Kungakapheli amahora amathathu ngaphambi kokuba umntwana azalwe? Okudingeka ukwazi mayelana nokubeletha okukhulu

Njengomama okhulelwe, ungase uzizwe wesaba kancane futhi unelukuluku elikhulu uma ucabanga ngokubeletha. Kungenzeka ukuthi uke wezwa ngomama ababelethe ngemva kwamahora amaningi, mhlawumbe izinsuku, bebeletha. Ngakho-ke uma uzwa izindaba ezinjalo, ungase ucabange nokuthi, "O, ngifisa sengathi ngingaba nomntwana wami maduze." Kodwa bewazi ukuthi uma uthola umntwana ngokushesha kakhulu, okungukuthi, uma umntwana ebelethelwa emahoreni amathathu nje kuphela, kungaba khona izingozi ezithile ezihilelekile? Yilokho esizokhuluma ngakho namuhla.

Kuyini i-Precipitous Labor?

Kalula nje, ukubeletha ngaphambi kwesikhathi noma ukubeletha okusheshayo yilapho umntwana ezalwa ngokushesha kakhulu. Ngokwesilinganiso, ukubeletha kuthatha amahora aphakathi kuka-6 no-18. Kodwa uma usanda kuqala ukubeletha, okungukuthi, inqubo yokuncipha kwesibeletho, futhi umntwana ezalwa zingakapheli amahora amathathu , sikubiza ngokuthi ukubeletha ngaphambi kwesikhathi. Abanye odokotela bafaka nokubeletha okuthatha amahora angaphansi kwamahlanu kulesi sigaba.

Manje ungase ucabange, "O... yeka ukuthi kungaba kuhle kanjani ukuba nomntwana ngokushesha kangaka, ubuhlungu bunciphe kangaka." Kodwa empeleni, lokhu kungaba yingozi kumama kanye nomntwana. Yingakho kubaluleke kakhulu ukuqaphela lokhu.

Yiziphi izimpawu zokubeletha ngaphambi kwesikhathi? Uzibona kanjani?

Ekubelethweni okuvamile, izinhlungu zokubeletha ziqala kancane kancane futhi kancane kancane zanda ngamandla. Kodwa ekubelethweni okuzumayo, kuhluke ngokuphelele. Konke kwenzeka ngokuzumayo, ngaphandle kwesixwayiso.

Ukuze uqonde kangcono lesi simo, bheka ithebula elingezansi.

Kungani lokhu kwenzeka? Ubani osengozini enkulu?

Imbangela eqondile yokubeletha ngaphambi kwesikhathi ayikakaziwa, kodwa kutholakale ukuthi kunezici ezithile ezandisa ingozi.

• Uma uke waba nomntwana ngaphambili: Isikhathi esithathayo ukuba nomntwana wesibili noma wesithathu ngokuvamile sifushane kunesokuqala.
• Uma uke wabeletha ngaphambi kwesikhathi ngaphambilini: Labo abake baba nokuhlangenwe nakho ngaphambilini banamathuba amaningi okuba nakho futhi.
• Uma ingane inesisindo esingaphansi kwesisindo (usana oluncane): Uma ingane incane ngobukhulu, ukubeletha kungaba lula futhi kusheshe.
• Uma isibeletho sakho siqinile futhi sisebenza kahle: Uma imisipha yesibeletho isebenza ngamandla nangokushesha, ukubeletha kuzokwenzeka ngokushesha.
• Uma umsele wakho wokubeletha uthambile futhi uguquguquka: Uma umsele wokubeletha kulula ukuwunweba, kuzoba lula ngomntwana ukuphuma.
• Uma une-high blood pressure.
• Uma unikezwe imithi efana ne-'Prostaglandins' yokubangela ukubeletha.
• Uma uke wasebenzisa izidakamizwa ezifana ne-cocaine.

Uma ucabanga ukuthi unezinye zalezi zici eziyingozi, ungesabi. Khuluma nodokotela wakho ngalokhu. Uzobuyekeza umlando wakho wezokwelapha futhi akunikeze iseluleko nganoma yiziphi izinyathelo zokuphepha ezidingekayo.

Yiziphi izinkinga ezingaba khona ngenxa yokubeletha ngokuzumayo?

Ngenxa yokuthi konke kwenzeka ngokushesha okukhulu, lokhu kungaba yinto enzima engqondweni nasemzimbeni. Ungase ungabi nesikhathi sokuya esibhedlela, noma ungase ungakwazi ukuthola i-epidural. Lokhu kungenza konke lokhu kube okwesabisayo nokukhungathekisayo.

Izinkinga ezingase zenzeke kumama

• Ukopha Ngemva Kokubeletha: Isibeletho singase singafinyeleli kahle futhi siphume igazi ngokweqile.
• Ukushaqeka: Ukopha ngokweqile kubangela ukuthi izitho zomzimba zingatholi igazi nomoya-mpilo odingekayo.
• Ukukhala kwe-perineal: Njengoba umntwana ephuma ngokushesha, kunethuba elikhulu lokulimala kwesitho sangasese sowesifazane kanye nezicubu ezizungezile.
• I-Placenta Egciniwe: I-placenta, okufanele ikhishwe ngemva kokuzalwa komntwana, ingabhajwa ngaphakathi kwesibeletho.
• Ukubeletha endaweni engahlanjululwe: Cabanga ngokubeletha emotweni noma endlini yokugezela, lapho kunengozi yokutheleleka khona.
• Ukucindezeleka okukhulu kwengqondo: Ukwesaba nokulahlekelwa ukulawula okubangelwa yilesi sigameko esingazelelwe kungaholela ekucindezelekeni kwengqondo kamuva.
• Ukungatholi ama-antibiotic afanele: Abanye omama banezifo ezifana ne-Group B strep. Ama-antibiotic kufanele anikezwe ngaphambi kokubeletha. Uma kungekho isikhathi salokhu ekubelethweni okuphuthumayo, ukutheleleka kungadluliselwa enganeni.

Izinkinga ezingaba khona enganeni

• Ukuphefumula indle yokuqala yomntwana (i-meconium): Umntwana uyakhipha indle esibelethweni bese ephefumula uketshezi, okungabangela ukucindezeleka kokuphefumula.
• Ukutheleleka: Ukuzalelwa endaweni engahlanzwanga kubeka umntwana engozini enkulu yokutheleleka.
• Ukulimala: Ingane ingalimala ngenxa yokubeletha ngokushesha noma ngokuwela endaweni efana nomhlabathi.

Ingabe lokhu kubuhlungu kakhulu kunokubeletha okuvamile?

Nakuba kunzima ukunikeza impendulo eyodwa kulo mbuzo, ukubeletha ngokuzumayo cishe kungaba buhlungu kakhulu. Kunezizathu eziningana zalokhu.

• Ukulahlekelwa yisikhathi sokuthola imithi yobuhlungu: Kungase kudingeke ukuthi ubelethe ingane yakho ngaphambi kokuba uye esibhedlela ukuze uthole umuthi wobuhlungu onamandla njenge-epidural.
• Ubuhlungu obukhulu: Ukusikwa kwemisipha kunamandla kakhulu kusukela ngesikhathi sokuqala.
• Ukuntuleka kokuphumula: Asikho isikhathi sokuphumula phakathi kwezikhawu ezimbili zobuhlungu. Ubuhlungu buhlala njalo.
• Ukudabuka kwesitho sangasese sowesifazane: Ubuhlungu bunganda ngenxa yokulimala okubangelwa ukubeletha okusheshayo.
• Ukungakulungeli ngokwengqondo:Ubuhlungu buzwakala kakhulu ngoba asikho isikhathi sokwenza izivivinyo zokuphefumula noma sokuthula.

Yini okufanele ngiyenze uma ngizizwa sengathi ngizobeletha?

Uma uhlangabezana nalezi zimpawu, ungesabi. Zama ukuhlala uzolile ngangokunokwenzeka ngenkathi wenza lezi zinto.

1. Shayela udokotela wakho ngokushesha. Uma ungakwazi ukufinyelela kudokotela wakho, shayela isevisi ye-ambulensi ephuthumayo (isib. 1990 Suwaseriya) noma uye esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha.

2. Zama ukwehlisa umoya. Ngesikhathi ucabanga imicabango emihle, thatha umoya ojulile bese ukhipha umoya kancane.

3. Ungabi wedwa. Qiniseka ukuthi kukhona umuntu onawe noma nini lapho kungenzeka.

4. Hlala endaweni ehlanzekile. Uma kungenzeka, hlala ethawula noma endwangu ehlanzekile.

5. Lala ngohlangothi lwakho lwesobunxele. Lokhu kuzothuthukisa ukugeleza kwegazi esibelethweni kanye nosana ngezinga elithile.

Uma lokhu sekuke kwenzeka ngaphambili, ungakulungiselela kanjani ngesikhathi esilandelayo?

Uma uke waphuphuma isisu ngaphambilini, kufanele uqaphele kakhulu ngesikhathi sokukhulelwa kwakho okulandelayo. Into engcono kakhulu ongayenza ukuthi isikhwama sakho sasesibhedlela silungiswe amasonto ambalwa ngaphambi kosuku lwakho lokuzalwa.

Faka izinto ozidingayo ukuze ubhekane nesimo esiphuthumayo kulelo sikhwama.

• I-sanitizer yesandla
• Amathawula ambalwa ahlanzekile nezingubo zokulala
• Amanabukeni adingekayo engane kanye nezingubo ezengeziwe

Ngezinye izikhathi, uma udokotela wakho ecabanga ukuthi usengozini enkulu yokubeletha ngaphambi kwesikhathi, angase asikisele ukuthi ukhulelwe kusenesikhathi. Kodwa leso sinqumo sisekelwe ezintweni eziningi, okuhlanganisa umlando wakho wezempilo kanye nesigaba sokukhulelwa kwakho. Ngakho-ke khuluma nodokotela wakho ngalokhu bese ukhetha inketho engcono kakhulu kini nobabili.

Ukubeletha okuphuthumayo kungaba yinto eyesabekayo, kodwa uma ukwazi kusenesikhathi futhi ukulungele, ungabhekana nanoma yisiphi isimo.