He naute neihna zinkawng mawi tak (Normal Labour and Delivery) hi i zir chiang ang u

Thla tam tak chhung i lo nghah ni chu a lo thleng dawn ta. I naupang tê he khawvela a lo kal ni atan hian i kut zungtang i cross a ni mai thei. Khualzin zawng zawng hi a mawi em em laiin, tlem chuan hriat duhna leh hlauhna tlem a awm chu thil pangngai a ni. Chuvangin, vawiin hian naute neih duhna i neih tan tirh atanga i naute thar nen ni hmasa ber thlenga i beisei tur kan sawi dawn a ni.

Ruahtui tlak hun a hnai tawh tih hriattirna engte nge ni?

Engtikah nge i naute i neih dawn tih chiang takin tumahin an sawi thei lo. I doctor-in ‘due date’ a pek che kha approximation mai a ni. Chumi ni hma kar thum emaw, a hnu kar hnih hnuah emaw nau neih tan hi thil awmze nei tak a ni. A hnuaia symptoms te hi i tawng a nih chuan nau neih hma rei vak lo tihna a ni.

Labour stage lian pathumte chu

Nau neih hi a tlangpuiin stage lian pathum-ah then a ni. Nu tin ten heng stage an paltlang hun chhung hi a inang lo thei. Chuvangin lungngai suh.

Stage 1-na a ni

Hei hi stage rei ber a ni. Tin, hmun thum dangah then a ni bawk.

• Latent phase: Hetiang stage-ah hian contractions hi a na lo hle. Mahse, zawi zawiin an pung zel a ni. Hetih lai hian naute chhuahna tur hmun siam turin serh (cervix) chu a inhawng zauh zauh (dilating) a ni. I contraction te hi a regular a nih chuan he stage chhung hian damdawi inah dah theih i ni.
• Active phase: Hei hi i serh (cervix) a dilate chak tan lai a ni. I hnungzang emaw, i pum emaw-ah natna nasa tak emaw, pressure emaw i nei thei a, i inzawm apiangin. I nawr duhna chu i nei mai thei a, mahse i doctor-in a tih che hma chu nghak rawh.
• Transition phase: Hetih lai hian serh hi centimetre 10 a ni a, chu chu a dilated kim tihna a ni. Contraction te hi a na hle a, a na hle a, a awm fo bawk. Minute 3-4 danah an lo kal thei a, second 60-90 vel an daih thei bawk.

Stage 2-na a ni

He stage hi i cervix a dilated kim vek atanga tan a ni. Hei hi i doctor chuan "push" turin a hrilh ang che. I nawrna leh i contraction chakna chuan i naute chu birth canal hnuaiah a hruai thla thei ang. Naute lu hian hmun nalh tak tak (fontanels) a nei a, chu chuan he kawngpui zau tak hi a paltlang awlsam phah a ni.

Naute lu zau ber chu vaginal opening atanga a chhuah chuan crowning kan ti thin. Naute lu a chhuah veleh doctor chuan naute hnar leh ka atanga tui, thisen leh mucus tam lutuk chu a paih chhuak ang. Tichuan, i nawr chhunzawm zel chuan naute kekawrte leh taksa chu a lo chhuak ang.

Stage 3-na a ni

I naute i hrin hnuah nau neih hnuhnung ber i lut ta a ni. Hei hi nausen pum chhunga naute ei tur pe tawh nausen (placenta) a lo chhuah hun a ni.

Pian apiang hi a danglam vek tih hre reng ang che. Heng stage hrang hrang paltlang hun chhung hi a inang lo hle. I naute hmasa ber a nih chuan darkar 12-14 vel a daih thei tlangpui. He hun hi naute pahnihna leh pathumna tan chuan a tawi zawk dawn a ni.

Arthritis natna atan hian eng nge tih theih ang?

Nau neih rei zawng ang bawkin, mi tin hian natna an tawn zat pawh a inang lo. Naute dinhmun, a lian leh te, a inzawm chakna ang chi thilte hian a natna chu a nghawng thei a ni. Nu thenkhat chuan thawk chhuahna exercise leh relaxation technique hmangin natna an tuar thei a, thenkhat erawh chuan hmanraw dang an mamawh thung.

Damdawi hmanga natna enkawl dan

Natna tihdam nan damdawi chi hrang hrang hman a awm a. Hengte hi nu leh naute tan pawh a him ber a ni. Painkiller hi chi hnih a awm a, chungte chu :

• Analgesics: Hengte hian sensation tihbo vek lovin natna a tihziaawm chauh a ni.
• Anesthetics: Hengte hian natna zawng zawng a ti bo vek a, natna pawh a ti bo vek.

Tunlai hian epidural blocks (or spinal blocks ) hi a lar hle. Chûngte chuan i taksa hnuai lam a ti na a, natna pawh nasa takin a tiziaawm bawk. Hei hi i doctor nen in sawiho hmasa thei ang.

Ruihhlo hman loh duhthlan tur

Acupuncture, hypnosis, thawk dan, leh dinhmun nuam tak tak hmanga natna tihziaawm theih a ni. Heng zinga pakhat i thlang a nih pawhin nau neih laiin engtik lai pawhin natna damdawi dil theihna i nei a ni.

Naute i neih hnuah i taksaah eng nge thleng?

Naute i neih hma leh i neih hnu ang bawkin i taksa hian inthlak danglamna tam tak a paltlang thin.

Taksa lamah chuan heng thilte hi i tawng thei a ni:

• Stitch awmna hmuna natna: Naute chhuah awlsam zawk nan doctor chuan vagina leh anus (perineum) inkar hmunah hian cut te tak te (episiotomy) a siam thei. A nih loh leh, chu hmun chu a mah chauhin a chhe thei bawk. Heng hmuna stitches hian kea kal, thut, khuh emaw, thawk hah emaw hian a ti na thei a ni.
• Hnute na: Nau hnute i pek hmasak ber ni engemaw zat chhung hian i hnute chu a hring thei a, a khauh thei a, a na thei bawk. I hnute pawh a na thei bawk.
• Hemorrhoids natna: 1.1.Naupai hnuah hnute chhehvela thisen kalna (veins) a hring chhuak fo thin.
• Constipation: Stitches, hemorrhoids, leh muscle na te hian ni engemaw zat chhung chu bowel movement neih a ti harsa thei hle.
• Khawsik leh khawsik: Hormone level leh thisen kal dan inthlak danglam hian darkar khat chu i thawmhnaw a tichhuak thei a, a dawt lehah chuan i khur thei bawk.
• Zun emaw, ek emaw control harsa: Nau neih laiin taksa ruh (muscles) a inzawm tlat avangin i nuih emaw, i khuh emaw hian zun engemaw zat i leak thei a ni. Hei hi rei vak lo hnuah a bo tawh ang.
• "After pains": I uterus chu a original size-a a lo tlahniam leh avangin ni engemaw zat chhung chu cramping sensation tlem i nei thei. Hei hi hnute i pek lai hian a langsar zawk mai thei.
• Vaginal discharge (Lochia): Nau neih hnu hian thlasik lai aiin thisen a luang rit zawk. Hun a kal zel a, hei hi rawng dum emaw, sen emaw-ah a inthlak a, thla hnih chhungin a tawp vek a ni.

Rilru lamah chuan naute i neih hnu ni emaw, kar engemaw zat emaw chhung hian "baby blues" i nei thei a, chu chu thinrimna, lungngaihna leh tap pawh a ni. Hei hian nu thar 80% thleng a nghawng a ni. Hei hi hormone inthlak danglamna, stress, leh mawhphurhna thar nen a thleng fo thin.