Naute a rawn tlai em? Due date a liam tawh em? Hemi chungchang hi han sawi ila!

I due date atan i kut i cross tih ka hria. Mahse, a chang chuan naute hi a tlai deuh thin. Chutiang thil a thlen chuan i rilruah thil tam tak a awm chu thil pangngai a ni. Mahse, lungngai suh, hei hi i sawi dik ang u. A tam zawkah chuan, a bik takin i naute hmasa ber nen chuan doctor-in a puan ni vek a naute lo thleng hi a tlem hle. Nu thenkhat chuan kar hnih vel an nghah a ngai thin.

Doctor-in due date a pek chu a pelh chuan eng nge thleng ang?

A tlangpuiin, i nau neih hun atanga kar khat chhunga nau neih tan loh chuan i doctor chuan ‘non-stress test’ tih tir ang che . Hei hi naute lungphun leh naute chet dan enfiahin naute a tha em tih enfiah a ni. A chhunga naute hian, "Ka tha e, mom!"

A châng chuan, non-stress test nen hian ultrasound scan pawh tih theih a ni. Hei hian i naute chu a en tha zawk ang a, i naute chhehvela amniotic fluid awm zat pawh a enfiah thei bawk ang. Test inzawmkhawm chu biophysical profile an ti a . Heng test chungchang hi i doctor nen inbiakna neih a pawimawh a, chu chu an chungchang hriat belh a pawimawh hle. Chu chuan i hlauhthawnna a tiziaawm ang che.

Engtikah nge nau neih tan (induce labor) turin tanpuina i mamawh?

A chang chuan nute hian nau neih tan nan tanpuina tlem an mamawh thin. Hei hian labor chu ‘induced’ , emaw artificially induced a ngai mai thei tihna a ni. Hei hi nu emaw naute hriselnain a mamawh phawt chuan tih a ni. Chu thutlukna chu doctor chuan a siam a ni. Mi zawng zawng tan tih a ni lo.

Nau neih tir hi hlauh tur a ni lo tih hre reng ang che. Nang leh i naute venhimna atana tih a ni.

Tunah chuan hetiang hian nau neih a intan dan hi han en ila. Kawng hrang hrang a awm a:

1. Cervix puitling leh buatsaih dan

Hei hian naute chhuahna kawngkhar, naute chhuahna kawngkhar chu ti nem, tihthianghlim, leh buatsaih a huam a, chu chuan naute chu a luh awlsam theih nân a ni . Hei hi serh (cervix) ‘ripening’ an ti. Chutianga tih theih dan kawng hnih a awm a:

• Hormone hman dan: Nu chu prostaglandin tih hormone pek theih a ni. Hei hi vaginal tablet angin emaw, pill angin emaw pek theih a ni. He hormone hian serh chu a ti nem a, a inhawng tan thin.
• Tube te tak te (catheter) insertion: A chang chuan tube te tak te, ‘catheter’ an tih chu vagina kaltlangin serh chhungah an dah lut a, a tawp lama balloon ang chi te tak te chu zawi zawiin an inflated thin. Chumi hnuah chuan cervix chu zawi zawiin an inzawm khawm a, an hawng leh thin. Hei hi kawngkhar hawn zauh zauh ang mai a ni.

2. Membranes te chu Stripping

Hei hi a mak deuhin a lang thei a, mahse doctor-te hman thin technique a ni bawk. Heta thil thleng chu doctor chuan gloved finger chu vagina chhungah a dah a, chu finger chu amniotic sac leh uterine wall inkarah a pass a, chu chu a inthen ta a ni Hei hi ‘stripping the membranes’ an ti a.

Chutianga i tih chuan i taksa chuan prostaglandin tih hormone a siam ṭan a ni. Sawi tawh ang khan he hormone hian naute lo lut tur hian serh (cervix) a buatsaih thei a, a inzawm khawm (contraction) pawh a thlen thei bawk. Hei hi a nuam lo deuh thei a, mahse a hlawhtling hle fo.

3. I Tui Tihchhiat / Amniotomy

"Tui chhe" emaw "tui chhe" emaw tih hi i hre tawh mai thei. Hei hi doctor chuan naute chhehvel amniotic sac ah khur te tak te siam nan hmanraw bik a siam thin a ni . Hei hi damdawi lam chuan "amniotomy" an ti a.

I tui a chhe hnuah chuan chakna i nei tan tlangpui ang a, chu chu i contraction tan tihna a ni a, a nih loh leh i contraction awmsa chu a chak zawk ang. Hei hian i naute i hrin thuai theihna a tipung ang.

4. Nausen pum (uterine contraction) tichaktu

A châng chuan serh (cervix) chu a inpeih tawh a nih pawhin contraction a lo thleng dik lo va, tihchak a ngai ṭhin. Chutianga tih theih nan chuan nu chu IV line hmangin hormone oxytocin (brand name Pitocin ) an pe a, chu chu saline ang mai a ni.

He hormone hian nausen pum chu a ti hrual a, nau neihna (contraction) te chu a lo thleng tan ta a ni. Doctor leh nurse te hian nang leh i naute chu uluk takin an enkawl dawn avangin ngaihtuahawm tur a awm lo.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tak atang hian doctor-in due date a pek che kha i ngaihtuah a ngai lo tih i hrethiam mai thei.

• A tam zawkah chuan naute hi doctor appointment-ah ni khatah an lo kal ngai lo. Chu chu thil pangngai a ni.
• I doctor chuan nang leh i naute chu uluk takin a enkawl ang a , non-stress test leh ultrasound ang chi thil a hmang ang.
• A tul tak tak a nih chauhvin doctor chuan nau neih ‘induce’ turin thutlukna a siam ang . Chumi atan pawh chuan hmanraw him tak tak engemaw zat a awm bawk.
• I doctor nen engkim sawipui rawh. I zawhna leh hlauhna te zawt la. I tanpui turin an awm reng a ni.
• Positive takin awm rawh. I fa te chu ni rei lo te hnuah i kuah a lo awm tawh ang. Chumi hma chuan i rilru kha muang takin awm rawh.

Theihnghilh suh, naupai apiang leh nau piang apiang hi a danglam vek. I thil tawn chu i tan chuan a danglam bik ang. Nang leh i naute hi hlim tak, hrisel taka piang turin duhsakna ka hlan a che!

` Naupai hnua naupai, nau neih hnua nau neih, induction of labor, non-stress test, amniotomy, oxytocin, cervical ripening