We mama de kam bɔn pikin, wan pan di big op we i gɛt na fɔ bɔn pikin we gɛt wɛlbɔdi na dis wɔl. Bɔt sɔntɛnde dis leba kin tek smɔl tɛm pas aw dɛn bin de tink. Dis na wetin wi kɔl ‘
prolonged labor’ . Fɔ yɛri dis kin mek yu fred smɔl, bɔt if yu no gud gud wan wetin i bi, dat kin ɛp fɔ mek yu nɔ fred da kayn fred de.
Wetin na Lɔng Leba?
Fɔ tɔk am simpul wan, we dɛn bɔn di pikin fɔ lɔng tɛm pas aw i fɔ bɔn. Sɔm mama dɛn nɔ kin ebul fɔ kɔntinyu fɔ bɔn di nɛks stej pan ɔl we dɛn kin bɔn fɔ lɔng tɛm. Di men gol fɔ dɔktɔ dɛn dis tɛm na fɔ mek yu ɛn yu pikin gɛt wɛlbɔdi ɛn ɛp yu fɔ bɔn yu pikin sef wan.
Ɔmɔs awa i kin tek fɔ mek dɛn tek am se na fɔ wok fɔ lɔng tɛm?
Kin,
- Fɔ mama we gɛt in fɔs pikin, if i tek 25 awa ɔ pas dat , .
- Fɔ mama we dɔn bɔn wan ɔ mɔ pikin bifo, if i tek 20 awa ɔ mɔ , .
Wi kin tek am as wok we dɛn kin du fɔ lɔng tɛm. Tink bɔt am, di fɔs pikin we dɛn bɔn pikin kin tek bitwin 12 ɛn 24 awa. di pikin dεm we dεn bכn afta dat kin tek lεk 8 to 10 awa. So if e las pas dat, wi de tok bɔt dis kɔndishɔn.
Wetin kin apin we di uman we de bɔn fɔ lɔng tɛm?
dis tεm ya, tu men tin kin apin: 1. yu
sεviks de stat fכ opin, bכt i de stכp bifo i rich 10 sεntimita. di sεviks na pat pan di uman riprodaktiv sistεm. 2. כ,
pan ɔl we di sεviks opin ful wan, di pikin de stכp fכ muv dכn di bכn kanal. Aw dis sik kin kɔmɔn?
Fɔ leba fɔ lɔng tɛm nɔ rili kɔmɔn so.
I kin afɛkt lɛk 8% pan di uman dɛn we gɛt bɛlɛ. Bɔt na in de mek lɛk wan pat pan ɔl di C-sekshɔn dɛn.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin de wok fɔ lɔng tɛm?
if yu nכ de go bifo (Failure to Progress) na di fכs stej fכ di bכdi nכ de mek big big kכmplikεshכn dεm. Bɔt i kin mek di mama taya na in maynd ɛn in bɔdi. כltu, fכ leba fכ lכng tεm
na di sεkכn stej fכ bכn kin bi siriכs sכmtεm. I de mek di risk dɛn we de fɔ:
As di leba de go bifo, yu go nid fɔ bɔn yu pikin difrɛn we. Fɔ ɛgzampul, yu dɔktɔ go nid
fɔ yuz vaykum ɔ fɔs fɔ ɛp fɔ bɔn yu pikin . Dis kin mek bak
di chans fɔ mek yu gɛt sizarian sɛkshɔn (C-section) .
Di pikin we de bɔn fɔ lɔng tɛm kin afɛkt di pikin?
Yɛs, dis sik kin mek di pikin gɛt sɔm prɔblɛm dɛn. Sɔm pan dɛn na:
- Infεkshכn (bכku tεm i kin pas frכm mama to pikin).
- di distres we di pikin de fil, lεk we di pikin in at rεt we de dכn .
- Ɔksijɛn nɔ de we dɛn bɔn am (Perinatal asphyxia).
- Distosia na di sholda.
Wetin na di rizin dɛn we kin mek pɔsin de wok fɔ lɔng tɛm?
Wi no se tu stej dɛn de we pɔsin kin bɔn. di fכs stej na di tεm frכm we yu uterus bigin fכ kכntrakt te yu sεviks fulכp dilayt. di sεkכn stej na di tεm afta yu sεviks dכn fulכp dilayt te dεn bכn yu pikin.
insay di fכs stej , yu sεviks de tכn (efffacement). as dis tin we di sεviks de tכn de apin sכmtεm, i kin tek lכng tεm fכ bכn yu pikin. di men rizin fכ dis na biכ
s yu uterus nכ de kכntrakt inof. sכmtεm,
sכm pen kil dεm lεk mכfin, we dεn gi yu ali we i de bכn kin mek yu uterus wik εn delay yu pikin in bכn. Dɛn kin tek
di sɛkɔn stej fɔ lɔng tɛm if i tek pas tri to 4 awa fɔ di fɔs tɛm mama, ɛn pas tu to tri awa fɔ pɔsin we dɔn bɔn pikin bifo. Dɛn tin ya kin mek yu pikin delay di sɛkɔn stej:
- Di pikin in saiz de go ɔp.
- Kכmpreshכn fכ di bכn kanal.
- yu b כdi nכ big fכ di pikin fכ dכn.
- di uterin kכntrikshכn dεm nכ de strכng inof.
Apat frɔm dat, risach dɔn sho se
tin dɛn we kin apin to pɔsin in maynd lɛk fɔ wɔri, fɔ strɛs, ɛn fɔ fred we i de bɔn pikin kin ɛp bak fɔ mek i bɔn fɔ lɔng tɛm.
Wi go lan bak bɔt smok ɛn epidural?
Yu tink se fɔ smok kin mek pɔsin nɔ ebul fɔ bɔn pikin?
Wi nɔ go ebul fɔ tɔk dairekt wan se we pɔsin smok kin mek i bɔn fɔ lɔng tɛm. Bɔt sɔm stɔdi dɛn dɔn sho se
pipul dɛn we de smok kin bɔn fɔ lɔng tɛm pas di wan dɛn we nɔ de smok.Insay wan stɔdi, di wan dɛn we de smok kin gɛt sizarian sɛkshɔn bak. Na dat mek dɔktɔ dɛn se yu fɔ lɛf fɔ smok bifo yu gɛt bɛlɛ. If yu smok we yu gɛt bɛlɛ, dat kin mek yu ɛn yu pikin gɛt prɔblɛm.
Fɔ gɛt epidural delay fɔ bɔn pikin?
Nɔ,
no link nɔ de bitwin di epidural ɛn we i de bɔn fɔ lɔng tɛm. Infakt, sɔm pruf de fɔ se we yu de yuz epidural kin mek yu fil fayn ɛn ɛp fɔ mek di fɔs stej we yu de bɔn kwik kwik wan.
Aw a go no if mi leba dɔn te?
di men sayn we de sho se i de wok fכ lכng tεm na
dat εvri stej de go fכ lכng tεm wit sכmtin כ nכ de go bifo. If i tek pas 25 awa fɔ yu fɔs pikin, ɔ pas 20 awa fɔ pɔsin we dɔn bɔn pikin bifo, i go mɔs bi se yu leba go tek lɔng tɛm. Bɔt mɛmba se if yu bin gɛt induced labor, yu leba kin tek smɔl tɛm.
Aw dɔktɔ dɛn go no if di leba nɔ de go bifo?
Yu dɔktɔ go no dis bay we i go chɛk yu sɛviks ɛn mɛzhɔ aw i dɔn tin (effacement) ɛn opin (dilation). insay di fכs stej, yu sεviks fכ dilayt 10 sεntimita. insay di sεkכn stej, yu pikin fכ de muv dכn di bכn kanal.
If yu pikin nɔ bɔn afta lɛk 20 awa so we i dɔn bɔn, i go mɔs bi se yu de bɔn fɔ lɔng tɛm. Wetin yu kin du if di leba tek lɔng tɛm?
if yu de gεt dilayshכn
na di fכs stej fכ bכn, yu dכkta in gol na
fכ εp yu sεviks opin bay we i de mek yu uterin kכntrakshכn strכng. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:
- If i fayn, du wan masaj na yu nipple . dis de mek di bכdi in nכmal prodakshכn fכ di כmon כksitosin , we de mek di uterin kכntrikshכn strכng.
- fכ brok di wata bag, dat na, artificial rupture of membranes (AROM) כ amniotomy.
- Gi mɛrɛsin lɛk ɔksitɔsin (Pitocin®) ɔ ɔda mɛrɛsin we de ɛp fɔ mek yu sɛviks rayp .
- Tek wata wam wam fɔ rilaks.
Insay di sɛkɔn stej , di dɔktɔ kin tɔk bɔt tin dɛn lɛk:
- Fɔ chenj aw yu de tinap ɔ fɔ waka ɔltɛm.
- Fɔ rɛst ɛn rilaks.
- Fɔ bigin fɔ tek mɛrɛsin lɛk Oxytocin.
Wetin na di tin dɛn we kin mek pɔsin bɔn fɔ lɔng tɛm?
Sɔm tin dɛn kin mek yu gɛt mɔ chans fɔ bɔn fɔ lɔng tɛm. Sɔm pan dɛn na:
- mכltipכl bεlε, lεk twins (Kεri mכltipכl bεlε).
- di posishכn we di pikin de insay di bכdi (sכm posishכn dεm kin mek i at fכ bכn).
- Di ej we di mama kin ol.
- Di Ay Bɔdi Mas Indeks (BMI).
Yu tink se dis risk kin ridyus bifo di leba bigin?
Yɛs, wi kin chenj sɔm tin dɛn we kin mek wi gɛt prɔblɛm. Fɔ ɛgzampul, yu kin tɔk to yu dɔktɔ
bɔt fɔ mek yu gɛt wɛlbɔdi wet ɔl di tɛm we yu gɛt bɛlɛ, bikɔs if yu gɛt ay BMI, dat kin mek yu gɛt mɔ chans fɔ bɔn fɔ lɔng tɛm. we di pikin de bכn, if di pikin de na di oksiput posita posishכn, ivin if di pikin in ed dכn, i kin at fכ di pikin fכ pas tru di bכdi.
yu dכkta kin ebul fכ tכn di pikin to di kכrekt posishכn, we go εp di pikin fכ pas na di bכdi izi wan. Bɔt sɔm tin dɛn de we wi nɔ go ebul fɔ chenj, lɛk yu ej ɔ if yu de op fɔ gɛt twins. So bifo yu bɔn pikin, tɔk to yu sɔpɔt pɔsin ɛn di mɛdikal tim
bɔt yu bɔn plan. I fayn fɔ put di pɔsibiliti fɔ lɛ pɔsin wok fɔ lɔng tɛm ɛn aw fɔ manej am.
Us kayn ɛkspiriɛns yu go gɛt if dɛn de wok fɔ lɔng tɛm?
Fɔ leba fɔ lɔng tɛm na
tin we kin mek pɔsin in bɔdi, in maynd, ɛn in at pwɛl. If yu de gɛt dis, yu
wɛlbɔdi tim go wach aw yu de go bifo bay we dɛn de chɛk yu sɛviks ɔltɛm. Dɛn kin gi yu mɛrɛsin bak lɛk ɔksitɔsin fɔ ɛp yu fɔ mek yu bɔn go bifo. Dɛn go de wach yu pikin gud gud wan bak fɔ no ɛni sayn we de sho se i gɛt prɔblɛm. Di bɛst tin we yu kin du na dis kayn tɛm na fɔ rɛst, aks fɔ ɛp frɔm yu sɔpɔt pɔsin, ɛn kɔntinyu fɔ gɛt gud maynd as yu ebul.
Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ bɔt aw fɔ bɔn fɔ lɔng tɛm?
Pan ɔl we i nɔ kin izi fɔ lɛ yu bɔn fɔ lɔng tɛm, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt am if yu gɛt mɔ prɔblɛm. Sɔm kwɛstyɔn dɛn we wi fɔ aks na:
- Yu tink se a kin gɛt mɔ prɔblɛm fɔ lɛ a bɔn fɔ lɔng tɛm?
- Tin dɛn de we a kin du fɔ ridyus da risk de?
- Us pozishɔn mi pikin de insay?
- If di pikin nɔ de na di rayt pozishɔn fɔ bɔn, we dɛn de fɔ tɔn am?
- Aw yu kin manej fɔ leba fɔ lɔng tɛm?
- Us we fɔ mɛn yu pen?
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
Pan ɔl we i go tan lɛk se i tek lɔng tɛm fɔ wok fɔ 20 awa ɔ mɔ,
yu mɛdikal tim de wok wit yu fɔ rich wan gol. Dat min se fɔ mek yu ɛn yu pikin bɔn fayn ɛn sef. Tɔk to yu dɔktɔ bɔt di we aw dɛn kin bɔn pikin fɔ lɔng tɛm. Nɔr frayd fɔ tɔk to dɛm bɔt ɛni kwɛstyɔn ɔr wɔri wae yu gɛt. Mɛmba se nɔto yu wan de pan dis waka!
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