Ngaba kulungile ngokwenene 'ukubeleka' ngelixa ukhulelwe umntwana? Makhe sithethe ngale nto!

Ukuba ungumama oza kuzala, mhlawumbi uzibuza ngokuzala kule mihla. Kuqhelekile ukuba nemibuzo emininzi efana nokuthi "Kuza kuba njani? Ngaba kuza kuba buhlungu? Ngaba kuza kuphela ngokukhawuleza?" Namhlanje siza kuthetha ngento ethethwa ngabantu abaninzi, mhlawumbi nawe ukhe wayiva. Le yindlela ebizwa ngokuba yi-'Laboring Down'. Abanye abantu bayibiza ngokuba yi-"delayed pushing". Makhe sibone ukuba yintoni kanye kanye, kwenzeka ntoni ngayo, kwaye zithini izinto ezilungileyo nezingalunganga.

Yintoni kanye kanye 'Ukubulaleka'?

Ngamafutshane, 'Ukubeleka Phantsi' kuxa umlomo wesibeleko sakho uvulekile ngokupheleleyo (malunga neesentimitha ezili-10), uze uqale inqanaba lesibini lokubeleka, kodwa awuqali ukutyhala iyure okanye ezimbini. Cinga ngale ndlela, uvumela umzimba wakho, ukufinyela kwesibeleko sakho, kunye nomxhuzulane ukuba uhlise umntwana wakho kancinci kancinci, uphume. Oku kukwabizwa ngokuba yi-"passive descent," oko kuthetha ukuba umntwana uzizela yedwa.

Ngokwesiqhelo, uninzi loomama luqala ukutyhala kwangoko xa umlomo wesibeleko wabo uvulekile iisentimitha ezili-10. Kuqala ke ngoko inqanaba lesibini lokubeleka. Kulapho umntwana eqala khona ukuhamba emjelweni wokuzalwa.

Nangona kunjalo, abanye oomama abaziva befuna ukutyhala de kube yiyure okanye ezimbini emva kokuba inqanaba lesibini liqalile. Kwimeko enjalo, ungalinda de intloko yomntwana iqale ukubonakala (iqhoshe) okanye ude uzive unqwenela ukutyhala ngamandla. Oku kubizwa ngokuba 'kukusebenza nzima', apho uvumela umzimba wakho ukuba wenze umsebenzi omninzi. Ukuncitshiswa kwesibeleko kunokusebenza kunye nomxhuzulane ukuze umntwana athotywe ngokwendalo.

Ndingafumana i-epidural ukuze 'ndinciphise ukuzala'?

Ewe, usenokuba unengxaki yokuxinwa yi-epidural. Kodwa nantsi into. Ukuba ukhe waba ne-epidural enamandla kakhulu ekwenza ungakhululeki, usenokungaziva umnqweno wendalo wokuxinwa. Ukuba oko kuyenzeka, ugqirha wakho, umongikazi, okanye umntu okuxhasayo kuya kufuneka akuxelele ukuba lixesha lokuba uxinwe.

Ukuba awunayo i-epidural, ngokwemvelo uya kuziva umnqweno wokutyhala. Emva koko, ukuba ugqiba ekubeni 'usebenze nzima', uyaqhubeka nje ude umnqweno wokutyhala ungasanyamezeleki.

Kodwa nantsi into ebalulekileyo ekufuneka uyiqaphele. Ukususela ngo-2019, i-American College of Obstetricians and Gynecologists (ACOG) ayisacebisi ukuba abafazi abane-epidural basebenze nzima. Bathi nokuba awuziva unomdla wokutyhala ngokwendalo, kufuneka uqale ukutyhala kwangoko xa uqala inqanaba lesibini lokubeleka. Le yinto omele uyixoxe nogqirha wakho.

Ixhaphake kangakanani le ndlela 'yokuSebenza Phantsi'?

Ukubeleka phantsi yindlela eqhelekileyo, ingakumbi phakathi koomama abaqalayo ukuzala. Kunzima ukuqikelela ukuba kuza kuthatha ixesha elingakanani okanye kuza kuba njani. Ngoko ke, ukuba ukuzala kuza kuthatha ixesha elide, abanye abantu bacinga ukuba ukuzala phantsi kuya konga amandla.

Khawucinge ukuba uza kunyuka intaba enkulu. Ukuba uqhubeka ngesantya esiphezulu, uza kudinwa ngokukhawuleza, akunjalo? Kodwa ukuba uthatha ikhefu elincinci, uphumle kancinci phakathi, uya kuba namandla okuhamba yonke loo ndlela. Ukubeleka phantsi kufana noko. Ukuzala yinkqubo edla amandla kakhulu. Ngoko ke, abanye abantu bacinga ukuba ngokuthatha ixesha elincinci nokuvumela umntwana ukuba ehle, umama unokonga amandla okusebenzisa xa kufuneka atyhale.

Yintoni umahluko phakathi 'kokutyhala okulibazisekileyo' kunye nokutyhala okukhawulezileyo?

'Ukutyhala Phantsi', okanye ukutyhala okulibazisekileyo, kuxa ungenawo umnqweno wokutyhala ngexesha lesigaba sesibini sokuqala sokubeleka. Okanye, kusenokuba xa utyhala kancinci kwaye kancinci.

Kwelinye icala, ukutyhala ngoko nangoko kuthetha ukuqala ukutyhala kwangoko xa umlomo wesibeleko sakho uvulekile kangangeesentimitha ezili-10. Oku kudla ngokubandakanya ugqirha wakho okanye umongikazi ekufundise indlela yokutyhala ngesantya ngasinye. Oku kukwabizwa ngokuba "kukutyhala okuqondisiweyo."

Zithini iingenelo 'zokusebenza nzima'?

Izifundo zibonise ukuba ukubeleka ixesha elingangeyure enye okanye ezimbini kunokwandisa inqanaba lesibini lokubeleka malunga neyure enye. Nangona kunjalo, ixesha elipheleleyo umama amele alityhale ngaphambi kokuba umntwana azalwe lincitshiswa malunga nemizuzu engama-20.

Abanye oogqirha bakholelwa ukuba ukusebenza nzima kunezi zibonelelo zilandelayo:

• Inceda umama ukuba onge amandla okutyhala.
• Yandisa amathuba okuba uzale ngendlela eqhelekileyo .
• Utyando lotyando (C-section) lunciphisa umngcipheko weengxaki ngexesha lokubeleka okanye lokuzala.

Kodwa ezi ziingcinga nje zabanye oogqirha, kwaye ayizizo zonke izifundo eziqinisekisile ezi zinto.

Ngaba 'Ukubulaleka Ngumsebenzi' kukhuselekile ngokwenene? ​​Ngaba kukho naziphi na iingozi?

Nantsi ingongoma ebalulekileyo. Izifundo zakutshanje zibonisa ukuba akukho bungqina bokuba ukutyhala okulibazisekileyo kuneenzuzo ezithile ngaphezu kokutyhala kwangoko.

Enyanisweni, ezinye izifundo zibonise ukuba ukutyhala okulibazisekileyo kunokunxulunyaniswa nokwanda kancinci komngcipheko weengxaki ezifana nezi:

• `I-Chorioamnionitis`: Olu luhlobo lwentsholongwane oluvela kwingxowa namanzi (i-amniotic fluid) ejikeleze umntwana.
• `Ukopha emva kokubeletha` : Oku kukopha kakhulu kumama emva kokubeletha.
• I-Neonatal Acidemia : Oku kukunyuka kwe-asidi egazini losana olusandul’ ukuzalwa.

Kubaluleke kakhulu ukuqaphela ezi ngozi, kuba yonke into inokuba neengenelo kunye neengxaki.

Ngoko ke, ndingenza njani isigqibo esifanelekileyo kum?

Lo ngumbuzo ongcono onokuwubuza. Eyona ndlela ilungileyo yokugqiba ukuba ukuzala kulungile na kuwe kukusebenzisana nogqirha wakho, umbelethisi, kunye neqabane lakho lokuzala ukuze kwenziwe isicwangciso sokuzala esicacileyo.

Esi sigqibo kufuneka senziwe emva kokuqwalasela izinto ezininzi, ezifana nemeko yakho yempilo, uhlobo lokukhulelwa kwakho, kunye neminqweno yakho. Yenza isigqibo emva kokuxoxa ngeenzuzo kunye neengozi 'zokuphelelwa ngamandla', kunye nendlela okuya kuyichaphazela ngayo imeko yakho.

Khumbula, amava abantu abangafaniyo. Oko kusebenza komnye umntu kusenokungasebenzi komnye. Ngoko ke kubalulekile ukumamela oko kuthethwa ngabanye, uthethe nogqirha wakho, uze wenze isigqibo esifanelekileyo kuwe.

Ngoko ke, yintoni esiyifumanayo apha?

Kulungile, ngoko ke sithethe kakhulu 'ngokuSebenza Phantsi'. Ukushwankathela:

• 'Ukubeleka Phantsi' kuthetha ukuvumela umntwana ukuba ehle ngokwendalo emva kokuba inqanaba lesibini lokubeleka liqalile, ngaphandle kokutyhala iyure okanye ezimbini.
• Oku kunokunceda umntwana ukuba ehle aze anciphise ixesha elichithwa ngumama.
• Nangona kunjalo, izifundo zamva nje zibonisa ukuba le ndlela ayinayo inzuzo ikhethekileyo. Ukongeza, kunokubakho umngcipheko omncinci weengxaki ezithile ezifana `(Chorioamnionitis)`, `(Postpartum Hemorrhage)`, `(Neonatal Acidemia)`.
• Umbutho we-ACOG awucebisi le ndlela okwangoku kwabo bafumana i-epidural.

Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngale nto uze uxoxe ngayo naye xa usenza isicwangciso sakho sokuzalwa, ukuze ukwazi ukwenza isigqibo esikhuselekileyo nesifanelekileyo kuwe nakumntwana wakho. Ungakhathazeki, iqela lakho lezonyango liza kukunceda. Sikunqwenelela ukuzalwa okuphumelelayo!

Ukubeleka Ubunzima, Ukubeleka Ubunzima, Ukuzala, Ukukhulelwa, Ukuphefumla, Ukutyhala, Amanqanaba Okuzala