If yu de rɛdi fɔ bɔn pikin, sɔntɛnde yu kin fred smɔl, nɔto so? Yu tink se ɔltin go fayn, ɛn di pikin go gɛt prɔblɛm? Pan ɔl we fɔ bɔn pikin na tin we nɔmal ɛn fayn, sɔntɛnde prɔblɛm dɛn we dɛn nɔ bin de tink bɔt kin kam. Bɔt nɔ wɔri, dɛn dɔn tren di dɔktɔ dɛn ɛn di wan dɛn we de wok fɔ di dɔktɔ dɛn fɔ dil wit ɛnitin we tan lɛk dis. Tide, wi de tɔk bɔt wan spɛshal ɛn rili fayn we we dɛn kin yuz fɔ protɛkt di pikin dɛn kayn tɛm dɛn de.
Fɔ tɔk am simpul wan, wetin na di McRoberts Maneuver?
Imajin, we di pikin de kam bɔn, afta di pikin in ed kɔmɔt, wan ɔ ɔl tu di sholda dɛn kin stɔp insay di mama in bɛlɛ. Lɛk fɔ stɔp na domɔt frem. Bikɔs ɔf dis, di pikin nɔ kin ebul fɔ kɔmɔt ɔlsay. Dis na smɔl imejensi. Na da tɛm de dɔktɔ dɛn kin yuz dis we we dɛn kɔl di McRoberts Maneuver .
Fɔ tɔk am simpul wan, dis kin min se di dɔktɔ ɔ wan pan di dɔktɔ dɛn we dɔn tren de bɛnd di mama in leg dɛn na in ni ɛn prɛs in shɔl dɛn tranga wan pan in bɛlɛ. Fɔ tɔk di kɔrɛkt tin, dɛn kin bɛn di ni dɛn te dɛn rich nia di an dɛn.
dis de mek di bכdi de rכt sכmtεm, i de chenj in shep sכmtεm, we de mek di pikin in sכlda dεm kכmכt na di rod. dis na simpul akshכn frכm do, bכt na rili imכtant prכsεs we de εp di pikin fכ kכmכt frכm insay.
Ustɛm dɛn kin yuz dis we?
Dis McRoberts manejmɛnt de yuz insay wan kɔndishɔn we dɛn kɔl Shoulder Dystocia . Dis na smɔl mɛdikal wɔd, bɔt insay simpul wɔd, na di pikin in sholda we de stɔp we a bin dɔn tɔk bɔt.
Wetin na Shoulder Dystocia?
insay nכmal bכn, wans di pikin in ed kכmכt na di vagina, di sכlda dεm de kכmכt izi wan wit di nεks kכntrikshכn. כltu, insay Sכlda Dystocia, wan pan di pikin in sכlda dεm (bכku tεm na di fכnt sכlda) de stכk bihayn di pubic symphysis, we de na di fכs pat pan di mama in bכdi. Dis kin mek di ɔda pat na di pikin in bɔdi nɔ kin kɔmɔt.
Pan ɔl we dɛn kin tek dis as tin we kin apin we pɔsin de bɔn pikin, i nɔ nid fɔ fred. Bɔrku tɛm, dɛn kin sev di pikin sef wan if dɔktɔ in intavɛnshɔn.
Udat de pan big risk fɔ gɛt Shoulder Dystocia?
Pan ɔl we dis sik kin apin to ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm. Bɔt mɛmba se, fɔ gɛt dɛn tin ya we kin mek yu gɛt dis sik nɔ min se yu go rili gɛt am. Dɔn bak, dis sik kin apun to pɔrsin wae nɔr gɛt ɛni wan pan dɛn tin ya wae kin mek pɔrsin gɛt dis sik.
| Risk factor | Simpul ɛksplen |
|---|---|
| Fɔ gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl | di mama in bכdi bכn dεm kin sכm sכm, we kin mek di pikin in chans fכ kכmכt sכmtεm dכn. |
| Fetal Macrosomia (Big pikin we gɛt wet) . | if di pikin wet pas 4 kilogram, di sholda dεm kin brayt. Mama dɛn we gɛt dayabitis kin gɛt pikin dɛn we gɛt bɔku bɔku bɔdi. |
| Fɔ gɛt pikin we gɛt ay wet we dɛn bɔn am we dɛn bɔn am bifo | If yu dɔn gɛt ɛkspiriɛns bifo, de risk kin bɔku smɔl bak. |
| We yu gɛt bɔku bɔku wet we yu gɛt bɛlɛ | di mama in wet kin afɛkt di pikin in wet bak. |
| Breech Bebi we yu de yuz | Dɛn kayn prɔblɛm ya kin apin bak we di pikin de brich pas fɔ de ed pan am. |
Aw dis McRoberts we aw i de du tin kin wok fayn?
Naw yu go de wɔnda if dis na di wangren we fɔ du am. If yu du di McRoberts manejmɛnt nɔmɔ, i gɛt sakrifays rɛt we na lɛk 42% . Dat na gud pasɛnt.
Bɔt fɔ mek dis wok go bifo mɔ, dɔktɔ dɛn kin yuz ɔda we wit am. Dɛn kɔl am suprapubic prɛshɔn . Dat min se yu fɔ prɛs yu an saful wan wit yu an jɔs ɔp di pubic bon, jɔs dɔŋ di bɛlɛ. I tan lɛk se yu de push pan sholda we dɔn stɔp ɛn fri am.
we dεn du dis McRoberts manyuv εn Suprapubic prεshכn tכgeda, di sakses rεt de inkrεs to 90% . Dat na big sakrifays, nɔto so? So dis na tritmɛnt we rili fayn fɔ Shoulder Dystocia.
Aw ɛksaktɔli dis prɔses kin apin?
Dis kin apin kwik kwik wan ɛn dɛn kin plan am. Bɔrku tɛm, pan dis kayn tin, sɔm pipul dɛn kin de arawnd yu, lɛk dɔktɔ ɛn nɔs dɛm.
Step 1: No di tin we de apin
Fɔs, di dɔktɔ nid fɔ kɔnfɔm se dis na kes fɔ Shoulder Dystocia. Aw yu no dat?
- if di pikin in ed dכn kכmכt, bכt di rεst כf di bכdi de stכk insay di vagina.
- if di pikin in ed kכmכt εn di bכdi nכ kכmכt afta pas wan minit.
Step 2: Bring McRoberts insay di pozishɔn
We dɛn dɔn kɔnfyus di pozishɔn, tu pan di mɛdikal wokman dɛn go tek yu leg dɛn, bɛn dɛn na yu ni dɛn, ɛn pres dɛn tayt wan as yu ebul to yu bɛlɛ. di sem tεm, dεn go muv yu hip dεm sכmtεm apat (hip abduction). dis posishכn go mek di spεs bitwin yu bכdi bכn dεm big bay lεk 2 sεntimita. i go flat bak pan yu bכdi (sakrum) sכmtεm, we go mek i izi fכ di pikin in sכlda dεm fכ kכmכt.
Step 3: Fɔ put Suprapubic Prɛshɔn (if nid de) .
if di pikin in sכlda stil nכ de rilis afta di McRoberts posishכn, כda dכkta כ nכs go yuz dεn an כ wan kכp an fכ put prεshכn pan yu lכw bכdi, jכs oba di pubic bon, dכn εn to di sayd. Dis go ɛp fɔ push di sholda we dɔn stɔp fɔ fri. Bɔku tɛm dɛn kin du dis we pɔsin de kɔntrakt.
Wetin na di bɛnifit dɛn we dis we ya de du?
Bɔku bɛnifit dɛn de fɔ mek Makrobɛts manej fayn fayn wan.
- fכ ebul fכ kכntinyu wit nכmal pikin: Dis de ridyus di nid fכ du imejensi sizarian sekshכn (C-section).
- fכ mek di pikin nכ du bad tin: If di sכlda tu big εn i stכp, di pikin kin gεt siriכs kכmplikεshכn dεm lεk we in bon dεm brok, in nεv dεm we de pwεl, כ we i nכ gεt כksijεn (asphyxia). Dis we aw dɛn kin du tin kin mek dɛn nɔ gɛt da prɔblɛm de.
- Ridyus nid fɔ episiotomy: Sɔntɛnde dɛn nid fɔ episiotomy. If dis we fɔ du tin wok fayn, dɛn kin ridyus da nid de bak.
- Simpul ɛn Fast: Dis na simpul ɛn rili fayn we dɛn kin du na do, ɛn na di fɔs we we dɛn kin yuz we pɔsin gɛt Shoulder Dystocia.
Yu tink se prɔblɛm dɛn kin apin?
We dɔktɔ dɛn we tren fɔ du am kɔrɛkt wan, big big prɔblɛm dɛn nɔ kin apin so ɔltɛm. Di tin we impɔtant pas ɔl na dat, di lɔ dɛn we de naw se dɛn nɔ fɔ ɛva pul di pikin in ed ɔ twist in nɛk . Dɔktɔ dɛn no se we dɛn du dat, i kin pwɛl di pikin in nɛk ɔ in spayna. Na dat mek dɛn kin tek tɛm wit dis.
rεli rεli, dis prכsidכs kin mek di pεlvik sεparashכn כ nyuropathy na di mama in leg dεm. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm ɛn bɔku tɛm na fɔ shɔt tɛm nɔmɔ.
Wetin kin apin afta dis we fɔ du tin dɔn wok fayn?
Afta wan saksesful McRoberts manoeuv, yu pikin go bכn sef wan vagina. we dεn du dis tεknik kכrekt wan, wit suprapubic prεshכn, di chans fכ nכmal dεlivεri de rili hכy.
Dis prɔses kin mek di mama nɔ fil fayn smɔl. Bɔt di tin we impɔtant pas ɔl da tɛm de na di pikin in sef, so i impɔtant fɔ lisin to wetin di wan dɛn we de wok na di mɛrɛsin se ɛn nɔ gɛt wanwɔd. Na di ɛnd, i fayn fɔ ol pikin we gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- di McRoberts Maneuver na spεshal, simpul tεknik we dεn kin yuz if di pikin in sכlda stכk we i de bכn (Shoulder Dystocia).
- na ya, we yu prεs di mama in tכŋ dεm pan in bεlε, di bכdi de mek di bכdi big εn dεn de alaw di pikin fכ kכmכt.
- dis kin rili wok (bכt 90%) we dεn yuz am wit suprapubic prεshכn.
- Dis na sef tin we dɔktɔ dɛn we dɔn tren kin du, ɛn di men tin we dɛn want fɔ du na fɔ bɔn di pikin sef wan we nɔ go ambɔg di mama ɔ di pikin.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ fɔ fred bɔt dis, tɔk to yu dɔktɔ fɔ no mɔ.
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