ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯅꯤꯁꯨꯕꯥ ꯊꯥ ꯇꯔꯨꯛꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯣꯏꯒꯗ꯭ꯔꯥ? ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯈꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ (ꯁꯦꯀꯦꯟꯗ ꯇ꯭ꯔꯥꯏꯃꯦꯁ꯭ꯇꯔ ꯇꯦꯁ꯭ꯇꯁꯤꯡ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ?

ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯐ꯭ꯔꯤ ꯑꯣꯏꯕꯥ, ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯃꯇꯝ ꯑꯃꯥ ꯌꯧꯔꯦ꯫ ꯃꯗꯨ ꯑꯅꯤꯁꯨꯕꯥ ꯇ꯭ꯔꯤꯃꯦꯁ꯭ꯇꯔꯅꯤ . ꯃꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯊꯥ ꯑꯍꯨꯃꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯝ ꯑꯗꯨꯅꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯐꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯝ ꯑꯗꯨꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯌꯥꯏꯐ-ꯊꯧꯔꯥꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯒꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯈꯣꯌ ꯑꯅꯤꯃꯛ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ?

ꯀ꯭ꯂꯤꯅꯤꯛ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯔꯨꯇꯤꯟ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗꯀꯤꯗꯃꯛꯇꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯆꯠꯄꯥ ꯃꯇꯝ ꯈꯨꯗꯤꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ꯫

• ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ: ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ, ꯆꯤꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯑꯔꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯇꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ .

ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯅꯤ ꯂꯩꯔꯤ꯫

1. ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯑꯗꯨ ꯇꯦꯞ ꯃꯦꯖꯔ ꯑꯃꯅꯥ ꯂꯦꯄꯀꯅꯤ꯫ ꯃꯁꯤꯕꯨ ‘ꯐꯟꯗꯜ ꯍꯥꯏꯠ’ ꯃꯦꯖꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁ, ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫

2. ꯐꯤꯇꯁꯀꯤ ꯍꯥꯔꯠ ꯇꯣꯅꯁꯤꯡ (fetal heart tones): ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯅꯥ ꯁꯥꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ (fetal heart tones) ꯇꯥꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯇꯥꯕꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯗꯨ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯅꯤ, ꯅꯠꯇꯦ?

ꯌꯥꯝꯅꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯗꯨ꯫

ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯁꯤ ꯑꯅꯤꯁꯨꯕꯥ ꯇ꯭ꯔꯤꯃꯦꯁ꯭ꯇꯔꯗꯥ ꯇꯧꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯅꯨꯃꯤꯠ ꯲꯰ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯧꯏ . ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯑꯦꯅꯣꯃꯦꯂꯤ ꯁ꯭ꯀꯦꯟ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯕꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯀꯌꯥ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯦꯟ ꯑꯁꯤꯗꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯞꯂꯔ ꯁ꯭ꯀꯦꯟ ꯑꯃꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯐꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯧꯏ꯫

ꯖꯦꯁ꯭ꯇꯦꯁꯅꯦꯜ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯃꯁꯤꯁꯨ ꯑꯅꯤꯁꯨꯕꯥ ꯊꯥ ꯇꯔꯨꯛꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯲꯴ ꯑꯃꯁꯨꯡ ꯲꯸ꯒꯤ ꯃꯔꯛꯇꯥ ꯇꯧꯏ .

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯒ꯭ꯂꯨꯀꯣꯖ (ꯆꯤꯅꯤ) ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯊꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯂꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯖꯦꯁ꯭ꯇꯦꯁꯅꯦꯜ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ, ꯄꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯇꯨꯡꯗꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯄꯥ ꯎꯔꯕꯗꯤ, ꯃꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯟꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ (ꯒ꯭ꯂꯨꯀꯣꯖ ꯇꯣꯂꯔꯦꯟꯁ ꯇꯦꯁ꯭ꯠ) ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯃꯦꯟꯗꯦꯇꯔꯤ ꯑꯣꯏꯗꯦ . ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯃꯥ ꯑꯗꯨꯅꯥ ꯆꯍꯤ 35ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯇ꯭ꯔꯤꯃꯦꯁ꯭ꯇꯔꯗꯥ ꯇꯧꯈꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯠꯇꯥ ꯎꯠꯂꯕꯗꯤ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄ꯭ꯔꯣꯁ ꯑꯃꯁꯨꯡ ꯀꯟꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫