Ni a lo hnaih tawh a, naute chhuak tur chhinchhiahna a awm loh laia nuin a dawhtheih lohna leh hlauhna chu thu hmanga sawi a harsa hle. "Due date" a liam tawh a, kar khat emaw kar hnih emaw a liam tawh chuan a buaithlak hle. Hetiang hun lai hian kan chhehvela mite hnen atangin "wine tlem in pawh a pawi lo" emaw "zu tlem tal ei tum" emaw tih ang chi 'thurawn' kan dawng fo thin. Mahse, heng thawnthute hi scientific basis a awm tak tak em? A nih loh leh hei hian naute leh in nunna a ti hlauhawm em? He artificially induced labor , emaw `(Labor Induction)`, tunlaia mi tam takin an sawi thin, mahse an hriat tak tak loh, zu in avanga hlauhawmna lian tak takte hi han sawi ila.
Engvangin nge doctor chuan nau neih tir (induce labor) a tum?
A awlsam zawngin, labor induction chu i doctor-in i uterus-a i natural taka nau i neih tan hmain medical technique thenkhat hmanga contractions a siam a, chutah chuan vaginal delivery tih tir a tum hi a ni. Tun hma chuan hetiang hi tih a nih fo laiin, tunlai hian doctor-te chuan damdawi mamawh tak tak a awm loh chuan an ti tlem hle . Hei hi a chhan chu natural childbirth hi a tha ber fo thin vang a ni.
Mahse, doctor chuan i naute emaw, i naute emaw hriselna atan hlauhawm a awm nia a hriat chuan, nau neih hmasak a rawt thei a ni.
| Nau neih tir thei thil | A sawifiahna awlsam tak |
|---|---|
| Tui chu a chhe vek a, nau neihna hrehawmna chu a bo ta vek a ni. | I tui a chhe tawh a, mahse darkar engemaw zat hnuah pawh contraction a tan lo a nih chuan natna kai theihna a awm. |
| Due date a liam tawh kar 2 (kar 42+) | Naupai hun chhung hi kar 42 aia rei a nih chuan nausen (placenta) hian hna a thawk tlem thei a, naute hian oxygen leh nutrition a dawng tlem thei bawk. |
| Nausen pum chhunga natna hrik (Chorioamnionitis) . | Nausen pum chhungah natna hrik a lo awm chuan nu leh naute tan pawh a hlauhawm thei hle. Chuvangin naute hi a hrin vat a ngai a ni. |
| Nu hriselna lama harsatna a neih te | Gestational diabetes emaw thisen sang (pre-eclampsia) ang chi condition i neih chuan i naupai hun rei zawk chu a hlauhawm hle. |
| Amniotic fluid tling lo | Naute chhehvela tui awm tlem hi naute hriselna atan a tha lo. |
| Placenta lama harsatna a awm | Nausen pum chu nausen pum atanga inthen tan tawh (placental abruption) a nih chuan emergency a ni. |
| Naute than chak lohna | Nausen pum chhunga naute thanlenna chu beisei angin a kal lo a nih chuan nausen chu hruai chhuakin enkawl a tha ber mai thei. |
Nu \henkhat chuan mahni remchanna atan emaw, vanneihna atan emaw nau neih hma an dil mai thei. Mahse, doctor chuan chutiang dilna chu pawmsak chu vawi hnih a ngaihtuah thei a, a chhan chu a due date chhiarnaah tihsual tlem a awm thei a, serh chu nau neih theih a la inpeih lo mai thei bawk. Hei hi i naute hmasa ber a nih chuan, artificially induced labor hian natural aiin a rei zawk thei tih hre reng ang che.
Nau neih thuai theihna tura damdawi hman dan dik leh him ber chu engte nge ni?
Pakhatnaah chuan chiang takin sawi ila: Uain, beer, a nih loh leh zu dang in hian nau a pai thei tih scientific evidence a awm lo. Chu chu thudik lo hlauhawm tak a ni. Doctor-in him taka a tih theih dan kawng hrang hrang a awm.
- Membrane Stripping tih hi: 1.1.Doctor chuan gloved finger a bun ang a, vagina kaltlangin leh cervix kaltlangin a dah ang a, amniotic sac leh uterine wall inzawmtu membrane te tak te chu zawi zawiin a then ang. Hei hian taksa chu prostaglandins tih hormone siam turin a tichak ang a, hei hian nau neihna tur leh nau neih tanna tur cervix a buatsaih thei a ni.
- Cervical Balloon: Tube te tak te, flexible tak (catheter) chu serh chhungah dahin, chutah chuan balloon te tak te ang maiin a inflate thin. Hei hian zawi zawiin serh chu a hawng tan thin. Darkar 12 vel emaw, a mah chauha a tlak chhuah thlengin a hmunah dah theih a ni. Hei hi a hmaa cesarean section nei tawh nu tan chuan duhthlan tur tha tak a ni.
- I Tui Tihchhiat (Amniotomy): Vaginal exam laiin doctor chuan plastic hook ang chi hmanraw te tak te hmangin amniotic sac chu a tichhia ang I serh chu nau neih theih tura a inpeih chuan hei hi darkar tlemte chhungin nau neih tan a ni tlangpui.
- Prostaglandin pek dan: He hormone awmna gel emaw tablet emaw hi vagina-ah dahin serh ‘puitling’ (or soften leh thin) theih a ni. Hei hi damdawi inah zan khata tih a ni fo.
- Oxytocin Injection: Hormone ``(Pitocin)'', ``(Oxytocin),'' an tih chu saline solution (IV) hmanga infusion chhunzawm zel a ni. Nau neih slow ti chak nan pawh hman a ni. Dose hi dose hniam tak atanga tan a ni a, zawi zawiin nau neih a tan hma loh chuan tihpun a ni. Injection atanga minute 30 chhungin natna hi a intan tlangpui.
Damdawi lam chhan awm lovin nau neih hmaa nau neih hlauhawmna
I hriselna emaw i naute hriselna emaw a hlauhawm loh chuan kar 39 tal i naupai hma chu nghah a tha ber. Chutiang a nih loh chuan i serh a inpeih hmaa nau neih tir tum hian nang leh i naute chu hlauhawmah a dah thei a ni.
Natural birth hi induced birth aiin a awlsam zawkin a rang zawk tlangpui. I taksa a inpeih loh laiin force labor i tih chuan a kal sual a rinawm zawk. Tin, cesarean section neih a ngaihna a tipung bawk.
| Elective Induction avanga hlauhawmna | |
|---|---|
| Naute hi intensive care unit (ICU)-ah dah a ngai a ni. | Risk hi a let 2-3 in a pung a ni. Chumi awmzia chu naute chu damdawi inah rei zawk a awm a ngai tihna a ni. Hei hian nu hnute pek leh nu leh naute inzawmna ang chi thil a tibuai thei bawk. |
| Naute hian thawk a harsat | Naute chu a thawk theih nan ventilator nena inzawm a ngai mai thei. |
| Taksa lum leh vawt control harsat | Naute chu temperature controlled incubator bik-ah dah a ngai mai thei. |
| Taksa sen (Jaundice) . | Jaundice na tak a awm theihna a awm. |
| Cerebral Palsy natna a ni | Hei hian he natna hi a vei theihna a tipung a ni. Hei hian naute chetna, hriatna, mit hmuhna, ngaihtuahna leh zirna a nghawng thei a ni. |
| Nu-ah nau neih hnua lungngaihna (postpartum Depression) a awm | Nau neih hnua lungngaihna (postpartum depression) vei theihna a sang thei hle. |
Naupai laiin zu in: I naute tana i tihsual lian ber
Tunah chuan chu thawnthu hmasa berah chuan uain in leh nau neih tir chungchang hlauhawm ber chu han sawi ila. Nuin zu a in hian chu zu chuan nausen (placenta) a paltlang a, nausen pum chhunga naute taksaah a lut tih scientifically-in a finfiah tawh a ni. A awlsam zawngin, i in hian i naute pawhin a in ve bawk.
Hei hian naute thanlenna a tihchhiat theih dan hi a nasa hle. Hemi atanga lo chhuak dinhmun hi doctor-te chuan ``Fetal Alcohol Spectrum Disorders (FASDs)'' tiin an sawi thin. Chûngte chu taksa, nungchang leh rilru lama harsatna, naute nun pum pui nghawng thei a ni.
FASD-te mizia chu engte nge ni?
- Zirna lama harsatna nei te
- Thiltih lutuk (hyperactivity) a awm
- Thil ngaihtuah harsa tak a ni
- Thusawi leh tawng tihkhawtlai
- IQ hniam tak a ni
- Reasoning leh judgment thiamna tha lo
- Hun hmaa nau neih
- Nau pai chhuah
- Nausen thihpui nghal (Sudden Infant Death Syndrome) a awm
- Thinlung, ruh, vun leh kal ang chi taksa peng hrang hrang piansualna
- Nau piang rit lo
- Pian hnua thanlenna tihkhawtlai
- Thil hriatna, thluak lam leh nungchang lama harsatna te
Naupai lai hian zu in tur hian "safe amount" emaw "safe period" emaw a awm lo. Wine emaw, beer emaw, zu emaw, zu chi dang emaw pawh nise, naupai laiin engtik lai pawhin i naute lo thang lian mek chu a tichhe thei a ni. Naupai i hriat hma pawha zu in pawhin harsatna a thlen thei.
I thisena zu awm chu umbilical cord kaltlangin i naute hnenah a kal a. I naute thluak, taksa leh taksa peng hrang hrangte hi naupai chhung zawngin a la thang lian zel a, chuvangin engtik lai pawha zu in hian a tichhe thei a ni. Chuvangin khawngaihin, heng thudik lote hi ringin i nunna leh i naute nunna chu hlauhawmah dah suh.
Take-Home Thuchah a ni
- Uain emaw zu dang emaw in hian nau a pai tir thei lo va, nausen piang lai chu nasa takin leh dam chhung zawngin a tichhe thei a ni.
- Labour induction hi damdawi inah doctor-in nu emaw naute hriselna atana hlauhawm a awm chauhvin a tih thin a ni.
- In lama damdawi, thu hriat emaw, internet-a i hmuh thil emaw hmangin in lama nau neih tir tum ngai suh. A hlauhawm hle mai.
- I nau neih tlai lutuk emaw, harsatna dang emaw i ngaihtuah chuan, a tha ber leh tih tur awm chhun chu i doctor nen inbiakna neih hi a ni .
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