Naute nei chungin ‘labor down’ hi a tha tak tak em? Hemi chungchang hi han sawi ila!

Nu ni tur i nih chuan tunlai hian nau neih chungchang hi i ngaihtuah a ni mai thei. "Engtin nge a nih ang? A na ang em? A tawp thuai ang em?" Vawiin hian mi tam takin an sawi chhuah kan sawi dawn a, nang pawhin i lo hre tawh maithei. Chu chu ‘Laboring Down’ an tih dan chu a ni. Mi thenkhat chuan "delayed pushing" an ti bawk. Eng nge a nih tak tak, a chunga thil thleng, a thatna leh that lohna te chu i en ang u.

‘Laboring Down’ hi eng nge ni tak tak?

A awlsam zawngin, ‘Laboring Down’ chu i serh chu a zau kim (centimetre 10 vel) a nih a , nau neihna stage hnihna i tan a, mahse darkar khat emaw darkar hnih emaw chhung chu i nawr tan lo . Hetiang hian ngaihtuah la, i taksa, i uterine contractions leh gravity te chu zawi zawiin i naute chu a hnuai lam pan tir la, a chhuahna zawng zawngah. Hei hi "passive descent" an ti bawk a, chu chu naute chu a mah chauhin a chhuk tihna a ni.

A tlangpuiin nu tam zawk chuan an serh chu centimetre 10 a zau a nih veleh an nawr tan thin. Chu chu nau neih hun pahnihna bul tanna a ni. Chutah chuan naute chu birth canal hnuaiah a kal tan ta a ni.

Mahse, nu thenkhat chuan second stage tan atanga darkar khat emaw darkar hnih emaw hnuah chuan nawr duhna an nei lo. Chutiang a nih chuan naute lu a lo lang tan (crowning) emaw, nawr duhna nasa tak i neih hma emaw chu i nghak mai thei. Hei hi ‘laboring down’ an ti a, chu chu i taksain hna tam zawk a thawh tir hian a ni. Uterine contractions hian gravity nen hna thawkin naute chu natural takin a ti hniam thei a ni.

‘Nau neih titawp’ turin epidural ka la thei ang em?

Ni e, epidural hmangin laboring down i la nei thei tho. Mahse hei hi a ni. I rilru ti na thei epidural chak tak i neih tawh chuan, nawr duhna pianpui chu i hre lo mai thei. Chutiang a nih chuan i doctor emaw, nurse emaw, i thlawptu tu emaw chuan nawr hun a ni tih a hrilh che a ngai ang.

Epidural i neih loh chuan natural takin nawr duhna i nei ang. Tichuan, ‘labor down’ i tum a nih chuan, nawr duhna chu tuar theih loh a nih hma loh chuan i chelh tlat mai a ni.

Mahse hetah hian thil pawimawh tak hriat tur a awm. Kum 2019 aṭang khan American College of Obstetricians and Gynecologists (ACOG) chuan epidural nei hmeichhiate chu nau neihtir an rawt tawh lo. An sawi dan chuan, pianphung anga nawr duhna i nei lo a nih pawhin, nau neih second stage i tan veleh i nawr tan nghal tur a ni. Hei pawh hi doctor nen in sawiho tur a ni.

He ‘Laboring Down’ tih dan hi engtiang chiahin nge a awm?

Labouring Down hi a takah chuan hmanraw hman tlanglawn tak a ni a, a bik takin nu nau neih hmasak berte zingah chuan. Labour hian eng chen nge a daih dawn tih leh eng ang nge a nih dawn tih chiang taka sawi a harsa hle. Chuvangin, labor hi a rei dawn a nih chuan mi thenkhat chuan laboring down hian energy a humhim dawn niin an ngai.

Tlâng lian tak i lawn dawn tih han ngaihtuah teh. Rang taka i kal zel chuan i chau thuai ang, a dik em? Mahse, chawlh tlem i la a, a inkarah chawlh tlem i la a nih chuan, kawng zawng zawng kal theihna tur chakna i nei ang. Laboring Down hi chutiang chu a ni deuh ber. Nau neih hi chakna ngah tak a ni. Chuvangin, mi thenkhat chuan hun tlemte hmang a, naute chu chhuk tir a, nu chuan a nawr a ngaih huna a hman tur chakna chu a khawlkhawm thei niin an ngai.

‘Delayed Pushing’ leh Immediate Pushing hi eng nge an danglamna?

‘Laboring Down’, a nih loh leh delayed pushing tih hian nau neih hmasak ber second stage-a nawr duhna rilruah inpe lo tihna a ni. A nih loh leh, zawi zawiin leh zawi zawiin a nawr thei bawk.

A lehlamah chuan nawr nghal tih awmzia chu i serh chu centimetre 10 a zau a nih veleh nawr tan tihna a ni. Hei hian a tlangpuiin i doctor emaw nurse emaw chuan i contraction apianga push dan tur a zirtir che a ni. Hei hi "directed pushing" an ti bawk.

‘Laboring Down’ hian eng hlawkna nge a neih?

Zirna hrang hrangah chuan darkar khat emaw darkar hnih emaw chhung nau neih chuan nau neih hun pahnihna chu darkar khat velin a ti rei thei tih a tarlang. Mahse, naute pian hmaa nuin a nawr hun zawng zawng chu minute 20 velin a tlahniam a ni.

Doctor thenkhat chuan labour down hian a hnuaia hlawkna te hi a nei niin an ngai:

• Nu chu nawr turin chakna a humhim thei a ni.
• Vaginal delivery pangngai neih theihna a tipung .
• Cesarean section (C-section) hian nau neih emaw nau neih lai emawa harsatna awm theihna a ti tlem a ni.

Mahse hengte hi doctor thenkhat ngaihdan chauh a ni a, zirchianna zawng zawng hian heng thilte hi a nemnghet vek lo.

‘Laboring Down’ hi a him tak tak em? Risk a awm em?

Hetah hian a pawimawh ber chu. Tun hnaia zirchianna hrang hrangah chuan delayed pushing hian immediate pushing aiin advantage bik a nei tih finfiahna a awm lo .

Dik tak chuan zirchianna thenkhatah chuan nawr tlai lutuk hi harsatna thlen theihna a tipung deuh thei tih hmuhchhuah a ni a, chungte chu:

• `Chorioamnionitis` tih a ni: Hei hi bacteria infection a ni a, naute chhehvel sac leh tui (amniotic fluid) ah a awm thin.
• `Postpartum Hemorrhage` : Hei hi nau neih hnua nu thisen chhuah tam lutuk a ni.
• Neonatal Acidemia : Hei hi nausen piang thar thisen acidity tihpunna a ni.

Heng hlauhawmnate hi hriat chian a pawimawh hle a, a chhan chu engkim hian thatna leh that lohna a nei thei a ni.

Chuti a nih chuan, engtin nge ka tan thutlukna dik ka siam theih ang?

Hei hi zawhna i zawh theih ṭha ber a ni. Nau neih hi i tan a dik em tih hriat theihna kawng tha ber chu i doctor, midwife leh nau neihpui tur te nen thawk hovin nau neih dan tur ruahmanna chiang tak siam hi a ni.

He thutlukna hi thil tam tak ngaihtuah hnua siam tur a ni a, chu chu i hriselna dinhmun, i naupai dan leh i duh dan te hi a ni. ‘Laboring Down’ hlawkna leh hlauhawmna te, i dinhmun a nghawng dan tur te sawiho hnuah thutlukna siam rawh.

Mi zawng zawng thil tawn hi a inang vek lo tih hre reng ang che. Mi pakhat tana hnathawk chu mi dang tan a thawk lo mai thei. Chuvangin midangte thusawi ngaihthlak a, i doctor nena inbia a, nangmah ngeiin thutlukna tha ber siam a pawimawh.

Chuti a nih chuan, he thil atang hian eng nge kan hruai haw ang?

Okay, chuvang chuan 'Laboring Down' chungchang hi kan sawi nasa hle. A tawi zawngin:

• ‘Laboring Down’ tih awmzia chu naute chu nau neih hun pahnihna a tan hnua a pianphung anga chhuk theihna tur a ni a, darkar khat emaw darkar hnih emaw chhung nawr lovin.
• Hei hian naute chu a chhuk thei a, nuin a nawr hun zawng zawng a tihtlem thei bawk.
• Mahse, zirchianna thar ber berte chuan he method hian hlawkna bik a nei lo tih a tarlang. Tin, harsatna thenkhat `(Chorioamnionitis)`, `(Postpartum Hemorrhage)`, `(Neonatal Acidemia)` te pawh a awm thei bawk.
• Tunah hian ACOG organization chuan epidural dawng mekte tan he hman dan hi a rawt lo.

A pawimawh ber chu i doctor nen hemi chungchang hi sawipui la, i nau neih dan tur ruahmanna i siam dawnin sawipui la, chutiang chuan nang leh i naute tan pawh thutlukna him ber leh tha ber i siam thei ang. Ngaihtuah buai suh, i medical team ten an pui ang che. Hlawhtling taka piang turin duhsakna kan hlan e!

` Laboring Down, Laboring Down, Nau neih, Naupai, Epidural, Pushing, Naupai lai (Stages of Labor) te