Nau neih laiin harsatna lo awm thei i hlau em? (Labor leh Delivery Complications) Hemi chungchang hi han sawi ila!

I naupai chhung zawng khan i fimkhur hle a, i hlim hle mai thei. Mahse naute a hnaih deuh deuh chuan nau neih laiin thil dik lo a thleng thei tih hlauhna tlem a awm chu thil pangngai a ni . Nu zawng zawng deuhthaw hian chutiang chuan an ngai. Mahse a pawimawh ber chu i doctor leh damdawi ina thawktute chu eng dinhmun pawh hmachhawn turin an inpeih tih hre reng tur a ni. Chuvangin, he hun chhunga harsatna leh harsatna awm fo thin thenkhat hi han sawi ila. Chûngte hriat chian chuan i hlauhthawnna tihziaawmna kawngah kawng thui tak a zawh ang.

Hun hmaa nau neih

Naute hmachhawn tur harsatna lian ber pakhat chu a pum atanga a chhuah hma lutuk tihna a ni a, chu chu a taksa peng hrang hrangte a lo thanglian kim hma tihna a ni. Entirnan, a lungte chu pawn lam boruak thawk chhuak thei tur khawpin a lo thanglian lo mai thei. A nih loh leh a taksa lumna vawng reng turin chakna a nei lo thei bawk.

Full-term pregnancy hi kar 40 vel a ni tlangpui. Mahse kar 37 hmaa contraction i neih tan chuan , ‘preterm labor’ kan ti thin. Tin, naute kar 37 hmaa piang chu nausen piang hmasa anga ngaih a ni bawk. Heng naute hi lung puitling lo, thawk lama harsatna, leh chaw ei lama harsatna te ang chi harsatna an tawk nasa zawk a ni.

Mahse lungngai suh, heng nau neih hmaa natna te hi tihtawp theihna tur damdawi leh enkawlna dang a awm a ni. Chutiang enkawlnate chu hlawhtling lo mah se, tûn laia intensive care unit technology hmang hian naute piang hmasa tam tak nunna a chhanhim thei a ni.

Hengte hi nau neih hmaa chhinchhiahna a ni thei:

• Kar 37 hma chuan nau neihna natna, minute 10 emaw a aia rei emaw danah nausen ruh (muscles) a tikhauh ang maia hriat (hengte hi a chang chuan natna awm lovin a thleng thei).
• Thlasik laiin i pum na ang chi. (Hei hi naupai natna dik lo (Braxton Hicks contractions) nen hian inzawm tir suh. A tlangpuiin a rualin an lo thleng lo.)
• Lower back na a awm .
• A pum hnuai lam a pressure awm.
• Pum natna, pum na, ril\am, emaw, ril\am ang chi dinhmun; hengte hi nau neihna natna nen a lo awm a nih chuan nau neih hmaa nau neihna chhinchhiahna a ni thei.
• Thisen tla emaw, vagina atanga thisen tlem lo chhuak emaw.
• Vaginal discharge (tui emaw, a tlangpui aia danglam emaw) inthlak danglamna.

Hun rei tak chhunga hnathawh

Hei hi nau neihna atana a tul anga serh ( cervix dilation ) a inhawng loh ( cervical dilation ) emaw, naute chu a tlak tur anga a chhuk chak loh emaw a ni. A awlsam zawngin sawi ila, delivery process hi a rang angin a thleng lo.

Hei hi chhan hrang hrang a awm thei. Naute rihna a san te, naute chu breech position ang chi dinhmun danglam takah a awm emaw, nausen pum chu a nih tur angin a inzawm lo emaw a ni. Mahse a tam zawkah chuan a chhan bik hmuh a harsa thin.

Nau neih hian hetiang hun a rei hian nu leh naute pawh hi natna hrik kai ang chi harsatna an tawk thei a ni. He hlauhawmna hi a bik takin amniotic sac hi rei tak a chhe tawh a nih chuan a sang hle.

Nau neih a tlai chuan i doctor chuan IV fluid a pe thei che a, chu chuan dehydration a veng thei a ni. I nausen chu a inzawm tha lo a nih chuan natna tipung tur leh nau neih chakna tur damdawi oxytocin an pe thei che a ni. I serh a la inhawng lo a nih chuan , C-section neih a ngai mai thei.

Naute dinhmun lama harsatna (Abnormal Presentation) .

"Presentation" tih hian naute taksa peng pakhat, nausen pianna kawng atanga lo chhuak hmasa ber a kawk a ni. Nau neih hma kar tlemteah chuan naute chu nausen pum chhungah a lo chhuk tlangpui. A dinhmun tha ber leh inhmeh ber chu naute chu a lu hnuai lam, nu hnungzang lam hawia awm hi a ni. Hetiang dinhmunah hian naute lu atanga a te ber chu serh kaltlangin birth canal-ah a lut a ni. Hei hi ``Vertex occiput anterior'' kan ti a.

Ngaihtuah teh, naute lu hi taksa peng lian ber leh ben harsa ber a ni. Chuvangin a chhuah hmasak hi a him ber. Tichuan naute taksa rawn chhuak a, a lu a tlakbuak hlauhna a awm tawh lo.

Mahse naute thenkhat chu an hnute emaw, an ke emaw hnuai lam emaw an hawitir thin. Hei hi `(Breech presentation)` kan tih chu a ni. Hei hi naupai tirh lama scan-ah hmuh ni mah se, naute tam zawk chuan nau neih hnaih deuh deuhin an lu an ti hniam a ni.

He dinhmun chungchanga harsatna dang chu ``transverse lie'' hi a ni. Hetah hian naute chu nausen pum (uterus) sir zawng zawngah a muhil a ni. Chumi awmzia chu naute kekawrte, lu aiah, nausen pianna kawngkhar chhunga lut hmasa ber a ni tihna a ni.

Heng dinhmun danglam tak takte hian nu nausen pum emaw, nau neihna kawng emaw hliam a tipung a, nau neih dan pangngai lo a thlen theihna a tipung bawk. Naute breech position-a awm chu hliam leh umbilical cord prolapsed a nih theihna a sang zawk. Heng dinhmun zingah hian transverse lie hi a pawi ber a ni.

I naupai tawp lamah i doctor chuan i naute dinhmun chu i pum palpating emaw scan hmangin emaw a enfiah ang. I naute chu nau neih hma kar tlemteah breech position-ah a la awm a nih chuan i doctor chuan i naute chu pawn lam hawiin a hawitir thei ang. Hei hi external cephalic version (ECV) an ti a. Doctor chuan i pum chungah a kut a dah ang a, zawi zawiin naute chu a awmna tur dik takah a chantir ang. Mahse, hei hi mi zawng zawng tan a theih loh a, 50%-60% vel chauh a hlawhtling.

Complication dang awm fo thin thenkhat

Umbilical Cord-a harsatna awm thei

Umbilical cord hi nang leh i naute inkara nunna kawngkhar a ni. I atanga i naute hnena oxygen leh nutrients kalna hmun a ni.

• Umbilical Cord Prolapse: A chang chuan tui a chhiat hnuah naute pian hmain umbilical cord chu birth canal-ah a lut thei a. Hei hi natna pawi tak leh hlauhawm tak a ni a, a hrui chu a compress thei a, naute thisen leh oxygen supply a titawp thei a ni.

In lama hetiang thil hi i chungah a lo thleng a nih chuan ambulance ko la, damdawi inah kal nghal rawh. Ambulance a lo thlen hma chuan i khup leh kutphah te chu leiah dah la, i rilru chu hnuai lamah dah la, i hnute chu chawi sang rawh. Hetiang dinhmun hian gravity avanga umbilical cord-a pressure tihziaawmna tur a pui dawn a ni. Damdawi in i thlen veleh doctor-te chuan emergency C-section an ti ang.