Kungaphantsi kweeyure ezi-3 ngaphambi kokuba umntwana azalwe? Oko kufuneka ukwazi malunga nokubeleka ngokukhawuleza

Njengomama oza kuzala, usenokuziva usoyika kancinci kwaye unomdla kakhulu xa ucinga ngokuzala. Usenokuba ukhe weva ngoomama abazale emva kweeyure, mhlawumbi iintsuku, zokubeleka. Ngoko ke xa usiva amabali anjalo, usenokucinga, "Owu, ndingathanda ukuba nomntwana wam kungekudala." Kodwa ubusazi na ukuba ukuba unomntwana ngokukhawuleza, oko kukuthi, ukuba umntwana uzalwe kwiiyure ezintathu nje kuphela, kunokubakho iingozi ezithile? Yiloo nto siza kuthetha ngayo namhlanje.

Yintoni iPrecipitous Labor?

Ngamafutshane, ukubeletha ngaphambi kwexesha okanye ukubeletha ngokukhawuleza kuxa umntwana ezalwa ngokukhawuleza kakhulu. Ngokomyinge, ukubeletha kuthatha iiyure ezi-6 ukuya kwezi-18. Kodwa ukuba usandul' ukuqala ukubeletha, oko kukuthi, inkqubo yokufinyela kwesibeleko, kwaye umntwana wazalwa kwiiyure ezintathu , sibiza ngokuba kukubeletha ngaphambi kwexesha. Abanye oogqirha baquka ukubeletha okuthatha iiyure ezingaphantsi kwesihlanu kolu didi.

Ngoku usenokuba ucinga, "Hayi... bekuya kuba mnandi ukuba nomntwana kungekudala kangaka, iintlungu zingabi ninzi." Kodwa eneneni, oku kunokubangela iingozi kumama nakumntwana. Yiyo loo nto kubaluleke kakhulu ukukwazi oku.

Zithini iimpawu zokubeletha ngaphambi kwexesha? Uzibona njani?

Kwixesha eliqhelekileyo lokubeleka, iintlungu zokubeleka ziqala kancinci kwaye zinyuke kancinci kancinci. Kodwa kwixesha elikhawulezileyo lokubeleka, kwahlukile ngokupheleleyo. Yonke into yenzeka ngequbuliso, ngaphandle kwesilumkiso.

Ukuze uyiqonde ngcono le meko, jonga itheyibhile engezantsi.

Kutheni oku kusenzeka? Ngubani osengozini enkulu?

Isizathu esichanekileyo sokubeleka ngaphambi kwexesha asikaziwa, kodwa kufunyenwe ezinye izinto ezibangela ukuba kube nzima ukuzala.

• Ukuba ukhe waba nomntwana ngaphambili: Ixesha elithathwayo ukuze ube nomntwana wesibini okanye wesithathu lidla ngokuba lifutshane kunelokuqala.
• Ukuba ukhe wabeleka ngaphambi kwexesha ngaphambili: Abo bakhe babeleka ngaphambili banamathuba amaninzi okuba babe nalo mntwana kwakhona.
• Ukuba umntwana ungaphantsi komzimba (usana oluncinci): Ukuba umntwana mncinci ngobukhulu, ukuzala kunokuba lula kwaye kukhawuleze.
• Ukuba isibeleko sakho siqinile kwaye sisebenza kakuhle: Ukuba izihlunu zesibeleko zisebenza ngamandla nangokufanelekileyo, ukuzala kuya kwenzeka ngokukhawuleza.
• Ukuba umjelo wakho wokuzala uthambile kwaye uguquguqukayo: Ukuba umjelo wokuzala kulula ukuwulula, kuya kuba lula ukuba umntwana aphume.
• Ukuba une-high blood pressure.
• Ukuba unikwe amayeza anjenge-'Prostaglandins' okubangela ukuzala.
• Ukuba ukhe wasebenzisa iziyobisi ezifana ne-cocaine.

Ukuba ucinga ukuba unayo nayiphi na kwezi zinto zinobungozi, ungoyiki. Thetha nogqirha wakho ngale nto. Uza kujonga imbali yakho yezonyango aze akunike iingcebiso ngazo naziphi na iindlela zokuzikhusela ezifunekayo.

Ziziphi iingxaki ezinokubakho ngenxa yokuzala ngequbuliso?

Ngenxa yokuba yonke into yenzeka ngokukhawuleza, oku kunokuba ngamava anzima engqondweni nasemzimbeni. Usenokungabi nalo ixesha lokuya esibhedlele, okanye usenokungakwazi ukufumana i-epidural. Oku kunokwenza lonke eli thuba loyikeke kwaye libe nzima.

Iingxaki ezinokwenzeka kumama

• Ukopha Emva Kokubeletha: Isibeleko sisenokunganciphi kakuhle kwaye sophe igazi elininzi.
• Ukothuka: Ukopha kakhulu kubangela ukuba amalungu omzimba angafumani igazi neoksijini efunekayo.
• Iinyembezi ze-perineal: Njengoko umntwana ephuma ngokukhawuleza, kukho amathuba amakhulu okonakala kwilungu lobufazi nakwizicubu ezijikelezileyo.
• I-Placenta Egciniweyo: I-placenta, ekufuneka ikhutshwe emva kokuba umntwana ezelwe, inokubanjwa ngaphakathi kwesibeleko.
• Ukubelekela kwindawo engabulawanga ziintsholongwane: Khawuthelekelele ukubelekela emotweni okanye kwigumbi lokuhlambela, apho kukho umngcipheko wokosuleleka.
• Uxinzelelo olukhulu lwengqondo: Uloyiko kunye nokulahlekelwa lulawulo olubangelwa sesi siganeko singalindelekanga kunokukhokelela ekuxinezelekeni kwengqondo kamva.
• Ukungafumani amayeza okubulala iintsholongwane afanelekileyo: Abanye oomama banezifo ezifana ne-Group B strep. Amayeza okubulala iintsholongwane kufuneka anikwe ngaphambi kokuba azalwe. Ukuba akukho xesha lokukwenza oku ngexesha lokubeleka elingxamisekileyo, usulelo lunokudluliselwa kumntwana.

Iingxaki ezinokwenzeka kumntwana

• Ukuphefumla indle yokuqala yomntwana (i-meconium): Umntwana uyayikhupha indle esibelekweni aze ayiphefumle loo manzi, nto leyo enokubangela ingxaki yokuphefumla.
• Izifo: Ukuzalelwa kwindawo engenazo iintsholongwane kubeka umntwana emngciphekweni omkhulu wokosuleleka.
• Ukwenzakala: Umntwana unokwenzakala ngenxa yokubeleka ngokukhawuleza okanye ngokuwela phezu komhlaba.

Ingaba oku kubuhlungu ngaphezu kokubeletha okuqhelekileyo?

Nangona kunzima ukunika impendulo enye kulo mbuzo, ukuzalwa ngesiquphe kunokuba buhlungu ngakumbi. Zininzi izizathu zoku.

• Ukungafumani xesha lokufumana amayeza okudambisa iintlungu: Kusenokufuneka ubeleke umntwana wakho ngaphambi kokuba uye esibhedlele ukuze ufumane amayeza okudambisa iintlungu anamandla njenge-epidural.
• Intlungu egqithisileyo: Ukudumba kunamandla kakhulu ukususela ekuqaleni.
• Ukungaphumli: Akukho xesha lokuphumla phakathi kwentlungu ezimbini. Intlungu ayipheli.
• Ukukrazuka kwesisu: Intlungu inokwanda ngenxa yokwenzakala okubangelwa kukuzala ngokukhawuleza.
• Ukungalungiseleli ngengqondo:Intlungu ivakala ngakumbi kuba akukho xesha lokwenza umthambo wokuphefumla okanye lokuzola.

Ndingenza ntoni xa ndiziva ngathi ndiza kubeleka?

Ukuba ufumana ezi mpawu, musa ukoyika. Zama ukuhlala uzolile kangangoko unako ngelixa usenza ezi zinto.

1. Fowunela ugqirha wakho ngoko nangoko. Ukuba awukwazi ukufikelela kugqirha wakho, fowunela inkonzo ye-ambulensi yongxamiseko (umz. 1990 Suwaseriya) okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane nawe ngoko nangoko.

2. Zama ukuzola. Ngelixa ucinga ngeengcinga ezakhayo, phefumla nzulu uze ukhuphe umoya kancinci.

3. Musa ukuba wedwa. Qiniseka ukuba kukho umntu oza kuhlala nawe nanini na xa kunokwenzeka.

4. Hlala kwindawo ecocekileyo. Ukuba kunokwenzeka, hlala kwithawula okanye ilaphu elicocekileyo.

5. Lala ngecala lakho lasekhohlo. Oku kuya kuphucula ukuhanjiswa kwegazi esibelekweni nakumntwana ngandlela ithile.

Ukuba oku kuye kwenzeka ngaphambili, ungakulungiselela njani kwixesha elizayo?

Ukuba ukhe waphunyelwa sisisu ngaphambili, kufuneka ulumke kakhulu ngexesha lokukhulelwa kwakho okulandelayo. Eyona nto ingcono onokuyenza kukulungisa ibhegi yakho yesibhedlele kwiiveki ezimbalwa ngaphambi komhla wokuzalwa.

Faka izinto ozidingayo xa ujongene nemeko engxamisekileyo kuloo ngxowa.

• Isicoci sezandla
• Iitawuli ezimbalwa ezicocekileyo kunye neengubo
• Iinapukeni zomntwana ezifunekayo kunye neempahla ezongezelelweyo

Ngamanye amaxesha, ukuba ugqirha wakho ucinga ukuba usemngciphekweni omkhulu wokuzala ngaphambi kwexesha, banokucebisa ukuba uqalise ukukhulelwa kwangethuba. Kodwa eso sigqibo sisekelwe kwizinto ezininzi, kuquka imbali yakho yempilo kunye nenqanaba lokukhulelwa kwakho. Ngoko ke thetha nogqirha wakho ngale nto uze ukhethe ukhetho olulungele nina nobabini.

Ukuzala okukhawulezileyo kunokuba ngamava othusayo, kodwa ukuba uyazi kwangaphambili kwaye ulungiselele, ungajongana nayo nayiphi na imeko.