I naute hi a piang thuai dawn em? Nau neihna stage hrang hrangte hi chiang takin i zir ang u.

I nunah ni duhawm leh harsa ber chu naute i hrin ni hi a ni. Chu hun a hnaih meuh chuan hlimna nasa tak nen chuan tlem tal hlauthawng leh lungkhamna awm chu thil pangngai tak a ni. "Nau ka hrin hunah eng nge thleng ang? Eng chen nge a daih ang? Eng ang nge ni ang?" Hengte hi i rilru chhunga zawhna tlan chhuakte chu a ni mai thei. Chuvangin vawiin hian nau neih dan tur stages , naute neih dan tur kan sawi dawn nia. Chu chu i hriat chuan he zinkawng hmachhawn turin inrintawkna leh chakna nasa tak a pe ang che.

A awlsam zawngin, nau neih chu taksain naute pian theihna tura a pianphung anga a inbuatsaih dan a ni. Nu hmasa ber tan chuan he thil hi darkar 12 leh 24 inkar a ni tlangpui. Mahse, a hnu lama nau neih hi a rang zawk tlangpui. A kalphung zawng zawng hi stage lian pathum-ah then theih a ni.

Stage hmasa ber: Nau neih tan atanga cervix a dilated kim thlengin

Hei hi nau neih hun rei ber a ni. Darkar 20 thleng a daih thei. I serh a zau tan atanga tan a ni a, centimetre 10 thlenga a zau kim chuan a tawp thin. He stage hmasa ber hi stage tenau zawk pathum-ah then leh a ni.

1. Early emaw Latent Phase emaw

Hei hi nau neih tanna a ni. A tirah chuan contractions light tak, tolerable tak tak i nei thin. Minute 15-20 danah an lo kal a, second 60-90 vel an daih. Hun a kal zel a, heng contraction inkar hi a tawi deuh a, minute 5 aia rei lovah an lo kal tan thin. He natna hi i serh chu a zau zauh zauh a , a bo vek bawk . Hei hi naute chhuah theihna tur hmun siam nan a ni. Hetih lai hian i serh chu centimetre 0 atanga 6 inkar a inhawng thin. I vagina atang hian clear emaw light pink emaw discharge i hmu thei bawk.

He stage hi darkar tam tak, ni tam tak pawh a daih thei a, chuvangin in lama awm a, chawlh hahdam a tha ber a, hlauthawng lovin.

Hetih lai hian i tih theih turte:

• Kal chhuak rawh.
• Position thlak fo thin ang che.
• I thawk dan leh chawlh hahdamna exercise tih thin kha chhunzawm zel rawh.
• Inbual lum takin inbual rawh. Mahse, i tui a chhe tawh a nih chuan inbual hmain doctor rawn hmasa phawt tur a ni.
• A theih chuan chawlh hahdam deuh rawh.
• Fluid tam tak in la, chaw ei tur light tak ei bawk ang che.
• Damdawi in lama i hruai tur thilte chu buatsaih rawh.

2. Active Phase tih a ni

Hetiang dinhmunah hian serh chu centimetre 6 atanga 8 thlenga tihzauh a nih chuan a inzawmkhawmna chu a chak zawk thin . Tunah chuan minute 3 danah an lo kal a, second 45 vel an daih. I hnungzang na, thisen chhuak vaginal discharge ("Bloody Show ") pawh a pung thei bawk. Hetih lai hian i tui a chhe a nih chuan a natna chu a zual nghal mai thei.

He stage hi darkar 4 leh 8 inkar a ni tlangpui. Tunah chuan natna enkawl dan tur i ngaihtuah tawh avangin tlem chuan i buai hle mai thei. Hetih lai hian support person pakhat thlawpna hi a hlu hle.

Damdawi in i kal chuan i pulse, thisen sang, temperature leh temperature te an enfiah ang. I pum chungah monitor dah a ni ang a, chu chuan i naute thinlung thawk dan leh uterine contraction te a enfiah ang. Doctor chuan i serh (cervix) pawh a enfiah ang a, i nau neih chhung chu eng chen nge a hlat tih a enfiah ang. A tul chuan i kut ah IV line dahin tui emaw damdawi emaw pek theih a ni.

3. Hrilhfiahna Phase

Hei hi nau neih hun tawi ber, mahse a hrehawm ber a ni . Cervix hi centimetre 8 atanga 10 thlenga a zau kim theih nan minute 15 atanga darkar khat vel a ngai a ni. A natna hi minute 2-3 danah a lo thleng a, minute khat vel a ni. I rectum-ah pressure i nei thei a, i hnungzang pawh a na thei bawk.

Hetih lai hian, nawr duhna nasa tak i nei mai thei . Mahse i doctor-in a tih hma loh chuan nawr ngai suh . I serh a inhawng kim hmaa i nawr chuan a hring thei a, a chhe thei a, a kalna zawng zawng a tikhawtlai thei bawk.

Second stage: Naute he khawvela a lo luh lai hian (Delivery) .

Stage pahnihna chu i serh (cervix) chu centimetre 10 thlenga a zau kim chuan a intan thin. He stage hi naute chu birth canal atanga a chhuah thlengin a awm thin. Hei hian darkar 2 emaw a aia rei emaw a daih thei.

Tuna i natna hi a vawi khatna nen chuan a danglam deuh hlek. Natna inkar hun hi minute 2-5 vel a ni tawh a, second 60-90 vel a ni. Natna a lo thlen apiangin nawr duhna nasa tak i nei thin. I doctor-in a hrilh ang chiah khan i nawr a ngai a ni. Natna awm loh laiin a theih ang anga chawlh hahdam rawh.

Push-na atana pui thei tur tips:

• Position hrang hrang - squatting, sir lam hawi leh ke pakhat chawi sang chunga thu ang chi te hi han en teh.
• Natna apiangah leh natna apiangah thawk thûk takin la rawh.
• I nawr dawnin i taksa chu a theih ang anga curl rawh. Hei hian i taksa ruh zawng zawng a pui ang.

Hetih lai hian a tul chuan natna damdawi pek i ni thei bawk. Tin, episiotomy , vagina leh anus inkar a cut te tak te, vaginal opening tihzauh nan te, naute nau rang tura pui turin emaw, nausen a hrual nasat loh nan emaw i tih a ngai thei bawk.

Naute a pian veleh doctor chuan naute lu chu a vawn tlat ang a, ka leh hnar atanga mucus leh fluid awm zawng zawng chu zawi zawiin a paih chhuak ang. Chumi hnuah naute chu i pum chungah dah a ni ang a, umbilical cord chu rei lo teah a tan ang.

Third Stage: Nausen pianpui (placenta) nau neih dan

Stage pathumna chu naute pian hnuah a intan thin. Hei hi uterine wall-a innghat placenta chu a inthen a, vagina kaltlangin a chhuak a ni . Hei hi "nau piang hnu" an ti bawk. Hei hi nau neih hun tawi ber a ni. Minute tlemte atanga minute 20 vel thleng a daih thei. Natna engemaw zat i la nei tho ang, mahse a hma angin a na lo ang. Episiotomy emaw, mittui te te i neih chuan hetih lai hian a sewn up ang.

Nau neih dan stage hrang hrangte chu a mitthlaah hriatthiam theih nan he table hi en rawh.