Yu kɔmpin we yu gɛt bɛlɛ: Lɛ wi no di ɔbstetrishan!

I nɔmal fɔ fil smɔl fred ɛn gladi we yu kam fɔ no se yu de ɛkspɛkt pikin, nɔto so? Obstetrician na pɔsin we de ɛp yu ɛn yu pikin we nɔ bɔn yet fɔ gɛt di bɛst kia we pɔsin kin kia fɔ. So, tide wi go tɔk bɔt udat na ɔbstetrishan ɛn aw dɛn kin ɛp yu.

Udat rili na dɔktɔ we de mɛn pikin dɛn?

Fɔ tɔk am simpul wan, dɔktɔ we de mɛn pikin na spɛshal dɔktɔ we de kia fɔ yu ɛn yu pikin bifo yu gɛt bɛlɛ, ɔl di tɛm we yu gɛt bɛlɛ, we yu de bɔn pikin, ɛn afta yu bɔn yu pikin . I go ɛp yu insay dɛn 4 stej ya:

• Preconception: Dis na we yu bigin tink bɔt fɔ bɔn pikin.
• Bɛlɛ: Di wan ol tɛm we yu de kɛr pikin.
• Leba ɛn dilivri: Na di tɛm we di pikin kin kam na dis wɔl.
• Afta di pikin bɔn: Di fɔs wik afta dɛn bɔn di pikin.

Sɔm dɔktɔ dɛn we de mɛn uman dɛn kin wok bak as dɔktɔ dɛn we de mɛn uman dɛn . Wi de kol dem Ob/Gyns. Gaynekɔlɔjis na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit di uman in riprodaktiv sistɛm. So if yu obstetrician na Ob/Gyn, yu kin gɛt tritmɛnt frɔm am bak fɔ ɔda uman dɛn wɛlbɔdi prɔblɛm apat frɔm bɛlɛ.

Fɔ pik dɔktɔ fɔ kia fɔ yu we yu gɛt bɛlɛ na impɔtant tin fɔ disayd . Wan dɔktɔ we de mɛn uman dɛn we de bɔn pikin na di bɛst tin we yu go du. Dɛn kin ɛp yu fɔ no ɛn trit di sik dɛn we gɛt fɔ du wit bɛlɛ fɔ mek shɔ se yu ɛn yu pikin gɛt wɛlbɔdi.

Wetin rili dɛn dɔktɔ ya de du?

Wan dɔktɔ we de mɛn uman dɛn we gɛt bɛlɛ kin kia fɔ uman dɛn we gɛt bɛlɛ ɔltɛm bifo dɛn bɔn pikin. Dɛn kin no bak ɛn trit di prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ. Dɛn kin bɔn yu pikin ɛn kia fɔ yu afta dat.

Na sɔm pan di men wok dɛn we yu dɔktɔ we de mɛn pikin dɛn fɔ du:

• Skrin bifo yu bɔn, ɛgzam, ɛn tɛst na lab: Dɛn tin ya kin ɛp yu fɔ no bɔt yu ɛn yu pikin in wɛlbɔdi. Fɔ ɛgzampul , blɔd tɛst, urinalysis, ɛn ɔltra saund skan .
• Fɔ gi yu di infɔmeshɔn we yu nid fɔ mɛn yu bɛlɛ: Dɛn go tɛl yu bɔt bɔku tin dɛn, lɛk us kayn it fɔ it, us ɛksesaiz fɔ du, ɛn wetin nɔ fɔ du.
• fכ ases di saiz, gro, εn posishכn fכ di pikin we di bεlε de: fכ chεk if di pikin de gro fayn εn if di pikin de na di kכrekt posishכn.
• Fɔ no difrɛns we dɛn bɔn wit ɔ di prɔblɛm dɛn we kin apin: Wi kin chɛk bifo tɛm if di pikin gɛt ɛni prɔblɛm we kin de we dɛn bɔn am, ɔ if prɔblɛm kin apin we i gɛt bɛlɛ.
• Fɔ trit wɛlbɔdi prɔblɛm dɛn we kin afɛkt yu bɛlɛ: Fɔ ɛgzampul, if yu gɛt tin dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, dɛn go ɛp yu fɔ kɔntrol dɛn we yu gɛt bɛlɛ.
• mεnεj di leba εn dilivεri: Dis inklud leba indukshכn (we min fכ mek yu fil pen) εn fכ mεnεj imejensi.
• Kia afta yu bɔn fɔ te siks wik afta yu bɔn: Fɔ kia fɔ yu wɛlbɔdi afta yu dɔn bɔn pikin.

Imajin, we yu de kam bɔn yu fɔs pikin, yu go gɛt bɔku kwɛstyɔn dɛn ɛn fred. Wan gud dɔktɔ we de mɛn pikin dɛn go ɔndastand ɔl dis, tɔk to yu di we we go mek yu fil fayn, ɛn ɛksplen ɔltin. Dat na big ɛp!

Ustɛm a fɔ go to dɔktɔ we de mɛn pikin dɛn?

Yu fɔ go to dɔktɔ we de mɛn pikin dɛn pan dɛn kayn tin ya:

• We yu kam fɔ no se yu gɛt bɛlɛ: Si dɔktɔ kwik kwik wan. Bɔrku tɛm, yu go si dɔktɔ fɔ di fɔs tɛm lɛk sɛvin to et wiks afta yu las tɛm.
• Fɔ chɛk-ap ɔltɛm ɔlsay na yu bɛlɛ: Bɔku tɛm, yu go si yu dɔktɔ wan tɛm insay di mɔnt fɔs, dɔn wan tɛm ɛvri tu wik, ɛn las wan wan tɛm insay di wik as yu de nia fɔ bɔn pikin. Bɔt if yu gɛt bɛlɛ we gɛt ay risk , yu go nid fɔ si dɛn bɔku tɛm.
• If ɛni kɔmplikeshɔn kam we uman gɛt bɛlɛ.
• afta dεn bכn di pikin (bכku tεm siks wik afta): dεn kכl dis ``postpartum visit''.
• If ɛni kɔmplikɛshɔn kam afta dɛn dɔn bɔn di pikin.

If yu de bɔn yu pikin na ɔspitul, ɔbstetrishan go bɔn yu pikin – i kin bi bay vagina ɔ bay C-section. Afta yu bɔn yu pikin, yu dɔktɔ go wach aw yu de blɔd, aw yu de muv yu bɔdi, ɛn aw yu de pis. Dɛn go chɛk bak fɔ si if blɔd dɔn rɔtin ɔ ɔda tin dɛn we kin apin afta dɛn bɔn pikin. If yu wɛl bɔdi de go fayn, dɛn go alaw yu fɔ go na os insay wan to 4 dez.

Wetin na di eria dɛn we dɛn sabi?

Sɔm dɔktɔ dɛn we de mɛn pikin dɛn kin spɛshal pan ɔda tin dɛn we dɛn kin du fɔ mɛn pikin dɛn. Sɔm ɛgzampul dɛn na:

• Riprodaktiv εndokrinכlכji εn infεliti: I de trit dεn wan dεm we gεt difrεnt fכ bכn pikin.
• Maternal-fetal medicine: Dɛn kin kɔl dɛn bak perinatologist, dɛn spɛshal pipul ya kin kia fɔ mama dɛn we gɛt bɛlɛ we gɛt ay risk. Dis min se if di mama ɔ di pikin gɛt ɛni kɔmpleks prɔblɛm we i gɛt bɛlɛ, dɛn nid spɛshal kia.

Yu nid fɔ rifer yu fɔ go to dɔktɔ?

Insay Sri Lanka, bɔku tɛm yu kin go to spɛshal pɔsin dairekt wan. Bɔt if yu gɛt ɛni inshɔrans kɔvarej, i fayn fɔ aks if yu nid fɔ gɛt ``riferal'', we min se ɔda dɔktɔ tɛl yu fɔ du am. Ɔda we de fɔ du dat, i fayn fɔ aks yu famili dɔktɔ (GP) bɔt dis ɛn gɛt kɔmɛnt frɔm am.

Us kɔndishɔn dɛn we dɔktɔ we de mɛn pikin dɛn kin trit?

Di dɔktɔ dɛn we de mɛn pikin dɛn kin luk fɔ yu jenɛral wɛlbɔdi we yu gɛt bɛlɛ, ɛn bak ɛni kɔmplikeshɔn ɔ mɛrɛsin we kin afɛkt yu bɛlɛ. Sɔm pan de kɔndishɔn dɛm wae dɛn kin ɛp fɔ manej na:

• Dizayd dɛn we dɛn kin bɔn wit dɛn jɛnɛtiks
• bεlε we de kכmכt na di εktopik כ we di pikin de bכn
• Gestational diabetes: Dis na wan kayn dayabitis we kin apin nɔmɔ we uman gɛt bɛlɛ.
• Ay blɔd prɛshɔn ɔ prɛeklampsia: Dis na denja sik we blɔd prɛshɔn kin go ɔp we uman gɛt bɛlɛ ɛn i kin afɛkt ɔda ɔgan dɛn.
• Infεkshכn dεm
• di prכblεm dεm na di plasεnta, fכ egzampl di plasεnta abrupshכn
• Mɔnin sik we pɔsin kin gɛt
• Di tin dɛn we kin mek pɔsin nɔ fil fayn we i gɛt bɛlɛ

Sɔm ɔbstetrishan dɛn gɛt ɔda ɛkspiriɛns fɔ manej bɛlɛ we gɛt ay risk. di chans de fכ mek di kכmplikεshכn dεm we uman gεt bεlε we gεt hεy risk. If yu bɛlɛ nɔ de fɔ yu ɔbstetrician, i kin rifer yu to maternal-fetal medicine specialist (perinatologist).

Us mɛrɛsin dɛn we dɔktɔ dɛn we de mɛn pikin dɛn kin du?

Di dɔktɔ dɛn we de mɛn pikin dɛn kin du difrɛn mɛrɛsin dɛn we gɛt fɔ du wit bɛlɛ, fɔ bɔn pikin, ɛn fɔ bɔn pikin. Sɔm ɛgzampul dɛn na:

• Amniocentesis: na tεst we dεn tek sכm sכm sεmpl fכ di amniotic fluid we de rawnd di pikin. Dis kin ɛp fɔ no if di pikin gɛt ɛni sik we i gɛt frɔm in jɛnɛtiks.
• di sεvikal sεklaj: dεn kin du dis fכ ridyus di risk fכ bכn pikin bifo tεm if di sεviks wik.
• di sεvikal chεk: I de chεk fכ si if di sεviks opin (dilated) כ tin (effacement).
• sizaria sekshכn (C-sekshכn) εn di vagina dεlivεri
• Dilayshכn εn kכretεj (D&C): na di prכsidכm we dεn kin du fכ klin di uterus afta di bכdi we dεn bכn.
• Episiotomy: dεn kin kכt sכm sכm bitwin di vagina εn di anus fכ mek i izi fכ di pikin kכmכt.
• εksternal sεfalik vεshכn (ECV): If di pikin de na brich posishכn, tray fכ tכn di pikin bay we yu tכch di bכdi.
• Fɔ ɛp fɔ bɔn pikin bay we yu de yuz fɔsps ɔ vaykum divays.

Aw fɔ pik gud dɔktɔ we de mɛn pikin dɛn?

If yu pik dɔktɔ we de mɛn pikin dɛn we yu go abop pan ɛn fil fayn wit, dat go mek yu gɛt bɛlɛ ɛn bɔn ɛkspiriɛns we yu go ɛnjɔy pasmak. If i pɔsibul, fɛn gud ɔbstetrishan ɔ Ob/Gyn bifo yu gɛt bɛlɛ.

Na sɔm tin dɛn we go ɛp yu:

• Gɛt rɛkɛmɔndeshɔn: Aks yu padi ɛn fambul dɛn fɔ rɛkɛmɔndeshɔn. Yu kin go bak na di Intanɛt ɛn rid di rivyu dɛn we dɔktɔ dɛn dɔn gi. Yu famili dɔktɔ kin tɛl yu bak fɔ gi gud dɔktɔ dɛn we de mɛn uman dɛn we de bɔn pikin.
• Tink bɔt wetin impɔtant to yu: Wetin na di tin dɛn we impɔtant to yu we yu gɛt bɛlɛ ɛn afta dɛn bɔn di pikin? I kin ɛp fɔ mek wan shɔt list. Aks yusɛf dɛn kwɛstyɔn ya:
• A kin tɔk to dis dɔktɔ di we we rilaks? Na di sem tin fɔ mi man/patna?
• Dis dɔktɔ de ɛksplen tin dɛn klia wan to mi? I de ansa mi kwɛstyɔn dɛn?
• Wetin dis dɔktɔ tink bɔt mi bɔn plan ?
• Aw a go tɔk to dis dɔktɔ ausayd di klinik awa?
• If di dɔktɔ we a pik nɔ de da de de, udat ɔda pɔsin go tek kia ɔf mi?

Sɔm dɔktɔ dɛn we de mɛn pikin dɛn kin wok na grup prɛktis. Insay dɛn say dɛn de, dɛn kin want mek yu go to bɔku dɔktɔ dɛn. Dis na bikɔs di dɔktɔ we de du di wok di de we yu fɔ bɔn yu pikin go bɔn yu pikin. Bɔt if yu de plan fɔ du C-section, yu go ebul fɔ pik di dɔktɔ we yu lɛk.

I nɔmal fɔ mek yu lɛk wan dɔktɔ pas ɔda wan, bɔt mɛmba se ɔl di dɔktɔ dɛn we de mɛn uman dɛn we de bɔn pikin dɛn tren gud gud wan ɛn dɛn gɛt ɛkspiriɛns pan bɛlɛ ɛn bɔn pikin.

We yu bεlε εn afta yu bכn, yu bכdi εn yu maynd kin go tru bכku chenj dεm. Na dat mek i impɔtant fɔ gɛt dɔktɔ we yu go abop pan. Nɔ shek fɔ aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn de fɔ kia fɔ yu di bɛst we. Yu ɛn yu dɔktɔ gɛt di sem gol: fɔ gɛt bɛlɛ fayn, fɔ bɔn pikin fayn, ɛn fɔ gɛt wɛlbɔdi pikin.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti abaut obstetrician tide, no bi so? Fɔ tɔk smɔl, mɛmba dɛn tin ya:

• Obstetrician na spɛshal dɔktɔ we de ɛp ɛn gayd yu fɔ yu bɛlɛ joyn.
• Si gud ɔbstetrishan as yu kam fɔ no se yu gɛt bɛlɛ.
• Nɔ mis fɔ go na di klinik dɛn di de dɛn we dɛn dɔn plan fɔ go.
• Pik dɔktɔ we yu go fil fayn fɔ tɔk to ɛn we yu abop pan. Sheb ɔl yu kwɛstyɔn ɛn fred wit dɛn.
• Mɛmba se nɔto yu wangren de. Dɔktɔ, nɔs, ɛn ɔda pipul dɛn de we de kia fɔ yu wɛlbɔdi biznɛs fɔ ɛp yu.

A de wish yu ɛn yu famili fɔ gɛt wɛlbɔdi ɛn gladi at tumara bambay!

` Obstetrician, bɛlɛ, bɔn pikin, obstetrician, gaynecologist, uman dɛn wɛlbɔdi, pikin