Nau i neih huna i hriat tur nau neih dan tur i sawi dawn nia.

Tunlai nu nau pai mek i nih chuan i phur a, i lungkham deuh pawh a ni mai thei, a dik em? Naute i neih hnaih deuh deuh chuan, "Engtin nge a nih ang? Engtin nge naute hi a hrin ang?" Mi tam tak chuan an delivery chu hetiang hi a ni tur a ni tih ruahmanna an nei a. Amaherawhchu, hetiang chiah hian naute piang tur a ni tih hi sawi lawk a har khawp mai. Mahse, naute hrin dan kawng engemaw zat hriat a pawimawh hle. Vawiinah hian heng nau neih dante hi eng nge ni tih hi han sawi ila.

Nau neih dan tlangpui engte nge ni?

A awlsam zawngin, naute hi he khawvela lo kal theihna tur kawng pawimawh tak tak engemaw zat a awm a. I doctor emaw midwife emaw chuan i hriselna leh naute dinhmun a zirin i tana hmanraw tha ber tur a ruat ang. Chutiang hmanrua chu eng nge ni tih i han en teh ang.

• Vaginal hmanga nau neih
• Assisted vaginal delivery - vacuum extraction emaw forceps hmanga nau neih emaw hmangin.
• Cesarean hmanga naute neih (C-section / Cesarean hmanga nau neih) .
• Vaginal birth after cesarean (VBAC) chu a hmaa cesarean section nei tawh tan

Tunah chuan heng method tinte hi chipchiar deuhin han sawi ila , okay?

1. Vaginal atanga nau neih

Hei hi nau neih dan him ber leh hman tlanglawn ber a ni . A tam zawkah chuan damdawi lam chhan bik a awm loh chuan doctor-te chuan hetiang hi an rawt thin. Kar 37 leh kar 42 inkarah a piang tlangpui. Hemi kawngah hian stage lian pathum a awm a, chungte chu nau neih, nau neih leh nausen piang (placenta) te an ni.

Hetiang hmanrua hi eng nge a thatna?

• I dam chak zawk thei: Thil dang nena khaikhin chuan naute i neih hnuah natural takin i normal leh nghal vat thei.
• Nang leh i naute tan pawh a him: A tam zawkah chuan hei hi a hlauhawmna tlem ber method a ni.
• Hri kai theihna a tlem hle.
• Naute hian thawk lama harsatna an nei tlem zawk niin an sawi a , an taksa hriselna pawh a tichak bawk .
• Nau hnute pek leh hnute pek hi a awlsam zawk tlangpui.

Vaginally naute neih dan kawng hnih a awm a, chungte chu:

• Spontaneous vaginal delivery: Hemiah hian nau neih hi a pianphung atanga tan a ni a, naute chu damdawi engmah hmang lovin a piang a ni. Hei hi kar 40 vel a nih a rinawm ber.
• Induced vaginal hmanga nau neih: 1.1.A châng chuan hriselna lama harsatna i neih emaw, i nau neih hun a liam tawh emaw chuan i doctor chuan nau neih theihna tûr damdawi emaw, hmanraw dang emaw a pe ang che. Hei hi damdawi Pitocin® (hormone Oxytocin siam chhuah) hmanga tih a ni fo. Hei hian i serh chu a ti nem a, a inhawng thei bawk.

Vaginal delivery laiin i nawr loh chuan eng nge thleng?

A tam zawkah chuan i serh chu a zau vek tawh a, i doctor leh midangte an inpeih tawh chuan a natna a lo thlen hunah nawr turin an ti ang che. Mahse, engtikah nge nawr tur, eng chen nge nawr tur tih leh a hnu deuh deuh (delayed pushing) nawr tur nge tih chungchangah ngaihdan hrang hrang a awm.

I nawr loh emaw, i nawr theih loh emaw chuan eng nge thleng ang tih chiang taka sawi a har, a chhan chu mi zawng zawng tawn dan a inang lo. Mahse, zirchianna ṭhenkhat chuan nawr chhunzawm zel emaw, tihkhawtlai emaw chuan, i tih tur pawh ni se , natna hrik, thisen chhuak nasa tak, a nih loh leh pelvic injury a thlen thei tih an sawi. Chuvangin nau neih hmaa i doctor nen nawrna chungchang sawipui hmasak phawt a tha.

2. Vaginal hmanga nau neih tanpui

A chang chuan, doctor chuan forceps emaw vacuum emaw hmangin naute chu vagina atanga lakchhuah a ngai thin. Hei hi assisted vaginal delivery an ti a. Hei hi heng ang case-ah hian a thleng thin:

• Hun rei tak chhung nau pai tawh i nih chuan .
• Labour chu a stall a, a hmasawn lo ang tih a hriat chuan .
• I nawr hah a, i nawr thei tawh lo a nih chuan, .
• Nangmah emaw i naute emaw hian harsatna i lantir a nih chuan .

Mahse, he assisted delivery chi hi condition thenkhat zawm a nih chauhvin tih theih a ni.

Assisted nau neih entirnan engte nge ni?

I doctor-in a rawt dan chu nau neih laiin i dinhmun a zirin a innghat a ni.

• Forceps delivery: Hei hi forceps ang chi hmanrua a ni. Doctor chuan naute lu chu uluk takin a man a, birth canal atanga chhuah tir turin a hmang thin.
• Vacuum extraction delivery: Hemiah hian doctor chuan naute lu chungah suction cup te tak te a dah a. Pump nen a inzawm a ni. I nawr lai chuan doctor chuan cup hmangin naute chu zawi zawiin a chhuah tir a.

Heng hmanrua pahnih thatna leh that lohna hi a tam zawkah chuan a inang vek a ni. A tam zawkah chuan an pahnih zinga duhthlan tur chu doctor thil tawn atanga thlir a ni.

3. Cesarean section hmanga naute neih (C-section / Cesarean birth) .

Cesarean section (C-section) hi doctor-in i pum leh nausen pum chhungah incision a siamsak a, i naute a hrin theih nan. A châng chuan damdawi lam thil vangin cesarean section pawh ruahman lawk theih a ni. A nih loh leh, nau neih laiin harsatna a awm chuan ruahmanna awm lovin cesarean section neih a ngai thei bawk.

C-section ruahman sa neih chhan te chu engte nge ni?

• Tun hmain cesarean section hmanga naute i lo nei tawh a nih chuan .
• Multiple i beisei a nih chuan, twins ang chi .
• Nausen hnuai lam (placenta previa) i neih chuan .
• Naute chu breech a nih chuan a hnuai lam emaw, a ke emaw chu lu lam aiin hnuai lam hawiin a awm tihna a ni.
• Naute a rit lutuk chuan (`Fetal macrosomia`) .
• I nausen pum chhunga fibroids emaw thil dang emaw i neih chuan .

Eng dinhmunah nge ruahmanna siam loh C-section tih a nih ang?

A châng chuan nau neih laiin dinhmun a danglam a, nang leh i naute himna atan cesarean section neih a ngai ṭhin.

• Naute chu harsatna chi khat (`Fetal distress`) , chu chu naute chu nau neih natna tuar harsa tak anga lang a nih chuan.
• Labour a kal zel loh a, a tlakbuak a nih chuan .
• Umbilical cord a lo chhuk a, a rawn chhuak a nih chuan (`Umbilical cord prolapse`).
• Nausen chu nausen pum atanga a hun hmaa a inthen chuan (placental abruption).
• Thisen chhuah tam lutuk (`Hemorrhage`) a awm chuan.

Cearean section tih hian eng hlauhawmna nge a neih?

Surgery dang ang bawkin cesarean section hian hlauhawmna engemaw zat a keng tel a ni. A tlangpuiin, cesarean section tih hian vaginal birth aiin a hlauhawmna a sang deuh hlek a ni.

• Infection a awm thei.
• Thisen chhuah tam lutuk a awm thei , thisen pek a ngai thei bawk.
• Thisen zam (blood clot) a lo awm thei a, thisen kalna kawngah a kal thei a, a block (embolism) a ni.
• Intestine emaw bladder emaw a hliam thei .
• It takes longer to recover , leh damdawi ina awm pawh a rei zawk.
• Pum chhunga tissue te chu a inzawm khawm thei (abdominal adhesions).

Cesarean section tih hian eng nge a thatna?

Mi thenkhat chuan cesarean section hi an duh zawk a, a chhan chu nau neih ni tur an thlan theih an rin vang a ni. Hei hi elective C-section an ti a. Doctor thenkhat chuan damdawi lam chhan awm lo mahse hei hi an phal dawn a, mahse a tam zawk chuan an fuih lo. Cesarean section tam zawk hi damdawi lama a tul avangin tih a ni.American Congress of Obstetricians and Gynecologists (ACOG) chuan damdawi lam thil a awm loh chuan kar 39 hmaa cesarean section ruahman chu tih loh tur a ni.

Vaginal delivery nena khaikhin chuan cesarean section tih thatna thenkhat chu:

• Naute chu vagina kaltlangin a lo kal chuan trauma a awm tlem zawk.
• Nausen nau neih laiin oxygen a tlakchham theihna chance a tlem hle.
• Urinary incontinence emaw sexual dysfunction emaw neih theihna chu a hnuah a tlahniam thei a ni.

4. Cesarean (VBAC) hnua Vaginal Birth 1.1.

A hmaa cesarean hmanga nau neih tawh chuan i naute lo piang tur chu vaginally, chu chu normal takin i nei thei mai thei. Hei hi `VBAC` (Vaginal Birth After Cesarean) an ti a. Mahse, cesarean section-in nausen pum chhungah incision a siam avangin chutah chuan scar a lo awm ta a ni. Chuvangin, vaginal delivery neih leh theihna pressure hian scar hlui awmna hmunah uterus a ti chhe thei tih hlauhna a awm. Chuvangin, `VBAC` i tih tum a nih chuan condition thenkhat zawm tur a awm.

Cesarean section hnuah naute pangngaia neih theih a ni em?

Ni e, i ti thei. Heng condition te hi i tlin chuan `VBAC` hlawhtling tak neih theihna chance i nei sang zawk:

• Doctor chuan cesarean section hmasaah low transverse incision a siam a nih chuan. Hei hi cesarean section tam zawk hi tih dan a ni a, emergency tih loh chu.
• I nausen pum chhungah hliam dang emaw, thil danglam emaw i neih chuan.
• Vaginally naute i lo nei tawh a nih chuan .
• Uterine rupture i la neih loh chuan.

A pawimawh ber chu VBAC atan i tling em tih doctor nen inbiakna neih a ni. I medical history kimchang chu a enfiah ang a, chutiang chuan thurawn a pe ang che.

Naute i neih huna i hriat tur dangte

Nau neih chungchangah hian thumal dang tlemte i hriat tur a awm bawk. Doctor-in an chungchang a sawi chuan i hriatthiam a awlsam zawk ang.

Episiotomy tih hi eng nge ni?

Episiotomy chu surgical cut te tak te a ni a, naute lu chhuak awlsam zawk nan i vagina hawnna chu tlem a tizau turin siam a ni. Mi tam zawk chuan hei hi an mamawh lo. Episiotomy hi chi hnih a awm a, midline cut, chu chu hnute hmaah direct-a siam a ni a, mediolateral cut, chu chu hnute sir lam deuha siam a ni.

Amniotomy / I tui bag tihchhiat

``Amniotomy`` chu i naute chhehvela tuiin a khat sac i membrane (``AROM`` - artificially rupturing your membranes) tihchhiatna a ni. I doctor chuan a hnuaia thilte avang hian a ti thei ang:

• Labour tan emaw, a chak zawk nan emaw (`induce or progress labor`).
• I contraction te enfiah nan internal monitor dah la.
• Naute lu chhungah monitor dah la, naute hriselna enfiah rawh.
• Naute bawlhhlawh hmasa ber (`Meconium`) enfiah rawh. (Hei hi greenish-brown substance a ni).

Doctor hian ``Amniohook'' an tih hmanrua a hmang a, chu chu knitting needle ang mai a ni. Hetianga an tih zawh hnu hian naute chu hri kai loh nan darkar 24 chhungin a hrin tur a ni.

Fetal Monitoring neih a ni

``Fetal monitoring`` tih hi nausen nau neih laiin a heart rate enfiahna a ni. Hei hi pawn lam (``pawn lam``) emaw chhung lam (``chhung lam``) emaw pawhin tih theih a ni. Doctor chuan nautein nau a pai dan a hriat veleh, nau neih chhunzawm leh hma emaw, nau neih hma emaw chu a rel thei a ni.

• External fetal monitoring -ah chuan i pum chhungah ultrasound device dah a ni a, i naute heart rate, i contraction lo awm zat, leh eng chen nge a awm tih ang chi thilte a record a ni.
• Internal monitoring -ah chuan naute lu vunah electrode te tak te an dah a, chu chuan naute heart rate a record a ni. He electrode hi i neih theih nan i tui chu a chhe tawh ngei ang. I naute bulah pressure sensor dah i nei thei bawk a, chu chuan a contraction chakna tehna a siam thei bawk.

Nau neih dan hrehawm ber chu eng nge ni?

Hei hi mi tin a inang lo thei thil a ni. Hei hi thil tam takin a nghawng a, chu chu natna tidamtu i hman leh hman loh, natna tidamtu chi hrang hrang i hman leh i natna tuar thiam dan te hi a ni. A tha ber chu nau i pai hmain i doctor nen natna tihdam theih dan tur chungchang sawipui hmasa phawt ang che. Chutiang chuan, duhthlanna tinte hlauhawmna leh hlawkna chu i hrethiam thei ang.

Thil tih theih lian tak pahnih a awm a, chu chu ruihhlo tel lo emaw, natural delivery emaw, natna tidamtu hman emaw a ni. Damdawi tel lo chuan cesarean section i nei thei lo.

Nau neih laiin natna tihziaawmna tur duhthlan tur awmte chu:

• Analgesics: Hengte hian natna a tiziaawm a, mahse sensation emaw muscle movement emaw a ti bo vek lo. Nau neih laia natna tidamtu hman tlanglawn ber pakhat chu epidural a ni. Vaginal birth emaw cesarean section emaw atan epidural i la thei bawk.
• Anesthetics hman tur: 1.1.Heng damdawi (`Anesthesia`) te hian i thluaka signal kal chu a block a, natna i hriat loh nan a veng a ni. Injection angin emaw, ``IV - intravenous`` line hmangin emaw pek an ni. Cesarean section atan chuan ``General anesthesia`` pek i ni thei a, chu chuan i muhil vek thei. Thil dang chu ``Local anesthesia`` tih hi a ni. Hei hi i taksa hmun bik , entirnan, vagina leh a chhehvel nerve-a damdawi i inject hian a ni.

Eng method nge hrehawm ber tih thutlukna siamna tichhe thei thil dang chu a dam leh hun tur hi a ni. A tlangpuiin cesarean section aiin vaginal birth atanga dam leh a awlsam zawk.

I pianpui thil tawn hi i tan a danglam bik tih hre reng ang che. Naupai lai hian nau neih dan hrang hrang leh terminology hrang hrang hriat chian a tha. I doctor chuan i medical history leh i naupai stage a zirin nau neih dan him ber a rawn rawt ang che.

A tawp berah chuan hriat reng tur tlemte

Naute neih hi nunah thil tawn lian tak a ni. Tin, a hlauhawm deuh thei bawk. Mahse heng thilte hi hriat chian chuan inrintawkna nasa tak a pe thei che a ni.

• Pian apiang hi a danglam vek: i thianpa chunga thil thleng kha i chungah a thleng dawn tih ring suh.
• I doctor ring rawh: Harsatna emaw, hlauhna emaw i neih apiang chu sawipui rawh.
• Ruahmanna nei la, mahse inthlak danglam thei ang che: I duh angin thil a kal lo mai thei. A pawimawh ber chu i himna leh i naute himna hi a ni.
• Pain management chungchang sawi hmasa rawh: Eng option nge i neih a, an thatna leh that lohna te chu zawng chhuak rawh.

He zinkawng bik ah hian nang leh i chhungte tan duhsakna ka hlan a che u! Naute hrisel tak nen hlim takin awm rawh se!

` Nau neih, nau neih, cesarean section, nau neih dan pangngai, nau neih na, naupai, nau neih dan