I nunah ni duhawm ber chu a lo thleng thuai dawn a ni. Khawthlang lamah chuan i hlim hle a, khawthlang lamah chuan thla tam tak chhung i lo nghah tawh i naute chu he khawvela a lo kal ni tur hi tlemin i hlauthawng a, i hriat duhna i nei bawk. I rilruah zawhna tam tak i nei ngei ang, "Engtin nge a nih ang?", "A na dawn em?", "Eng nge thleng ang?" A pangngai hle mai. Chuvangin vawiin hian he naute i neih huna thil thleng, a nih loh leh Stages of Labor hi awlsam takin, i hriatthiam theih angin i sawi ang u.
Stages of Labor te hi engte nge ni?
A awlsam zawngin sawi ila, nau neih hi i naute leh i nausen (placenta) i vagina atanga an chhuah chhuah zawng zawng a ni. Doctor-te chuan a kalphung hi stage lian pathum-ah an ṭhen a. Hei hian doctor leh nurse te tan pawh chiang taka inbiak pawhna leh inbiakpawhna a siam awlsam phah a ni.
1. A hmasa ber: Nausen pum (uterine contraction) lo awm tanna.
2. Stage pahnihna: Naute nawr.
3. Third stage: Nausen piang chhuak.
Mahse thil pakhat hre reng ang che. Mi zawng zawng pian dan a inang vek lo. Heng stage zawng zawng hi i tawng vek lo mai thei. Entirnan, planned emaw emergency cesarean section (C-section) i neih chuan heng stage te hi a danglam thei. Chuvangin, engkim ruahmanna ang taka a kal loh avangin hlauthawng suh. I doctor leh medical team te chu nang leh i naute tana tha ber tur ti turin an awm a ni.
Stage One: Hnathawktu leh Contractions
Hei hi nau neih hun rei ber a ni. A bul tanna chu regular contractions atanga tan a ni a , chu chu regular interval ah a lo thleng thin . He stage hi i cervix chu a dilated kim (10 centimetres) a nih chuan a tawp thin. He stage hi a vawi khatna atana nu nei tan chuan darkar 12 leh 19 inkar a ni thei tlangpui. Naute hmasa i lo neih tawh chuan a tawi zawk thei.
Doctor te chuan i natna chu time turin an hrilh ang che. Chu chu natna pakhat tan atanga a dang tan hun chhung tehna tihna a ni. Hei hi dik taka tih a pawimawh.
Heng natna, hunbi neia lo thleng te hi naupai laiin a chang chuan "Braxton Hicks" (practice contractions) te nen a danglam tih hre reng ang che. Natna tak tak chu a zual zauh zauh a, hun kal zelah a inhnaih chho zel bawk.
He first stage-ah hian part pahnih dang a awm leh a:
| Stage chhunga hmun thenkhat | Hrilhfiahna | Hun zatve (average time) a ni |
|---|---|---|
| Hnathawh hmasa ber | Cervix hi centimetre 6 vel a inhawng a. A natna chu eng emaw chen chu tuar theih a ni mai thei. | Darkar 6 - 12 chhung a ni |
| Active Labour a ni | Cervix hi centimetre 10 thlengin a zau kim vek a ni. A natna chu a nasa hle a, a lo thleng fo bawk. I nawr duhna i nei mai thei. | Darkar 4 - 8 chhung a ni |
I doctor chuan nau neih hma laiin in lamah i awm thei a ti mai thei. Mahse damdawi in pan tur chuan inpeih reng tur a ni. Active labor a tan chuan damdawi ina awm hi a him zawk ngei ang.
Stage hmasa berah khan engtin nge natna hi kan enkawl ang?
A hnuaia thilte hian he hrehawmna hi i tuar chhuak thei ang:
- Light kalna.
- Light stretch tih te.
- Thâwk thûk tak tih practice.
- Hmun hrang hranga inthlak danglam.
- Tui lum (mahse lum lutuk lo)-a inbual.
- Birthing ball hmangin .
- I pasal emaw, i nu emaw, i unaunu emaw, mi rintlak emaw i kianga awm chu chakna petu ropui tak a ni.
Natna chu tuar theih loh a nih chuan i medical team nen natna tihziaawmna tur kawng hrang hrang sawipui rawh.
Pahnihna: Pushing leh Birth
He stage hi i serh (cervix) chu centimetre 10-a a zau atanga tan a ni a, i naute a pian veleh a tawp thin. Minute 30 atanga darkar engemaw zat thleng a ni thei.
Hetiang dinhmunah hian a hnuaia thilte hi a thleng thin:
- Uterine contractions (pain) hi minute 2-5 danah a lo thleng tan thin . Contraction tin hian second 60-90 vel a awh thin.
- Natna a lo thlen apiangin i nawr a ngai dawn a ni. Contraction inkar ah natna a awm loh laiin chawlh hahdam theih a ni. I doctor emaw nurse emaw chuan engtikah nge i nawr tur tih a hrilh ang che.
- Rei vak lo hnuah chuan naute lu chu a rawn lang tan ang. Hei hi "crowning" an ti a ni.
- Tichuan doctor chuan fimkhur takin naute chu vagina atanga lakchhuah nan a pui thin.
- Naute pian hnuah umbilical cord chu an tan a.
Third Stage: Nausen pianpui (placenta) nau neih dan
Hei hi stage tawi ber a ni. Nausen pian hnu minute 5 leh 30 inkarah a awm thin.
- Naute a pian hnuah chuan light contraction thenkhat chu a lo thleng leh tan thin. Chungte chu nausen pum (placenta) chu nausen pum (uterine wall) atanga a inthen theih nan a ni.
- Tlem i nawr belh a ngai mai thei a, a nih loh leh doctor chuan i pum chu a press thei a, chu chuan placenta a chhuah theih nan a pui thei bawk.
- Nausen pian hnuah chuan vagina-ah tearing emaw episiotomy (nau neih awlsamna tura siam incision te tak te) a awm chuan doctor chuan a sew leh ang.
Doctor chuan nausen pum chhungah hian nausen hmun thenkhat chu a awm loh nan a enkawl ang a, hei hian a hnuah harsatna a thlen thei a ni.
Engtikah nge damdawi inah i kal ang?
Hei hi mi tam takin harsatna an neih a ni. Damdawi inah a hun takah kal a pawimawh.
| Huntha | Eng nge tih tur |
|---|---|
| Labour dik tak | If your contractions are coming regularly , minute 5 danah vel, darkar khat chhung , i doctor emaw hospital labor room emaw ko rawh. |
| Tui A Chhe | Natna a awm emaw awm lo emaw, i tui a chhe tawh nia i hriat chuan (i hnute atanga tui tui a chhuah chuan) i doctor ko la, damdawi inah kal nghal rawh . |
| Ringhlel a nih chuan | Hei hi natna tak tak nge natna dik lo i hriat chian loh pawhin i doctor phone la, thurawn la turin a tha ber. |
Damdawi lam pan vat ngai vaukhânna chhinchhiahna
A hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal la , i doctor hnenah hriattir rawh:
- Vaginal bleeding lutuk.
- A rilru a na.
- Luak chhuak nasa tak emaw, muhil emaw.
- Thâwk harsa.
- Kut, ke emaw, hmai emaw a hring lutuk (edema) a awm.
- Naute fussiness nasa taka tihtlem.
Stage palina a awm em?
Doctor thenkhat chuan nausen (placenta) a chhuah hnu darkar hnih atanga darkar thum hmasa ber chu stage linaah an ngai a. He hun hi a bik tak a ni. Hei hi i naute thar nen in inzawmna i neih tan tirh lai a ni. Tin, he hun chhung hian medical team te chuan uluk takin i hriselna an enfiah ang a, a bik takin thisen chhuah tam lutuk i tawk a nih chuan.
Nau neih hi hmeichhe nunah theihnghilh theih loh thil a ni. I paltlang lai hian rilruah emotion tam tak a lo lang thin. Mahse, nangmah chauh i ni lo tih hre reng ang che. I pasal, chhungte leh a bik takin i medical team te chu i tan an awm reng a ni. Chuvangin, thinlung takin awm rawh. Engkim a tha vek ang.
Take-Home Thuchah a ni
- Nau neih hun chhung hi chi thum a awm a, chungte chu: nausen pum (uterine contractions) tan tirh te, nausen piang te, nausen (placenta) te hnawhchhuah te hi a ni.
- Nau neih dik tak hriat theih nân, i natna a thlen tam dân, a rei zawng leh a nasat dân chu ngaihven rawh.
- Natna a lo thlen tam zawk chuan, minute 5 danah ang bawkin, emaw, i tui a chhe a nih chuan damdawi inah kal nghal tur a ni.
- Pian apiang hi a danglam bik. Lehkhabu-a sawi ang chiaha a kal loh chuan lungngai suh. Cesarean section neih a ngai a nih pawhin nang leh i naute himna tur a ni.
- Vaukhânna chhinchhiahna eng emaw, thisen chhuak nasa emaw, naute chetna a tlahniam emaw i hmuh chuan, i doctor ko emaw, hreh lovin damdawi inah emaw kal rawh.
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