I nunah ni mawi ber a hnaih meuh chuan i hlimna nen hian hlauhna leh thil hriat duhna tlem i neih chu thil pangngai a ni. "Naute a lo pian hunah engtin nge natna chu a awm ang?", "Eng chen nge a daih ang?", "Eng nge ka tih ngai?" I rilruah zawhna tam tak i nei ngei ang. Chuvangin vawiin hian nau neih laiin thil thlengte kan sawi dawn a, chu chu nau neihna stages te hi a ni . Heng thilte hi hriatthiamna tha tak i neih hunah chuan chu hun chu hmachhawn turin chakna nasa tak i nei ang.
Hnathawh chu eng nge ni?
A awlsam zawngin, nau neih chu i taksain i naute khawvela a lo kal theih nan a pianphung anga a inbuatsaih dan a ni. I uterus chu a inzawm tan ta. Hei hi ‘labor’ emaw ‘contraction’ emaw kan tih chu a ni. Nu vawi khatna atana nu tan chuan he thil tih zawng zawng hi darkar 12 leh 24 inkar a ni thei tlangpui. Mahse, a hnu lama delivery erawh chu a rang zawk thei hle.
Mi zawng zawng thil tawn hi a inang vek lo tih hre reng ang che. Mi thenkhat chuan naute an nei thuai a, thenkhat chuan rei vak lo an la thin. Chu chu thil pangngai tak a ni.
Nau neih hi stage lian pathum-ah a thleng thin. Tunah chuan heng stage tinte hi a hranin han thlir ila.
Stage hmasa ber: cervical dilation hun chhung
Hei hi nau neih hun rei ber a ni. A chang chuan darkar 20 vel a daih thei bawk. He stage hi i serh a zau tan atanga tan a ni a, centimetre 10 thlenga a zau kim thlengin a kal zel a ni. Hetiang hian naute a lo chhuak thin. He stage hmasa ber hi stage tenau zawk pathum ah then a ni.
| Hunbi | Eng thil nge thleng a, engtin nge a awm tih | Thil i tih theihte |
|---|---|---|
| Latent Phase a ni | Cervix hi centimetre 0-6 vel a zau a ni. Contraction hi a tir lamah minute 15-20 danah a lo thleng a, zawi zawiin minute 5 danah a tlahniam thin. A na chu tuar theih a ni. Pink discharge a awm thei bawk. | In lamah awm rawh. Zawi zawiin kal rawh. Position thlak fo thin ang che. Thâwk lakna exercise ti rawh. Inbual lum la (i tui a chhe a nih chuan doctor zawt rawh). Fluids in tur a ni. Damdawi in lama i hruai tur thilte chu buatsaih rawh. |
| Active Phase a ni | Cervix hi centimetre 6-8 vel a zau a ni. Tunah chuan contractions te chu a nasa tawh hle. Minute 3 danah an lo kal a, second 45 vel an daih. Back pain a pung thei. Vaginal bleeding (thisen chhuak) a pung thei. Amniotic membrane pawh a chhe thei bawk. | Hei hi damdawi ina i kal tlangpui hun a ni. Hmun hrang hrang thlak danglam. Khup leh kut leia dah hian hnungzang natna a tiziaawm thei a ni. Natna nei lo i nih thlengin kal rawh. Zun fo thin ang che. Thâwk lak chhunzawm zel ang che. |
| Transition Phase a ni | Cervix hi a zau zawngin centimetre 8-10 vel a ni. Hei hi a hrehawm ber a, mahse a tawi ber (minute 15 vel - darkar khat vel) pawh a ni. Contraction hi minute 2-3 danah a lo thleng a, minute khat vel a awh thin. Pum duhna nasa tak i nei a. | I doctor-in a tih hma loh chuan nawr suh. Hman hma lutuk hian i serh chu a ti hring thei a, a tikehsawm thei a, nau neih a tikhawtlai thei bawk. Natna tinreng ngaihven rawh. Natna apiang hian i naute chu a hnaih tir che tih hre reng ang che. |
Damdawi in i kal hian eng nge thleng thin?
Active phase chhunga damdawi ina i kal chuan i thisen sang, pulse leh temperature te a check ang. I pum chhungah monitor dah a ni ang a, chu chuan i naute thinlung thawk dan leh uterine contractions te a teh ang. Doctor emaw nurse emaw chuan i cervix chu engtiang chiahin nge a inhawng tih a enfiah ang. A tul chuan i kut ah intravenous (IV) line dahin damdawi emaw tui emaw pek theih a ni.
Stage hnihna: He khawvelah hian naute lo kal a hun ta!
He second stage hi i cervix chu centimetre 10 thlenga a zau vek atanga tan 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.
Tuna i hriat contractions te hi a danglam deuh hlek. Minute 2-5 danah an lo kal a, second 60-90 vel an daih. Nasat zawka nawr duhna i nei.I hre mai ang. Tunah chuan i turn a ni ta. Doctor emaw nurse emaw in nawr turin a tih che chuan thawk la la, nawr na takin nawr rawh. Contraction inkar ah a theih ang anga chawlh hahdam rawh.
Thattamana tanpui theihna tur tips te te
- Position hrang hrang hmang rawh: A chang chuan i hnungzang a mut ai chuan i sir lama mu emaw, ke pakhat chawi sang emaw, khup hrual emaw a awlsam zawk.
- I thawk hmang rawh: I insiam hmain thawk la la, i thawk zawh chuan thawk chhuak rawh.
- I taksa pum pui hmangin nawr rawh: A theih ang angin hmalam pan la, i taksa pum hmangin nawr rawh.
Hetiang dinhmunah hian a tul chuan natna damdawi pek theih a ni a, vagina hawnna chu tlem a lian deuh turin incision te tak te (episiotomy) siam theih a ni bawk. He incision hi naute nau neih vat a ngai a nih chuan emaw, vaginal walls te chu a chhe nasat loh nan emaw a tul thei a ni.
Naute lu chu pelvis kal tlanga a chhukna hmun chu ‘station’ an ti a, number te nen. Naute lu chu pelvis-ah a lut a, a laiah chiah a awm chuan ‘zero station’ an ti a. Hei hian i hnathawh kal zel dan tur a teh thei a ni.
I naute a pian veleh doctor chuan naute lu chu tlem a vawn tlat ang a, bulb syringe te tak te hmangin naute hmui leh hnar atanga thil chhuak awm zawng zawng chu a suction chhuak ang. Chumi hnuah naute chu i pum chungah dah a ni ang a, a hnu rei vak lovah umbilical cord chu a tan ang. Hei hi i nunah hun duhawm ber a ni ang!
Stage Pathumna: Nausen Nau neih dan
He stage hi naute pian hnuah a intan thin. Hei hi uterine wall-a inzawm tawh placenta chu a inthen a, vagina kaltlangin a chhuak a ni. Hei hi ‘afterbirth’ an ti bawk.
Ngaihtuah buai suh, hei hi nau neih hun tawi ber leh hrehawm lo ber a ni. Minute tlemte atanga minute 20 vel chauh a ni.
Tlemte chuan i la cramp deuh ang a, mahse a hma angin a na lo ang. He placenta a chhuah hnuah hian episiotomy emaw, mittui te te i neih chuan he stage-ah hian a stitch up ang.
Take-Home Thuchah a ni
- Nau neih hi thil awmdan pangngai a ni. Chumi atan chuan i taksa chu a inbuatsaih tha hle a ni.
- Nau neih hi stage bik pathum a awm a. Anmahni hriat chian chuan rilru lama chakna i neih theih nan a pui ang che.
- Stage hmasa ber (Latent Phase) tan tirh lamah chuan in lamah awm la, a theih ang anga chawlh hahdam rawh.
- Natna a lo thlen chuan hlauthawng suh la, thawk lakna exercise la la, i pianpui kawppui hnen atangin tanpuina la rawh.
- Doctor leh nursing staff ten thupek an pek ang chiah kha zawm rawh. Dawhthei takin awm la, a bik takin zun tura an tih hunah.
- Tlemte apiang hian i naute chu a hnaih tir che tih hre reng ang che. Chu chu i tan chakna petu ropui tak a ni ang.
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