Naute pian hun a hnaih deuh deuh chuan rilru natna tam tak i nei thei a, chu chu a sir khatah hlimna nasa tak, hlauhna tlem, leh a sir lehlamah hriat duhna te hi a ni. Heng zawng zawng hi thil pangngai tak a ni. Nu anga i zinkawng pawimawh ber chu i naute he khawvela a lo kal ni hi a ni. Chuvangin, he kalphung hi engtin nge a lo awm tih chiang taka i hriat a pawimawh hle a, chu chu nau neihna stages te hi a ni. Tichuan i hmachhawn tha thei ang. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
Stages of Labor te hi engte nge ni?
A awlsam zawngin, nau neih hi i taksain i naute i pum atanga khawvela a rawn chhuah theihna tura a kalna (natural process) a ni. Nu hmasa ber tan chuan he thil hi darkar 12 leh 24 inkar a ni tlangpui. Mahse, fa pahnihna emaw pathumna emaw nen chuan he hun hi a tawi zawk thei hle.
Hetiang kalphung zawng zawng hi stage lian pathum-ah then a ni a:
1. First stage: Regular period i neih tan atanga i naute pian theihna tura i serh (cervix) a zau kim vek thlenga hun chhung.
2. Second stage: Naute chu he khawvela a lo pian tak tak hun lai.
3. Third stage: Naute pian hnua nausen (placenta) hnawhchhuahna stage.
Tunah chuan heng case hrang hrangte hi chipchiar takin a hranin han thlir ila.
A vawi khatna: Kut bul atanga a tawp thlengin
Hei hi nau neih hun rei ber a ni. Darkar 20 thleng a daih thei. He stage hi i cervix a dilate tan atang hian a intan thin. I serh chu centimetre 10 thlenga a zau kim chuan a tawp thin. He stage hmasa ber hi stage thum-ah then leh a ni.
Early emaw Latent Phase emaw a ni thei
Hei hi nau neih tanna a ni. Hemi chhung hian i contraction te chu a nasa lutuk lovang. Minute 15 atanga 20 danah an lo kal ang a, second 60-90 vel an daih ang. Hun a kal zel a, contraction inkar hi a tlahniam zauh zauh ang a, minute 5 danah velin a lo kal tan ang. Heng contraction te hi i cervix hawn (dilating) leh effacing (effacing) avanga naute chhuah theihna tur hmun siam a ni. Hetih lai hian i serh chu centimetre 0 atanga 6 vel a inhawng ang. I vagina atang hian clear emaw light pink emaw discharge i nei thei bawk.
He stage hi darkar tlemte atanga ni engemaw zat thleng a awm thei a, chuvangin hlauthawng suh. He hun hi mahni in nuam takah hmang ila a tha ber.
Hetih lai hian i tih theih turte:
- Kal chhuak rawh.
- I posture thlak fo thin ang che.
- Thâwk lak dan leh chawlh hahdam dan i hman tawhte kha practice chhunzawm zel ang che.
- Tub-ah thu la, tui lum takah inbual rawh. Mahse, i tui a chhe (i tui bag a chhe) chuan doctor rawn hmasa lovin tub-ah thu suh.
- A theih chuan chawlh hahdam deuh rawh.
- Tui leh tui tam tak in thin ang che. Chaw ei tur light tak ei rawh.
- Hospital bag i la buatsaih lo a nih chuan peih fel rawh.
Active Phase a ni
Hetiang dinhmunah hian i serh chu centimetre 6 atanga 8 a zau a nih chuan a natna chu a na zual deuh tan ang. Minute 3 danah a lo thleng ang a, second 45 vel a daih ang. I hnungzang na i nei thei a, chubakah vaginal discharge tlem (“bloody show”) i nei thei bawk. Hetiang hunah hian i amniotic membrane a rupture a nih chuan, chu chu i “tui a chhe” lai a ni a, a natna chu a nasa zual nghal thei a ni.
He stage hi darkar 4 leh 8 inkar a ni tlangpui. Hetih lai hian i ngaihtuahna zawng zawng chu natna enkawlna lam a nih avangin i lungkham deuh mai thei. I support person-ah i innghat nasa zawk mai thei.
He active phase lai hian damdawi in pan a ngai tlangpui.
Damdawi in i kal chuan i pulse , i thisen sang, leh i temperature te chu an enfiah ang. I pum chungah monitor dah a ni ang a, chu chuan i naute thinlung thawk dan leh uterine contraction te a enfiah ang. Doctor chuan i serh (cervix) chu a enfiah ang a, nau i pai laiin eng chen nge i awm tih a enfiah ang. A tul chuan i kut ah IV line dahin damdawi emaw tui emaw pek theih a ni.
He step awlsam zawka tih theihna tur tips tlemte:
- I posture thlak danglam tum ang che.I hnungzang na a nasat chuan ke palia i chuan chuan hahdamna a pe thei a ni.
- Natna nei lo i nih laiin tlem tal kal rawh.
- Zun fo thin ang che. Hei hian naute lu chu a chhuk thei dawn a ni.
- Thâwk lak chhunzawm zel ang che.
- I bula awm chu massage fo turin hrilh rawh.
- Music muang tak ngaihthlak rawh.
- Natna pakhat chauh han ngaihtuah teh. Natna apiang hian i naute chu a hnaih tir che tih hre reng ang che.
Transition Phase a ni
Hei hi nau neih hun tawi ber, mahse a hrehawm ber a ni. Cervix hi centimetre 8 atanga 10 thlenga a zau kim theih nan minute 15 atanga darkar khat vel a ngai a ni. A natna hi minute 2-3 danah a lo thleng a, minute khat vel a ni. I rectum-ah pressure i nei thei a, i hnungzang na pawh a tizual thei bawk.
Hetih lai hian, nawr duhna nasa tak i nei mai thei . Mahse i doctor emaw midwife emaw in a tih hma loh chuan nawr suh. I serh a zau kim hmaa nawr chuan a hring leh a ti chhe thei a, nau neih a tikhawtlai lehzual thei.
| Hunbi | Cervical dilation a ni | Nature of pain | Hun zatve (average time) a ni |
|---|---|---|---|
| A tir lamah | 0 – 6 cm a ni | Gentle, minute 15-20 danah | Darkar 6 – 12+ chhung a ni |
| Active phase a ni | 6 – 8 cm a ni | Sharp, minute 3-5 danah | Darkar 4 – 8 chhung a ni |
| Inthlakthleng | 8 – 10 cm a ni | A spicy hle a, minute 2-3 danah | Minute 15 – darkar 1 chhung a ni |
Stage pahnihna: Delivery
Stage pahnihna chu serh (cervix) chu centimetre 10-a a zau kim chuan a intan a ni. He stage hi naute a pian thlengin a awm a ni. Hei hian darkar 2 emaw a aia rei emaw a daih thei.
Tun ṭuma natna lo thlengte hi a hmasa ber nen chuan a danglam deuh hlek a ni. Minute 2-5 danah an lo kal a, second 60-90 vel an daih. Natna a lo thlen apiangin nawr duhna nasa tak i nei ang. Doctor thupek angin uluk takin i nawr tur a ni. Natna a awm loh chhung hian a theih ang anga chawl la.
A tul chuan natna damdawi pek emaw, vaginal opening tihzauh nan episiotomy an tih incision te tak te siam emaw i ni thei bawk. He incision hi naute chhuah thuai nan emaw, vagina chu a pangngai lo taka a hrual loh nan emaw siam a ni.
Hetih lai hian naute lu hnuai lam eng chen nge a chhuk tih tehna kawng a awm a, chu chu station an ti a ni. Naute lu chu pelvis lairil a thlen a, a tlakbuak chuan ‘station 0’ an ti a ni. Hei hi labour kal zel dan tehna atan hman theih a ni.
Naute a lo pian hunah chuan Doctor chuan naute lu chu a vawn tlat ang. Hei hi naute lungah tui, mucus leh thisen a khat loh nan a ni. Tichuan, doctor chuan naute hmui leh hnar chu bulb syringe te tak te hmangin a tifai ang a, naute chu i pum chungah a dah ang. Hun engemaw chen hnuah chuan umbilical cord chu a tan ang.
Stage pathumna: Placenta detachment tih hi a ni
Stage pathumna chu naute pian hnuah a intan thin. Hei hi uterine wall-a inzawm tawh placenta (or “afterbirth”) chu a inthen a, vagina kaltlangin a chhuak a ni. Hei hi nau neih hun tawi ber a ni. Minute tlemte atanga minute 20 vel thleng a daih thei. Natna engemaw zat i la nei tho ang a, mahse a hma angin a na lo ang. Episiotomy emaw, mittui tla te te i neih chuan hetah hian a sewn up ang.
Take-Home Thuchah a ni
- Nau neih hi thilsiam (natural process) a ni a, stage thum a awm a ni. A hmaa hriat lawk chuan rilru lama chak zawka i tuar chhuah theih nan a pui ang che.
- Hlauthawng suh la, a tir lamah chuan damdawi in pan nghal rawh. In lamah hahdam takin awm rawh. Mahse a na a zual a nih chuan, i tui a chhe a nih chuan, emaw, i doctor-in a tih angin, a hun takah damdawi inah kal rawh.
- Natna chu tuar theih loh a nih chuan doctor nen painkiller chungchang sawipui zak suh.
- A bik takin, serh chu a zau kim hma loh chuan nawr loh tur a ni tih hre reng ang che. Damdawi lam thawktute thupek zawm rawh.
- He zinkawng chhung zawng hian i kawppui emaw, mi rintlak emaw tanpuina zawng rawh. I tan chakna petu ropui tak a ni ang.
- Harsatna emaw rinhlelhna emaw i neih chuan i doctor nen zalen takin inbiakna nei rawh .
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