If dɛn bɔn yu fɔs pikin bay sizarian sɛkshɔn (C-section), yu kin de wɔnda, "A go bɔn nɔmal, vagina dis tɛm?" Dis na kwɛstyɔn we bɔku mama dɛn kin gɛt bɔku op fɔ, bɔt sɔntɛnde i kin kam wit smɔl fred. So tide, lɛ wi tɔk bɔt dis klia wan ɛn di we we yu go ɔndastand.
Da tɛm de ɛn naw: Di we aw yu de tink bɔt fɔ bɔn pikin dɔn chenj afta dɛn dɔn du sizarian?
Yu go mɛmba, bak insay yu mama in tɛm, bɔku pipul dɛn bin de tink se if yu du C-section wan tɛm, yu go gɛt fɔ du ɔda C-section fɔ ɛvri pikin afta dat. Ivin dɔktɔ dɛn da tɛm de bin de tɔk bɔt dat bɔku tɛm. Rizin dɛn bin de fɔ dat.
Bɔt tide, mɛrɛsin sayɛns dɔn rili go bifo . We dɛn dɔn du nyu risach ɛn nyu tin dɛn we dɛn dɔn no, bɔku tin dɛn dɔn chenj. Naw, dɔktɔ dɛnsɛf se bɔku mama dɛn we kwalifay, ivin if dɛn bin dɔn du sizarian sɛkshɔn bifo, kin bɔn pikin bay vagina (Vaginal Birth After Cesarean - VBAC) . Infakt, naw dɛn kin tek dis as tin we nɔ bad fɔ bɔku mama dɛn ɛn dɛn pikin dɛn.
Imajin, yu kin go na os kwik kwik wan afta yu gɛt nɔmal pikin. Nɔr kin fil fayn ɛn yu kin wɛl kwik kwik wan. Dis na sɔm pan di big big bɛnifit dɛn we VBAC gɛt.
So, a kin du (VBAC) bak? Wetin de sho dat?
Dis na di kwɛstyɔn we impɔtant pas ɔl. Nɔto ɔlman na di sem. Bɔku tin dɛn de we de sho if yu kin gɛt VBAC ɔ nɔ kin gɛt VBAC. Lɛ wi luk ɛni wan pan dɛn wan bay wan.
1. Wetin na bin di rizin fɔ yu fɔs sizarian sɛkshɔn (C-section)?
Sɔmtɛm dɛn kin du di fɔs ɔpreshɔn bikɔs ɔf imejensi wit di pikin, ɔ bikɔs ɔf sɔntin lɛk di mama in blɔd prɛshɔn. Sɔm rizin dɛn de, if da rizin de go mɔs bi se i rili impɔtant pan dis bɛlɛ, i kin bi risky fɔ gɛt VBAC. Bɔt sɔm rizin dɛn de bak, if na sɔntin we jɔs afɛkt da tɛm de. Fɔ ɛgzampul, if yu bin gɛt sizarian sɛkshɔn bikɔs ɔf sɔntin lɛk brich pozishɔn, if di pikin de na di kɔrɛkt pozishɔn dis tɛm, yu kin tray fɔ du VBAC mɔ. Yu dɔktɔ ɔ midwayf go ɛksplen dis to yu ditayli.
2. di kayn we aw yu de kɔt di uterin - Dis na di tin we impɔtant pas ɔl!
Na dis na sɔntin we wi fɔ rili tek tɛm wit. di shep we di say we yu kɔt na yu uterus we yu de du yu fɔs sizarian sɛkshɔn rili impɔtant fɔ mek yu gɛt VBAC. Dis nɔto di say we yu kɔt we yu de si na yu skin, bɔt na di say we yu kɔt insay yu uterus.
Wi de tɔk mɔ bɔt tu kayn kɔt:
- Transvas insishɔn: .
Fɔ tɔk am simpul wan, dis na di kayn insishɔn we dɛn kin du mɔ, ɛn di wan we fayn pas ɔl fɔ VBAC.. dis insayshכn de mek na di lכw pat pan di uterus we tכn, transvas. Tink bɔt am lɛk bikini layn (nɔto say we dɛn kɔt di skin, bɔt we dɛn kɔt na di uterus). dis insishכn na di say we di uterus nכ de כnda di bכku prεshכn we di pikin bכn (we i kכntrakt fכ push di pikin kכmכt). fכ dat, mama we gεt dis kayn insishכn gεt bכku hכy chans fכ gεt saksesful VBAC. כda nem fכ dis insishכn na (Low-transverse incision) .
- Vɛtikal insishɔn: .
insay dis, dεn kin mek di say we dεn kכl frכm di tכp pat pan di uterus to di bכtכm, lεngth. biכs dis insayshכn de go tru di mכsul dεm na di uterus, i de fכ mek di uterus tear (uterine rupture) tru di insishכn we di uterus kכntrakt strכng we i de bכn. Dis kin bi rili denja fɔ di mama ɛn di pikin. fכ dat, dכkta dεm jεnarali nכ kin advays fכ VBAC if vεtikal insishכn de (especially wan klasical insishכn we dεn mek na di כp pat pan di uterus).
Impɔtant: Ivin if di say we yu kɔt yu skin ɔrizɔntal, sɔntɛnde di say we yu kɔt insay yu uterus kin tinap. So, i impɔtant fɔ rivyu yu ɔspitul not dɛn frɔm yu fɔs sizarian sɛkshɔn fɔ no ustɛm di say we dɛn kɔt am tan. Tɔk to yu dɔktɔ bɔt dis.
3. Ɔmɔs sizarian sɛkshɔn yu dɔn du bifo?
Pan ɔl we dɛn kin tink bɔt VBAC afta wan sizarian, if yu dɔn du tu ɔ mɔ sizarian, fɔ du VBAC kin mek yu gɛt prɔblɛm smɔl. di risk fכ rכp di uterus kin ivin hכy bikoz di ska tisu we de insay di uterus we de inkrεs. Bɔt insay sɔm spɛshal kes dɛn, ivin di wan dɛn we dɔn du tu sizarian sɛkshɔn bifo dɛn kin alaw fɔ tray VBAC, wit big kia, na say we fit. Dis dipen ɔl pan yu mɛdikal istri, di kayn we aw dɛn kɔt yu uterin, ɛn di disayd we di dɔktɔ we de kia fɔ yu disayd.
4. Di bɛlɛ we yu gɛt naw ɛn ɔda tin dɛn we de mɔna yu fɔ gɛt wɛlbɔdi
If yu gɛt tin dɛn lɛk dayabitis, ay blɔd prɛshɔn, prɔblɛm wit yu pikin we de gro, ɔ pikin we tan lɛk se i rili big (macrosomia) we yu gɛt dis bɛlɛ, yu dɔktɔ kin tink tu tɛm fɔ go fɔ VBAC. כlso, if yu gεt εni prכblεm wit di shep fכ yu uterus (e.g. fibroid), dat kin afekt bak di disayd fכ gεt VBAC.
Nɔto risk nɔ de na (VBAC)?
Pan ɔl we VBAC na sef opshɔn fɔ bɔku mama dɛn, i nɔ de witout risk . di men risk na we di uterin rכp . dis na we di uterin wכl de te na di say we dεn bin du sizarian sεkshכn bifo. Dis na tin we nɔ kin apin so ɔltɛm (lɛs dan 1% akɔdin to Sri Lanka statystik, mɔ fɔ di wan dɛn we dɔn gɛt ɔrizɔntal insishɔn), bɔt if i apin, i kin bi imejensi we kin mek di mama ɛn di pikin day. Na dat mek if yu de tray fɔ VBAC, .Dɛn se dɛn fɔ du am na ɔspitul we gɛt ɔl di tin dɛn fɔ du imejensi sizarian sɛkshɔn.
Na di ɔda say, if yu tray fɔ du VBAC ɛn i nɔ wok, yu kin dɔn fɔ gɛt imejensi sizarian sɛkshɔn. Dis imejensi ɔpreshɔn we dɛn nɔ plan fɔ du kin mek i gɛt smɔl smɔl prɔblɛm dɛn pas we dɛn dɔn plan fɔ du sizarian.
Nɔ fred! Dɛn risk ya na fɔ tich yu, nɔto fɔ mek yu fred. Bɔku mama dɛn kin du VBAC fayn fayn wan ɛn dɛn nɔ kin gɛt ɛni prɔblɛm. Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt if i fayn fɔ yu situwɛshɔn, wetin de apin to yu, ɛn wetin go bɛnifit yu.
If a want wan (VBAC), wetin a fɔ du?
If yu de tink bɔt VBAC, fala dɛn step ya:
1. Tɔk to yu dɔktɔ: Dis na di fɔs ɛn impɔtant tin. Tɔk bɔt ɔl di sizarian sɛkshɔn dɛn we yu bin dɔn du trade (especially di kayn hysterectomy), di wɛlbɔdi we yu gɛt naw, ɛn di patikyula wɛlbɔdi prɔblɛm dɛn we yu gɛt wit yu dɔktɔ. Aks dɛm bɔt di gud ɛn bad tin dɛm fɔ VBAC, ɛn us patikyula risk yu kin gɛt. Yu dɔktɔ go chɛk yu, rivyu yu rɛkɛd, ɛn disayd if VBAC fayn fɔ yu.
2. Chek wit di ɔspitul we yu pik fɔ bɔn yu pikin: Nɔto ɔl ɔspitul dɛn gɛt di sem VBAC fasiliti ɔ polisi. Sɔm ɔspitul dɛn de sɔpɔt VBAC, wit imejensi rum ɛn ɔpreshɔn rum dɛn we de 24/7. Bɔt sɔm ɔspitul dɛn, mɔ di smɔl wan dɛn, nɔ kin alaw VBAC bikɔs dɛn nɔ gɛt bɛtɛ tin fɔ du fɔ sɔlv di prɔblɛm dɛn we kin apin we pɔsin gɛt prɔblɛm. So, i impɔtant fɔ no bifo tɛm wetin na di VBAC polisi na di ɔspitul we yu de plan fɔ bɔn yu pikin.
3. Bi rɛdi, bɔt fleksibul: Ivin if yu rɛdi fɔ VBAC, sɔntɛnde tin nɔ kin go lɛk aw yu bin dɔn plan. If prɔblɛm dɛn de we dɛn de bɔn pikin, yu dɔktɔ kin disayd fɔ du sizarian we dɛn nid fɔ du am kwik kwik wan. Mɛmba se di men gol na fɔ gɛt wɛlbɔdi mama ɛn fɔ gɛt wɛlbɔdi pikin. So, rɛdi fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
Tink bɔt, if di ɔspitul we yu dɔn pik nɔ alaw VBAC, bɔt yu rili want am ɛn yu dɔktɔ gri, yu kin ebul fɔ transfa to ɔda ɔspitul we alaw am. Tɔk to yu dɔktɔ bɔt dis bak.
Wi go mɛmba fɔ shɔt tɛm wetin wi bin tɔk bɔt? (Mɛsej we dɛn kin tek go na os)
Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:
- Ivin if yu bin dɔn du sizarian sɛkshɔn (C-section), bɔku mama dɛn kin ebul fɔ bɔn pikin bay vagina (VBAC) . Dis na tin we sef naw.
- di men tin we de mek yu no if yu kin gɛt VBAC ɔ yu nɔ kin gɛt VBAC na di kayn we aw dɛn kɔt di uterin we dɛn de du yu fɔs sizarian . wan transvas insishכn na di bεst opshכn.
- Dis kin afɛkt bay tin dɛn lɛk di rizin fɔ yu fɔs sizarian, di nɔmba fɔ di sizarian sɛkshɔn dɛn we yu bin dɔn du bifo, ɛn di wɛlbɔdi we yu gɛt naw.
- Sɔm risk dɛn kin de we VBAC de du, bɔt dɛn kin stɔp dɛn risk ya if yu plan gud wan ɛn gɛt mɛdikal tim we sabi du di wok.
- Di tin we impɔtant pas ɔl na fɔ tɔk opin wan bɔt dis wit yu dɔktɔ. Na in go advays yu bɔt wetin bɛtɛ fɔ yu sityueshɔn.
- Dɔn bak, no bɔt di VBAC polisi na di ɔspitul usay yu go bɔn yu pikin.
Mɛmba se ɛni bɛlɛ ɛn ɛni bɔn we dɛn bɔn, na sɔntin we difrɛn. A de wish yu di trɛnk fɔ pik wetin sef ɛn wɛlbɔdi fɔ yu ɛn yu pikin!
` VBAC, Sizarian, Nɔmal dilivri, Hysterectomy, Pikin bɔn, Maternal wɛlbɔdi, Mɛdikal advays
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt