Naute chu nau neih a hnaih deuh deuh chuan eng nge thleng? Stages of Labor chungchang hi chiang takin i zir ang u!

Nu nih i hnaih deuh deuh chuan zawhna tam tak i nei a. Tlemte hlauthawng leh hriat duhna neiin eng nge i hmachhawn dawn tih chu thil pangngai a ni a, a bik takin naute i neih hunah. Vawiin hian naute neih dan tur, a nih loh leh doctor-te’n `Stages of Labor` an tih mai mai chungchang hi han sawi ila. Chu chu i hriat chuan rilru thlamuanna nasa tak a pe ang che.

Stages of Labor te hi engte nge ni?

A awlsam zawngin, nau neih hi i naute, nausen leh naute i nausen pum atanga i hnute atanga lo chhuak leh i hnute kal tlanga an chhuah zawng zawng a ni. Hei hi vawi khatah a thleng vek lo va, zawi zawiin, stage engemaw zatah a thleng zawk a ni.

Hei hi stage lian pathum ah kan then tlangpui a:

1. A hmasa ber: Nau neih tan tirh (contractions) .

2. Second stage: Naute nawr leh pian tir

3. Third stage: Nausen piang chhuak

A châng chuan doctor-te chuan hei hi "normal labor" an ti ṭhin. Mahse, mi zawng zawng thil tawn hi a inang vek lo tih hre reng ang che . Heng stage zawng zawng hi a inang vek lo mai thei. Entirnan, stage thenkhat chu i tan hma thei a, mahse a tawpah chuan C-section i nei ta a ni. A nih loh leh, C-section ruahman lawk i neih chuan stage hmasa ber chu i tawng lo thei lo. Induced labor i neih chuan i experience chu a danglam thei. Chuvângin, i thil tawn chu mi dangte nên khaikhin suh .

Hetiang thil lian tak hi eng nge thleng dawn tih chiang taka i hriat loh laia hlauhthawn hi thil pangngai a ni. Mahse i doctor leh nurse te chu tanpui turin an awm vek a ni. Nang leh anni pahnih hian naute hrisel tak neih tumna inang in nei a ni .

A hmasa ber: Nau neih tan dan (Labor - Contractions) .

Hei hi nau neih hmasak ber leh a tlangpuiin a rei ber a ni. A bul tanna chu regular contraction i neih tan tirh atangin a ni . He stage hi i cervix chu a dilated vek a, a effaced chuan a tawp thin.

Doctor-te chuan i natna a intan hun tur chu chhinchhiah reng turin an ti fo thin. I en tur hun chu natna pakhat tan atanga natna dang tan thlenga hun a ni. Hei hi second tlemte chhunga teh a awlsam hle.

Regular contraction chu a hun taka lo awm, minute thum atanga minute nga danah vel a lo thleng thin a ni. Braxton Hicks contractions ang an ni lo va, vawi khatah a lo thleng vek lo. Mi thenkhat chuan anmahni chauhin heng contraction te hi an nei thei a, damdawi inah medical induction hmangin an induce thei bawk.

He first stage hi khawi hmunah pawh darkar 12 atanga darkar 19 chhung a daih thei. Mahse, naute i lo nei tawh a nih chuan tun hun hi a tawi zawk a rinawm.

He first stage hian part hnih a nei bawk 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 serh chu a zau vek a, centimetre 10 thleng a ni. Hetih lai hian naute chu nawr chhuah duhna i nei mai thei. Hei hian darkar 4 atanga darkar 8 vel a awh tlangpui.

Doctor-te chuan nau neih hma lai hian in lamah i awm thei tih an sawi tlangpui. Mahse i naute i neihna tur damdawi in pan tur chuan i inpeih a ngai a ni. Active labor a tan tawh chuan damdawi ina awm hi a tha ber ngei ang.

Stage hmasa berah khan engtin nge natna hi kan enkawl ang?

He initial stage hi tuar harsa deuh pawh a ni thei. Hemi hun chhung hian heng thilte hi enchhin ve teh:

• Zawi zawiin gentle stretch ti rawh.
• Ngaihtuah rawh.
• Hmun khatah awm suh la, che vel la, i dinhmun thlak danglam rawh.
• Thâwk thûk tak chu practice rawh.
• Tui lum (a lum lo) hmangin inbual emaw, inbual emaw la.
• Nau neihna kawngah tanpui nan birthing ball i hmang thei bawk.
• Kal chhuak rawh.

Hetih lai hian puitu tur, ``labor support person`` neih a pawimawh hle bawk. Hei hi i pasal, chhungte, 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 hmasak lai hian i mu thei em?

Mi tinin natna leh lungawi lohna hi kan tuar dan a inang lo. A tlangpuiin, i theih chuan a natna hmasa berah mut leh chawlh hahdam a tha ber. Mahse a chang chuan natna kal tlanga mut a harsa deuh thei.

Stage pahnihna: Pushing leh pianpui

He stage hi i cervix chu a dilated kim (10 centimetres) atanga tan a ni. I naute a pian chuan 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. He second stage chhunga thil thlengte chu hetiang hi a ni:

• Contraction hi minute hnih atanga minute nga danah a awm thin. Contraction tin hian second 60 leh 90 inkar a daih thei.
• Natna a lo thlen hunah i nawr tur a ni. Natna a reh hunah chawlh hahdam theih a ni. I doctor chuan engtikah nge i nawr tur tih a hrilh ang che.
• Naute lu chu a lo lang tan a (baby crowns).
• Doctor chuan fimkhur takin naute chu vagina atanga lakchhuah nan a pui thin.
• Naute a pian veleh doctor chuan umbilical cord chu a tikehsawm a.

A châng chuan, naute chu vaginal birth ai chuan cesarean section (C-section) hmangin, ruahmanna siam emaw, emergency emaw hmanga nau neih theih a ni.

Stage pathumna: Placenta hmanga nau neih

He stage hi i naute a pian atanga tan a ni. Nausen (placenta) a lo piang chuan a tawp thin. Hei hi nau neih hun tawi ber a ni . Minute 30 aia rei lo a ni tlangpui.

Hetiang hi he stage pathumnaah hian a thleng a ni:

• Naute pian atanga minute 5 leh 30 inkar ah chuan contraction a lo awm leh tan thin. Heng contraction te hian placenta chu uterus atanga inthen turin a pui thin.
• Tlemin i nawr belh a ngai mai thei. A nih loh leh doctor chuan i pum chu pressure a pe thei a, chu chuan placenta a chhuah theih nan a pui thei bawk.
• Vaginal bleeding nasa tak hi hun rei lote chhung a awm thei a, chu chu placenta a chhuah hunah emaw, a lo thlen hnuah emaw a ni thei.
• Mi thenkhat chuan khawsik emaw, khawsik emaw an nei thei. Heng symptoms te hi i neih chuan doctor hnenah i hrilh ngei ang.

Cesarean section (C-section) i neih chuan naute chu nausen pum atanga lak chhuah a nih veleh doctor chuan nausen chu a la chhuak nghal mai ang.

Doctor chuan placenta a chhuak kim tawh em tih a enfiah ngei ang. Hei hi a chhan chu naupai atanga thil siam chhuah (retained products of conception) hian nausen (placenta) hmun thenkhat chu nausen pum chhungah a awm reng chuan harsatna chi hrang hrang a thlen thei a ni. Episiotomy (vagina-a hliam tenau) i tih tawh emaw, i vaginal tear i neih chuan doctor chuan placenta a chhuah hnuah a stitch up ang.

Engtin nge nau neih a intan? (Eng thilin nge labour tichhuak?)

Scientist-te chuan nau neih a intan tak tak dan hi an la hre chiang lo a, mahse 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 laia serh (cervix) kha a tight leh khar thin chu nau neih laiin a thim tur a ni a, a inhawng tur a ni. Nausen pum pawh a inzawm tan 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 hei hi kar 37 leh 42 inkarah hian a pianphungah a thleng thin. Thil engemaw takah chuan doctor chuan artificial takin nau a neih tir ang.

Thil pawimawh pahnih hian nau neih tan leh chhunzawm zel dan a nghawng a:

• Prostaglandins: Heng hormone ang chi prostaglandins an tih hi nausen pum chhunga cell awmte siam chhuah a ni. Hengte hian serh (cervix) a inhawng a, nausen pum (uterus) a tikhawlo thei bawk.
• Oxytocin: I naute hian i serh (cervix) a nawr chuan i pituitary gland hian hormone oxytocin an tih chu a tichhuak thin. He oxytocin hian i uterus-ah a kal a, contractions a siam thin.

Nau neih tan hmain chhinchhiahna engemaw zat i nei thei a, chungte chu:

• Hnung lam natna
• Thisen chhuak show - i mucus plug hloh
• Kawthalo
• In tihfai leh thil ruahman duhna (Nesting) .

Nau neih hmaa chhinchhiahnate chu engte nge ni?

Nau pai tak tak i nih leh nih loh hriat chian a harsa thei ṭhin. Hei hi i vawi khatna a nih chuan symptom dang, irregular false contractions (Braxton Hicks contractions) te hi nau neih na tak tak anga ngaih sual a awlsam hle. Naupai na tak tak hian pattern a nei a, hun kal zelah a pung zauh zauh thin.

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

• Frequency: Eng chen nge contraction i neih thin? Hei hi lehkhabuah emaw, i phone-a labor app-ah emaw chhinchhiah reng ang che. Hei hian regular interval-a an lo kal leh lo kal loh track turin a pui ang che.
• Hun chhung: Contraction tin hian eng chen nge a daih? Labour a kal zel chuan contraction tin hun chhung a pung zel ang. I phone-a stopwatch, regular watch emaw, timer emaw hmangin contraction tin eng chen nge a awm tih record rawh.
• Intensity: Contraction te hi a na zual zel em? Nau neihna stage hrang hrang i kal zel chuan natna chu a nasa zual sauh ang. Hun kal zelah natna chu engtin nge a awm tih ngaihven rawh.

Nau neih dan pangngai lo chu eng nge ni?

Nang leh i naute hrisêlna humhim nân, doctor-te chuan nau neih dân pangngai lo tih awmzia sawifiahtu kaihhruaina an zawm a ni. Chutianga an tih chhan chu engtikah nge an inrawlh tur tih an hriat theih nan, leh harsatna awm lo tura an beih theih nan. Medical intervention eng pawh tih hmain i medical team chuan an ngaihtuahna leh i duhthlan tur awmte chu an hrilhfiah ang che.

A hmasa ber stage danglam tak

Doctor-te chuan nau neih hma chu hun rei takah an ngai a:

• 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 daih chuan.

Active labour hi rei tak anga ngaih a ni a, chu chu:

• Darkar li chhung nau i pai hnuah pawh i cervix chu centimetre 6 aia zau a dilated loh chuan i membrane te chu a rupture (or "water breaks") a ni.
• Tui bag a chhiat hnua serh chu centimetre 6 aia zau a dilated loh chuan oxytocin (Pitocin®) pek a ni a, nau neih chu darkar ruk chhung a ni.

Stage pahnihna mak tak mai

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

• Naute i neih hmasak ber a nih chuan spinal tap hi epidural tel lovin darkar thum aia rei a daih ang a, epidural hmang lovin darkar li aia rei a daih ang.
• Naute i lo nei tawh a nih chuan, epidural tel lovin darkar hnih aia rei a daih a nih chuan, epidural hmanga darkar thum aia rei a daih chuan.

Stage pathumna mak tak mai

Nausen pian hnu minute 30-ah pawh nausen (placenta) chu nausen pum chhungah a la awm a nih chuan doctor-te chuan a pathumna chu thil pangngai loah an ngai a ni.

Engtikah nge damdawi inah ka kal ang?

Active labor lai hian nau neihna hmun, chu chu damdawi inah awm reng a tha ber. Hei hi stage hmasa ber a ṭhen hnihna a ni.

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

Hetiang thil hi a lo thleng a nih chuan tanpuina dawng nghal rawh:

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

Damdawi in i kal hian eng nge thleng thin?

Damdawi in i thlen hunah chuan labour leh delivery desk-ah i inziak lut a ngai dawn a ni. Triage room-ah hruai hmasak i ni mai thei. 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 LDR room (Labor, Delivery, leh Recovery room)-ah hruai i ni ang:

• Hospital gown i ha a ngai dawn a ni.
• Doctor chuan i pulse, thisen sang leh khawsik te a enfiah ang.
• I pum vel ah external fetal monitor dah a ni a, chu chuan uterine contraction leh naute heart rate te a enfiah thin.
• I doctor chuan i nau neih chhung chu eng chen nge a hlat tih hriat tumin cervical exam a ti ang.
• I kut zungtang vein-ah IV line dahin tui leh damdawi i pe thei ang.

Eng chen nge damdawi inah ka awm a ngai dawn?

Damdawi ina i awm rei zawng chu damdawi in leh i naute i hrin danah a innghat a ni. A tlangpuiin cesarean section (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. Hetih lai hian i nausen (uterus) pawh a hahdam a, thisen chhuah dan pangngai lo a awm leh awm loh chu doctor-te chuan an lo enfiah ang che.

Nau neih hian eng chen nge a rei tlangpui?

Nau piang hmasa ber chu darkar 12 leh 24 inkar a ni. A hnua nau piangte hi a rei lo zawk (darkar 8 leh 10 inkar) a ni tlangpui. Nau neih hmasak ber hi a rei ber a ni tlangpui.

Nau neih tura i inbuatsaih lai hian rilru natna hrang hrang i neih hi thil pangngai a ni. Hlimna leh hlauhna tlem te hi a pianphung a ni. Heng chhinchhiahna leh chhinchhiahna te hi i doctor nen inbiakna neih chuan i beisei tur chu i hre chiang zawk ang. I partner leh medical team te chu i tanpui turin an awm reng a ni. He hnathawh hi a nuam thei ang bera leh inrintawkna neia i kalpui theih nan an pui ang che.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Naute neih hi nunah thil tawn lian tak a ni. Chu chu hriat lawk chuan chu hun chu hmachhawn turin chakna nasa tak a pe ang che.

• Nau neih hi chi thum a awm a, chungte chu: nau neih tan tirh te, nausen pian hun te, leh nausen (placenta) hnawhchhuah te hi a ni.
• Mi zawng zawng tawn dan a inang lo: I thil tawn chu midang nen khaikhin suh.
• Natna enkawl dan tur a awm a: thawk lakna exercise, dinhmun thlak danglam, etc. hian a pui thei a ni. Natna chu tuar theih loh a nih chuan doctor thurawn la rawh.
• Damdawi in kal hun tur dik tak hre rawh: Natna a lo thlen hunah, tui bag a chhe hunah doctor ko rawh.
• Nangmah chauh i ni lo: i medical team, chhungte leh i kawppui te chu i tanpui turin an awm vek a ni.

He thu hi i tan a \angkai ngei kan beisei. Naute hrisel tak nei turin duhsakna kan hlan e!

` Nau neih, nau neih, naupai, natna, naute neih, nau neih stages, placenta