Naute i beisei em? Delivery chi hrang hrang i zir vek ang u.

I naute lo thlen ni a hnaih deuh deuh chuan i phur a, i lungkham deuh thei bawk. Chutih rual chuan i naute i neih huna thil thleng tur chungchangah pawh tlem i buai thei bawk. Chu chu thil pangngai a ni. Nu tam zawk chuan an naute chu an suangtuahna, mawi leh nuam taka khawvela hruai luh an beisei. Mahse nau neih laiin eng nge thleng dawn tih erawh kan sawi lawk thei tak tak lo. Chuvang chuan naute hrin dan hrang hrang hi hriat chian a pawimawh hle.

Nausen hrin dan tlangpui engte nge ni?

Nau neih dan kawng hrang hrang a awm a. I doctor chuan i hriselna leh i naute hriselna a zirin eng method nge i tan leh i naute tan a tha ber tih a rel ang. A hmanraw lian ber berte han thlir ila.

• Vaginal Delivery: Hei hi ‘normal delivery’ tia kan hriat vek a ni.
• Assisted Vaginal Delivery: A chang chuan naute hi vacuum emaw forceps emaw ang chi hmanrua hmanga nau neih a ngai thin.
• Cesarean section (C-section / Cesarean Birth): Nausen surgery hmanga lakchhuahna a ni.
• Vaginal Birth After Cesarean (VBAC): Nu pakhat, cesarean section hmanga nau neih hmasak ber , a nau neih leh tur chu vaginal hmanga nau neih tum mek a ni.

Chuti a nih chuan heng zingah hian eng method nge tha ber?

A awlsam zawngin, damdawi lam chhan a awm loh chuan, a him ber leh tha ber chu vaginal delivery a ni . Khawvel hmun hrang hranga medical organization leh doctor tam tak chuan he method hi an rawt a, a chhan chu natural method ber a nih vang a ni.

Vaginal delivery chungchang hi zir belh rawh

Hei hi ‘normal delivery’ kan tih chu a ni. I naute chu i vagina (birth canal) hmangin khawvelah a rawn lut a ni. Hetiang nau neih hi naupai kar 37 leh kar 42 inkarah a thleng tlangpui. Hetiang kalphung hi a bulpui pathum a awm a, chungte chu nau neih, nau neih leh nausen nau neihna te an ni.

Nau neih pangngaiin eng nge a thatna?

• Dam chak zawk: Cesarean section aiin i dam chak zawk thei. Hei hian i tho thei a, i kal kual thei a, i hna i thawk thei a, i naute nen hun i hmang thuai thei tihna a ni.
• Nang leh i naute tan pawh a him: Damdawi lama harsatna a awm loh chuan hei hi a hlauhawm lo ber a ni.
• Infection risk hniam: Surgery a awm loh avangin kai theihna chance a tlem hle.
• Naute tan pawh hlawkna tam tak a awm a:Hetianga nausen piangte hian thawk lama harsatna an nei tlem a, an taksa hriselna (immune system) pawh a chak bawk.
• Nau hnute pek awlsam zawk: Hetiang hian nau hnute pek tan leh hlawhtling taka chhunzawm a awlsam zawk tlangpui.

Nau neih pangngai chu chi hnih a awm thei a:

1. Spontaneous Vaginal Delivery: Hei hi pianphung anga nau neihnaah i kal a, i naute i hrin hun a ni a, damdawi leh pawn lam tanpuina tel lovin. Naupai kar 40 velah hetiang hian nau neih tan a tha ber.

2. Induced Vaginal Delivery: A chang chuan i doctor hian damdawi emaw, kawng dang emaw hmangin i nau neih tan a ngai mai thei. Hei hi zunthlum, thisen sang ang chi damdawi lam harsatna i neih chuan emaw, i nau neih hun tur hnua i nau neih theih loh chuan tih theih a ni. Hei hi a tlangpuiin damdawi Pitocin (natural hormone Oxytocin nen a inang) hman a ni.

Assisted Vaginal Delivery hi eng nge ni?

Ngaihtuah teh, rei tak i bei a, naute i nawr a, i chau hle. A nih loh leh doctor chuan naute chu harsatna engemaw takah a awm tih a hmu a. Hetiang hunah hian naute him tak leh rang taka chhuah tir turin tanpuina tlem i mamawh a ni.

Hetah hian doctor chuan ``Forceps`` (tongs ang hmanrua) emaw ``Vacuum`` (vacuum cup) emaw tih hmangin naute lu chu zawi zawiin a man a, a pui chhuak thin. Hei hi damdawi lam thil mamawh thenkhat tihhlawhtlin a nih chauhvin tih thin a ni.

• Forceps Delivery: Hei hi spoon lian pahnih ang deuha siam a ni. Naute lu sir lam chu zawi zawiin a man a, i nawr laiin naute chu a chhuah tir thei bawk.
• Vacuum Extraction Delivery: Hetah hian naute lu chungah plastic cup te tak te, nem tak dah a ni a, chuta pump inbun chuan vacuum (suction) te tak te a siam a. Tichuan, i nawr lai chuan doctor chuan naute chu chhuah tir turin zawi zawiin cup chu a la chhuak a.

Heng hmanraw pahnih zinga pakhat hi chu a hun laia thil awmdan leh doctor-in a tawnhriat a zirin thlan a ni.

Cesarean section (C-section) chungchanga hriat tur awmte

Cesarean section hi surgical procedure a ni a, i naute hrin nan i pum leh nausen pum chhungah incision siam a ni. Cesarean section hi chi hnih a awm a, chungte chu planned C-section leh emergency C-section .

Hemi chungchang hi a hnuaia table atang hian chiang takin i hre thei ang.

Cearean section tih a hlauhawmna

Surgery dang ang bawkin cesarean section hian hlauhawmna engemaw zat a keng tel a ni. Nau neih pangngai aiin a hlauhawmna a sang deuh hlek a ni.

• Kaichhawng.
• Thisen chhuak nasa tak a chhuak.
• Vein pakhatah embolism (thisen chhuak) a awm.
• Intestine emaw bladder emaw a chhiat.
• Dam rei zawk leh damdawi ina awm rei zawk.

VBAC (Cesarean Section hnua Vaginal Delivery) tih hi eng nge ni?

Hei hi nu tam takin zawhna an neih a ni. "Cesarean section hmangin ka naute hnuhnung ber ka nei a. Ka naute lo awm tur chu vaginal hmangin ka nei thei lo em ni?"

Thu lawmawm tak chu, a ni, a theih! Hei hi VBAC (Vaginal Birth After Cesarean) kan tih chu a ni.

Mahse hei hi mi zawng zawng tan thil theih a ni lo. A hmaa cesarean section atanga i uterus-ah scar i neih avangin, nau neih leh turah naute pressure avang hian uterine rupture hlauhawmna a tlem hle a, mahse a lian hle.

Chuvangin, doctor chuan VBAC atan i tling em tih chu thil engemaw zat a zirin a rel ang.

• I cesarean section hmasa khan transverse incision hniam tak i neih chuan VBAC i neih a rinawm zawk. Hei hi tunlaia incision chi khat hman tlanglawn tak a ni.
• I nausen pum chhungah hliam dang emaw, thil danglam bik emaw i neih loh chuan.
• Nau piang pangngai i lo neih tawh chuan VBAC hlawhtling tak neih theihna chance a tipung a ni.
• Uterine rupture ang chi hi a hmain a lo thleng tawh a nih loh chuan.

Hemi chungchangah hian i doctor chauhvin thutlukna tha ber a siam thei a , chuvangin i duh dan leh i damdawi lam record te chu a hnenah sawipui rawh.

Nau neih chungchanga thu pawimawh tlemte

Nau neih laiin thumal dang tlemte i hriat tur chu i zir mai ang u.

Episiotomy tih a ni

A châng chuan, naute lu chhuak thei tûr khawpa vaginal opening a zau lo a nih chuan, doctor chuan a hrual loh nan cut tlem a siam ang. Hei hi ``Episiotomy'' an ti a, mahse tunlai hian hei hi tih a ni lo va, a tul tak tak a nih loh chuan.

Amniotomy - tui bawm tihchhiat

Amniotic sac, amniotic fluid-a khat, naute hual vel chu ‘tui bag’ kan tih hi a ni. A châng chuan nau neih chak zawk nan emaw, naute dinhmun enfiahna hmanrua dah nan emaw doctor chuan artificial takin he sac hi a tichhia ṭhin. Hei hi ``Amniotomy'' an ti a.

Fetal Monitoring neih a ni

Nau neih chhung zawng hian naute thinlung thawk dan enfiah chhunzawm zel a, naute dinhmun leh harsatna a awm leh awm loh enfiah a ni. Hei hi kawng hnih in tih theih a ni.

• External Monitoring: I pum chungah strap pahnih dah a ni a, pakhat chuan naute thinlung thawk dan a enfiah a, pakhat chuan ``CTG - Cardiotocography'' machine hmangin i contraction a enfiah bawk.
• Internal Monitoring: Thil bik thenkhatah chuan tui bag a chhe hnuah naute lu vunah electrode te tak te an dah a, chu chuan a thinlung thawk dan dik zawk a teh thin.

Natna chungchang pawh sawi ila: Eng method nge na ber?

Hei hi mi hrang hrangah a inang lo tak zet a ni. Hei hi thil tam takin a nghawng a, chu chu mi pakhatin natna a tuar theih dan leh natna tidamtu damdawi a hman leh hman loh te hi a ni.

Natna tihreh dan tlangpui pahnih a awm a, chungte chu:

1. Damdawi tel lova natna hmachhawn (Drug-free emaw Natural Delivery):Thâwk lakna exercise leh posture hrang hrang enchhin ang chi thil hmanga natna enkawl tum.

2. Natna damdawi hman dan:

• Epidural: Hei hi hmanraw lar ber a ni. I hnungzang chhungah tube te tak te dahin i natna chu a ti reh thei. Hei hian i taksa hnuai lam a ti na a, natna a tiziaawm bawk. Mahse, i la conscious reng a ni. Vaginal birth leh cesarean section atan pawh hman theih a ni.
• Anesthetics: Cesarean section an tih lai hian spinal anesthetic an pe tlangpui. A nasat lutuk chuan nu chu a rilru a buai vek thei general anesthesia pawh hman theih a ni.

A tlangpuiin, nau neih chu eng ang pawhin hrehawm mah se, cesarean section hnuah dam leh hun chhung chu a na zawk a, a nuam lo zawk bawk . Vaginal delivery hnuah pawh recovery a rang zawk hle.

I pianna hi i tan chuan thil tawn danglam tak a ni. Naupai lai hian heng zawng zawng hi hriat chian a pawimawh hle a, i zawhna zawng zawng, hlauhthawnna leh beiseina zawng zawng te doctor nen sawiho a pawimawh hle. Tichuan rilru lamah i inbuatsaih thei ang a, thutlukna tha ber leh him ber i siam thei ang.