Labour hi a tlai em? Labour tih chak dan tur (Augmentation of Labor) i zir dawn a ni.

Nau neih tur i inbuatsaih tawh em, nau neih tan a ni tawh a, engkim a kal tha hle a, mahse rang takin engkim a tlahniam ta em ni? I contraction te hi a tam lo zawk a, a na lo zawk niin a lang em? Hetiang hunah hian nu hian hlauhna leh lungkhamna a neih hi thil pangngai tak a ni. Mahse, lungngai suh. Hetiang dinhmunah hian natural labor a slow emaw, a reh emaw chuan doctor-te chuan nang leh i naute chu him taka zinkawng zawh tir lehin an pui thei che a ni. Vawiin hian he kalphung, ‘Augmentation of Labour’ tih hi kan sawi dawn a ni.

A awlsam zawngin Augmentation of Labour tih hi eng nge ni?

‘Augmentation of Labour’ tih chu pianphung atanga lo chhuak labour beisei anga hma a sawn loh chuan a ni a, chu chu labour chu duh ang anga hma a sawn loh chuan pawn lam tanpuinain a kal chak zawk tihna a ni. A dik tak chuan i uterine contractions, a nih loh leh contraction te chu chak zawk leh tih tam zawka siam hi a ni.

Hemiah hian doctor-te chuan nau neih chak nan damdawi emaw, hmanraw dang emaw an hmang thin. Hetiang method hi contraction inkar hun a rei lutuk a nih chuan, a nih loh leh contraction a tawp vek tawh a nih chuan a tul thei bawk. A chhan chu nau neih rei lutuk hi a chang chuan nang leh i naute tan pawh a hlauhawm thei a ni.

Augmentation leh Induction hi thil hrang hrang pahnih a ni em?

Awle. Hei hi mi tam tak buaina hmun a ni. Heng hmanraw pahnih hi a danglam vek a ni.

Hriatthiam awlsam zawk nan hetiang hian han thlir ila.

He system hi tuin nge mamawh?

Natural labor (induced ni lo)-a i awm a, a kalphung a tawp emaw, a rei lutuk emaw a nih chuan he method hi i mamawh mai thei. Doctor-te chuan he natna hi "hmasawnna hlawhchham" an ti. Chumi awmzia chu darkar 18-24 chhung nau neih hnuah pawh nau neih a la hmasawn tawk lo tihna a ni.

Hei hi chhan hrang hrang vang pawh a ni thei:

• Amniotic sac chu a la chhe lo.
• Bowel movement chak lo emaw, mumal lo emaw.
• Tui luang chhuak chu a tawp vek tawh.

Hetiang hmanrua hi a tha lo hle a, eng dinhmunte nge awm?

A chang chuan Doctor ten he method hi an hmang lo. A chhan chu:

• Naute dinhmun: Naute chu a lu hnuai lam aiin dinhmun khirh takah (e.g. breech, transverse lie) a awm chuan.
• I nausen pum chhunga harsatna: I nausen pum chhungah scar tissue i neih chuan (Asherman syndrome).
• Cesarean section hmasa: C-section hmasa emaw, surgery dang emaw avanga i nausen pumah hliam i neih chuan, nausen a inzawm lutuk chuan hliam tissue a tihchhiat theihna a awm avangin he tih hi a tha lo mai thei.

Engtin nge labour tih chak theih ang?

Hetiang tih hma hian i doctor chuan nau neih laiin natna tihdam dan tur a sawipui ang che. A tam zawkah chuan epidural i la thei. Tichuan, i dinhmun a zirin i doctor chuan a hman dan tur dik ber a thlang ang.

Thil tih dan pathum a awm ber a, chungte chu:

1. Tui bawm tihchhiat (Amniotomy): .

Hei hi "tui bawm tihchhiat" tia kan hriat vek chu a ni. Heta thil thleng chu doctor chuan plastic hook ang chi thil te tak te hmangin naute chhehvel amniotic sac chu zawi zawiin a tichhia a ni. Amniotic fluid a chhuah chuan naute lu hian serh (cervix)-ah direct-in a nawr thei a ni. Hetiang pressure hian cervix chu a inhawng lehzual a, contractions chu a lo thleng fo ang a, a nasa zawk bawk ang.

2. Damdawi chi hrang hrang:

Hetah hian saline drip (IV drip) hmangin damdawi pek i ni ang. Damdawi hman tlanglawn ber chu Oxytocin (brand name Pitocin®) a ni. Hei hi kan taksaa pianphung atanga lo chhuak hormone synthetic form a ni. He damdawi hian nausen pum chu a inzawm khawm a, nausen pum a tichak a, a tichak a ni.

3. Balloon Catheter hmanga siam chhuah:

Hei hi serh kawngkhar hawn nan pawh hman dan a ni. Hetah hian balloon te tak te, tube (catheter) te tak te nei chu i serh chhungah dahin inflated a ni. Ball te tak te puak darh ang mai a ni. He balloon atanga pressure hian serh chu a tizau a, a tizau a, a inhawng bawk. Cervix a inhawng tawk chuan balloon chu a tla chhuak nghal mai ang.

Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?

Tin, damdawi lam kalphung zawng zawng ang bawkin, hlauhawmna engemaw zat a awm bawk. Mahse lungngai suh, heng hlauhawmnate hi tih tlem theih a ni a, a chhan chu medical team-in nang leh i naute hi uluk takin an lo enkawl dawn a ni.

• Hyperstimulation of the uterus: A chang chuan, damdawi `(Oxytocin)` hian contraction a ti na lutuk a, a awm fo bawk. Hei hian naute chungah pressure engemaw zat a thlen thei (`fetal distress`). Chumi awmzia chu naute thisen leh oxygen a dawn zat a tlahniam thei tihna a ni. Mahse, hei hi control theih a nih chhan chu doctor chuan damdawi dose a siamrem reng a, naute thinlung thawk dan a enfiah chhunzawm zel bawk (`electronic fetal monitoring`).
• Infection: Tui bag chu artificial taka tihchhiat hnuah bacteria infection (chorioamnionitis) a awm tlem hle. Chutiang a nih loh nan nang leh i naute chu antibiotics pek i ni ang.
• Umbilical Cord Prolapse: Hei pawh hi thil awm lo tak a ni. Chumi awmzia chu tui a chhiat hnuah umbilical cord chu naute lu hmaah vagina chhungah a tla lut tihna a ni. Hei hian naute oxygen supply a titawp thei a ni. Hei hi emergency a nih avangin emergency C-section neih a ngai a ni.

Dam leh hun tur leh doctor hmuh hun tur

I dam leh hun chhung chu nau neih danah a innghat a ni. C-section, episiotomy emaw, vaginal tear emaw i neih chuan a dam rei zawk thei a, natna i nei tam thei bawk.

Nau i neih hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

• A rilru a na
• Luak chhuak emaw, muthilh emaw (syncope) .
• Natna nasa tak a ni
• Vaginal discharge tam lutuk, rimchhia tak tak
• Thisen chhuah tam lutuk
• Nausea leh luak chhuak
• Thâwk harsa
• Infection chhinchhiahna, khawsik leh khawsik te
• Ke, kut leh hmai a hring (edema) .

Heng hmanrua te hi damdawi lama a tul hunah chauh hman a ni a, nang leh i naute himna atan. Chuvangin nau neih tlai a nih chuan hlauthawng suh la, i doctor nen inbia la, i tana tha ber tur chu i rel ang.