Yu bin gɛt pikin bifo bay sizarian sɛkshɔn? na da tεm de, we yu de kam bכn pikin bak, yu fכ gεt big kכwεshכn na yu maynd, "A go gεt nכmal dεlivεri dis tεm tu, dat na tru di vagina (vagina dεlivεri)?" Dis na kwɛstyɔn we bɔku mama dɛn gɛt. So tide, lɛ wi tɔk bɔt fɔ gɛt nɔmal dilivri afta sizarian sɛkshɔn, dat na VBAC (Vaginal Birth After Cesarean).
Wetin na VBAC (Vaginal Bɔn Afta Sizarian)? Fɔ tɔk am simpul wan...
Fɔ tɔk am simpul wan, VBAC na we yu dɔn du wan ɔ mɔ sizarian sɛkshɔn (C-section) ɛn afta dat dɛn mek yu bɔn yu nɛks pikin bay vagina, we na di nɔmal we. Yu no, C-section na we di dɔktɔ mek ɔpreshɔn insay yu bɛlɛ ɛn yu uterus fɔ pul di pikin.
di men gol fכ VBAC na fכ gi pכsin we dεn bin dכn du C-sεkshכn bifo di chans fכ bכn nכmal pikin insay in nεks bεlε. Bɔt sɔntɛnde, if yu dɔn du wan ɔ mɔ C-section bifo, fɔ bɔn nɔmal pikin kin bi smɔl risky .
Bɔku tin dɛn de we yu fɔ tink bɔt we yu de disayd if yu fɔ tray fɔ yuz VBAC ɔ nɔ fɔ tray fɔ du am. Fɔ ɛgzampul:
- Di kayn insishɔn we di ɔspitul bin yuz we yu bin de du yu C-sekshɔn bifo ɛn ɔmɔs C-sekshɔn yu dɔn du.
- Yu wɛlbɔdi istri .
- Yu gɛt ɛni ɔda mɛrɛsin naw ?
- Di pozishɔn we di pikin de ɛn if di pikin gɛt ɛni wɛlbɔdi prɔblɛm .
Yu dɔktɔ go rivyu ɔl dis ɛn tɛl yu if i sef fɔ mek yu tray fɔ yuz VBAC. I go ɛksplen to yu di gud ɛn bad tin dɛn. Dɔn, bay da tɔk de, yu kin disayd if yu fɔ tray fɔ du VBAC ɔ yu fɔ du ɔda C-sekshɔn.
stכdi dεn sho se lεk 75% pan di uman dεm we dεn du wan C-sεkshכn kin gεt saksesful vagina bכn insay dεn nεks bεlε. Bɔt if yu dɔn du tu ɔ mɔ C-section bifo, yu chans fɔ gɛt saksesful VBAC kin go dɔŋ to lɛk 50% .
Sɔntɛnde, dɔktɔ dɛn kin kɔl VBAC TOLAC (Trial of Labor After Cesarean) . TOLAC na we pɔsin de tray fɔ bɔn pikin na in vagina afta dɛn dɔn du sizarian. If dis tray (TOLAC) bi saksesful, di rizulyt na VBAC. If i nɔ wok, dɛn go nid fɔ du ɔda C-section.
Wetin mek bɔku pipul dɛn kin op fɔ gɛt VBAC afta dɛn dɔn du C-section?
Bɔku tɛm dis na sɔntin we pɔsin kin lɛk fɔ du . Sɔm pipul dɛn go lɛk fɔ bɔn pikin bay vagina, bɔt fɔ sɔm rizin, dɛn nɔ kin ebul fɔ bɔn pikin. Ɔ dɛn kin lɛk fɔ bɔn pikin bay vagina bikɔs i kin tek lɔng tɛm fɔ mek dɛn wɛl afta dɛn dɔn du C-section.
Ivin if yu lɛk fɔ bɔn pikin na yu bɔdi, yu dɔktɔ kin stil tɛl yu fɔ du C-section bikɔs ɔf sɔm pan di risk dɛn we VBAC kin gɛt. Ɔ, dɛn kin se i nɔ bad fɔ tray VBAC.
Wetin na di bɛnifit dɛn we VBAC gɛt?
Bɔku bɛnifit dɛn de fɔ VBAC we yu kɔmpia am wit C-sɛkshɔn. Tek wan luk:
- Fɔ wɛl kwik kwik wan ɛn nɔ de na ɔspitul: Afta dɛn dɔn du C-section, bɔku bed rɛst de ɛn tɛm fɔ mek di say we dɛn kɔt am wɛl. Dɛn tin ya nɔ kin bɔku wit VBAC.
- Nɔ ɔpreshɔn na yu bɛlɛ: Di wangren big tin we yu fɔ avɔyd na fɔ du big ɔpreshɔn.
- Fɔ avɔyd ɔ ridyus di risk dɛn we pɔsin kin gɛt we i du C-section (lɛk we pɔsin de blɔd pasmak, we i gɛt infɛkshɔn).
- di bεnεfit dεm fכ di pikin: We di pikin de bכn nכmal, dεn de pul di amniotic fluid we de na di pikin in lכng dεm we di pikin de pas na di bכn kanal. Dis kin mek di pikin rɛdi fɔ gɛt ɔksijɛn afta dɛn bɔn am. כlso, di pikin in imyun sistεm de wok we i de pas na di bכn kanal.
- di risk fכ komplikashכn dεm (lεk ska tisu fכ fכmeshכn - adheshon, damej to intanεt כgan dεm) we kin apin bikoz fכ ripit כpεrayshכn dεm sכm.
- Di tin we pɔsin kin lɛk fɔ du: Sɔm pipul dɛn kin rili want fɔ bɔn pikin we nɔmal.
Tink bɔt am, if yu de plan fɔ bɔn mɔ pikin dɛn, i fayn fɔ gɛt VBAC we go wok fayn pas fɔ kɔntinyu fɔ gɛt C-sekshɔn. Bikɔs ɛvri C-sekshɔn kin kam wit sɔm risk.
Wetin na di risk dɛm we yu kin gɛt we yu tray fɔ yuz VBAC?
we dεn du C-sekshכn de lεf wan ska na di uterus. so, di prεshכn we de kכmכt frכm di bכ di kin mek di uterus tear along di C-sεkshכn ska (uterine rupture) . Dis na di men risk fɔ wan VBAC. Bɔt sɔm stɔdi dɛn we dɛn jɔs dɔn du dɔn sho se bɔku tɛm, dɛn kin du VBAC sef wan afta dɛn dɔn du C-sekshɔn.
di uterin rupture na wan prɔblɛm we nɔ kin apin so ɔltɛm bɔt we kin mek pɔsin in layf de pan denja . If yu gɛt ay risk fɔ mek yu uterin rɔp, yu dɔktɔ nɔ go tray fɔ du VBAC.
Ɔda risk dɛn we kin apin we yu tray fɔ du VBAC na:
- Blɔd we de lɔs
- Sik we de prɛd
- Imejɛnsi C-sɛkshɔn: Dis kin gɛt prɔblɛm pas C-sekshɔn we dɛn dɔn plan fɔ du.
Wetin na di risk fɔ mek di uterin brok?
di risk fכ uterin rכp fכ pכsin we dεn bin dכn du C- sεkshכn bifo, usay dεn bin kכt lכw transvas , na lεk 0.9%, we less dan wan pan 100. So, pan כl we dis na rili lכw risk, i imכtant fכ no am.
di insishכn frכm wan bifo C-sεkshכn de afekt VBAC?
Yɛs, i rili de du am. Bɔku kayn say dɛn de we dɛn kin kɔt we dɛn de du C-sekshɔn:
- lכw transvas insishכn: dis gεt lכw risk fכ uterin rכpchכ. dis insayshכn de kכs di lכw, tכn pat pan di uterus.
- lכw vεtikal insishכn: dis de kכri sכm hכy risk fכ uterin rכp pas di transvas insishכn. dis de du lεng tεm na di lכw pat pan di uterus we tכn.
- wan lכnjitudinal insishכn na di כp pat pan di uterus ("Klasik" insishכn): dis na di mכst risky we fכ te di uterus. Di dɔktɔ dɛn we de du ɔpreshɔn kin nid fɔ kɔt dis kayn we we di pikin nɔ bɔn yet ɔ we i nɔ izi fɔ bɔn pikin.
wan tin we rili impɔtant ya na dat di say ɛn di say we di ska de we yu kin si frɔm di ɔdasay na yu bɛlɛ nɔ go di sem wit di say ɛn dairekshɔn we di say we dɛn kɔt insay yu uterus de. fכ egzampl, pan כl we yu bכdi ska de transvas, di say we dεn sכk na yu uterus kin bi lכng.
yu mεdikal rεk כd fכ inklud di ditel dεm bכt di say εn di dεrekshכn we di say we dεn kכl na yu uterus. We yu de tɔk to yu dɔktɔ bɔt di sef fɔ VBAC, mek shɔ se i luk yu mɛdikal rɛkɔd ɛn ɛni C-sekshɔn we yu bin dɔn du bifo.
Udat go mɔs gɛt saksesful VBAC?
Tɔk to yu dɔktɔ bɔt yu wɛlbɔdi istri, di bɛlɛ we yu gɛt naw, ɛn ɛnitin we mek dɛn du C-sekshɔn bifo tɛm.
Yu kin gɛt bɛtɛ chans fɔ gɛt saksesful VBAC if yu:
- If yu jɔs dɔn du wan ɔ tu C-sekshɔn dɛn bifo dis tɛm, ivin dɛn bin du dɛn wit lɔw transvas insayshɔn dɛn na di ɔda pat na di uterus .
- If yu bin dɔn bɔn pikin bay vagina bifo tɛm.
- If yu nɔ bin dɔn du ɔda ɔpreshɔn pan yu uterin (e.g. myomectomy ).
- If yu nɔ gɛt ɛni histri bifo tɛm fɔ uterin rupture.
- yu nכ gεt εni mεdikal kכndishכn we go mek nכmal dεlivεri risky (e.g., uterin fibroid, prכblεm wit di ples we di plasεnta de).
- If yu bigin fɔ bɔn pikin fɔ yusɛf, bifo di de we yu fɔ bɔn pikin.
if yu dכn gεt saksesful VBAC bifo – we nכ gεt kכmplikεshכn lεk uterin rכpchכ – yu go mכr fכ gεt saksesful vagina dεlivεri insay di fכs tεm.
Insay us sityueshɔn dɛn di chans fɔ mek VBAC gɛt sakrifays kin ridyus?
Sɔntɛnde, di chans fɔ mek VBAC gɛt sakrifays kin ridyus fɔ rizin dɛn lɛk:
- Dɛn bin du di C-sekshɔn we bin de bifo bikɔs di leba nɔ bin de go bifo.Dat min se if yu sεviks nכ opin (dilate) כ efface fayn fayn wan we yu de nכmal dilivεri.
- If yu dɔn pas 35 ia.
- If yu fat ɔ yu fat pasmak.
- If yu de op fɔ gɛt big pikin ɔ yu de ɛkspɛkt fɔ gɛt bɔku bɔku pikin dɛn.
- If di de we yu fɔ pe dɔn pas.
- If yu gɛt bɛlɛ bak less dan 18 mɔnt afta yu bɔn yu fɔs pikin (shɔt tɛm bitwin di bɛlɛ) .
- If yu gɛt prɛeklampsia (we dɔktɔ dɛn kin du C-sekshɔn mɔ).
Wetin na di bad tin dɛn we kin apin we dɛn du C-section ripit?
No set nɔmba nɔ de fɔ C-sekshɔn dɛn we yu kin gɛt. Bɔt sɔm stɔdi dɛn dɔn sho se pipul dɛn we gɛt bɔku C-section kin gɛt bɔku risk, lɛk:
- Ebi ebi blɔd we de kɔmɔt.
- Blad ɛn bɔdi injuri.
- Sik we de prɛd.
- di kכndishכn dεm na di plasεnta insay di fכs bεlε, fכ egzampl, di plasεnta we nכ de atak di uterus ( placenta previa כ placenta accreta ).
- di uterin we de brok.
- Adhesions (we de stik togɛda pan ska tisu).
Dɛn risk ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. I dipen mɔ pan yu wɛlbɔdi istri, ɛn di patikyula tin dɛn we apin to ɛni bɛlɛ ɛn di pikin we yu bɔn. So, yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt di gud ɛn bad tin dɛn we pɔsin kin du ɔda C-sekshɔn ɔ tray fɔ du VBAC.
Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ bɔt VBAC ɛn fɔ ripit C-sekshɔn?
Lɛk VBAC, C-sekshɔn gɛt bɛnifit ɛn risk. So, i impɔtant fɔ mek yu ɔndastand ɔl tu di we aw dɛn de bɔn pikin ɛn aw dɛn kin afɛkt yu.
Tɔk bɔt dɛn tin ya wit yu dɔktɔ:
- Bɔt di bɛlɛ we yu bin gɛt ɛn di pikin dɛn we yu bɔn trade .
- Us tin dɛn bin mek yu du C-section ?
- Aw VBAC ɛn C-section sef fɔ yu ɛn yu pikin?
- Wetin na di rizin dɛn we mek yu fɔ tink bɔt/nɔ fɔ tink bɔt VBAC ?
- Wetin na di rizin dɛn we mek yu fɔ tink/nɔ fɔ tink bɔt fɔ du C-section igen ?
- Wan plan fɔ indyuz leba (ilɛksɛf wan de ɔ nɔ de).
- If di ɔspitul usay yu go bɔn yu pikin go ebul fɔ du ɛnitin we go apin to yu .
- Bɔt yu plan fɔ bɔn mɔ pikin dɛn .
Jɔs bikɔs yu bin dɔn gɛt C-sekshɔn bifo dat nɔ min se yu nɔ go ebul fɔ gɛt VBAC tumara bambay. Yu go dɔn yɛri ɔ rid se we yu gɛt skata afta yu dɔn du C-section, dat kin mek yu gɛt prɔblɛm we yu go gɛt bɛlɛ tumara bambay. Bɔt, di tin dɛn we de apin to ɔlman difrɛn.
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
Ali we yu gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt wetin yu want ɛn wetin de mɔna yu bɔt VBAC. I kin ɛksplen to yu di gud ɛn bad tin dɛn ɛn ɛp yu fɔ disayd if VBAC sef fɔ yu. As yu bɛlɛ de go bifo, i impɔtant fɔ kɔntinyu fɔ tɔk to yu dɔktɔ ɛn luk bak pan yu bɔn plan. Mɛmba se ɛvri bɛlɛ we yu gɛt difrɛn, so wok wit yu dɔktɔ fɔ disayd fɔ du di bɛst tin fɔ yu.
` VBAC, sizarian, C-sekshכn, nכmal dεlivεri, bεlε, uterin rכpchכ, bכn pikin
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