C-section hmangin naute i nei tawh em? VBAC (Vaginal Birth After Cesarean) chungchang hi i zir dawn teh ang!

A hmain cesarean section hmangin naute i nei tawh em? Chutih hunah chuan naute i neih leh dawn chuan i rilruah zawhna lian tak i nei ngei ang, "Tun ṭumah pawh hian nau neih pangngai ka nei dawn em ni, chu chu vagina (vaginal delivery) kaltlangin ka nei ang em?" Hei hi nu tam takin zawhna an neih a ni. Chuvangin vawiinah hian cesarean section hnua nau neih dan pangngai, chu chu VBAC (Vaginal Birth After Cesarean) tih hi han sawi ila.

VBAC (Vaginal Birth After Cesarean) tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, VBAC chu a hmaa cesarean section (C-section) vawi khat emaw a aia tam emaw i neih hnuah i naute lo piang leh tur chu vaginally-a i neihtir a, chu chu a dan pangngai a ni. I hria em, C-section chu doctor-in i pum leh nausen pum chhunga surgical incision a siamsak a, naute lakchhuah a ni.

VBAC thil tum ber chu a hmaa C-section nei tawhte chu an naupai leh hunah nau piang pangngai neih theihna hun remchang pek hi a ni. Mahse, a châng chuan C-section vawi khat emaw a aia tam emaw i neih tawh chuan nau neih pangngai neih chu a hlauhawm deuh thei a ni .

VBAC tih tum leh tum loh tur chungchangah hian thil engemaw zat ngaihtuah tur a awm. Entir nan:

• I C-section hmasa lama surgeon-in incision a hman dan leh C-section engzat nge i neih tawh tih te.
• I hriselna chanchin .
• Tunah hian damdawi lam harsatna dang i nei em ?
• Naute dinhmun leh naute hian hriselna lama harsatna a neih leh neih loh .

I doctor chuan heng zawng zawng hi a enfiah ang a, VBAC enchhin hi i tan a him em tih a hrilh ang che. A thatna leh that lohna a hrilhfiah ang che. Tichuan, chu sawihona atang chuan VBAC tih tum nge C-section dang neih leh tur tih chu i rel thei ang.

Zirna hrang hrangah chuan C-section vawi khat nei tawh hmeichhia 75% vel chuan an naupai leh hunah vaginal birth hlawhtling tak an nei tih hmuhchhuah a ni. Mahse, C-section vawi hnih emaw a aia tam emaw i neih tawh chuan VBAC hlawhtling tak neih theihna chance chu 50% velin a tlahniam thei a ni .

Doctor-te chuan VBAC hi TOLAC (Trial of Labor After Cesarean) tiin an sawi \hin. TOLAC hi cesarean section hnua vaginal birth neih tumna a ni. He attempt (TOLAC) hi a hlawhtling a nih chuan a result chu VBAC a ni. A hlawhtlin loh chuan C-section dang neih a ngai dawn a ni.

Engvangin nge mi tam takin C-section hnuah VBAC an beisei?

Hei hi mimal duhzawng a ni fo thin . Mi thenkhat chuan vaginal birth neih an duh viau a, mahse eng emaw chhan vangin an ti thei lo. A nih loh leh C-section atanga an dam leh theih nan hun rei zawk a duh avangin vaginal birth an duh zawk mai thei bawk.

Natural birth i duh zawk a nih pawhin VBAC hlauhawmna thenkhat avang hian i doctor chuan C-section neih a rawt thei tho. A nih loh leh, VBAC enchhin pawh a pawi lo an ti mai thei bawk.

VBAC hian eng thatna nge a neih?

C-section nena khaikhin chuan VBAC hian a thatna engemaw zat a nei a. En teh:

• Dam chak zawk leh damdawi ina awm tlem zawk: C-section hnuah khum chawlhna leh incision dam hun a tam hle. Hengte hi VBAC-ah chuan a tam lo hle.
• Abdominal surgery neih loh: Thil lian tak pumpelh tur awm chhun chu major surgery a ni.
• C-section (thisen chhuah tam lutuk, natna hrik kai ang chi) tih loh emaw tihtlem emaw.
• Naute tana a thatna: Nau neih dan pangngaiah chuan nausen lung chhunga amniotic fluid awm chu naute pian kawng a paltlang rualin a chhuak thin . Hei hian naute chu a pian hnua oxygen dawng turin a buatsaih a ni. Tin, naute pianpui kawng a kal tlang hian a taksa hriselna (immune system) a tichak bawk .
• Surgery tih nawn fo avanga harsatna (scar tissue siam - adhesions, internal organs tihchhiat ang chi) awm theihna a tlem hle.
• Mimal duhzawng: Mi thenkhat chuan nau neih dan pangngai tawn duhna nasa tak an nei a.

Ngaihtuah teh, fa tam zawk neih i tum a nih chuan C-section neih chhunzawm zel ai chuan VBAC hlawhtling tak neih hi a hlawk zawk hle. A chhan chu C-section apiang hian risk engemaw zat a keng tel thin.

VBAC enchhin hian eng hlauhawmna nge a neih?

C-section hian nausen pum chhungah hliam a awm a. Chuvangin, nau neih atanga pressure chuan uterus chu C-section scar (uterine rupture) zawhin a tikehsawm thei a ni . Hei hi VBAC risk lian ber a ni. Mahse, tun hnaia zirchianna atanga a lan dan chuan a tam zawkah chuan VBAC hi C-section hnuah him takin tih theih a ni.

Uterine rupture hi harsatna awm lo mahse na tak a ni a, nunna atana hlauhawm thei a ni . Uterine rupture hlauhawmna sang tak i neih chuan i doctor chuan VBAC a tum lo tlangpui.

VBAC tih tum huna hlauhawm dangte chu:

• Thisen tlakchhamna
• Kaichhawng
• Emergency C-section: Hei hi ruahmanna siam C-section aiin a riskier zawk.

Uterine rupture hlauhawmna chu eng nge ni?

A hmaa C- section nei tawh, transverse cut hniam tak siam tawhte tan chuan uterine rupture hlauhawmna chu 0.9% vel a ni a, hei hi mi 100 zinga pakhat aia tlem a ni a, chuvangin, hei hi risk hniam tak a nih laiin, hriat reng a pawimawh hle.

C-section hmasa atanga incision hian VBAC a nghawng em?

Ni e, a ni ngei ang. C-section neih lai hian incision chi hrang hrang siam a awm a:

• Low transverse incision: Hei hian uterine rupture hlauhawmna a nei tlem zawk . He incision hi nausen pum hnuai lam, a hring zawk zawng zawngah siam a ni.
• Low vertical incision: Hei hian transverse incision aiin uterine rupture hlauhawmna a keng tel lo . Hei hi nausen pum hnuai lam, a hring zawkah sei zawngin tih thin a ni.
• Uterus chunglam atanga longitudinal incision ("Classical" incision): Hei hi uterus tihchhiatna kawng hlauhawm ber a ni . Surgeon-te chuan naute a pian hma emaw, nausen nau neih harsat dinhmunah emaw hetiang incision hi an siam a ngai mai thei.

Hetah hian thil pawimawh tak chu i pum pawn lam atanga hmuh theih hliam awmna hmun leh a kalna tur chu i nausen pum chhunga incision siamna hmun leh a kalna tur nen a inang dawn lo tih hi a ni. Entirnan, i pum hliam chu transverse ni mahse, i uterus-a incision chu longitudinal a ni thei.

I medical record-ah chuan i nausen pum chhunga incision awmna hmun leh a kalna tur chungchang chipchiar takin a awm tur a ni. VBAC himna chungchang i doctor nen i inbiaknaah i medical record leh a hmaa C-section i neih tawh zawng zawngte chu a enfiah ngei ngei tur a ni.

Tute nge VBAC hlawhtling tak nei thei zawk?

I doctor nen i hriselna chanchin te, tuna i naupai lai te, leh a hmaa C-section i neih chhan zawng zawngte chu sawipui rawh.

VBAC hlawhtling tak neih theihna chance tha zawk i nei thei a, hei hi:

• C-section vawi khat emaw pahnih emaw chauh i neih tawh chuan, chutiang pawh chu nausen pum hnuai lam transverse incision hniam tak hmanga tih a ni .
• Vaginal birth hmasa i neih tawh chuan.
• Uterine surgery dang (e.g. myomectomy ) i la neih loh chuan.
• Uterine rupture history i neih loh chuan.
• Nau neih pangngai risky thei tur medical condition i nei lo (e.g., uterine fibroids, placenta awmna hmuna harsatna).
• I duhthusamin nau i pai tan a nih chuan, i due date hmain.

VBAC hlawhtling tak i neih tawh chuan – uterine rupture ang chi harsatna nei lo i nih chuan nakin lawkah vaginal delivery hlawhtling tak i neih a rinawm zawk.

Eng dinhmunah nge VBAC hlawhtlinna chance a tlahniam?

A châng chuan VBAC hlawhtlinna chance hi a tlahniam thei a , hei hi a chhan hrang hrang vang a ni thei:

• A hmaa C-section kha labour a kal zel loh avangin tih a ni.Chu chu nau neih pangngai laiin i serh (cervix) a inhawng (dilate) emaw, a efface tha lo emaw a nih chuan.
• Kum 35 aia upa i nih chuan.
• I thau lutuk emaw, i thau lutuk emaw a nih chuan.
• Nausen lian tak i beisei emaw, multiples i beisei emaw a nih chuan.
• I due date a liam tawh chuan.
• I nau neih hmasak atanga thla 18 aia rei lovah (naupai inkar hun rei lote) i naupai leh chuan .
• Preeclampsia i neih chuan (doctor ten C-section an tih tam zawk laiin).

C-section tih nawn leh hian eng hlauhawmna nge a neih?

C-section neih theihna tur set number a awm lo. Mahse, zirchianna thenkhatah chuan C-section tam tak nei te hian risk an nei sang zawk tih an hmuchhuak a, chungte chu:

• Thisen chhuak nasa tak a chhuak.
• Bladder leh bowel hliam.
• Kaichhawng.
• Nakin lawka naupai tur placental conditions , entirnan, nausen chu uterus-a a inzawmna dik lo ( placenta previa emaw placenta accreta ).
• Uterine rupture a awm.
• Adhesions (scar tissue atanga inzawm khawm).

Heng hlauhawmnate hi mi hrang hrangah a inang lo thei. I hriselna chanchinah a innghat nasa hle a, naupai leh nau neih apianga thil awm dan bik a innghat bawk. Chuvangin, i doctor hi C-section dang neih leh emaw VBAC tih enchhin emaw a thatna leh that lohna chungchang sawipui tur tha ber a ni.

VBAC leh C-section tih nawn leh chungchangah eng zawhna nge i doctor zawh tur?

VBAC ang bawkin C-section hian hlawkna leh hlauhawmna a nei vek a ni. Chuvangin, nau neih dan leh a nghawng dan che hi i hriatthiam a pawimawh hle.

Heng thilte hi i doctor nen sawiho rawh:

• I naupai leh nau neih tawhte chungchang .
• Eng thil nge C-section neih tir che ?
• VBAC leh C-section hi nang leh i naute tan engtiang chiahin nge a him ?
• VBAC ngaihtuah tur/ngaihtuah loh tur chhante chu engte nge ni ?
• C-section ngaihtuah leh tur/ngaihtuah loh tur chhante chu engte nge ni ?
• Labour (a awm leh awm loh pawh nise) inducing tur ruahmanna .
• I nau neihna tur damdawi in hian emergency a buaipui thei em tih .
• Fa tam zawk neih tumna chungchang .

C-section hmasa i neih vang mai mai chuan nakin lawkah VBAC i nei thei dawn lo tihna a ni lo. C-section hnua hliam hian nakin lawka naupai turah harsatna a thlen thei tih i hre tawh emaw, i chhiar tawh emaw pawh a ni thei. Amaherawhchu, mi tin dinhmun a inang lo.

A tawp berah chuan thil hriat reng tur

I naupai tirh lamah khan VBAC chungchanga i duh dan leh i ngaihtuahna te chu i doctor nen sawiho thin ang che. A thatna leh that lohna a hrilhfiah thei che a, VBAC chu i tan a him em tih thutlukna siam turin a pui thei bawk che a ni. I naupai a kal zel chuan i doctor nen inbiakna neih chhunzawm zel a pawimawh a, i nau neih dan tur ruahmanna pawh enfiah chhunzawm zel a pawimawh. Naupai apiang hi a danglam vek tih hre reng la, chuvangin i doctor nen thawk ho la, i tana tha ber tur thutlukna siam rawh.

` VBAC, cesarean, C-section, nau neih dan pangngai, naupai, uterine rupture, nau neih