Yu tink se i dɔn let fɔ mek di pikin kam? Mek wi lan bɔt leba indukshɔn!

If yu na mama we go bi mama dis tɛm, yu go mɔs dɔn yɛri di wɔd dɛn ‘inducing labor’ ɔ ‘inducing labor’. Ɔ sɔntɛm yu dɔktɔ dɔn tɛl yu bɔt am. So wetin dis min? Wetin mek dɛn kin du am? Yu tink se i go mek wi gɛt ɛni prɔblɛm? Lɛ wi tɔk bɔt ɔl dis ditayli tide, nɔto so? Natin nɔ de fɔ wɔri bɔt, ɔltin de fɔ yu ɛn yu pikin.

Wetin na Inducing Labour?

Fɔ tɔk am simpul wan, fɔ mek yu bɔn pikin na we dɔktɔ dɛn de yuz mɛrɛsin ɔ ɔda mɛrɛsin fɔ mek yu bɔn bifo yu bigin fɔ bɔn pikin bay we yu de bɔn pikin. Sɔntɛnde, di pikin kin let fɔ kɔmɔt na do, ɔ di mama ɔ di pikin nid fɔ bɔn di pikin kwik kwik wan fɔ sɔm wɛlbɔdi rizin. Na da tɛm de dɛn kin yuz dis we.

Dɛn kin du dis if prɔblɛm de fɔ yu wɛlbɔdi ɔ yu pikin in wɛlbɔdi if yu kɔntinyu fɔ gɛt di bɛlɛ. Sɔntɛnde, dɛn kin du dis ivin bifo di bɛlɛ dɔn. Dis na if di dɔktɔ no se di prɔblɛm dɛn we kin apin we pɔsin kɔntinyu fɔ gɛt di bɛlɛ pas di prɔblɛm dɛn we kin apin we pɔsin bɔn di pikin smɔl bifo tɛm.

Wetin mek dɔktɔ dɛn se fɔ mek dɛn yuz atifishal insemineshɔn?

Bɔku tɛm, fɔ alaw di leba fɔ bigin di we aw i de bɔn na di bɛst tin fɔ du. Bɔt sɔm tɛm dɛn de, yu dɔktɔ kin tɛl yu fɔ mek yu bɔn pikin. Mek wi si wen dat bi.

• Yu wata don brok bot yu no stat leba yet. Sɔm mama dɛn nɔ kin bigin fɔ bɔn pikin fɔ sɔm awa afta dɛn wata dɔn brok. If dat apin, chans de fɔ mek yu ɛn yu pikin gɛt di sik . Na dat mek dɔktɔ dɛn kin tray fɔ mek dɛn bɔn pikin kwik kwik wan.
• if di pikin nכ kam ivin afta wan כ tu wiks pas di de we i fכ bכn, sכmtεm di pikin kin fil bad na di bεlε as di de dεm de pas, εn di plasεnta kin nכ de wok bכku.
• If yu gɛt infekshɔn na di uterus. Dɔktɔ dɛn kɔl dis (Chorioamnionitis) . I bεst fכ bכn di pikin kwik kwik wan biכs dis kin afekt di pikin bak.
• If yu gɛt wan sik we yu de mɛn. Fɔ ɛgzampul, we pɔsin gɛt dayabitis we i gɛt bɛlɛ ɔ we i gɛt ay blɔd prɛshɔn (haypa prɛshɔn ) .di kכndishכn dεm lεk dis kin mek fכ kכntinyu fכ bεlε de risk fכ yu εn yu pikin.
• if di amount of amniotic fluid insay di uterus nכ inof. Dis wata impɔtant fɔ mek di pikin ebul fɔ blo, fɔ protɛkt insɛf, ɛn fɔ muv. We i de dכn, i kin at fכ di pikin.
• if prכblεm de wit di plasεnta, di pikin de gεt di it εn כksijεn we i nid. If prɔblɛm de wit am, di pikin kin gɛt prɔblɛm bak.
• if di pikin nכ de gro lεk aw dεn bin de εkspεkt insay di bεlε (Fetal Growth Restriction). Dat min se if di pikin nɔ gɛt bɛtɛ wet ɔ i nɔ de gro fayn, i go bɛtɛ fɔ pul di pikin kwik pas fɔ kip am na di bɛlɛ.

Rizin dɛn we nɔto fɔ mɛn pipul dɛn (Elective Induction) .

Ivin if dɛn nɔ gɛt mɛrɛsin rizin dɛn lɛk dis, tɛm kin de we di mama ɛn di dɔktɔ kin disayd fɔ mek dɛn bɔn pikin. dis dεn kכl am ‘εlektiv indukshכn’ . Fɔ ɛgzampul, if yu dɔn bɔn pikin dɛn we yu bin dɔn bɔn kwik kwik wan (rapid labor), ɔ if yu de liv fa frɔm di ɔspitul ɛn yu de wɔri se yu nɔ go ebul fɔ rich na di ɔspitul insay di tɛm, yu kin tink bɔt fɔ mek dɛn du elective induction.

Risach we dɛn dɔn du dis biɛn tɛm dɔn sho se ilɛktiv indukshɔn na 39 wik, ivin if yu nɔ gɛt ɛni mɛdikal rizin, kin bi gud opshɔn fɔ sɔm mama dɛn we gɛt wɛlbɔdi fɔ di fɔs tɛm. I de mek di natura l leba bigin ɛn i sef fɔ mama ɛn pikin. Dɛn dɔn si bak se i de ridyus di risk fɔ mek dɛn du C-section ɛn sɔm prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ (lɛk prɛeklampsia , we na wan sik we blɔd prɛshɔn kin go ɔp ɛn di prɔtin we de na di urine de). So tɔk to yu dɔktɔ bɔt if dis na opshɔn fɔ yu.

Aw dɛn kin mek dis difrɛns we dɛn mek wit atifishal wan?

Naw yu go mɔs de tink se, ‘Okay, so aw yu go du dis?’ Bɔku we dɛn de we dɔktɔ dɛn kin yuz fɔ mek dɛn bɔn pikin. Dipen pan yu sik, yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu.

• Fɔ rayp di Sɛviks. dis involv fכ sof εn tכn yu sεviks – di opin to yu uterus – fכ pripia am fכ di pikin fכ kכmכt. I tan lɛk se yu de rayp mango. Bɔku we dɛn de fɔ du dis:
• Mɛrɛsin: Yu kin tek pils we gɛt wan ɔmon we dɛn kɔl prostaglandin , ɔ yu kin put am insay yu vagina as jel. dis go mek di sεviks sof εn bigin fכ opin.
• Balɔn Kateta: Na smɔl tiub (kateta) .dεn kin put am insay di vagina εn dεn kin yuz am fכ pul di sεviks jכnt wit wan balכn we dεn kin blo na di εnd. Dis kin mek di sɛviks opin smɔl smɔl.

• Strip ɔ Swip di Mɛmbran dɛn. insay dis prכsidכm, di dכkta de yuz fכ finga we gכg gכl fכ separet di tכn sak we de rawnd di pikin εn di amniotic fluid frכm di wכl na di uterus jisno. Dis kin fil bad smɔl, bɔt i kin mek yu bɔdi mek wan ɔmon we dɛn kɔl prostaglandin , jɔs lɛk aw i kin bi we yu bigin fɔ bɔn pikin bay insɛf . dis כmon de εp fכ pripia di sεviks εn stat fכ bכn.

• Fɔ brok yu wata (Amniotomy). We yu de du yu vagina ɛgzam, yu dɔktɔ go yuz wan smɔl tin we tan lɛk plastic huk (Amnihook) fɔ mek smɔl ol na yu amniotic sak . Dis nɔ go mek yu fil bad, bɔt yu kin fil lɛk se yu strenj smɔl we di wata de flɔ. If yu sɛviks dɔn pripia fayn fayn wan, bɔku tɛm i go bigin fɔ bɔn insay sɔm awa afta yu dɔn brok yu wata.

• fכ mek di uterus kכntrikshכn. If ɔda we dɛn nɔ de mek yu bɔn pikin, ɔ if yu nɔ de gɛt inof kɔntrakshɔn, yu dɔktɔ go gi yu wan mɛrɛsin we dɛn kɔl Pitocin tru wan IV layn , we na salin sɔlvushɔn. Pitocin na wan sεntetik fכm fכ di כmon כksijεn we yu bכdi de mek fכ εp yu uterus fכ kכntrakt we yu de bכn. dis kin stat wit sכm doz εn i kin inkrεs sכmtεm te yu de bכn. We yu de gi Pitocin , dɛn kin wach yu pikin in at rit ɛn aw yu uterus de kɔntrakt gud gud wan.

Aw dis kin fil?

Naw yu go mɔs de wɔnda, ‘Aw a go fil we a de du dɛn tin ya?’ Di we aw ɛnibɔdi kin fil kin difrɛn, bɔt in jɔnal, na wetin kin apin:

• We yu de pul di mɛmbran dɛm, yu kin fil sɔm pen ɔr nɔr kin fil fayn. Bɔt bɔku tɛm, i kin jɔs las fɔ wan minit ɔ so. Afta dat, yu kin fil sɔm kramp ɔ layt blɔd fɔ wan ɔ tu dez.
• We yu brok yu wata, i kin mek yu fil fayn bak smɔl. Yu kin fil lɛk se dɛn de pul sɔntin, dɔn wam wata kin kɔmɔt, ɔ i kin kɔmɔt wan tɛm.
• We dɛn gi dɛn prostaglandin, sɔm pipul dɛn kin gɛt strɔng kramp. Dis na sayn fɔ se leba dɔn bigin.
• We yu de gi (Pitocin), .Di kɔntrakshɔn kin bigin fɔ kam bɔku tɛm ɛn ɔltɛm pas aw dɛn kin kam. Sɔm pipul dɛn kin si se dis kin rili tranga smɔl.

Wetin na di risk dɛm fɔ artificially inducing ovulation?

Bɔku tɛm, di leba indukshɔn kin wok fayn ɛn nɔ gɛt ɛni prɔblɛm. Bɔt lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Yu dɔktɔ go tɛl yu bɔt ɔl dɛn tin ya bifo tɛm. Lɛ wi si wetin dɛn bi.

• Dis kin bi se i nɔ go bi saksesful lɛk aw yu tink (Failed Induction). Fɔ mek dɛn bɔn pikin nɔ tan lɛk fɔ tɔn pɔt. Sɔntɛnde, i kin tek lɔng tɛm. Pan ɔl we di dɔktɔ dɛn kin tray, sɔntɛnde di leba nɔ kin bigin. If na so i bi, sɔntɛnde, if ɔltin fayn, ɛn di bag we gɛt wata nɔ brok yet, dɛn kin aks di mama fɔ go na os ɛn tray bak ɔda de. Bɔt if i tek tu lɔng, ɔ if ɛni prɔblɛm de wit di mama ɔ di pikin, i kin nid fɔ mek dɛn du sizarian sɛkshɔn (C-section) . Bɔt mɛmba se fɔ mek dɛn bɔn pikin bay we dɛn mek am, dat nɔ de mek di chans fɔ mek dɛn du sizarian sɛkshɔn bɔku.
• Sɔntɛnde, di kɔntrakshɔn kin rili strɔng ɔ i kin tu ɔltɛm. Dis na bikɔs:
• sכm impak kin de pan di pikin in bכdi fכ fכlכ εn di כksijεn saplai (na dat mek dεn kin mכnitor di pikin in at bit כltεm).
• Uterine Rupture kin apin, bɔt dis nɔ kin apin so ɔltɛm, mɔ if yu nɔ bin dɔn du di uterine ɔpreshɔn bifo.
• If di bag we gɛt wata brok ɛn dɛn bɔn di pikin tu let, smɔl risk de fɔ mek di mama ɔ di pikin gɛt di sik.
• afta dεn bכn di pikin, di uterin mכsul dεm kin nכ kכntrakt fayn fayn wan (uterine atony). Sɔntɛnde dis kin mek yu blɔd bɔku (pɔstpartum hemorrhage). Dɔktɔ dɛn rɛdi fɔ dis bak.
• If mistek de we dɛn de kɔl di de we dɛn fɔ bɔn di pikin, dɛn kin bɔn di pikin bifo tɛm. Dis kin mek yu gɛt prɔblɛm wit aw yu de it, aw yu de blo, ɔ aw yu de mek yu bɔdi wam. (Bɔt, lɛk aw wi bin dɔn tɔk, sɔntɛnde, dɔktɔ dɛn go mek dɛn bɔn pikin kwik if di prɔblɛm dɛn we kin apin to pɔsin in wɛlbɔdi pas di prɔblɛm dɛn we kin apin we dɛn bɔn pikin bifo tɛm.)

Wetin bak yu want fɔ no?

Fɔ mek dɛn bɔn pikin nɔ pɔsibul fɔ ɛvri bɛlɛ, ɛn i nɔ fayn fɔ ɔlman.

• If yu bin dɔn du sizarian sɛkshɔn (C-section) , dis nɔ kin fayn, i kin dipen pan di kayn ɔpreshɔn (espɛshali di say we dɛn kɔt am na di uterus).
• כlso, dis kin nכ posεbul dipכnt pan aw di pikin כ di plasεnta de posishכn insay di uterus (e.g., if di pikin de transvas, כ if di plasεnta de kכba di sεviks - Plasεnta Previa).

Sɔntɛm yu dɔn yɛri bɔt difrɛn mɛrɛsin dɛn we yu kin mɛn na os we se dɛn kin ɛp yu fɔ pul dandruff, lɛk fɔ yuz kastɔ ɔyl .

Bɔt mɛmba se i nɔ sef atɔl fɔ tray fɔ mek uman bɔn pikin bay we yu de du tin dɛn lɛk dis.

Kastɔ ɔyl kin mek yu nɔs, vɔmit, yu gɛt bad bad dayarɛa, ɛn yu nɔ gɛt wata na yu bɔdi . Dɔn bak, if yu yuz ɔyl ɛn ɔyl we dɛn se kin mek yu gɛt dayarɛa, dat kin ambɔg yu ɛn yu pikin. Sɔm pan dɛn kin ivin denja.

Sɔm pipul dɛn se we dɛn de mek di bɔdi wok, i de pul di ɔmon we dɛn kɔl ɔksitɔsin, we kin mek di uterus kɔntrakt. dat na tru, bכt sכm stכdi dεm dכn sho se we di pikin in bεlε de sכmtεm, i kin mek di pikin in at rεt we nכ de rεt. Sɔm pipul dɛn kin tink bak se we pɔsin du mami ɛn dadi biznɛs let we i gɛt bɛlɛ, i kin mek i nɔ gɛt bɛlɛ, bɔt no klia sayɛns pruf nɔ de yet fɔ dis.

Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bifo yu du ɛnitin we yu tink se go ɛp fɔ mek yu smɔl pikin kam na di wɔl. I bεst εn sef כltεm fכ lεf di atifishal inseminεshכn prכsεs to mεdikal prכfεshכnal dεm.

So, us mɛsej wi want fɔ kɛr go na os frɔm dis stori?

Okay, so na di impɔtant tin dɛn fɔ yu fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Fɔ mek dɛn bɔn pikin na we dɔktɔ dɛn mek uman bɔn bifo i bigin fɔ bɔn pikin bay we i bi, fɔ mɛrɛsin rizin ɔ sɔm tɛm dɛn we di mama aks fɔ (elective induction).
• Bɔku tɛm dɛn kin du dis if prɔblɛm de fɔ di mama ɛn di pikin in wɛlbɔdi, ɔ if di risk fɔ kɔntinyu fɔ gɛt bɛlɛ bɔku.
• difrεn we dεm de fכ mek di pikin bכn, lεk fכ dilayt di sεviks, fכ brok di bag we di wata de insay, εn fכ mek di uterin kכntrikshכn wit mεdikeshכn.
• Lɛk ɔltin, sɔm prɔblɛm dɛn kin de, bɔt di dɔktɔ dɛn go tich yu bɔt ɔl dɛn tin ya ɛn du wetin bɛtɛ fɔ yu ɛn di pikin.
• Nɔ ɛva tray fɔ mek uman bɔn pikin na os fɔ yusɛf, if yu nɔ gɛt dɔktɔ advays. I kin denja fɔ yu ɛn yu pikin.
• If yu gɛt ɛni kwɛstyɔn bɔt dis, if yu de fred, if sɔntin nɔ klia, mek shɔ se yu tɔk opin wan wit yu dɔktɔ ɔ famili wɛlbɔdi wokman (midwayf). Dɛn go ɛksplen ɔltin to yu wit lɔv.

Wi de wish yu ɛn yu pikin fɔ bɔn wɛlbɔdi ɛn gladi at!

` Leba Indukshכn, Bεlε, Pikin, Bכn, Pitocin, Sεviks, Ilektiv Indukshכn, Mεdikal Advays