He hun hi i tan chuan hun bik tak a ni a, nu nih beiseitu tan chuan thutlukna tam tak siam a ngai a ni. Heng thutlukna zingah hian thutlukna pawimawh ber i siam tur chu damdawi inah emaw, nau neihna hmunah emaw i naute hi i hrin dawn em tih hi a ni . Kan hriat vek angin, hnam danah chuan damdawi in kan thlang thin. A chhan chu nang leh naute tan pawh hmun him ber nia kan hmuh vang a ni. Sri Lanka-ah leh khawvel ram tam takah nau piang 99% chu damdawi inah an awm a ni. Mahse, tun hnaiah mi thenkhat chuan he nau neih dan pianpui, damdawi lam boruak atanga fihlim, leh in ang hmun nuam takah tih hi an lo thlem a ni. Hei hi birthing center kan tih chu a ni. Chuvangin, heng option pahnih hian an thatna leh that lohna an nei vek a ni. Fiah takin sawi ila.
‘Birthing Center’ tih hi eng nge ni?
A awlsam zawngin sawi ila, birth center hi in ang maia boruak nuam tak, pianphung anga nau neih theihna hmun a ni. Hmeichhe tam zawkin nau an neih laiin damdawi lam inrawlhna tlemte chauh an mamawh tih rinnaah an innghat a ni.
Heng center-ah hian chei mawi tak tak, eng mawi tak tak, private room te a awm a, chu chuan in lama awm ang maiin a ti thei a ni. Hetah hian i enkawlna zawng zawng hi midwife trained leh thiam takin a kaihruai a ni. Mahse, a ṭul apiangin nau neih thiamte kaihhruaina an zawng bawk.
Nau neih tan tirh atanga naute pian hnua in lama i haw thlengin he pindan nuam takah hian i awm ang. Naute pian hnu lawkah haw theihna hun remchang i nei bawk ang. Hospital-ah hian cesarean section hi a tam tlangpui. Mahse, chutiang center-ah chuan cesarean section, natna tidamtu, vacuum extraction , emaw forceps emaw tih a ni tlem hle.
A pawimawh ber chu heng setting-ah hian safety a sang hle. Nau neih laiin harsatna na tak tak a awm hi a tlem hle. Tin, intensive care unit-a admission, natna khirh tak, thihna ang chi adverse outcome pawh hi a tlem hle bawk.
Hospital leh birthing center inkara danglamna pawimawh tak tak
An pahnih inthlauhna awlsam taka hrethiam tur chuan he table hi han en ila.
| Nihphung | Damdawi in | Nau neihna hmunpui a ni |
|---|---|---|
| Chenna khawvel | Clinical environment zawk a ni. Room khat atanga labor room dangah i insawn a ngai mai thei a, chuta tang chuan delivery room-ah i insawn a ngai mai thei bawk. | In lama awm, nuam, mimal leh friendly environment. Engkim hi pindan khatah a thleng vek a. |
| Chief Medical Officer a ni bawk | Nau neih thiam leh hmeichhe lam doctor a ni. | Midwife trained tak a ni. |
| Natna tihdamna damdawi | Painkiller chi hrang hrang a awm a. Painkiller chak zawk, epidural injection ang chi chu engtik lai pawhin dil theih a ni. | Natna tihziaawmna tur option tlemte. Natural methods, massage leh acupuncture te hman a ni. Epidurals pek a ni lo. |
| Emergency a nih chuan | Facility zawng zawng leh specialist doctor zawng zawngte chu harsatna awm apiang hmachhawn turin an awm vek a ni. Caesarean section hi minute tlemte chhungin tih theih a ni. | Complication a awm chuan damlo chu damdawi inah sawn nghal a ngai dawn a, hei hian enkawlna a tikhawtlai thei a ni. |
| Chhungkaw hmun tur | A tlangpuiin mi pakhat emaw pahnih emaw chauh a ni. | Chhungte leh thiante i duh ang zat zat tel theihna a siam. |
| Ei leh in leh che vel | Ei leh in a khap. Machine-a an inzawm fo avangin chetna a tlem thei. | Ei leh in pawh phal a ni. Vigil neih chhung hian kea kal leh posture hrang hrang hmang turin zalen takin i awm a ni. |
Chuti a nih chuan, i tan eng nge dik? Damdawi in a ni em? Nau neihna hmun a ni em?
He thutlukna i siam hma hian dik takin nangmah ngeiin i hriselna dinhmun i ngaihtuah hmasa tur a ni. Birth centre hi naupai hlauhawm lo tan chauh ruahman a ni. Damdawi lam harsatna i neih chuan harsatna thlen thei i neih chuan damdawi in i thlang ngei ang.
Damdawi in tur engtikah nge thlan tur:
A hnuaia risk factors te hi i neih chuan damdawi in thlan hi nang leh i naute himna atan a tha ber.
- Kum 35 aia upa i nih chuan .
- Diabetes i neih chuan .
- Thisen sang emaw pre-eclampsia emaw i neih chuan .
- Twins emaw a aia tam emaw i phur a nih chuan .
- Naute chu dinhmun dik lo takah a awm a nih chuan (naute tam zawk hi lu hnuai lama piang an ni a, mahse naute chu breech emaw transverse presentation- a a awm chuan complication a awm tam zawk ).
- A hmaa cesarean section i lo neih tawh chuan uterine rupture i nei thei a ni.
- Naupai chu kar 41 a pel tawh chuan .
- Nau neih harsatna thlen thei damdawi dang i neih chuan .
Hetiang dinhmunah hian i doctor chuan damdawi inah a rawt ngei ang a, a chhan chu harsatna a awm nghal a nih chuan damdawi lam thil tul zawng zawng, operation room leh nausen piang tharte chu hmun khatah an awm vek a ni.
A lehlamah chuan, i naupang, i hrisel, i risk factors nei lo, naute pakhat chauh i phur a, i dinhmun dik takah (lu hnuai lam) i nih chuan birth center hi i tan chuan duhthlan tur tha tak a ni thei. Mahse, chutianga tih i duh chuan, emergency a thlen hunah damdawi ina sawn che dan tur ruahmanna chiang tak leh rang tak an neih ngei ngei tur a ni.
Damdawi inah pawh i duh angin thil i ruahman thei.
Mi thenkhat chuan, "Damdawi inah hian kan duh angin thil kan ti thei lo," tiin an ngaihtuah thin. Mahse chu chu a dik vek lo. I duhthusam chu "Birth Plan" angin i ziak lawk thei a, i luh hunah doctor hnenah i pe thei bawk.
Entir nan,
- Epidural i mamawh em, i mamawh lo em ni?
- Umbilical cord cut hi tlem tal tihkhawtlai i duh em?
- Tlangval a nih chuan serh tan tur nge serh tan loh tur?
I duhdan chu hetiang a nih a, nangmah emaw, naute tan emaw hlauhawm a awm loh chuan doctor chuan a zah ngei ang. Chuvangin hlau suh. I duhzawng chu doctor nen zalen takin sawipui rawh.
Take-Home Thuchah a ni
- Nangmah emaw, i naupai emaw hi risk sang tak a nih chuan, nang leh i naute tan hmun him ber chu damdawi in a ni a, chutah chuan emergency eng pawh hmachhawn tur damdawi hmanraw changkang tak tak a awm a ni.
- Birthing Center-te hian naupai hlauhawm lote chu natural zawk, in ang deuha thil tawn a pe a, medical intervention tlemte chauh a awm bawk.
- Birth center-a harsatna lian ber chu emergency complication a awm chuan damdawi ina transfer hun sawn a ngai a ni.
- Thutlukna hnuhnung ber i siam hmain, duhthlan tur pahnih te, a thatna leh that lohna te, leh i hlauhthawn leh duh dan te chu i doctor nen sawiho rawh. I hriselna a hre ber a ni.
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