Yu de pan denja bak fɔ bɔn pikin bifo di de we yu fɔ bɔn pikin? (Preterm Labor) Lɛ wi no bɔt dis!

If yu de op fɔ bɔn pikin, yu go mɔs de fred smɔl ɛn yu de fil gladi bak dɛn tɛm ya, nɔto so? I nɔmal fɔ de wɔnda if ɔltin go go fayn ɛn if dɛn go bɔn di pikin wɛl. Insai di meantime, somtaims wi de hie, "Oh, di pikin don ya bifo di dee we di pikin go bɔn!" So tide, lɛ wi tɔk bɔt dis kɔndishɔn fɔ pripia fɔ bɔn pikin bifo di de we dɛn fɔ bɔn pikin , ɔ as dɔktɔ dɛn kin kɔl am , `(Preterm Labor)` . Lɛ wi tɔk simpul wan bɔt wetin i rili bi, wetin mek i kin apin, wi kin ebul fɔ stɔp am, ɛn wetin fɔ du if i apin.

Wetin na Preterm Leba?

Fɔ tɔk am simpul wan, `(Preterm Labor)` min se yu bɔdi de pripia fɔ bɔn pikin bifo di 37 wik we yu gɛt bɛlɛ. bεlε we gεt bεlε kin te lεk 40 wiks. We 37 wiks dɔn, wi kin se yu de "at term". bifo dat, dat na bifo 37 wik , if yu bigin sho sayn dεm fכ leba, dat na `(Preterm Labor)`.

Leba na di we aw yu bɔdi de rɛdi fɔ mek yu pikin kam. dis involv fכ tayt εn rilaks di mכsul dεm na yu uterus (kכntrakshכn) εn yu mεmbran dεm rכp (rכpchכ di mεmbran dεm) . we yu bכn bifo di tεm, di lכw pat pan yu uterus we dεn kכl di sεviks , kin bigin fכ opin (כ dilayt) bifo tεm pas aw i nכmal.

Imajin, we Nalini bin de go fɔ bɔn in sɛkɔn pikin, i bigin fɔ gɛt smɔl smɔl bɛlɛ kramp arawnd di 7th mɔnt. We di dɔktɔ chɛk am, i kam fɔ no se in sɛviks dɔn big smɔl. Na so dis tin tan.

Bɔt dis nɔ kin min ɔltɛm se di pikin go bɔn bifo tɛm. Sɔntɛnde, dɔktɔ dɛn kin stɔp di pikin fɔ bɔn ɛn mek di pikin gro insay di bɛlɛ fɔ sɔm dez mɔ. dis kin bi wit bed rεst , intravenous fluids (IV fluids) , εn mεdikeshכn fכ rilaks di uterus.

Dɔn bak, sɔm tɛm dɛn, fɔ mɛrɛsin rizin dɛn we gɛt fɔ du wit di pikin ɔ di mama, dɔktɔ dɛn kin disayd fɔ bɔn di pikin kwik kwik wan. fכ egzampl, if di bכdi prεshכn de we i bεlε (`Preeclampsia`), wan kכndyushכn lεk di plasεnta abrupshכn, כ if di pikin nכ de gro fayn (`Fetal growth restriction`).

Wetin na fɔ bɔn pikin bifo tɛm? (Wetin na fɔ bɔn pikin bifo tɛm?)

di pikin we dεn bכn bifo di tεm , כ di pikin we dεn bכn bifo di 37 wik we i bεlε. di pikin dεm we dεn bכn dis kwik kin gεt sכm hεlth prכblεm dεm, lεk dεn kin at fכ brith εn dεn we dεn bכn dכn wet. na dat mek dεn de tray fכ mek di pikin de insay di bεlε as lכng as i ebul.

Wetin kin mek dɛn bɔn pikin bifo tɛm?

I at fɔ tɔk ɛksaktɔli wetin kin mek uman bɔn bifo tɛm. Bɔku tin dɛn de we kin mek i apin. Sɔm pan dɛn gɛt fɔ du wit yu mɛrɛsin istri, di bɛlɛ we yu bin dɔn gɛt trade, ɛn di we aw yu bin de liv yu layf. Bɔt de tin wae kin sɔprayz na dat, sɔmtɛm pipul dɛm wae nɔr kin gɛt dis sik kin gɛt dis sik.

Yu tink se dɛn kin stɔp fɔ bɔn pikin bifo tɛm?

Sɔntɛnde i kin bi, bɔt bɔku tɛm na fɔ shɔt tɛm nɔmɔ . If yu de bɔn pikin bifo tɛm, yu dɔktɔ kin gi yu mɛrɛsin fɔ stɔp ɔ delay fɔ bɔn pikin. pan ɔl we dɛn mɛrɛsin ya nɔ go stɔp am kpatakpata, dɛn kin ɛp yu pikin in lɔng ɛn ɔda ɔgan dɛn fɔ divɛlɔp smɔl if dɛn bɔn am kwik.

Yu gɛt dɛn sik ya bak? Tek tɛm! (Aw yu go no if yu de na preterm labor?)

I impɔtant fɔ no di sayn dɛn we de sho se i bɔn pikin bifo tɛm. If yu gɛt ɛni wan pan dɛn sayn ya, ɛn dɛn nɔr de bɛtɛ insay wan awa, ɔr if de pen tranga ɛn nɔr de chenj, kɔl yu dɔktɔ wantɛm wantɛm.

• if di uterus kכntrakt εn rilaks fכ כ mכr tεm insay wan awa (konstrikshכn) , εn i nכ de dכn afta i chenj in posishכn כ rεst.
• If yu kin gɛt tayt ɔ pen pen na yu lɔwa bak we kin kam ɛn go, ɔ if i kin kɔntinyu fɔ de (ivin we yu chenj yu pozishɔn ɔ yu de na say we yu go fil fayn).
• Kramp na di bɛlɛ we de dɔŋ, we tan lɛk bɛlɛ we ful-ɔp wit gas (i kin kam wit dayarɛa ɔ i nɔ kin gɛt dayarɛa).
• If yu fil se yu de prɛs pasmak na yu vagina ɔ yu bɛlɛ.
• Bɛlɛ we de at ɔltɛm, lɛk di wan we kin kam wit mɔnt.
• If di vagina dischaj de go ɔp, ɔ if tin, pink dischaj de.
• If wata we gɛt wata lik frɔm di vagina, dis kin bi amniotic fluid .
• If blɔd de kɔmɔt na di vagina.
• Simptom dɛm we tan lɛk fiva, we min tin dɛm lɛk nɔs ɛn vɔmit.
• di pikin de muv dכn (if di pikin nכ muv at le siks tεm insay wan awa).

Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sik ya ɔ yu gɛt ɛni dawt. Nɔ mek yu wangren disayd fɔ du sɔntin!

Aw a kin chɛk fɔ si if a gɛt kɔntrakshɔn?

Sɔntɛnde yu nɔ kin fil rial kɔntrakshɔn, bɔt yu kin fil lay lay kɔntrakshɔn, we dɛn kɔl Braxton Hicks kɔntrakshɔn , we na we fɔ mek yu bɔdi yus fɔ leba. Rial kɔntrakshɔn kin kam nia ɛn i kin mek pɔsin fil pen mɔ. Dɛn nɔ kin stɔp ivin we yu rɛst ɔ chenj yu pozishɔn. If yu nɔ shɔ if wetin yu de fil na rial kɔntrakshɔn ɔ nɔto so, mek shɔ se yu tɔk to yu dɔktɔ.

Wetin na di tin dɛn we kin mek pɔsin bɔn pikin kwik? (Wetin kin mek dɛn bɔn pikin bifo tɛm?)

Bɔku rizin dɛn de we mek di pikin we dɛn bɔn bifo tɛm kin apin. Sɔm pan dɛn wi kin ebul fɔ kɔntrol, ɛn sɔm wi nɔ ebul fɔ kɔntrol.

Tri men tin dɛm wae kin mek pɔrsin fil bad wae gɛt di mɔr impak:

• If yu dɔn bɔn pikin bifo tɛm .
• If yu gɛt bɛlɛ wit twins, triplɛt ɔ mɔ .
• If yu gɛt, ɔ yu dɔn gɛt , ɛni prɔblɛm wit yu uterus, sɛviks, ɔ vagina .

Di tin dɛn we kin mek pɔsin gɛt bɛlɛ:

• If blɔd bin de kɔmɔt na di vagina ɔlsay na di bɛlɛ.
• if yu bεlε tru wan mεtכd lεk ``(IVF)`` (in vitro fεtilayzεshכn) .
• If pipul de saspek se di pikin we de na di bɛlɛ gɛt disabled we dɛn bɔn am .
• if di tεm bitwin wan bεlε εn di nכs wan sכt (fכ egzampl, fכ bεlε bak insay less dan 12-18 mכnt).

Risk factors wae gɛt fɔ du wit di ej ɛn di rays:

• If yu nɔ rich 17 ia ɔ pas 35 ia .
• Sɔm stɔdi dɔn sho se dis sik kin mɔs pan sɔm etnik grup dɛm (dis na jɔs sayɛns ɔbshɔbishɔn, nɔto kɔmɔn to ɔlman).

Di tin dɛn we kin mek pɔsin gɛt prɔblɛm wit di we aw pɔsin de liv in layf:

• Nɔ gɛt kia bifo dɛn bɔn pikin .
• We yu de lɔs ɔ we yu de gɛt mɔ wet bifo yu gɛt bɛlɛ.
• Nɔ gɛt inɔf wet we yu gɛt bɛlɛ.
• Fɔ fala di it we nɔ fayn .
• Smok, drink rɔm, ɔ yuz drɔgs we nɔ rayt .
• Fɔ gɛt wok we de mek yu bɔdi wok tranga wan (fɔ tinap fɔ lɔng tɛm insay di de, ɔ fɔ wok fɔ lɔng tɛm).
• Fɔ de ɔnda siriɔs strɛs ɔ wɔri .
• Fɔ gɛt tin dɛn we de ambɔg di pikin (teratogens), lɛk pɔyzin kemikal, lid, ɛn raytin .

Risk factors wae kin kam bikɔs ɔf mɛrɛsin rizin:

• di vagina infεkshכn dεm we dεn nכ trit (e.g., urinary tract infεkshכn (UTIs), infεkshכn dεm we dεn kin gεt wit mami εn dadi biznεs (STIs), כ כda uterin כ vagina infεkshכn dεm).
• Kכndishכn dεm lεk kכnektiv tisu dizכrd, fכ egzampl Ehlers-Danlos syndrome (EDS) .
• di prכblεm dεm na di plasεnta, lεk di plasεnta abrupshכn כ di plasεnta prεvia .
• Amniotic fluid (`Polyhydramnios`) ɔ amniotic fluid (`Oligohydramnios`) .
• sכt sεviks כ wan uterus we nכ shep rεgulεr (e.g., septate uterus כ bicornuate uterus).
• We dɛn bin dɔn du ɔpreshɔn pan di sɛviks ɔ di uterus bifo tɛm .
• Yu gɛt sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɔ blɔd we nɔ de rɔtin .
• fכ gεt wan kכndyushכn we dεn kכl ``Intrahepatic cholestasis of pregnancy (ICP)'', na wan sik we de kכmכt na di liva we de apin we uman bεlε.

Aw di dɔktɔ kin no bɔt dis? (Aw dɛn kin no se uman dɔn bɔn bifo tɛm?)

Yu dɔktɔ go chɛk yu sɛviks mɔ fɔ si if yu de bɔn pikin bifo tɛm. If yu sεviks dכn εfface εn dilated, yu kin de na preterm labor. Apat frɔm dis intanɛnt ɛgzam, yu dɔktɔ kin bak:

• כltra saund skan: dis kin chεk di pikin in sayz, in posishכn na di bεlε, εn if εni prכblεm de wit di plasεnta כ di amniotic fluid.
• Monitor kɔntrakshɔn: Yu kin kɔnɛkt to mashin we de mɛzhɔ di patɛn we yu kɔntrakshɔn de.
• fetal fibronectin test: dεn tek sεmpl fכ yu vagina fluid εn chεk fכ si if wan protin we dεn kכl fetal fibronectin de. dis na protin we de εp di amniotic sak fכ adhe to di uterus. di prεsεns we i de insay di vagina fכluid min se di bכdi kin dכn bigin fכ bכn.

Wetin dɔktɔ dɛn kin du fɔ dis? / Wetin na di tritmɛnt dɛm? (Aw dɔktɔ dɛn kin manej fɔ bɔn pikin bifo tɛm?)

If yu de bɔn pikin bifo tɛm, yu kin nid mɛrɛsin fɔ mek di kɔntrakshɔn slo ɔ stɔp. If di kɔntrakshɔn dɛn tu fa ɛn dɛn nɔ ebul fɔ stɔp am, yu dɔktɔ go nid fɔ bɔn yu pikin kwik kwik wan. Mεrεsin dεm de bak we kin εp yu pikin in lכng εn כda כgan dεm fכ divεlכp if dεn bכn am bifo tεm. Yu dɔktɔ go tink bɔt dɛn tin ya:

• Aw many wiks yu gɛt bɛlɛ?
• I sef fɔ mek dɛn bɔn pikin ?
• wetin na di kכz f כ yu bכn kwik (e.g., mεdikal kכndishכn, plasεnta prכblεm, infεkshכn).

Us mɛrɛsin dɛn kin yuz fɔ bɔn pikin bifo tɛm?

di men gol fכ mεdikeshכn na fכ stכp di prכgreshכn fכ di pikin εn alaw di pikin fכ divεlכp insay di bεlε fכ as lכng as i posbul. Di men kayn mɛrɛsin we dɛn kin yuz fɔ `(Preterm Labor)` na:

• Tocolytics: Dɛn mɛrɛsin ya kin stɔp fɔ bɔn fɔ te 48 awa ɛn delay fɔ bɔn pikin bifo tɛm. Afta di leba dɔn te, yu dɔktɔ kin gi yu magnɛsiɔm sɔlfɛt ɔ kɔtikosterɔyd . Dɛn kin transfa yu bak to ɔspitul wit Nionatal Intensiv Keya Yunit (NICU) insay dis tɛm.
• Magnesium sulfate: Dis na mɛrɛsin we dɛn kin gi insay di bɛlɛ. I de ɛp fɔ ridyus di risk fɔ gɛt sɛribra palsi ɛn muvmɛnt dizayd na di pikin. Dɛn kin gi yu if yu bɛlɛ nɔ rich 32 wik ɛn risk de fɔ bɔn pikin insay di nɛks 24 awa.
• Kɔtikosterɔyd: Dɛn stɛroyd ya de ɛp di pikin in lɔng, di dijestiv sistɛm, ɛn in bren fɔ divɛlɔp bifo dɛn bɔn am. Dɛn kin gi dɛn bitwin 24 ɛn 34 wiks we uman gɛt bɛlɛ.

If yu bin dɔn bɔn pikin bifo tɛm, yu dɔktɔ we de mɛn pikin kin tɛl yu fɔ tek mɛrɛsin fɔ mek yu nɔ bɔn pikin bifo tɛm. Di wan we kin bɔku pas ɔl na di prɔjɛstɛron . dis involv fכ put wan prכjestεron suppository (lεk pil) insay di vagina. Sɔntɛnde, yu dɔktɔ kin tɛl yu bak fɔ du wan tin we dɛn kɔl sɛvikal sɛklaj. Dis min se yu fɔ siŋ di sɛviks fɔ mek i nɔ opin.

Wetin wi go du fɔ mek wi nɔ go leba kwik? (Aw a go mek a nɔ go na leba kwik?)

Pan ɔl we i nɔ kin izi fɔ mek dɛn nɔ bɔn pikin bifo tɛm kpatakpata, bɔku tin dɛn de we wi kin du fɔ ridyus di risk fɔ bɔn pikin bifo tɛm:

• Nɔ smok, drink rɔm, yuz drɔgs we nɔ rayt, ɔ yuz mɛrɛsin bad bad wan.
• Gɛt wɛlbɔdi wet bifo yu gɛt bɛlɛ, ɛn gɛt di rayt wet we yu gɛt bɛlɛ.
• It fayn it dεm εn tek di vaytamεn dεm we yu dכkta se bifo yu bכn.
• Fɛn we fɔ ridyus ɔ kɔntrol yu strɛs. Stay aktif, go waka, rid buk, ɛn tek tɛm rilaks ɛvride.
• Atɛnd ɔl di klinik dɛn we dɛn kin gɛt bifo dɛn bɔn pikin. Si dɛntist ɛn mek dɛn klin yu tit. Link de bitwin di hεlth fכ yu gכm εn `(Preterm Labor)`.
• Gɛt tritmɛnt ɔ manej ɛni mɛrɛsin we yu go gɛt, lɛk ay blɔd prɛshɔn (haypa prɛshɔn), shuga we yu gɛt bɛlɛ (dayabitis we yu gɛt bɛlɛ), pwɛl hat, ɔ infekshɔn na yu vagina.
• Kip di gap we de bitwin 12 to 18 mɔnt bitwin di bɛlɛ.

Ustɛm yu fɔ rili go to dɔktɔ? (Ustɛm yu fɔ kɔntak yu wɛlbɔdi biznɛs pɔsin bɔt aw fɔ bɔn pikin bifo tɛm?)

If yu si ɛni wan pan dɛn sayn ya we de sho se yu bɔn pikin bifo tɛm, tɛl yu dɔktɔ wantɛm wantɛm:

• abnɔmal vagina dischaj (fluid lik) ɔ blɔd de kɔmɔt.
• Nɔs ɔ bɛlɛ pen (wit ɔ atɔl dayarɛa).
• Pen we de kɔntinyu fɔ de na di lɔwa bak.
• Fɔ fil se yu gɛt prɛshɔn na di bɛlɛ ɔ di bɛlɛ.
• "Yu wata de brok."

Faynal Mɛsej fɔ Tek-Hom

di pikin we yu bɔn bifo tɛm, ɔ we yu bɔn bifo tɛm, kin mek yu bɔn pikin bifo tɛm. So if yu gɛt sayn dɛn lɛk kramp, bɔku bɔku wata na yu vagina, blɔd, ɔ pen na yu bɛlɛ, kɔl yu dɔktɔ wantɛm wantɛm. Laki, tin dɛn de we yu dɔktɔ kin du fɔ ɛp fɔ kɔntrol yu kramp. Di mɔ we yu pikin de na yu bɛlɛ, na di mɔ i nɔ go gɛt wɛlbɔdi prɔblɛm. If yu de kɛr twins ɔ yu dɔn bɔn pikin bifo tɛm ɔ bɔn pikin bifo tɛm, yu kin gɛt smɔl prɔblɛm.

di bεst we fכ mek yu nכ bכn pikin bifo di tεm na fכ de hεlth כltεm yu bεlε εn mεnεj yu hεlth kכndishכn dεm fayn fayn wan. Tɔk to yu dɔktɔ ɔltɛm ɛn fala dɛn advays. Nɔ panik, di tin we impɔtant pas ɔl na fɔ mek dɛn no bɔt yu!

` preterm labor, premature bכn, bεlε, labor, pikin, hεlth, pikin