Naute a hnaih deuh deuh chuan eng nge thleng? Nau neihna stage hrang hrangte hi chiang takin i zir ang u!

I naute chu khawvelah i rawn hruai lut dawn ta. Hei hi thil danglam tak a ni a, chutih rual chuan a hlauhawm leh ngaihnawm deuh bawk. Chuti a nih chuan, engtin nge he nau neih dan hi a lo awm? Vawiin hian a stage hrang hrang kan sawi dawn a ni. Heng thilte hi i hriat chian a pawimawh hle a, a chhan chu chutih hunah chuan he thil tawn bik hi uluk tak leh inrintawk takin i hmachhawn thei dawn a ni.

A awlsam zawngin sawi ila, nau neih hi i naute leh i nausen (placenta) atanga i vagina hmanga i nausen (uterus) atanga lo chhuak a ni. Hei hi stage lian pathum a awm a.

1. First stage: Nau neih tanna, chu chu nausen pum (uterus) a insiam tan tihna a ni.

2. Second stage: Naute nawr leh pian tir.

3. Third stage: Nausen piang chhuak.

Doctor-te pawhin hei hi "normal labor" an ti bawk. Mahse, mi zawng zawng hnathawh hi "normal" a ni lo tih hre reng ang che. Heng stage thenkhat hi i tawng thei a, mahse i naute hi cesarean section (C-section) hmanga nau neih a ni thei. A nih loh leh, C-section ruahman lawk i neih chuan he first stage hi i tawng lo mai thei bawk. Tin, induced labor i neih chuan a danglam deuh mai thei bawk. Mi tinte hian kan labour experience hi a danglam bik a ni.

Hetiang thil lian tak hi eng nge thleng dawn tih chiang taka i hriat loh laia hlauhthawn hi thil pangngai a ni. I enkawltu doctor-te chuan i nau neih dan tur chu rough idea an neih laiin, i nau neih dan tur dik tak erawh an sawi thei lo. Mahse, lungngai suh, i bulah an awm ang a, he zinkawngah hian an pui ang che. Nang leh doctor te tan pawh thil tum awmchhun chu hrisel taka nau neih hi a ni.

Nau neih hun hmasa ber: nau neihna natna lo awm tanna

He stage hi i uterus-in regular contraction a neih tan atanga tan a ni a, chu chu contraction na tak a ni. He stage hi i cervix chu a dilated vek a, a effaced chuan a tawp thin.

Doctor-te chuan contraction inkar hun hi time turin an ti fo thin. Chutianga i tih chuan contraction pakhat a intan atanga a hnua contraction a intan thlengin second tlemtea teh a awlsam hle.

Regular contractions chu contraction chak tak tak leh regular interval-a lo thleng, minute thum atanga minute nga danah vel a ni. Hengte hi Braxton Hicks tia koh, a chang chuan, a na lo zawk, leh a tam lo zawk "training" contraction te nen a danglam a ni. Nangmah chauhin nau neihnaah i kal thei a, damdawi inah labor induced (medical induction) i nei thei bawk.

He first stage hi khawi hmunah pawh darkar 12 atanga darkar 19 chhung a daih thei. Naute i lo nei tawh a nih chuan he stage hi a tawp hma thei.

He first stage-ah hian sub-stage pahnih dang a awm leh a:

• Nau neih hma: Hei hi i serh chu centimetre 6 vel a inhawng a ni. Hei hian darkar 6 atanga 12 vel a awh tlangpui.
• Active labor: Hei hi i serh chu a zau vek a, centimetre 10 thleng a ni. I naute chu nawr duhin i inhria mai thei. Hei hi darkar 4 atanga darkar 8 vel a ni tlangpui.

I doctor chuan he nau neih tirh lai hian in lamah i awm thei tih a hrilh mai thei che. Amaherawhchu, damdawi in pan tur chuan inpeih reng tur a ni. Active labor-a i luh tan chuan damdawi inah i awm a ngai ngei ang.

Phase hmasa ber tih awlsam zawk nan eng nge i tih theih ang?

He phase hmasa berah hian a hnuaia mite hi tih hi a \angkai hle ang:

• Zawi zawiin gentle stretch ti rawh.
• Ngaihtuah rawh.
• Kal leh chhuak, dinhmun thlak danglam.
• Thâwk thûk tak exercise tih hi practice rawh.
• Tui lum (a lum lo) hmangin inbual emaw, inbual emaw la.
• Nau neihna kawnga pui turin birthing ball hmang ang che.
• Kal.

Tin, thlawptu tur i neih a pawimawh hle bawk. I pasal emaw, i chhungte emaw, i thian emaw, `(doula)` emaw pawh a ni thei.

Natna chu tuar theih loh a nih chuan i medical team nen natna tihziaawmna tur kawng hrang hrang sawipui rawh.

Nau neih hmaa natna neiin i mu thei em?

Mi tinin hrehawmna kan tuar dan a inang lo. A tlangpuiin nau neih hmaa natna te paltlang a, i theih chuan chawlh hahdam hi a tha ber. Mahse, a natna kal tlangin mut a harsa deuh thei.

Nau neih hun pahnihna: nawr leh nau neih

He stage hi i cervix chu a dilated kim (10 centimetres) atanga tan a ni. I naute pian rualin a tawp thin. Hei hian darkar chanve atanga darkar engemaw zat thleng a daih thei.

I nawr emaw nawr lo emaw pawh nise, naute chu zawi zawiin vagina hnuaiah a kal thla ang. Hei hi nau neih hun pahnihna a ni:

• A natna hi minute hnih atanga minute nga danah a lo thleng a, second 60-90 vel a ni.
• Natna a lo thlen hunah i nawr a ngai dawn a, mahse natna lai hian i chawlh hahdam thei. Doctor chuan engtikah nge i nawr tur tih a hrilh ang che.
• I naute lu a rawn lang tan (baby crowns).
• Doctor chuan naute chu vagina atanga lakchhuah turin a pui ang che.
• Naute a pian hnuah doctor chuan umbilical cord a tikehsawm a.

Vaginal birth neih ai chuan planned emaw emergency C-section i nei thei bawk.

Nau neih dan pathumna: Nausen nau neih dan

He stage hi naute pian hnuah a intan a, placenta hnawhchhuahna nen a tawp thin. Hei hi stage tawi ber a ni a, a tlangpuiin minute 30 aia rei lo a ni.

Nau neih hun thumnaah chuan:

• Naute pian hnu minute 5 leh 30 inkarah natna hi a lo let leh tan thin. Heng natnate hian nausen (placenta) chu nausen pum (uterus) atanga inthen turin a pui thin.
• I nawr a ngai mai thei. A nih loh leh doctor chuan i pum chu a press thei a, chu chuan placenta a chhuah theih nan a pui thei bawk.
• Hun engemaw chen chu thisen chhuak nasa tak a awm thei a, chu chu nausen (placenta) a chhuah hunah emaw, a chhuah hnuah emaw pawh a ni thei.
• Nu thenkhat chuan khawsik emaw, khawsik emaw an nei thei. Heng symptoms te hi i neih chuan doctor hnenah hrilh ngei ang che.

C-section i neih chuan naute chu nausen pum atanga lakchhuah a nih hunah doctor chuan nausen chu a la chhuak ang.

Doctor chuan placenta chu a lo piang kim tawh em tih a enfiah ang. Hei hi a chhan chu retained products of conception hian harsatna a thlen thei a ni. Episiotomy (vagina leh anus inkara incision) i neih tawh emaw, i vagina a lo chhe tawh emaw a nih chuan doctor chuan a nau neih hnuah placenta chu a stitch ang.

Engtin nge nau neih a intan? Eng thilin nge a thlen?

Scientist-te chuan nau neih hi engtin nge a intan tak tak tih an hre chiang lo a, mahse i nausen pum leh serh chhunga biochemical inthlak danglamna hrang hrang avanga lo awm niin an ngai. I taksa leh i naute pahnih hian heng inthlak danglamnaah hian an thawhhlawk hle.

Naupai laiin i serh (cervix) kha a tight leh khar thin chu nau neih laiin a hring tur a ni a, a inhawng tur a ni. I uterus pawh a inzawm tan (squeeze) tur a ni.

Mithiamte chuan i naute piang tura a inpeih chuan i taksain thil te tak te a tichhuak a, chu chuan i hormone a tichak a, nau neih tanna a tichhuak thin niin an ngai. Mi tam zawk tan chuan naupai kar 37 leh kar 42 inkarah hian a pianphungah a thleng thin. Thil engemaw takah chuan doctor chuan artificial takin nau a neih tir ang.

Nau neih tan leh chhunzawm zelna tichhe thei thil lian pahnih a awm a, chungte chu:

• Prostaglandins: Heng thilte hi hormone ang maia thawk an ni. Nausen pum chhunga cell awmte siam chhuah an ni. Cervix a inhawng a, uterus a contract thei bawk.
• Oxytocin: I naute hian i serh (cervix) a nawr chuan i pituitary gland chu a tichak a, hormone oxytocin tih chu a chhuah tir thin. He oxytocin hian i uterus-ah a kal a, contractions a siam thin.

Nau neih tan dawn tih tilangtu chhinchhiahna hmasa engemaw zat a awm thei. Chungte chu:

• Hnung lam natna
• Thisen chhuak mucus chhuak (`thisen show` - `mucus plug` kal tlang) .
• Kawthalo
• In tihfai leh thil buatsaih (`Nesting`) ang chi thila buaina .

Labour hi a intan tak tak em? A hmaa chhinchhiahnate chu engte nge ni?

Naupai tak tak i ni em tih chiang taka hriat a harsa thei. Hei hi i naute hmasa ber a nih chuan symptom dang, irregular Braxton Hicks contractions ang chi te hi nau neih dik tak anga ngaih sual a awlsam hle. Hnathawh dik takah hian pattern a awm a, hun kal zelah a pung zauh zauh a ni.

Nau pai tak tak i nih chuan heng thil pathum hi ngaihven rawh:

• Zinzia:Eng chen nge contraction i neih thin? Lehkhabuah emaw, i phone-a labor app-ah emaw record la, hunbi neia an lo kal em tih en rawh.
• Hun chhung: Contraction tin hian eng chen nge a daih? Nau neih a kal zel chuan contractions hun chhung a sang chho zel ang. I phone bulah watch emaw timer emaw dah la, i contraction apiangin a hun chhung chu record rawh.
• Intensity: I natna chu a pung zauh zauh em? Nau neihna stage i paltlang rualin natna nasa zawk i nei thei. Hun kal zelah i natna chu engtin nge a awm tih chu chhinchhiah reng ang che.

"Nau neih dan pangngai lo" tih hi eng nge ni?

Nang leh i naute hriselna humhim turin doctor-te chuan "nau neih pangngai" tih awmzia sawifiahna kaihhruaina an zawm a ni. Hei hi harsatna awm lo tura inrawlh hun tur an hriat theih nan an ti thin. Medical intervention eng pawh tih hmain i medical team chuan an ngaihtuahna leh i duhthlan tur awmte chu an hrilhfiah ang che.

Stage hmasa berah thil danglam (abnormalities) a awm

Doctor-te chuan nau neih hma chu rei zawkah an ngai a, chu chu :

• Naute i neih hmasak ber a nih chuan darkar 20 chuang a la ngai dawn a ni.
• Naute i lo nei tawh a nih chuan darkar 14 aia rei a ni.

Doctor-te chuan active labor chu rei zawkah an ngai a, chu chu :

• I membrane a rupture a, darkar li chhung nau i pai a nih chuan i cervix chu centimetre 6 aia zau a dilated lo.
• I tui a chhe a nih chuan oxytocin (Pitocin®) pek i ni a, darkar ruk chhung nau i neih hnuah pawh i serh chu centimetre 6 aia tam a la dilated lo.

Stage hnihnaah thil danglam (abnormalities) a awm

Doctor-te chuan nau neih hun hnihna chu rei zawkah an ngai a, chu chu:

• Naute i neih hmasak ber a nih chuan he stage hi epidural tel lovin darkar thum aia rei a ni a, epidural hmang lovin darkar li aia rei a ni.
• Naute i lo nei tawh a nih chuan he stage hi epidural tel lovin darkar hnih aia tam a ni a, epidural hmang lovin darkar thum aia rei a ni.

Stage thumnaah thil danglam (abnormalities) a awm

Doctor-te chuan naute pian hnu minute 30 aia rei i uterus-ah placenta a awm reng chuan third stage hi thil pangngai lo niin an ngai.

Engtikah nge damdawi in pan a ngaih?

A tha ber chu active labor-a i awm laiin damdawi ina awm hi a ni. Hei hi nau neih hmasak ber stage hnihna a ni.

Darkar khat tal contraction i neih chuan i doctor emaw hospital maternity ward emaw ko rawh. I tui a chhe a nih chuan i doctor emaw damdawi in emaw ko la, natna i nei emaw i hriat loh emaw pawh nise. Nau neih tirh lamah i la awm nia i ngaih a nih chuan, emaw, hengte hi Braxton Hicks contractions nia i ngaih chuan, i healthcare team hnenah eng thil nge thleng tih hriattir rawh.

Heng symptoms te hi i neih chuan doctor rawn la nghal rawh:

• A rilru a na
• Luak chhuak emaw, muthilh emaw (syncope) .
• Nausen nausea leh luak chhuak
• Thâwk harsa (dyspnea) .
• Ke, kut leh hmai a hring (edema) .
• Thisen chhuak nasa tak a chhuak
• Naute che vel a tlahniam nasa hle

Damdawi in i kal hian eng nge thleng thin?

Damdawi in i thlen chuan nau neihna hmuna registration counter-ah i check in a ngai dawn a ni. `Triage` room-ah tirh hmasak i nih a rinawm ber. Hei hi admission kalpui mek zinga mi a ni. Hospital-ah chuan `triage` room-ah mi pakhat chauh hruai turin an ngen tlangpui.

`Triage` room zawhah labor, delivery, leh recovery room (`LDR` room)-ah hruai i ni ang:

• Hospital gown ha tur pek i ni ang.
• Doctor chuan i pulse, thisen sang leh khawsik te a enfiah ang.
• I pum vel ah hian external fetal monitor dah a ni a, chu chuan uterine contraction leh naute heart rate tehna a ni.
• Doctor chuan cervical exam a nei ang a, nau neih chhung hian eng chen nge a kal zel tih a enfiah ang.
• I kut chhunga vein pakhatah IV line (intravenous line chi khat) dahin tui leh damdawi i pe thei a ni.

Eng chen nge damdawi inah ka awm a ngai dawn?

Damdawi ina i awm rei zawng chu damdawi in leh nau neih chi hrang hrangah a innghat a ni. A tlangpuiin ``C-section'' i neih chuan damdawi inah rei zawk i awm a ngai dawn a, a chhan chu surgical procedure a nih vang a ni. Tin, nau neih laiin harsatna emaw hriselna lama harsatna i neih chuan damdawi inah rei zawk i awm a ngai mai thei bawk.

Nau neih hun palina a awm em?

Mithiam thenkhat chuan nausen pian hnu darkar hnih atanga darkar thum hmasa ber chu nau neih hun palina niin an ngai. Hei hi i nau piang thar nen inzawmna i neih tan tirh lai a ni. I nausen pum pawh a hahdam tan a, doctor-te chuan thisen chhuak danglam tak tak a awm leh awm loh an enfiah ang.

Nau neih nan hian eng chen nge a rei tlangpui?

Nu nau neih hmasak ber tan chuan nau neih hi darkar 12 leh 24 inkar a ni tlangpui. Naupai hnua naupai hian hun a duh tlem zawk (darkar 8 atanga darkar 10 vel). Nau neih hmasak ber hi a rei ber tlangpui.

Nau neih tura i inbuatsaih lai hian rilru natna hrang hrang i tawn hi thil pangngai a ni. Tlemte hlauhthawn hi thil pangngai a ni a, chubakah hlimna pawh a awm bawk. Hengte leh i natna lan chhuah dan chungchang i doctor nena inbiakna hian i beisei tur i hrethiam thei a ni.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Nau neih hi nu nunah chuan theihnghilh theih loh leh danglam bik a ni. Heng stage hrang hrangte hriat chian hian he zinkawng atan hian rilru leh taksa lamah inbuatsaih turin a pui ang che. Pian apiang hi a danglam vek tih hre reng ang che. Hemi hun chhung hian i medical team, i chhungte leh i kawppui te hi i thlawp ber a ni. He thil tawn hi a nuam thei ang bera leh inrintawkna neia hmachhawn turin an pui ang che. Engmah hlau suh la, zawhna leh rinhlelhna i neih chuan i doctor hnenah zawt la.Nang leh i naute chu hrisel tak, hlim taka piang turin duhsakna ka hlan e!

` Nau neih dan, nau neih stage hrang hrang, naupai, nau neih hnu, nau neih, hriselna atana tips, nu leh nau