fɔ ridyus di doz fɔ di mɛrɛsin if nid de.
- Risk fɔ gɛt infɛkshɔn: Risk de fɔ gɛt infekshɔn, mɔ if i dɔn te we di wata brok.
- Nid fɔ sizarian sɛkshɔn: Sɔntɛnde, if di leba nɔ go lɛk aw dɛn bin de op pan ɔl we dɛn dɔn indukshɔn, i kin te we dɛn nid fɔ du sizarian sɛkshɔn (C-section).
- uterin rupture: Dis kin rili apin, we min se i nɔ kin apin so ɔltɛm. Mama dɛn we dɛn bin dɔn du sizarian sɛkshɔn bifo tɛm kin gɛt smɔl risk fɔ dis.
We dɛn de fɔ mek dɛn bɔn pikin na os?
Dis na kwɛstyɔn we bɔku mama dɛn kin aks. Sɔm pipul dɛn se tin dɛn lɛk fɔ du mami ɛn dadi biznɛs ɔ fɔ mek di nipples wok fayn kin ɛp yu fɔ mek yu bɔn pikin bay we yu de bɔn pikin. Bɔt nɔ pan dɛn tin ya we sayɛns dɔn pruv 100%.
I rili impɔtant: Nɔ ɛva yuz ɛni mɛrɛsin, ɛvbɔdi, ɔ sɔpɔtmɛnt fɔ mek yu bɔn pikin na os we yu nɔ go to dɔktɔ. I kin denja fɔ yu ɛn yu pikin. Tɔk opin wan wit yu dɔktɔ bɔt ɛnitin we yu gɛt na yu maynd, ɛni kwɛstyɔn, ɔ tin we yu de fred.
Pan ɔl we fɔ mek yu bɔn pikin nɔ go bi wetin yu bin de tink, mɛmba se na impɔtant tin fɔ mek yu ɛn yu pikin sef. Nɔ ɛva fred fɔ aks yu dɔktɔ ɔ nɔs ɛni kwɛstyɔn we yu gɛt bɔt dis prɔses.
Mɛsej we dɛn kin kɛr go na os
- Induced labor na wan we we rili sef we di mɛdikal tim de du am fɔ di rayt rizin.
- Dɛn kin du dis fɔ mek shɔ se di mama ɔ di pikin sef if dɛn kɔntinyu fɔ gɛt bɛlɛ go mek dɛn gɛt prɔblɛm.
- difrεn we dεn de yuz fכ dis, frכm we dεn de pripia di sεviks to we dεn de mek di uterin kכntrikshכn.
- Nɔ shek fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt dis prɔsidyu, di pen we i de fil, ɔ di bad tin dɛn we i kin du.
- Nɔ tray ɛni we fɔ mek uman bɔn pikin na os we yu nɔ gɛt dɔktɔ advays. I kin rili denja.
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