Ingabe kuhle ngempela 'ukubeletha' ngenkathi unengane? Ake sixoxe ngalokhu!

Uma ungumama okhulelwe, cishe uzibuza ngokubeletha kulezi zinsuku. Kuvamile ukuba nemibuzo eminingi efana nokuthi "Kuzoba njani? Ingabe kuzobuhlungu? Ingabe kuzophela ngokushesha?" Namuhla sizokhuluma ngento ekhulunywa ngayo ngabantu abaningi, futhi mhlawumbe nawe uke wezwa ngayo. Leyo yindlela ebizwa ngokuthi 'Ukuqeda Ukucindezeleka'. Abanye abantu bayibiza nangokuthi "ukusunduza okubambezelekile". Ake sibone ukuthi kuyini ngempela, kwenzekani ngakho, nokuthi yiziphi izinzuzo nezingozi.

Kuyini ngempela 'Ukuzikhandla'?

Kalula nje, 'Ukubeleka Phansi' kwenzeka lapho umlomo wesibeletho sakho uvulekile ngokuphelele (cishe amasentimitha ayi-10), bese uqala isigaba sesibili sokubeletha, kodwa awuqali ukusunduza ihora noma amabili. Cabanga ngale ndlela, uvumela umzimba wakho, ukufinyela kwesibeletho sakho, kanye namandla adonsela phansi ukuthi kwehlise kancane kancane ingane yakho, iphume yonke indlela. Lokhu kubizwa nangokuthi "ukwehla okungenamsebenzi," okusho ukuthi ingane izizela yodwa.

Ngokuvamile, omama abaningi baqala ukusunduza ngokushesha nje lapho umlomo wesibeletho wabo usuvuleke ngamasentimitha ayi-10. Yilapho kuqala khona isigaba sesibili sokubeletha. Yilapho umntwana eqala khona ukwehla ngomsele wokubeletha.

Kodwa-ke, abanye omama abazizwa benesifiso sokusunduza kuze kube ihora noma amabili ngemva kokuqala kwesigaba sesibili. Kuleso simo, ungalinda kuze kube yilapho ikhanda lomntwana liqala ukubonakala (ukuqhakaza) noma uze uzizwe unesifiso esikhulu sokusunduza. Lokhu kubizwa ngokuthi 'ukusebenza kanzima', okuyilapho uvumela umzimba wakho ukuthi wenze umsebenzi owengeziwe. Ukufinyela kwesibeletho kungasebenza ngamandla adonsela phansi ukuze kwehlise umntwana ngokwemvelo.

Ngingathola yini i-epidural ukuze 'nginciphise isikhathi sokubeletha'?

Yebo, usengabhekana nobunzima nge-epidural. Kodwa nansi into. Uma uke waba ne-epidural enamandla kakhulu ekwenza uzizwe ungakhululekile, ungase ungazizwa unesifiso semvelo sokusunduza. Uma lokho kwenzeka, udokotela wakho, umhlengikazi, noma othile okusekelayo kuzodingeka akutshele ukuthi sekuyisikhathi sokusunduza.

Uma ungenayo i-epidural, ngokwemvelo uzozizwa unesifiso sokusunduza. Khona-ke, uma unquma 'ukusebenza kanzima', umane ubambelele kuze kube yilapho isifiso sokusunduza singasabekezeleleki.

Kodwa nansi into ebalulekile okufanele uyiqaphele. Kusukela ngo-2019, i-American College of Obstetricians and Gynecologists (ACOG) ayisancomi ukubeletha phansi kwabesifazane abane-epidural. Bathi noma ungazizwa unesifiso sokusunduza ngokwemvelo, kufanele uqale ukusunduza ngokushesha nje lapho uqala isigaba sesibili sokubeletha. Lokhu futhi kuyinto okufanele uyixoxe nodokotela wakho.

Ivame kangakanani le ndlela ethi 'Laboring Down'?

Ukubeletha ngaphansi kokubeletha empeleni kuyindlela evamile kakhulu, ikakhulukazi phakathi komama abasanda kubeletha. Kunzima ukubikezela ukuthi kuzothatha isikhathi esingakanani ukubeletha noma ukuthi kuzoba njani. Ngakho-ke, uma ukubeletha kuzoba isikhathi eside, abanye abantu bacabanga ukuthi ukubeletha ngaphansi kokubeletha kuzokonga amandla.

Cabanga ukuthi uzokhuphuka intaba enkulu. Uma uqhubeka ngesivinini esikhulu, uzokhathala ngokushesha, akunjalo? Kodwa uma uthatha ikhefu elincane, uphumule kancane phakathi nalesi sikhathi, uzoba namandla okuhamba yonke indlela. Ukubeletha kufana nalokho. Ukubeletha kuyinqubo edla amandla kakhulu. Ngakho-ke, abanye abantu bacabanga ukuthi ngokuthatha isikhathi esincane nokuvumela umntwana ukuba ehle, umama angonga amandla okuwasebenzisa lapho edinga ukusunduza.

Uyini umehluko phakathi 'kokusunduza okubambezelekile' kanye nokusunduza ngokushesha?

'Ukuzikhandla', noma ukusunduza okulibazisekile, kubhekisela ekungavumeli isifiso sokusunduza ngesikhathi sokuqala kwesigaba sesibili sokubeletha. Noma, kungaba ukusunduza kancane kancane.

Ngakolunye uhlangothi, ukusunduza ngokushesha kusho ukuqala ukusunduza ngokushesha nje lapho umlomo wakho wesibeletho usuvuleke ngamasentimitha ayi-10. Lokhu kuvame ukuhilela udokotela wakho noma umhlengikazi ekufundise indlela yokusunduza ngokusikwa ngakunye. Lokhu kubizwa nangokuthi "ukusunduza okuqondisiwe."

Yiziphi izinzuzo 'zokusebenza kanzima'?

Ucwaningo lubonise ukuthi ukukhandleka ihora elilodwa noma amabili kungandisa isigaba sesibili sokubeletha cishe ngehora. Kodwa-ke, isikhathi esiphelele umama okufanele asikhandle ngaphambi kokuba umntwana azalwe sincishiswa cishe ngemizuzu engama-20.

Abanye odokotela bakholelwa ukuthi ukubeletha kunezinzuzo ezilandelayo:

• Kusiza umama ukuthi onge amandla okucindezela.
• Kwandisa amathuba okubeletha ngendlela evamile .
• Ukuhlinzwa ngokuhlinzwa (C-section) kunciphisa ingozi yezinkinga ngesikhathi sokubeletha noma sokubeletha.

Kodwa lokhu kumane kuyimibono yabanye odokotela, futhi akuzona zonke izifundo eziqinisekisile lezi zinto.

Ingabe 'Ukuzikhandla' kuphephile ngempela? Ingabe zikhona izingozi?

Nasi iphuzu elibalulekile. Izifundo zakamuva zibonisa ukuthi abukho ubufakazi bokuthi ukusunduza okulibazisekile kunezinzuzo ezithile kunokucindezela okusheshayo.

Eqinisweni, ezinye izifundo zikhombisile ukuthi ukusunduza okuphuzile kungahlotshaniswa nokwanda okuncane kwengozi yezinkinga ezifana nalezi:

• `I-Chorioamnionitis`: Lokhu ukutheleleka ngamagciwane okwenzeka esikhwameni nasemanzini (uketshezi lwe-amniotic) oluzungeze umntwana.
• `Ukuphuma Komoya Ngemva Kokubeletha` : Lokhu ukopha ngokweqile kumama ngemva kokubeletha.
• I-Acidemia Yezingane Ezisanda Kuzalwa : Lokhu kuwukwanda kwe-asidi egazini losana olusanda kuzalwa.

Kubaluleke kakhulu ukuqaphela lezi zingozi, ngoba konke kungaba nezinzuzo kanye nokungalungi.

Ngakho-ke, ngingenza kanjani isinqumo esifanele kimi?

Lona umbuzo ongcono kakhulu ongawubuza. Indlela engcono kakhulu yokunquma ukuthi ukubeletha kulungile yini kuwe ukusebenzisana nodokotela wakho, umbelethisi, kanye nomlingani wakho wokubeletha ukuze nithuthukise uhlelo lokubeletha olucacile.

Lesi sinqumo kufanele senziwe ngemva kokucabangela izici eziningi, njengesimo sakho sempilo, uhlobo lokukhulelwa kwakho, kanye nezifiso zakho. Yenza isinqumo ngemva kokuxoxa ngezinzuzo nezingozi 'zokuphelelwa yithemba', nokuthi sizosithinta kanjani isimo sakho.

Khumbula, akubona bonke abantu abafanayo. Okusebenza komunye umuntu kungase kungasebenzeli omunye. Ngakho-ke kubalulekile ukulalela lokho abanye abakushoyo, ukukhuluma nodokotela wakho, bese wenza isinqumo esingcono kakhulu kuwe.

Ngakho-ke, yini esiyitholayo ekhaya kulokhu?

Kulungile, ngakho-ke sesikhulume kakhulu 'ngokuzikhandla'. Ngamafuphi:

• 'Ukubeletha' kusho ukuvumela umntwana ukuba ehle ngokwemvelo ngemva kokuba isigaba sesibili sokubeletha sesiqalile, ngaphandle kokusunduza ihora noma amabili.
• Lokhu kungasiza umntwana ukuba ehle futhi kunciphise isikhathi sonke umama anaso sokusunduza.
• Kodwa-ke, izifundo zakamuva ziphakamisa ukuthi le ndlela ayinazo izinzuzo ezithile. Ngaphezu kwalokho, kungase kube nengozi encane yezinkinga ezithile ezifana `(Chorioamnionitis)`, `(Postpartum Hemorrhage)`, `(Neonatal Acidemia)`.
• Inhlangano ye-ACOG ayincomi le ndlela okwamanje kulabo abathola i-epidural.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngalokhu bese uxoxa ngakho naye lapho udala uhlelo lwakho lokuzalwa, ukuze ukwazi ukwenza isinqumo esiphephile nesingcono kakhulu kuwe nakumntwana wakho. Ungakhathazeki, ithimba lakho lezokwelapha lizokusiza. Sikufisela ukubeletha okuphumelelayo!

` Ukukhathala, Ukukhathala, Ukubeletha, Ukukhulelwa, Ukucindezelwa, Izigaba Zokubeletha