I labor pawh a tlai em? (Prolonged Labor) Hemi chungchang hi han sawi ila!

Nuin naute a neih dawn lai hian a beiseina lian ber pakhat chu he khawvela naute hrisel tak hrisel hi a ni. Mahse a chang chuan he hnathawh hi beisei aia rei deuhin a la ngai thei. Hei hi ' prolonged labor' kan tih chu a ni. Hei hi hriat chu a hlauhawm deuh thei a, mahse eng nge a nih chiang taka hriat chuan chu hlauhna chu a tihziaawm thei a ni.

Prolonged Labor tih hi eng nge ni?

A awlsam zawngin, nau neih rei tak chu naute chu a pianpui pangngai aia rei a pian hian a ni. Nu thenkhat chu darkar tam tak nau an pai hnuah pawh nau neihna stage dangah an chhunzawm thei lo. Hetih lai hian doctor-te thil tum ber chu nang leh i naute hrisel taka awmtir leh him taka naute hrin theihna tura puih hi a ni.

Hun rei tak hnathawhna anga ngaih a nih theih nan darkar engzat nge a mamawh?

Atlangpuiin,

• Fa hmasa ber nei nu tan chuan darkar 25 emaw a aia rei emaw a la ngai a nih chuan , .
• Nu pakhat emaw a aia tam emaw nei tawh tan chuan darkar 20 emaw a aia rei emaw a la ngai a nih chuan , .

Hun rei tak hnathawhnaah kan ngai a ni. Ngaihtuah teh, nau piang hmasa ber hi darkar 12 leh 24 inkar a ni tlangpui. A hnu lama nau piang hi darkar 8 atanga darkar 10 vel a ni. Chuvangin chu aia rei a daih chuan he dinhmun hi kan sawi a ni.

Nau neih a rei chuan eng nge thleng?

Hetih lai hian thil pawimawh pahnih a thleng thei a, chungte chu: 1. I serh chu a inhawng tan a, mahse centimetre 10 a tlin hmain a tawp ta a ni. Cervix hi hmeichhe reproductive system-a tel a ni. 2. A nih loh leh, serh chu inhawng kim vek mah se, naute chu birth canal hnuai lamah a kal tawh lo.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hun rei tak nau neih hi a takah chuan chutiang chuan a awm lo. Hmeichhe naupai zinga 8% velin a nghawng a ni. Mahse, C-section zawng zawng hmun thuma ṭhena hmun khat vel chu a mawhphurtu a ni.

Hun rei tak nau neih hian eng hlauhawmna nge a neih?

Nau neih hmasak ber (Failure to Progress) hian harsatna lian tham a thlen tam lo hle. Mahse, nu tan chuan rilru leh taksa lamah a hahthlak thei hle. Mahse, nau neih hun rei tak chu nau neih stage hnihnaah chuan a pawi deuh thei. A hlauhawmna a tipung a:

• Kaichhawng .
• Nau neih hnua thisen chhuak .
• Nakin lawka zun control theih lohna (incontinence).
• Nakin lawkah pelvic organ prolapse a awm dawn.
• Uterine rupture (hei hi a tlem hle).

Nau neih a kal zel chuan i naute chu kawng dangin i hrin a ngai ta zawk a ni. Entîr nân, i doctor chuan i naute nau neih ṭanpui nân vacuum emaw, forceps emaw a hmang a ngai mai thei . Hei hian cesarean section (C-section) neih theihna chance a tipung bawk .

Hun rei tak nau neih hian naute a nghawng thei em?

Ni e, he natna hian naute tan hlauhawmna engemaw zat a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Infection (nu atanga naute hnena kai fo).
• Fetal distress, nausen heart rate tlahniam ang chi .
• Pian tirh atanga oxygen tlakchham (Perinatal asphyxia).
• A rilru a buai em em a.

Hun rei tak nau neih chhante chu engte nge ni?

Nau neih hi stage hnih a awm tih kan hria. Stage hmasa ber chu i nausen (uterus) a inzawm tan atanga i serh (cervix) a zau vek thlenga hun a ni. Stage pahnihna chu i naute pian hmaa i serh (cervix) a zau kim vek hnua hun a ni. Stage hmasa berah chuan i serh chu a hring (efffacement) a ni. Hetianga serh hring (thinning of the cervix) hi a lo awm zauh zauh avangin i naute pian hun a rei thei hle. A chhan ber chu i nausen (uterus) a inzawm tawk loh vang a ni. A châng chuan, natna tidamtu ṭhenkhat, morphine ang chi, nau neih hmaa pek hian i nausen pum a tichak lo thei a, i naute pian hun a tikhawtlai thei bawk. Stage pahnihna hi a vawi khatna atana nu nei tan darkar thum atanga darkar li aia rei a ngai a, naute lo nei tawh tan darkar hnih atanga darkar thum aia rei a ngai a nih chuan rei tak anga ngaih a ni. A hnuaia thilte hian i naute chu stage hnihnaah a tikhawtlai thei a ni:

• Naute hi a lian chho zel a.
• Birth canal compression a awm thin.
• I pelvis a lian tawk lo a, naute chu a chhuk thei lo.
• Uterine contractions a chak tawk loh vang.

Chu bâkah, zirchianna chuan nau neih laiin rilru lam thil, lungkhamna, lungkhamna, leh hlauhna te pawh hian hun rei tak nau neih theihna a thlen thei tih hmuhchhuah a ni bawk.

Meizial zu leh epidural chungchang pawh kan zir dawn em ni?

Meizial zu hian nau neih a tikhawtlai thei em?

Meizial zuk hian nau neih rei tak a thlen tih direct-in sawi theih a ni lo. Mahse, zirchianna thenkhatah chuan zuk leh hmuam hmang lote aiin nau rei tak an nei tam zawk tih hmuhchhuah a ni.Zirchianna pakhatah chuan meizukte pawhin cesarean section an neih tam zawk bawk. Chuvang chuan doctor-te chuan naupai hmain meizuk bânsan turin an rawt a ni. Naupai laia meizuk hian nang leh i naute tan pawh harsatna a thlen thei a ni.

Epidural neih hian nau a tikhawtlai em?

No. Epidural leh nau neih rei tak inkarah hian inzawmna a awm lo. Dik tak chuan, epidural hian i rilru a ti hahdam thei a, nau neih hmasak ber pawh a ti chak thei tih finfiahna engemaw zat a awm.

Engtin nge ka thawhrimna hi a rei tawh tih ka hriat theih ang?

Hun rei tak nau neih chhinchhiahna ber chu stage tin hi hun rei tak chhung a kal zel a, hmasawnna tlemte emaw, hmasawnna awm lo emaw a ni. I naute hmasa ber tan darkar 25 aia rei, a nih loh leh a hmaa naute nei tawh tan darkar 20 aia rei a ngai a nih chuan i nau neih chu a rei a rinawm. Mahse, induced labor i neih chuan i labor chu a rei deuh thei tih hre reng ang che.

Engtin nge doctor-te chuan labour hi a hmasawn lo tih an hriat?

Hei hi i doctor chuan i serh (cervix) enfiahin a thim (effacement) leh a inhawng (dilation) zat a teh ang. Stage hmasa berah chuan i serh chu centimetre 10 vela zau tur a ni. Stage hnihnaah chuan i naute chu birth canal hnuaiah a kal tur a ni. I naute chu darkar 20 vel nau neih hnua a piang lo a nih chuan nau neih rei tak i ni ngei ang.

Nau neih a rei chuan engtin nge i tih?

Nau neih tirh lamah dilation i nei a nih chuan i doctor thil tum chu uterine contraction chak zawk siamin i cervix hawn tir hi a ni. I doctor chuan a hnuaia mi hi a rawn rawt thei ang:

• A remchan chuan hnute massage ti thin ang che . Hei hian taksain hormone oxytocin , natural production a tipung a, chu chuan uterine contractions a tichak a ni.
• Tui bawm tihchhiat, chu chu artificial rupture of membranes (AROM) emaw amniotomy emaw tihna a ni.
• Oxytocin (Pitocin®) ang chi damdawi emaw, i serh puitling tura puitu damdawi dang emaw pek .
• I chawlh hahdam theih nan tui lum takin inbual rawh.

In the second stage , doctor chuan hetiang hi a rawt thei ang:

• Posture thlak danglam fo emaw, kea kal emaw.
• Chawlh hahdam leh chawlh hahdam.
• Damdawi Oxytocin ang chi hman tan.

Hun rei tak nau neih theihna tur risk factors te chu engte nge ni?

Thil ṭhenkhat chuan hun rei tak nau neih theihna a tipung thei a ni. Chung zinga ṭhenkhat chu:

• Naupai tam tak, twins (Carrying multiples) ang chi.
• Nausen pum chhunga naute awmna (position thenkhatah chuan nau neih a harsa thei).
• Nu kum upa zawk.
• Body Mass Index sang tak (BMI) a ni.

Nau neih tan hmain he hlauhawmna hi tihziaawm theih a ni em?

Ni e, risk factor thenkhat chu kan thlak danglam thei a ni. Entirnan, i naupai chhung zawngin i taksa rihna hrisel tak neih theih nan i doctor nen in sawi dun thei a, BMI sang tak neih hian hun rei tak nau neih theihna a tipung a ni. Nau neih lai hian naute chu occiput posterior position-ah a awm a nih chuan, naute chu a lu hnuai lam pawh ni se, naute tan pelvis kaltlang a harsa thei hle. I doctor chuan naute chu a awmna tur dik takah a chantir thei a, chu chuan naute chu pelvis kaltlangin awlsam zawkin a pui thei ang. Mahse, kan thlak danglam theih loh thil engemaw zat a awm a, chu chu i kum emaw, twins i beisei leh neih loh emaw te hi a ni. Chuvangin nau i pai hmain i support person leh medical team te nen i birth plan chungchang sawipui thin ang che. Hun rei tak nau neih theihna tur leh enkawl dan tur te pawh telh a tha.

Nau neih hun rei tak a nih chuan eng ang thil tawn nge i hmachhawn ang?

Hun rei tak nau neih hi taksa, rilru leh rilru lama harsatna thlentu a ni. Hetiang hi i tawk a nih chuan i healthcare team chuan i serh (cervix) enfiah fovin i hmasawnna chu an enfiah ang. I nau neih hmasawnna tur damdawi, oxytocin ang chi pawh an pe thei bawk. I naute chu uluk takin an enkawl bawk ang a, lungngaihna chhinchhiahna eng emaw zat an hriat theih nan.

Hetiang hunah hian i tih theih tha ber chu chawlh hahdam a, i thlawptu hnen atanga tanpuina zawng a, a theih ang anga positive taka awm hi a ni.

Hun rei tak nau neih chungchangah eng zawhna nge doctor hnenah zawh tur?

Hun rei tak nau neih hi a tlem hle nachungin, i hlauhawmna a sang zawk a nih chuan i doctor nen inbiakna neih a tha. Zawhna zawh tur thenkhat chu:

• Hun rei tak nau neih theihna hlauhawmna a sang zawk em?
• Chu risk tihtlem nan thil ka tih theih a awm em?
• Ka naute hi eng dinhmunah nge a awm?
• Naute chu nau neihna tur dinhmun dik takah a ding lo a nih chuan a hawi dan tur a awm em?
• Engtin nge nau neih rei tak i enkawl?
• Eng pain management method nge i neih?

A tawp berah chuan thil hriat reng tur

Darkar 20 emaw a aia tam emaw hnathawh chu hun rei tak angin a lang thei a, mahse i medical team chuan thiltum inang nei turin an thawk dun che a ni. Chu chu nang leh i naute tan pawh hrisel leh him taka nau neih theihna tur a ni. Hun rei tak nau neih dan tur chu i doctor nen sawiho rawh. Zawhna emaw, ngaihtuahna emaw i neih chuan anmahni biak pawh hlau suh. He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che!