Labor Pain Relief: Wetin yu nid fɔ no!

As di pikin de kam nia, di big kwɛstyɔn ɛn fred we kin kam na ɔl mama in maynd na, ‘Aw a go bia wit dis pen?’ Sɔntɛm yu dɔn yɛri stori dɛn frɔm yu padi ɛn fambul dɛn, bɔt yu stil de fil bɔku prɛshɔn. Bɔt nɔ wɔri, i rili nɔmal. Di tin we impɔtant pas ɔl na fɔ mek dɛn no bɔt dis fayn fayn wan . Tide, wi go tɔk bɔt wetin na leba pen ɛn us opshɔn wi gɛt fɔ ridyus am insay wan simpul we we yu go ɔndastand.

Aw di pen we pɔsin kin gɛt we i de bɔn pikin rili tan lɛk?

Di fɔs tin we wi fɔ ɔndastand na dat ɔlman in wok difrɛn. So di pen we yu de fil kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔku tin dɛn de we kin afɛkt aw yu de fil pen. Fɔ ɛgzampul, di sayz fɔ yu pikin, di pozishɔn we yu pikin de, aw yu kɔntrakshɔn strɔng, ɛn di we aw yu kin ebul fɔ bia wit pen.

Fɔ tɔk am simpul wan, di pen we yu kin gɛt we yu de bɔn kin mek yu uterus tayt ɛn afta dat i kin rilaks (i kin kɔntrakt). Wi kin kɔl dɛn kɔntrakshɔn ya. dis kin apin fכ εp fכ push di pikin dכn di vagina. dis push de mek yu sεviks opin (dilate) εn tכn (efface). Yu kin fil pen bak bikɔs di pikin in ed de prɛs pan yu blad ɛn yu bɔdi. yu kin fil pen bak as yu vagina de strεch as di pikin de fכs kכmכt.

Bɔku tɛm di pat we kin mek pɔsin fil pen pas ɔl we i de bɔn na we dɛn kɔntrakshɔn ya kin kam. Di we aw dɛn de fil nɔto di sem fɔ ɔlman. Sɔmtɛm di pen we yu kin fil wit yu sɛkɔn pikin kin difrɛn frɔm di pen we yu bin fil wit yu fɔs pikin. Sɔm mama dɛn kin tɔk se na shap bɛlɛ pen lɛk we pɔsin de gɛt mɔnt . Ɔda pipul dɛn se i kin tan lɛk we yu de fil pen we de kam ɛn go, lɛk di pen we yu kin fil we yu bɛlɛ ɛmti .

Sɔntɛnde, di mɔ di pen we i de fil, na di mɔ i nɔ kin izi fɔ bia, na di mɔ i kin kɔntinyu fɔ de. Na dat mek bɔku pipul dɛn kin luk fɔ ɛp fɔ mek dɛn nɔ fil pen.

Wetin na di opshɔn dɛm fɔ ridyus pen?

Di bɛst tin na dat, nɔto yu wan de dil wit dis pen. Bɔku we dɛn de fɔ ɛp yu. Tu men we dɛn de:

1. Opshɔn dɛn we gɛt mɛrɛsin fɔ ridyus pen

2. Opshɔn dɛn we nɔ gɛt mɛrɛsin fɔ mɛn di pen

I impɔtant fɔ tɔk bɔt dɛn tin ya wit yu dɔktɔ bifo yu bɔn yu pikin, ivin we yu de go fɛn yu bifo yu bɔn. We yu no gud gud wan bɔt di gud ɛn bad tin dɛn we ɛni we fɔ du am, i go izi fɔ mek yu disayd fɔ du sɔntin we di tɛm rich.

Sɔntɛnde, dɔktɔ we de anestez go kam ɛn ɛksplen to yu di epidural ɔ spinal anestezi. Aks ɛni kwɛstyɔn we yu go gɛt da tɛm de.

Men we fɔ ridyus pen wit mɛrɛsin

Lɛ wi si naw us we dɛn kin yuz fɔ yuz di mɛrɛsin.

1. Di tin dɛn we de mek pɔsin nɔ fil pen (Analgesics) .

dis na pen kil we dεn gi insay wan vein (tru wan `IV`) כ insay wan mכsul. Dɛn mɛrɛsin ya nɔ kin pul di pen kɔmɔt kpatakpata, bɔt dɛn kin ridyus di pen bad bad wan. Bikɔs dɛn mɛrɛsin ya kin afɛkt yu wan ol bɔdi, yu ɛn yu pikin kin fil lɛk se yu de slip smɔl. Na dat mek dɛn kin yuz dɛn bɔku tɛm we dɛn de bɔn pikin. Dɛn kin ɛp yu fɔ rɛst ɛn kip yu trɛnk. Dis na ``Opioid`` tayp pen kil. As sayd ɛfɛkt, dɛn kin afɛkt di pikin in brith smɔl afta dɛn bɔn am, so tɔk to yu dɔktɔ bifo yu yuz dɛn fɔ ɔndastand di gud ɛn bad tin dɛn.

2. Lokal anestezi

dis involv fכ numb wan sכmכl εria na yu bכdi, lεk di vagina εn di εria we de rawnd am (di `vulva` εn `perineum`). bכku tεm dεn kin du dis we di pikin de kam bכn, כ if dεn nid fכ stich wund afta dεn bכn di pikin (lεk `episiotomy` כ we dεn tכn na di vagina).

Wan spɛshal kayn dis na di wan we dɛn kɔl pudendal blɔk . insay dis, dεn kin gi injεkshכn to di pudendal nεv. dis de mek di pen we yu de fil insay εn rawnd di vagina we di pikin de kכmכt na di vagina.

3. Rijinal Anestezi

Dis na di we we pipul dɛn lɛk ɛn we kin wok fayn fɔ mek pɔsin nɔ fil pen we i de bɔn pikin. I go ridyus ɔ pul di pen we de na yu lɔwa bak. Yu kin yuz dis we bak if yu gɛt fɔ du C-section we yu nid fɔ du am kwik kwik wan. Yu dɔn wek ɔlsay na dis tɛm, ɛn na di pen nɔmɔ go kɔmɔt.

3 men kayn dis de. Lɛ wi si wetin dɛn bi.

Ansa to yu kwɛstyɔn dɛn bɔt epidural!

Bɔrku pipul kin gɛt kwɛstyɔn bɔt di epidural. Lɛ wi ansa dɛn.

• Dis go afɛkt mi pikin?

Nɔ, bɔku stɔdi dɛn dɔn sho se dis we fɔ du tin nɔ bad fɔ yu ɛn yu pikin.

• Aw lɔng dis dɔn afɛkt?

Di pen rilif frɔm epidural de las te yu leba dɔn, bikɔs dɛn kin gi yu mɔ mɛrɛsin ɛni tɛm tru di kateshɔn.

• Aw bɔku a go de numb?

Ivin if yu nɔr de fil ɛni pen, yu kin stil fil "push" we kɔntrakshɔn kam. Yu kin fil prɛshɔn we dɔktɔ de chɛk yu. Sɔntɛm yu nɔ go ebul fɔ waka bɔku. Bɔt yu de wek ɛn yu de tink gud wan. We na tɛm fɔ push, yu go fil am.

• Yu tink se we a gɛt epidural go mek a nɔ bɔn pikin?

Sɔm pipul dɛn kin gɛt fɔ shɔt tɛm we dɛn kɔntrakshɔn kin slo afta dɛn dɔn du epidural. Bɔt fɔ bɔku pipul dɛn, we di pen dɔn dɔn, dɛn kin kol, so di kɔntrakshɔn patɛn kin bɛtɛ. Yu kin gɛt chans bak fɔ rɛst.

• A go ebul fɔ push di pikin?

I rili pɔsibul. Epidural min fɔ gi yu rɛst we nɔ gɛt pen te yu sɛviks opin. We di tɛm rich fɔ push, yu go gɛt di trɛnk we yu nid. I nɔ go afɛkt di we aw yu ebul fɔ push.

• Ɛni bad tin de we kin apin to dis?

Siriɔs kɔmplikeshɔn dɛn nɔ kin apin so ɔltɛm. Di dɔktɔ we de anestez kin tek spɛshal kia fɔ mek dɛn nɔ gɛt dɛn. Bɔt sɔm smɔl smɔl sayd ɛfɛkt dɛn kin apin:

• Blɔd prɛshɔn we de go dɔŋ:Fɔ mek dis nɔ apin, dɛn go gi yu salin (IV) ɛn dɛn go kɔntinyu fɔ wach yu blɔd prɛshɔn.
• Smɔl it: If i de mɔna am, yu kin gi am mɛrɛsin.
• Ed pen: If yu gɛt ed pen afta yu dɔn du di epidural, fɔ drink wata ɛn tek wan mɛrɛsin fɔ mek yu fil pen go ɛp. If i kɔntinyu fɔ de, tɛl yu dɔktɔ.

4. Jɛnɛral Anɛstɛsia

Dis min fɔ mek yu slip kpatakpata. Bɔku tɛm, dɛn kin jɔs yuz dis we tin apin we nɔ izi fɔ du, lɛk we dɛn de du C-sekshɔn we dɛn gɛt imejensi. Pan ɔl we i kin wok kwik, di men prɔblɛm na dat yu nɔ go ebul fɔ si di pikin jɔs afta dɛn bɔn am.

5. Naytrɔs Ɔksayd - Laf Gas

Dis na gas we nɔ de te ɛn we nɔ gɛt wan smel. Yu de blo am tru mask we yu de kam fɔ gɛt kɔntrakshɔn. E nɔr de stɔp de pen, bɔt e de ridyus de frayd ɛn wɔri fɔ de pen. Dɛn nɔ kin yuz am na Sri Lanka.

Natural we fɔ bia wit pen we yu nɔ gɛt mɛrɛsin

Sɔm mama dɛn kin lɛk fɔ bia wit dis prɔblɛm bay dɛnsɛf, ɛn dɛn nɔ kin tek mɛrɛsin. Bɔku we dɛn de fɔ ɛp wit dat bak. Sɔntɛnde, yu kin tray dɛn we ya ivin we yu de yuz mɛrɛsin.

• Masaj: Mek yu patna ɔ pɔsin we de nia yu masaj yu bak ɛn yu sholda.
• Fɔ was wit ɔt wata: We yu was ɔt wata ɔ lɛf ɔt wata fɔ rɔn dɔŋ yu bak, dat kin ɛp fɔ mek yu mɔsul dɛn rilaks ɛn mek yu nɔ fil pen.
• Lisin to myuzik we de mek yu at kol: Lisin to myuzik we yu lɛk ɛn we de mek yu maynd kol.
• Yuz Bɔl fɔ Bɔn: We yu sidɔm pan big ɛksɛsayz bɔl ɛn rɔk bak ɛn biɛn, dat kin mek yu bɔdi we de dɔŋ, fil fayn.
• Ɛksesaiz fɔ blo: Praktis aw fɔ blo dip ɛn aw fɔ blo. We kɔntrakshɔn apin, fɔ pe atɛnshɔn pan am kin ɛp fɔ pul yu maynd pan di pen.
• Meditashɔn ɔ Hypnobirthing: Tɛknik fɔ tink gud wan ɛn fɔ hipnosis yusɛf (`Hypnobirthing`) kin rili ɛp fɔ mɛn di pen.
• Fɔ gɛt pɔsin we de nia yu: We yu gɛt yu man, yu patna, yu mama, yu sista, ɔ yu padi we yu kin abop pan nia yu ɛn ɛnkɔrej yu, dat kin rili ɛp yu fɔ tink.