I nunah mikhual thar a lo kal dawn chuan hlimna leh mawhphurhna ropui tak i nei ve ve a ni lawm ni? Thutlukna siam tur tam tak zingah hian ‘Khawiah nge ka naute hi ka hrin ang?’ tih zawhna hi a ni. tih hi a pawimawh hle. Hospital hi traditional takin hmun him ber a ni tih kan hre vek a, mahse tunah chuan khawvelah hian duhthlan tur hrang hrang sawi a ni ta. Chuvangin vawiin hian damdawi in leh ' Birthing center' hi eng nge a danglamna tak tak tih hi han sawi ila.
‘Birthing Center’ tih hi eng nge ni?
A awlsam zawngin sawi ila, nau neihna hmun (birth center) chu nau neih dan pangngai (natural process) tih awlsamna hmun a ni a, damdawi in damdawi lam boruak atanga hla takah, in ang maia boruak nuam takah a awm a ni. Hmeichhe tam zawkin nau an pai theih nan damdawi lam hmalakna lian tham an mamawh lo tih rinna atanga siam a ni.
Nangmah chauh tan chauha chei mawi tak, eng nem tak, mimal room pakhat han mitthla teh. Hei hi birth center-a nau neihna hmun a ni. Hetah hian, midwife tawnhriat ngah tak, thiam takin a enkawl famkim a, a kaihruai che a ni . Amaherawhchu, a tul chuan obstetrician nen an inrawn ang.
Hetiang hmuna thatna dang chu nau neih tan atanga naute i neih thlengin room khatah i awm thei a ni. Naute pian hnu lawka haw theihna hun remchang i nei bawk. Zirna hrang hrangah chuan heng nau neihna hmunah te hian Cesarean Section , ruihhlo hman , leh naute lakchhuahna atana vacuum emaw forceps ang chi hmanrua hman te hi a tlem hle tih a tarlang. Nu emaw naute emaw tan pawh harsatna lian tham a thlen theihna a tlem hle bawk.
Damdawi in leh nau neihna hmun - tehkhin ila
Tunah chuan heng pahnih chungchangah hian rough idea i nei tawh a, thutlukna siam awlsam zawk nan table pakhata heng hmun pahnih inthlauhna ber berte hi han thlir ila.
| Nihphung | Damdawi in | Nau neihna hmunpui a ni |
|---|---|---|
| Chenna khawvel | Damdawi lam, damdawi lam boruak a ni. Room, labor room, operation room, etc. te chu sawn kual theih a ni. | In lama awm, nuam, mimal leh hahdamna hmun. |
| Medical team te an ni | Obtetrician leh gynecologist an awm a, a tul chuan neonatologist an awm bawk. | Midwife tawnhriat ngah tak takte kaihhruai a ni . Doctor te chu consultation atan chauh an awm. |
| Natna enkawl dan tur | Painkiller chak tak tak, epidural anesthesia te pawh dil theih a ni. | Natural method (massage, hydrotherapy) leh damdawi awlsam tak tak chauh. Epidural ang chi natna tidamtu chak tak a awm lo. |
| Emergency a nih chuan | Nu emaw naute emaw tan harsatna a awm chuan minute tlemte chhunga emergency cesarean section tih theihna tur facility a awm a ni . | Complication a awm chuan damdawi inah sawn nghal a ngai dawn a ni. Hei hian eng emaw chen a tikhawtlai thei a ni. |
| Nau neih laiin zalenna | Vawi tam tak khumah khum a ni a, naute thinlung thawk dan enfiahtu monitor-ah connect a ni. | I zalên a, i duh ang dinhmunah (ding chungin, tui tub-ah - birthing pool ) i awm thei a, nau neih laiin ei leh in i nei bawk. |
| Chhungkaw telna | A tlangpuiin mi pakhat emaw pahnih emaw chauh luh phal a ni. | I duh ang zat chhung chhungte leh thiante nei turin i fuih a ni. |
Damdawi in hi thlamuanna nasa tak, a nih loh leh ‘rilru thlamuanna’ pe thei hmun a ni tih hre reng ang che, nangmah emaw, i naute emaw chungah thil a thleng a nih chuan hmun khatah i mamawh damdawi leh thiamna i hmu thei a ni.
Chuti a nih chuan, eng nge i inhmeh?
Hei hi zawhna pawimawh ber a ni. Birth centre hi naupai hlauhawm lo tan chauh ruahman a ni. Hriselna lama harsatna thlen thei i neih chuan damdawi in i thlang ngei ang. A chhan chu nang leh i naute himna hi a hmasa ber tur a ni.
Damdawi in tur engtikah nge thlan tur:
- Kum 35 aia upa i nih chuan.
- Zunthlum , thisen sang , emaw pre-eclampsia ang chi natna i neih chuan.
- I pum chhungahfapa mal emaw a aia tam emaw i phur a nih chuan.
- Naute chu dinhmun pangngai lo takah a awm chuan. (Entirnan, naute tam zawk hi lu hmasa ber an piang thin. Chutiang a nih loh chuan breech presentation -a an awm chuan complication a awm tam zawk.)
- A hmaa cesarean section i neih tawh chuan uterine rupture a awm thei.
- Naupai hun chhung chu kar 41 aia tam a nih chuan .
- Nau neih harsatna thlen thei damdawi dang i neih chuan.
Hetiang high-risk situation i neih chuan duhthlan tur dang ngaihtuah ngai suh. I tan hmun him ber chu damdawi in hi a ni.
Mahse, nu hrisel, naupang tak, naute pakhat awmna i nih a, high-risk condition dang i neih loh chuan birth center concept hi i tan a fit tha hle mai thei. Chutiang hmun i thlan chuan emergency a awm chuan damdawi ina sawn theihna tur kalphung chiang tak an neih ngei ngei tur a ni.
Damdawi inah pawh i nau neih dan tur ruahmanna i siam thei (Birth Plan) .
"Aw, damdawi inah hian kan duh angin thil kan ti thei lo," tiin ngaihtuah suh. I doctor nen inbiain i duhzawng i hrilh thei bawk. Hei hi ‘Birth Plan’ an ti a.
Entir nan:
- Epidural i mamawh em, i mamawh lo em ni?
- Ka naute umbilical cord cut hi ka tikhawtlai tur em ni? (cord cutting tihkhawtlai) .
- I tana pawimawh dang eng pawh.
I dilnate hian nangmah emaw, i naute emaw tan hlauhawmna a thlen loh chuan medical team chuan an zah ngei ang.
Take-Home Thuchah a ni
- Nau neihna tur hmun thlan chu i hriselna dinhmun leh i naupai theihna tur risk level-ah a innghat vek a ni.
- Hospital hian medical emergency eng pawh atan himna leh facility sang ber a pe a ni. Naupai hlauhawm tak tan chuan a him ber a ni.
- Birthing Center hi nu naupai hlauhawm lo zawkte tan thilsiam, zalen zawk leh in ang deuha nau neih theihna hmun a ni.
- A pawimawh ber: Thutlukna i siam hmain i doctor nen heng duhthlan turte hi sawipui hmasa phawt ang che. Nang leh i naute tan eng nge tha ber leh him ber tih chu a hnenah sawipui rawh.
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