I due date a hnai tawh a, ni pawh a liam tawh mai thei. Hetiang hun lai hian doctor-in a enfiah che a, "Cervix i en ang u," a tih hnua, "Bishop Score hi hetiang hian a sang" a tih hian, "Aw, hei hi eng nge a awmzia?" Nu tam tak chuan chutiang chuan an ngai a. A pangngai hle mai. Ngaihtuah buai suh, vawiinah hian he Bishop Score hi eng nge a nih, a awmzia leh i delivery atana a pawimawh theih dan tur kan sawi dawn a ni.
Bishop Score chu eng nge ni mai?
A awlsam zawngin sawi ila, Bishop Score hi i taksa, a bik takin i serh (cervix) chu nau neihna atana a inpeih dan tehna scoring system a ni. School exam ang bawkin i doctor chuan i serh leh i naute lu dinhmun a inthlak danglam dan a zirin score a pe ang che.
Ngaihtuah teh, i nausen pum chu naute awmna pindan a ni. Chu pindan kawngkhar chu cervix a ni. Naute a chhuah theih nan he kawngkhar hi zau taka hawn a ngai a ni. Bishop Score hian he ‘kawngkhar’ hi eng chen nge hawn a inpeih tih a teh a, kawngkhar khar te chu a lo zau tawk em tih te a teh bawk.
He score hi 0 atanga 13 thleng a ni thei a, score a san poh leh i taksa chu nau neihna atan a inpeih zawk thin. Tin, eng emaw chhan vanga nau neih tir a nih chuan vaginal birth hlawhtling tak i neih theihna a sang zawk tih a tilang bawk.
Engtik laiin nge he Bishop Score hi i en thin?
Doctor-te chuan he score hi naupai kar 40 i tlin hnuah an chhut tlangpui. Hei hi a chhan chu ni i skip tawh a, kar 41 emaw 42 emaw chhunga natna i la nei tan lo a nih chuan artificially inducing labor ngaihtuah a hun tawh hle. Mahse, a chang chuan nu emaw naute emaw hriselna dinhmun avang hian doctor chuan he score hi a hmain a en duh mai thei.
Mahse he test hi a hun apiangah tih a ni lo.
Entirnan, placenta previa i neih chuan cesarean hmanga nau neih hi a him zawk. Hetiang internal examination hi chutih lai chuan tih a ni lo. Tin, i tui chu a hun hmaa a chhe (premature rupture of membranes) , he examination chi hi natna kai theihna a nih avangin a hlauhawm thei bawk.
Engtin nge heng score te hi chhut a nih?
I doctor hian he Bishop Score hi thil pawimawh panga ngaihtuah chungin a chhut thin. Chu thil pangate chu eng nge ni tih i en ang u.
1. Cervix tihzauh (dilation) .Hei hian cervix a dilated zat a teh a ni. Doctor chuan a kut zungtang hmangin a check a, chutah chuan centimetre engemaw zat a sawn leh a. A dilated kim chuan centimetre 10 vel a ni.
2. Servix tihthianghlim (Effacement of the cervix): Hei hian serh chu engtiang chiahin nge a hring emaw, a tawi emaw tih a kawk a ni. Nau neih a hnaih deuh deuh chuan serh (cervix) chu a thim thin. 100% a tihbo chuan "paper thin" a ni an ti.
3. Consistency of the cervix: Hei hian serh a khauh emaw, a nem emaw a tehna a ni. Cervix nem tak chu awlsam takin a inhawng thin. I hnar tip (hard) leh i hmui (soft) inthlauhna ang mai a ni.
4. Cervix dinhmun: Nau neih a hnaih deuh deuh chuan serh chu hnung lama awm a\angin zawi zawiin hmalam pan turin a inthlak \hin. Hei hi chu dinhmun chu eng ang nge a nih tih hriat nan hman a ni.
5. Fetal position emaw fetal station: Hei hian naute lu hnuai lam chu i pelvis-a hmun bik pakhat nena inzawm a ni. Naute lu a la san chuan negative (-) value i hmu a, a hnuai lam hla tak a nih chuan positive (+) value i hmu bawk.
I Bishop Score chu heng thil tinte hi score hran pek a, a tawpah chuan score panga zawng zawng kha belhkhawm vek a ni.
| Score pe thei factor chu | 0 points a ni | 1 point a hmu a ni | Point 2 a hmu | Point 3 a hmu |
|---|---|---|---|---|
| Cervical dilation (cm) a ni. | Khar a ni | 1-2 cm vel a ni | 3-4 cm vel a ni | 5 cm aia tam a ni |
| Cervical tihthianghlim (%) 1.1. | 0-30% vel a ni. | 40-50% vel a ni. | 60-70% vel a ni. | 80% aia tam |
| Naute lu awmna hmun | -3 | -2 | -1, 0 a ni | +1, +2 a ni |
| Cervix awm dan (cervix) awm dan | Nghet | Hmanrua | Nem | - . |
| Cervical dinhmun | Hnung lam | Mid-position ah a awm | Hma lam | - . |
A châng chuan naupai laiin preeclampsia ang chi natna i neih chuan, emaw, a hmaa vaginal birth i neih tawh chuan, i doctor chuan i total score-ah point a belhchhah thei a, a chhan chu chutih lai chuan painkillers te hi an hlawhtling zawk a ni.
Ka Bishop Score hian eng nge a sawi?
Okay, tunah chuan score i nei ta ang u. Chuta tang chuan eng nge i hriatthiam duh?
- 8 aia tam i score chuan: Hei hi dinhmun tha tak a ni. I taksa chu nau neihna atan a inpeih tha tihna a ni. Nau neih hi a pianphungah a intan thuai a rinawm. Tin, nau neih tir a nih chuan a hlawhtling a, natural birth a thlen a rinawm hle bawk.
- Score 6-7 inkar a nih chuan: Hei hi a moderate condition a ni. Natna thlen hi a hlawhtling thei a, a hlawhtling lo thei bawk. Hetiang hunah hian doctor chuan i hriselna chungchanga hriat tur dangte hmangin thutlukna tha ber a siam ang.
- Score 5 emaw a aia tlem emaw a nih chuan:Chumi awmzia chu i taksa chu nau neihna atan a la inpeih kim lo tihna a ni. Hetih lai hian nau neih tir i tum chuan a hlawhtlin loh a rinawm zawk.
Mahse hei hi hre reng ang che: Bishop Score hi kaihhruaina mai a ni. 100% dik tak predictor a ni lo. Nu thenkhat score hniam tak takte chuan pain induction hmangin natural birth hlawhtling tak tak an nei tawh bawk. Score sang tak nei mahse pain induction a hlawhchhamna pawh a awm bawk. Nang leh i doctor thutlukna tha ber siam tura tanpuitu hmanrua mai a ni.
Engvangin nge natna hi artificial-a tihchhuah a nih?
I doctor-in artificial-a nau neih tir tura a rawtna chhan hrang hrang a awm thei. A chhan ber chu i naupai chu kar 41-42 vel a liam tawh vang a ni. Hei hi a chhan chu kar 42 hnu lama chhunzawm chuan naute leh nu tan pawh harsatna a thlen theihna a tipung a ni. Tin, nu emaw naute emaw hian hriselna lama harsatna an neih chuan doctor chuan nghah rei lova naute neih chu a him nia an hriat chuan nau neih tir a rel thei bawk.
Bishop Score hi hmanraw pawimawh tak a ni a, chu chuan i doctor-in he thutlukna a siam theih nan a pui ang. Chuvângin, i score, a awmzia leh i tih tûr chungchâng chu i doctor hnênah inhawng takin sawi rawh. I himna leh i naute himna hi mi zawng zawng ngaih pawimawh ber a ni.
Take-Home Thuchah a ni
- Bishop Score hi scoring system a ni a, i serh (cervix) chu nau neihna atana a inpeih dan tehna a ni.
- Score 8 aia tam a nih chuan taksa chu nau neihna atan a inbuatsaih tha tihna a ni. Natna hi artificial-a siam a nih chuan a hlawhtling zawk a ni.
- Score 5 aia tlem a nih chuan taksa a la inpeih lo tihna a ni.
- Hei hi thutlukna siam tura puitu tur kaihhruaina chauh a ni a; thutlukna hnuhnung ber a ni lo.
- I Doctor nen i Bishop Score chungchang leh i tih tur dangte sawipui rawh. An damdawi lam thurawn chu ring rawh.











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