ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯐꯥꯎꯕꯗꯥ ꯄꯨꯡ 3ꯗꯒꯤ ꯇꯥꯗꯅꯥ? ꯄ꯭ꯔꯤꯁꯤꯄꯤꯇꯁ ꯂꯦꯕꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯃꯃꯥ ꯑꯣꯏꯒꯗꯧꯔꯤꯕꯥ ꯃꯆꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯅꯕꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯄꯨꯡ ꯀꯌꯥ, ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ, ꯂꯦꯕꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯃꯁꯨ ꯈꯜꯂꯨꯕꯥ ꯌꯥꯏ, "ꯑꯣꯍ, ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯁꯤ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯣꯀꯄꯥ ꯄꯥꯝꯃꯤ꯫" ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯨꯡ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤꯗꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯕ꯭ꯔꯥ? ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯧꯔꯤꯕꯅꯤ꯫

ꯄ꯭ꯔꯤꯁꯤꯄꯤꯇꯁ ꯂꯦꯕꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄ꯭ꯔꯤ-ꯇꯥꯔꯝ ꯂꯦꯕꯔ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯄꯤꯗ ꯂꯦꯕꯔ ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯆꯥꯡꯆꯠꯇꯥ ꯂꯦꯕꯔ ꯑꯁꯤ ꯄꯨꯡ 6 ꯑꯃꯁꯨꯡ 18ꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯪꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯂꯦꯕꯔ ꯍꯧꯔꯀꯄꯥ, ꯍꯥꯌꯕꯗꯤ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡ, ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯨꯡ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ , ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯂꯦꯕꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯗꯣꯛꯇꯔ ꯈꯔꯅꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯗꯥ ꯄꯨꯡ ꯃꯉꯥꯗꯒꯤ ꯇꯥꯅꯥ ꯆꯪꯕꯥ ꯂꯦꯕꯔꯁꯨ ꯌꯥꯑꯣꯏ꯫

ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯣꯍ... ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯌꯥꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯒꯅꯤ, ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯍꯟꯊꯒꯅꯤ꯫" ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯃꯃꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯅꯤꯃꯛꯇꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯂꯦꯕꯔꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ? ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

ꯅꯣꯔꯃꯦꯜ ꯂꯦꯕꯔ ꯑꯃꯗꯥ, ꯂꯦꯕꯔ ꯄꯦꯅꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯧꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯏꯅꯇꯦꯟꯁꯤꯇꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯦꯕꯔ ꯑꯃꯗꯥ, ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯄꯨꯝꯅꯃꯛ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯣꯀꯏ, ꯆꯦꯀꯁꯤꯅꯋꯥ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ꯫

ꯃꯁꯤ ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯍꯧꯁꯥꯅꯥ ꯂꯦꯕꯔ ꯑꯁꯤ ꯇꯞꯅꯥ ꯍꯧꯏ꯫ ꯑꯍꯥꯅꯕꯥ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯥꯡꯂꯕꯥ ꯒꯦꯞ ꯑꯃꯥ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯦꯕꯔ ꯑꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯒꯦꯞ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯂꯦꯞꯇꯅꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯅꯤ꯫

ꯐꯤꯚꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤ ꯌꯦꯡꯕꯤꯌꯨ꯫

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ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯂꯦꯕꯔꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯐꯦꯛꯇꯔ ꯈꯔꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯂꯦ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯈ꯭ꯔꯕꯗꯤ: ꯑꯅꯤꯁꯨꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯨꯃꯁꯨꯕꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯨꯏꯅꯥ ꯂꯩ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ: ꯃꯃꯥꯡꯒꯤ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯂꯩꯔꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯑꯔꯨꯝꯕꯥ ꯋꯥꯠꯂꯕꯗꯤ (ꯑꯄꯤꯀꯄꯥ ꯑꯉꯥꯡ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯁꯥꯏꯖꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯡꯅꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯤꯁꯤꯑꯦꯟꯇ ꯑꯣꯏꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯤꯁꯤꯑꯦꯟꯇ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯕꯗꯤ, ꯂꯦꯕꯔ ꯑꯗꯨ ꯊꯨꯅꯥ ꯊꯣꯛꯀꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯔꯊ ꯀꯦꯅꯥꯜ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯔꯊ ꯀꯦꯅꯥꯜ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯒꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯦꯕꯔ ꯊꯣꯀꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯒꯜꯌꯥꯟꯗꯤꯅꯁꯤꯡꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯈ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯀꯦꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯒꯅꯨ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯈꯪꯍꯧꯗꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯋꯥꯈꯜ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯒꯤ ꯃꯇꯝ ꯐꯪꯗꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯂꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯃꯥꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫

• ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ (postpartum Hemorrhage): ꯏꯎꯇꯦꯔꯥꯁ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯣꯀꯄꯥ (Shock): ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯕꯥ ꯉꯃꯗꯦ꯫
• ꯄꯦꯔꯤꯅꯤꯑꯦꯜ ꯇꯤꯌꯥꯔꯁꯤꯡ (Perineal tears): ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯛꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
• ꯔꯤꯇꯦꯏꯟ ꯇꯧꯔꯕꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ (Retained Placenta): ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯊꯣꯛꯀꯗꯕꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯗꯨꯅꯥ ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯇꯦꯔꯤꯂꯥꯏꯖ ꯇꯧꯗꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ: ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯒꯥꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯊꯔꯨꯝ ꯑꯃꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈꯅꯕꯤꯌꯨ꯫
• ꯁꯥꯊꯤꯕꯥ ꯁꯥꯏꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯁ꯭ꯠꯔꯦꯁ: ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯁꯤꯅꯥ ꯇꯨꯡꯗꯥ ꯁꯥꯏꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯗꯤꯁ꯭ꯠꯔꯤꯕ꯭ꯌꯨꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯆꯨꯝꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯐꯪꯗꯕꯥ: ꯃꯃꯥ ꯈꯔꯗꯤ ꯒ꯭ꯔꯨꯞ B ꯁ꯭ꯠꯔꯦꯄꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩ꯫ ꯗꯦꯂꯤꯚꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯗꯦꯂꯤꯚꯔꯤ ꯑꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯝ ꯂꯩꯠꯔꯕꯗꯤ, ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫

• ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯣꯜ (meconium) ꯑꯗꯨ ꯏꯅꯍꯦꯜ ꯇꯧꯕꯥ (meconium): ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯗꯨ ꯏꯅꯍꯦꯜ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯁ꯭ꯇꯦꯔꯤꯂꯥꯏꯖ ꯇꯧꯗꯕꯥ ꯑꯦꯅꯚꯥꯏꯔꯅꯃꯦꯟꯇ ꯑꯃꯗꯥ ꯄꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯍꯜꯂꯤ꯫
• ꯑꯁꯣꯛ-ꯑꯄꯟ : ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯃꯥꯌꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯗꯦꯂꯤꯚꯔꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯅꯕꯔꯥ?

ꯋꯥꯍꯪ ꯑꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯠꯇꯥ ꯄꯤꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫

• ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ ꯂꯧꯅꯕꯒꯤ ꯃꯇꯝ ꯃꯥꯡꯈꯤꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯂꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔ ꯑꯃꯥ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯑꯍꯦꯅꯕꯥ ꯑꯅꯥꯕꯥ: ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯀꯅꯕꯥ ꯑꯣꯏ꯫
• ꯅꯨꯡꯉꯥꯏꯕꯥ ꯋꯥꯠꯄꯥ: ꯑꯅꯥꯕꯥ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯃꯇꯝ ꯌꯥꯝꯅꯥ ꯂꯩꯇꯦ꯫ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯂꯩ꯫
• ꯚꯦꯖꯤꯅꯦꯜ ꯇꯤꯌꯥꯔ (vaginal tearing): ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯦꯕꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯦꯟꯇꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯉꯃꯗꯕꯥ:ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯒꯤ ꯃꯇꯝ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯥꯎꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯂꯦꯕꯔꯗꯥ ꯆꯠꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯒꯅꯨ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯔꯤꯉꯩꯗꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫

1. ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯌꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯁꯔꯚꯤꯁ ꯑꯃꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, 1990 ꯁꯨꯋꯥꯁꯦꯔꯤꯌꯥ) ꯀꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU) ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫

2. ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯄꯣꯖꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜ ꯈꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫

꯳.ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯩꯖꯒꯅꯨ꯫ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫

꯴.ꯁꯦꯡꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯑꯁꯦꯡꯕꯥ ꯇꯣꯏꯂꯦꯠ ꯅꯠꯠꯔꯒꯥ ꯐꯤ ꯑꯃꯗꯥ ꯂꯩꯌꯨ꯫

5. ꯅꯍꯥꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯑꯁꯤ ꯆꯥꯡ ꯈꯔꯗꯥ ꯐꯒꯠꯍꯅꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯊꯪꯒꯤ ꯃꯇꯃꯒꯤꯗꯃꯛ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯃꯊꯪꯒꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯕꯦꯒ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯒꯗꯕꯥ ꯇꯥꯡ ꯑꯗꯨꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯊꯝꯕꯥ ꯑꯁꯤꯅꯤ꯫

ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯊꯦꯡꯅꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯕꯦꯒ ꯑꯗꯨꯗꯥ ꯊꯝꯃꯨ꯫

• ꯍꯦꯟꯗ ꯁꯦꯅꯤꯇꯥꯏꯖꯔ꯫
• ꯁꯦꯡꯂꯕꯥ ꯇꯣꯏꯂꯦꯠ ꯑꯃꯁꯨꯡ ꯀꯝꯕꯜ ꯈꯔꯥ꯫
• ꯑꯉꯥꯡꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅꯦꯄꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯉꯟꯅꯥ ꯏꯅꯗꯛꯁꯟ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯔꯦꯞ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯁ꯭ꯇꯦꯖ ꯌꯥꯑꯣꯅꯥ ꯋꯥꯐꯝ ꯀꯌꯥꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛ ꯑꯅꯤꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯟ ꯑꯗꯨ ꯈꯜꯂꯨ꯫

ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯍꯥꯟꯅꯥ ꯈꯪꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯐꯤꯚꯝ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯕꯥ ꯌꯥꯏ꯫