Usuku lwakho lokuzalwa selusondele, futhi mhlawumbe nosuku seludlulile. Ngesikhathi esinjengalesi, lapho udokotela ekuxilonga ethi, "Ake sibheke umlomo wesibeletho," bese ethi, "I-Bishop Score iphezulu kangaka," uyacabanga futhi, "O, kusho ukuthini lokhu?"? Omama abaningi bazizwa ngaleyo ndlela. Kujwayelekile kakhulu. Ungakhathazeki, namuhla sizoxoxa ngokuthi iyini le Bishop Score, isho ukuthini, nokuthi ingabaluleka kanjani ekubelethweni kwakho.
Kuyini i-Bishop Score kalula?
Kalula nje, i-Bishop Score iwuhlelo lokuhlola ukuthi umzimba wakho, ikakhulukazi umlomo wakho wesibeletho, usukulungele kangakanani ukubeletha. Njengokuhlolwa kwesikole, udokotela wakho uzokunikeza amaphuzu ngokusekelwe ezinguqukweni zomlomo wakho wesibeletho kanye nokuma kwekhanda lengane yakho.
Cabanga nje, isibeletho sakho yigumbi lapho umntwana ekhona. Umlomo wesibeletho ungumnyango oya kulelo gumbi. Ukuze umntwana aphume, lo mnyango kufanele uvuleke kakhulu. I-Bishop Score ilinganisa ukuthi lo 'mnyango' usukulungele ukuvuleka kangakanani, nokuthi izingidi zomnyango zikhululekile ngokwanele yini.
Leli phuzu lingasukela ku-0 kuya ku-13. Uma amaphuzu ephezulu, umzimba wakho ulungele ukubeletha. Kuphinde kubonise ukuthi uma ukubeletha kubangelwa yisizathu esithile, kulapho amathuba okuba ube nokubeletha okuphumelelayo kwesitho sangasese sowesifazane.
Uyibuka nini le Bishop Score?
Odokotela bavame ukubala lesi sibalo ngemva kokufika kwamasonto angu-40 okukhulelwa. Lokhu kungenxa yokuthi uma ubulokhu weqa izinsuku futhi ungakaqali ukuzwa ubuhlungu emavikini angu-41 noma angu-42, sekuyisikhathi sokucabanga ngokubangela ukubeletha ngokwenziwa. Kodwa-ke, ngezinye izikhathi, ngenxa yesimo sempilo kumama noma enganeni, udokotela angase afune ukubheka lesi sibalo kusenesikhathi.
Kodwa lokhu kuhlolwa akwenziwa njalo.
Isibonelo, uma une -placenta previa , kuphephile ukubeletha nge-cesarean. Lolu hlobo lokuhlolwa kwangaphakathi alwenziwa ngaleso sikhathi. Futhi, uma amanzi akho ephukile ngaphambi kwesikhathi (ukuqhuma kwama-membrane ngaphambi kwesikhathi) , lolu hlobo lokuhlolwa lungaba yingozi ngenxa yengozi yokutheleleka.
Zibalwa kanjani lezi zibalo?
Udokotela wakho ubala lesi Sikali sikaBishop ngokugxila ezintweni ezinhlanu eziyinhloko. Ake sibone ukuthi yiziphi lezo zinto ezinhlanu.
1. Ukuvulwa komlomo wesibeletho:Lokhu kulinganisa ukuthi umlomo wesibeletho uvuleke kangakanani. Udokotela usebenzisa iminwe yakhe ukuhlola bese ewuhambisa ngamasentimitha ambalwa. Uma uvuleke ngokuphelele, cishe ungaba ngamasentimitha ayi-10.
2. Ukuqedwa komlomo wesibeletho: Lokhu kubhekisela ekutheni umlomo wesibeletho usube mncane noma mfishane kangakanani. Umlomo wesibeletho uyancipha njengoba kusondela ukubeletha. Uma usuqedwe ngokuphelele, kuthiwa "ube mncane ephepheni."
3. Ukungaguquguquki komlomo wesibeletho: Lokhu kulinganisa ukuthi umlomo wesibeletho uqine noma uthambile kangakanani. Umlomo wesibeletho othambile uvula kalula. Kufana nomehluko phakathi kwesihloko sekhala lakho (esiqinile) nezindebe zakho (esithambile).
4. Indawo yomlomo wesibeletho: Njengoba kusondela isikhathi sokubeletha, umlomo wesibeletho uyashintsha usuka ekubeni ngemuva uye phambili kancane kancane. Lokhu kusetshenziselwa ukubona ukuthi leyo ndawo injani.
5. Indawo yengane noma isiteshi sengane: Lokhu kulinganisa ukuthi ikhanda lengane liphansi kangakanani maqondana nephuzu elithile ethangeni lakho. Uma ikhanda lengane lisaphakeme, uthola inani elibi (-), futhi uma liphansi kakhulu, uthola inani elihle (+).
Isikolo sakho seBishop sinqunywa ngokunikeza ngayinye yalezi zinto amaphuzu ahlukile, bese ekugcineni uhlanganisa wonke amaphuzu amahlanu.
| Isici esinikeza amaphuzu | Amaphuzu angu-0 | Iphuzu eli-1 | Amaphuzu ama-2 | Amaphuzu ama-3 |
|---|---|---|---|---|
| Ukwanda komlomo wesibeletho (cm) | Kuvaliwe | 1-2 cm | 3-4 cm | Ngaphezu kuka-5 cm |
| Ukuncipha komlomo wesibeletho (%) | 0-30% | 40-50% | 60-70% | Ngaphezu kuka-80% |
| Indawo yekhanda lomntwana | -3 | -2 | -1, 0 | +1, +2 |
| Uhlobo lomlomo wesibeletho | Inkampani | Okuphakathi nendawo | Ithambile | - |
| Indawo yomlomo wesibeletho | Ngemuva | Isikhundla esiphakathi | Ngaphambili | - |
Ngezinye izikhathi, uma unesifo esifana ne -preeclampsia ngesikhathi sokukhulelwa, noma uma uke wabeletha ngaphambilini, udokotela wakho angase anezele iphuzu elengeziwe kumaphuzu akho aphelele ngoba imithi yobuhlungu inamathuba amaningi okuphumelela ngaleso sikhathi.
Ithini i-Bishop Score yami?
Kulungile, ake sithi usuthole amaphuzu. Yini ofuna ukuyiqonda kulokho?
- Uma unama-8 noma ngaphezulu: Lesi yisimo esihle kakhulu. Kusho ukuthi umzimba wakho ulungele kahle ukubeletha. Ukubeletha cishe kuzoqala ngokwemvelo maduze. Futhi, uma ukubeletha kubangelwa, kungenzeka kakhulu ukuthi kuphumelele futhi kuholele ekuzalweni kwemvelo.
- Uma amaphuzu ephakathi kuka-6-7: Lesi yisimo esimaphakathi. Ubuhlungu obubangelayo bungase buphumelele noma bungaphumeleli. Ngezikhathi ezinjengalezi, udokotela uzokwenza isinqumo esingcono kakhulu ngokusekelwe kolunye ulwazi lwakho lwezempilo.
- Uma amaphuzu angu-5 noma ngaphansi:Lokhu kusho ukuthi umzimba wakho awukakulungeli ngokugcwele ukubeletha. Uma uzama ukubangela ukubeletha ngalesi sikhathi, cishe ngeke kuphumelele.
Kodwa khumbula lokhu: I-Bishop Score iyisiqondiso nje. Akuyona isibikezeli esinembile esingu-100%. Abanye omama abanamaphuzu aphansi baye babeletha ngempumelelo ngokwemvelo ngokuqaliswa kobuhlungu. Kukhona futhi izimo lapho ukuqaliswa kobuhlungu kwehluleka naphezu kwamaphuzu aphezulu. Kuyithuluzi nje lokukusiza wena nodokotela wakho nithathe isinqumo esingcono kakhulu.
Kungani ubuhlungu bubangelwa ngokwenziwa?
Kunezizathu eziningana zokuthi kungani udokotela wakho engase asikisele ukuthi ubangele ukubeletha ngokwenziwa. Isizathu esiyinhloko ukuthi ukukhulelwa kwakho sekudlule amasonto angu-41-42. Lokhu kungenxa yokuthi ukuqhubeka ngale kwamasonto angu-42 kwandisa ingozi yezinkinga kumntwana nakumama. Futhi, uma umama noma umntwana enezinkinga zempilo, udokotela angase anqume ukucela ukubeletha uma enomuzwa wokuthi kuphephile ukubeletha umntwana ngaphandle kokulinda isikhathi eside.
I-Bishop Score iyithuluzi elibalulekile elizosiza udokotela wakho ukuthi enze lesi sinqumo. Ngakho-ke vulekela udokotela wakho mayelana ne-score yakho, ukuthi isho ukuthini, nokuthi yini okufanele uyenze ngokulandelayo. Ukuphepha kwakho nokwengane yakho kuyizinto eziza kuqala kuwo wonke umuntu.
Umlayezo Wokuya Nawe Ekhaya
- I-Bishop Score uhlelo lokuhlola olulinganisa ukuthi umlomo wesibeletho sakho usukulungele kangakanani ukubeletha.
- Amaphuzu angu-8 noma ngaphezulu asho ukuthi umzimba ulungele kahle ukubeletha. Uma ubuhlungu bubangelwa ngokwenziwa, cishe buzophumelela.
- Amaphuzu angu-5 noma ngaphansi asho ukuthi umzimba awukakulungeli.
- Lokhu kumane nje kuyisiqondiso sokukusiza ukuthi wenze isinqumo; akusona isinqumo sokugcina.
- Khuluma nodokotela wakho mayelana neBishop Score yakho kanye nezinyathelo ezilandelayo okufanele uzithathe. Themba iseluleko sabo sezokwelapha.
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