Imajin se yu de na di leba rum fɔ bɔn yu pikin. Yu fil lɛk se di pikin stil nɔ de kɔmɔt na do ivin afta yu dɔn push am tranga wan fɔ lɔng tɛm. Sɔntɛnde, mama dɛn kin gɛt fɔ gɛt dɛn kayn tin dɛn de we dɛn de bɔn pikin. Dɛn kayn tɛm ya, difrɛn we dɛn de fɔ mek di dɔktɔ dɛn ɛp yu, ɛn tink bɔt aw yu ɛn yu pikin go sef. Wan pan dɛn kayn we ya na `Vacuum Extraction`. Yu kin fred smɔl we yu yɛri dis nem, bɔt afta yu dɔn rid dis atikul, yu go gɛt ansa to bɔku pan yu kwɛstyɔn dɛn bɔt dis.
Fɔ tɔk am simpul wan, wetin na Vacuum Extraction Delivery?
Dis na rili wan tin we de ɛp dɔktɔ dɛn fɔ pul di pikin kɔmɔt. fכ bi prεsis, na sכmכl `sכkshכn kכp`, we lεk rכba kכp, we dεn kכnekt to pכmp tru sכm sכm tכb. di dכkta de tek tεm put dis `kכp` pan di pikin in ed εn i de yuz `sכkshכn` (wan vaykum) fכ mek i stik na di ed. afta dat, as yu de push di pikin kכmכt, di dכkta de pul bak wit di `kכp`.
Imajin se yu de tray fɔ mek wan kap stɔp insay bɔtul. I izi fɔ pul am wit smɔl tul pas fɔ pul am wit an, nɔto so? Na dat dis smɔl ɛp de du. I de mek am izi fɔ di pikin fɔ kɔmɔt na do.
na kכntri dεm lεk Amɛrika, lεk 3% pan di nכmal pikin dεm we dεn bכn kin apin tru dis mεtכd. Insay Sri Lanka bak, dis na fayn we we dɛn kin yuz we nid de.
Wetin mek dɔktɔ dɛn kin disayd fɔ yuz dis we?
Dɔktɔ kin disayd dis wit bɔku tin fɔ tink bɔt fɔ yu ɛn yu pikin in sef. Bɔku tɛm, sɔm men rizin dɛn de fɔ yuz dis we. Lɛ wi tek wan luk pan wetin dɛn bi.
| Rizin | Fɔ ɛksplen am simpul wan |
|---|---|
| Di pikin nɔ de kɔmɔt pan ɔl we yu dɔn de push fɔ lɔng tɛm. | Sɔntɛnde, ivin afta dɛn dɔn push fɔ tu ɔ tri awa, i kin rili at fɔ mek di pikin kɔmɔt na do. Dɛn kɔl dis ‘fɔ lɔng tɛm fɔ wok.’ Sɔntɛnde lɛk dis, i nɔ kin fayn fɔ wet fɔ lɔng tɛm, so wi kin ɛp wi smɔl. |
| Fetal distress we pɔsin kin gɛt | Dɔktɔ ɛn nɔs dɛn kin chɛk di pikin in at rit ɔltɛm. nכmal wan, di pikin in at rεt fכ de bitwin 110 εn 160 bit pan minit. If di rit go dɔŋ wantɛm wantɛm ɔ i go bɔku tumɔs, dat min se di pikin gɛt prɔblɛm, sɔntɛm i nɔ de gɛt inof ɔksijɛn. If na so i bi, dɛn fɔ pul di pikin kwik kwik wan. |
| Mama de wok pasmak ɔ i gɛt ɔda wɛlbɔdi prɔblɛm dɛn | Fɔ push fɔ lɔng tɛm wit pen kin rili taya fɔ mama. Sɔntɛnde, i kin wik tumɔs fɔ push. Ɔ if di mama gɛt wan sik lɛk at sik, fɔ push fɔ lɔng tɛm nɔ kin fayn fɔ in wɛlbɔdi. Dɛn kin yuz dis we bak pan dɛn kayn tin ya. |
Yu kin tray ɛni ɔda tin bifo yu vaykum?
Yɛs, na fɔ tru. Dɔktɔ dɛn nɔ kin yuz dis kayn tin wantɛm wantɛm. Bifo dat, dɛn kin tray fɔ du sɔm simpul tin dɛn we kin mek di pikin leba kwik smɔl.
- Fɔ ɛp yu fɔ chenj yu pozishɔn. Sɔntɛm we yu tɔn na yu sayd ɔ chenj to difrɛn pozishɔn, dat kin mek i izi fɔ mek di pikin kam dɔŋ.
- Dɛn go gi am wan ɔksijɛn mask. Dis go mek shɔ se yu ɛn yu pikin gɛt inof ɔksijɛn, we kin ɛp yu pikin in at rit fɔ kam bak to nɔmal.
- Fluid dεn de gi tru wan salin (IV) layn. Dis go ɛp fɔ mek yu bɔdi kam bak if i nɔ gɛt wata ɛn gi yu nyu ɛnaji.
If no improvement nɔ de afta yu dɔn du dɛn tin ya, den di dɔktɔ go tɔk to yu bɔt `Vacuum Extraction` ɔ ɔda we, `Forceps Delivery`.
Ɛni kes dɛn de we dɛn nɔ go ebul fɔ yuz dis we?
Yɛs, dis we fɔ du tin nɔ fayn fɔ ɔl di kes dɛm. Sɔntɛnde, ivin if mama nid ɛp, sɔm rizin dɛn de fɔ mek i nɔ yuz di `Vacuum`.
- If dɛn bɔn di pikin bifo tɛm: Pikin we dɛn bɔn bifo 34 mɔnt gɛt in ed we rili saf, so fɔ yuz dis divays kin mek i gɛt prɔblɛm.
- if di pikin de na transvas כ brich posishכn: dεn kin yuz dis mεtכd nכmכ if di pikin in ed dכn εn fulכp insay di bכn kanal.
- if di pikin nכ fa inof dכn di bכn kanal: di pikin in ed fכ de na wan sכm lεvεl dכn di bכn kanal fכ put di vεkyum.
- If di pikin tu big: If di dɔktɔ tink se di pikin in ed tu big fɔ yu bɛlɛ, yu nɔ fɔ tray fɔ du dis. If dat apin, di pikin kin stɔp.
- If di pikin gɛt blɔd disɔda: If dɛn no bifo tɛm se di pikin gɛt dizayd lɛk `ɛmofilia`, dɛn nɔ kin yuz dis we bikɔs ivin smɔl wund kin mek i blɔd bɔku.
If dis kayn tin apin, bɔku tɛm di dɔktɔ go disayd fɔ du sizarian sɛkshɔn (C-section) .
Aw ɛksaktɔli dis prɔses kin apin?
Bifo yu bigin dis prɔses, di dɔktɔ go ɛksplen to yu di gud tin dɛn, di bad tin dɛn, ɛn di bad tin dɛn we kin apin to yu ɛn aks fɔ mek yu gri fɔ du dat. Na da tɛm de nɔmɔ dɛn go fala dɛn step ya.
1. Gi yu pen kil: If dɛn nɔ gi yu pen kil, dɛn go gi yu mɛrɛsin fɔ ridyus pen bifo dis du dis.
2. Episiotomy (if nid de): sכmtεm dεn kin nid fכ kכt sכmtεm na di εria bitwin di vagina εn di anus. dis dεn kכl am ``Episiotomy''. dεn kin du dis fכ mek di opin fכ di pikin fכ kכmכt big sכmtεm εn izi. Dɛn nɔ kin du dis fɔ ɔlman, bɔt na if nid de nɔmɔ dɛn kin du am.
3. Put di Sכkshכn Kכp: Di dכkta de tek tεm put di sכkshכn kכp insay di kכrekt posishכn na di pikin in ed.
4. Push ɛn pul: Neks, dɛn go tɛl yu fɔ push tranga wan we yu fil di pen (kɔntrakshɔn). As yu de push, di dɔktɔ go pul am jisnɔ wit di `vaykum`. We dɛn tu tin ya apin togɛda, di pikin go kam dɔŋ smɔl smɔl.
5. We dɛn bɔn di pikin: We di pikin in ed dɔn ful-ɔp, dɛn kin pul di sɔk kɔp. Dɔn di dɔktɔ kin ol di pikin in an ɛn ɛp fɔ pul di ɔda pat pan di pikin kɔmɔt.
Ɛni instans de we dɛn kin stɔp dis we fɔ du tin af-af?
Yɛs. Dɔktɔ dɛn kin tray ɔltɛm fɔ bɔn di pikin sef wan we dɛn nɔ go du ɛni bad tin to di pikin. So, dɛn kin stɔp fɔ yuz di vaykum pan dɛn kayn tin ya:
- If di pikin nɔ kam dɔŋ afta i dɔn tray fɔ sɔm tɛm.
- If di `Kɔp` fɔdɔm pan di pikin in ed tri tɛm.
- If yu si ɛni sayn fɔ se di pikin in skel dɔn pwɛl.
Insay dis kayn tin, di nɛks tin we dɛn fɔ du na fɔ sizarian sɛkshɔn.
Us ifɛkt dis kin gɛt pan di mama ɛn di pikin?
Lɛk ɛni ɔda mɛrɛsin, i gɛt bɛnifit ɛn prɔblɛm dɛn. Di big bɛnifit na dat yu kin pul di pikin kɔmɔt kwik kwik wan, ɛn yu nɔ nid fɔ go tru big ɔpreshɔn lɛk sizarian sɛkshɔn. Sɔntɛnde, da spid de rili impɔtant.
Naw lɛ wi luk di prɔblɛm dɛn we kin apin apat.
| Risk fɔ di Mama | |
|---|---|
| Di wata we de kɔmɔt na di vagina | Dis kin apin ivin di tɛm we dɛn de bɔn pikin we nɔmal. Di risk kin bɛtɛ smɔl we yu de yuz `Vacuum`. Bɔt di dɔktɔ go siŋ di wund dɛn rayt de ɛn mek dɛn fayn. |
| Blɔd we de kɔmɔt afta dɛn bɔn pikin | Dis na tin we yu kin si ivin we yu de bɔn pikin we nɔmal. Di mɛdikal tim kin pe atɛnshɔn to dis ɛn dɛn kin gi di tritmɛnt we dɛn nid. |
| I nɔ kin izi fɔ yu fɔ pis | I nɔ kin izi fɔ pis fɔ sɔm tɛm ɔ i nɔ kin ebul fɔ pis. Bɔku tɛm, dɛn tin ya kin sɔlv as tɛm de go. |
| Ifɛkt pan di Bebi | |
|---|---|
| Short-tɛm ɛn Smɔl Ifɛkt dɛn | |
| Substitute Hɛd | wetin kin apin insay dis kes na we wata lεk wata kin kכlekt כnda di skin usay di `kכp` bin de na di pikin in ed εn i kin swel sכmtεm. Dis kin mek di ed tan lɛk kɔn. Nɔ fred if yu si dis. Dis go dɔnawe wit am kpatakpata insay sɔm dez. |
| Bruising & Jaundice we gɛt di sik | Di vaykum kin mek smɔl smɔl brus dɛn na di pikin in ed. As dɛn brus ya de wɛl, di bilirubin lɛvɛl na di blɔd de go ɔp, ɛn dis kin mek di pikin gɛt jaundice smɔl. Dis bak kin sɔlv insay sɔm wiks. |
| Sɛfalohɛmatoma we de na di bɔdi | dis na we sכm sכm blכd kכlכt de fכm pan tap di pikin in sכkul, bכt כnda di skin. Dis nɔ de afɛkt di pikin in bren ɛni we. Dis sɛf go wɛl fɔ insɛf insay wan ɔ tu wiks. |
| Siriɔs bɔt Rili Rare Kɔmplikeshɔn dɛn | |
| Smɔl krak krak dɛn na di skel (Skull Fracture) . | Di pikin we dɛn jɔs bɔn in skel kin rili saf. Na smɔl tɛm nɔmɔ, smɔl krak kin apin. Dɛn tin ya kin wɛl fɔ dɛnsɛf ɛn dɛn nɔ kin pwɛl pɔsin fɔ lɔng tɛm. |
| Intrakranial Ɛmoraji | Dis na blɔd we de kɔmɔt na di bren ɔ rawnd am. Dis kin rili, rili rare, bɔt if i apin, i kin siriɔs. |
| Ɛmoraji we de kɔmɔt na di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl | Dis na wan sik we nɔ kin apin so ɔltɛm, we blɔd kin gɛda na di kɔnɛktiv tisu bitwin di skel ɛn di skel. |
Nɔr frayd fɔ dɛn siriɔs prɔblɛm ya. Dɔktɔ dɛn kin yuz dis we fɔ tek tɛm ɛn di we we go mek dɛn nɔ gɛt bɔku prɔblɛm dɛn. Di chans fɔ mek dɛn tin ya apin rili smɔl.
Aw lɔng i kin tek fɔ mek i wɛl?
Fɔ di mama: If nɔto big big prɔblɛm dɛn de, yu go nid di sem tɛm fɔ mek yu wɛl lɛk aw yu go nid afta yu bɔn nɔmal. Dat na lɛk siks wiks so . If yu bin gɛt episiotomy ɔ ɛni injury, yu kin gɛt sɔm diskɔmfɔt te dɛn injury dɛn de wɛl.
Fɔ pikin dɛn: We pikin in ed swel ɛn brus, i go wɛl ɔlsay insay sɔm wiks . Insay da tɛm de, tek tɛm kia fɔ yu pikin in ed mɔ. I fayn bak fɔ go to dɔktɔ we de mɛn pikin dɛn fɔ mek dɛn chɛk yu.
Bɔku mama dɛn kin op fɔ bɔn pikin we nɔmal, we nɔ gɛt prɔblɛm. Bɔt sɔntɛnde tin kin apin we wi nɔ de tink se go apin. We yu no se dɛn tin ya de we yu go ebul fɔ du, dat kin rili ɛp yu insay tɛm lɛk dis.
Mɛsej we dɛn kin kɛr go na os
- Vacuum Extraction na sef mɛrɛsin we dɛn kin yuz fɔ ɛp mama ɛn pikin we dɛn de bɔn pikin. I kin ɛp fɔ avɔyd sizarian sɛkshɔn we i gɛt imejensi.
- Dɛn kin yuz dis we fɔ sɔm patikyula rizin dɛn, lɛk if di pikin de bɔn fɔ lɔng tɛm, i nɔ izi fɔ di pikin, ɔ i nɔ izi fɔ di mama fɔ push.
- Jɔs lɛk ɔl di mɛrɛsin dɛn, sɔm smɔl smɔl prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. I kɔmɔn fɔ si sɔm swel ɛn brus na di pikin in ed, bɔt dɛn tin ya go wɛl ɔl insay sɔm dez.
- If yu de op fɔ bɔn pikin, fɔ tɔk to yu dɔktɔ bɔt dɛn tin ya bifo tɛm ɛn aks ɛni kwɛstyɔn we yu gɛt, dat go ɛp yu fɔ rɛdi yu maynd.
- Mɛmba se di tin we impɔtant pas ɔl na fɔ mek yu ɛn yu pikin sef. Dɔktɔ dɛn kin tray ɔltɛm fɔ mek shɔ se da sef de.
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