Ingabe ulindele omunye umntwana? Uma ingane yakho yokuqala ibelethwe ngokuhlinzwa ( C-section ), ungase uzibuze, "Ingabe ngizokwazi ukubeletha ingane yami ngokwemvelo kulokhu?" Lona umbuzo omkhulu komama abaningi. Ukubeletha ngesitho sangasese sowesifazane ngemva kokuhlinzwa kwaziwa ngokwezokwelapha ngokuthi i-VBAC (Ukuzalwa Kwesitho Sangasese Ngemva Kokuhlinzwa). Ngakho-ke, nakuba lokhu kungenzeka komama abaningi, kunezinto ezimbalwa okudingeka sixoxe ngazo ngaphambi kokunquma ukuthi kulungile yini kuwe futhi kuphephile.
Into ebaluleke kakhulu ukuphepha kwakho nomntwana wakho. I-VBAC akuyona inketho ephephile yawo wonke umuntu.
Ngezinye izikhathi, uma umuntu osengozini enkulu yezinkinga ezama ukubeletha ngendlela evamile, kungabangela izinkinga ezinkulu, ngisho nezisongela impilo yakho kanye nengane yakho. Yingakho kubalulekile ukuxoxa ngezingozi nodokotela wakho ngaphambi kokwenza isinqumo.
Injani impilo yakho neyengane yakho?
Ukuze unqume ukuthi ungazama yini i-VBAC, kubalulekile ukuqinisekisa ukuthi wena nomntwana wakho niphilile. Uma uphilile, ungase ukwazi ukuzama i-VBAC noma ngabe unamawele . Kodwa kuzodingeka uthole imvume kadokotela wakho.
Kodwa-ke, kwezinye izimo, udokotela wakho angase athi ukuzama i-VBAC kuyingozi kakhulu. Ngezansi kunezinye izici ezingakuvimbela ekubelethweni ngempumelelo kwesitho sangasese sowesifazane.
| Isici Sengozi | Incazelo elula |
|---|---|
| Ukukhuluphala ngokweqile | Uma i-Body Mass Index yakho (BMI) ingu-30 noma ngaphezulu. |
| I-Preeclampsia | Umfutho wegazi ophezulu ngesikhathi sokukhulelwa. |
| Ubudala | Ngokuvamile umama uneminyaka engaphezu kwengu-35 ubudala. |
| Isikhathi esiphakathi kokuhlinzwa kwangaphambilini | Uma sekudlule okungenani izinyanga ezingu-19 kusukela ekuhlinzweni kokuhlinzwa kwangaphambilini. |
| Usayizi wengane | Uma isisindo somntwana osesiswini sikhulu kakhulu kunosayizi wakhe (isisu esikhulu). |
Ake sifunde ngezibazi zokuhlinzwa ko ...
Enye yezinto ezibaluleke kakhulu wena nodokotela wakho okufanele nixoxe ngazo ngokuqinisekile uhlobo lwesibazi sesibeletho sakho . Lokhu kubaluleke kakhulu. Abantu abaningi bacabanga ukuthi isibazi esingaphandle kwesisu sakho nesibazi esingaphakathi kwesibeletho sakho ziyafana. Kodwa-ke, ukusikwa kungaba ngezindlela ezahlukene. Kunezindlela ezimbili eziyinhloko lapho ukusikwa kwenziwa khona esiswini sakho nasesibelethweni ngesikhathi sokuhlinzwa:
- Ukusika okuqondile: Ukusika okwenziwe kusukela phezulu kuya phansi.
- Ukusika okuphambene: Ukusika okwenziwe kusukela ohlangothini kuya kolunye (ngaphesheya).
| Uhlobo lokusikwa kwesibeletho | Umthelela ku-VBAC |
|---|---|
| Ukusikwa okuqondile | Awukwazi ukuzama i-VBAC . Kunengozi enkulu kakhulu yokuthi lesi sibazi siqhume ngesikhathi sokubeletha. Lokhu kuyingozi kakhulu kumama kanye nengane. Kuzodingeka wenze esinye isethulo sokuhlinzwa. |
| Ukusikwa okuphansi okuphambeneyo | Ungase ukwazi ukuzama i-VBAC . Lolu uhlobo oluvame kakhulu noluphephile kakhulu lokuhlinzwa ngokuhlinzwa. Uma ezinye izici eziyingozi ziphansi, udokotela wakho cishe uzokuvumela i-VBAC. |
Ngakho-ke ungabona ukuthi kubaluleke kangakanani ukwazi ukuthi hlobo luni lwesilonda esinaso isibeletho sakho.
Isibhedlela osikhethayo naso sibalulekile!
Lokhu futhi kuyinto okufanele uyicwaninge kusenesikhathi. Buza udokotela wakho ukuthi isibhedlela ohlela ukubelethela kuso ingane yakho siyayivumela yini i-VBAC nokuthi banazo yini izinsiza ezidingekayo. Akuzona zonke izibhedlela ezivumela lokhu.
Isizathu siwukuthi nakuba ingozi yokuqhekeka kwesibazi esidala iphansi lapho uzama i-VBAC, uma kwenzeka, kuyisimo esiphuthumayo . Isibhedlela kufanele silungele ukubhekana nesimo esiphuthumayo esinjalo. Lokhu kusho ukuthi konke okudingekayo ekuhlinzweni kokuhlinzwa okuphuthumayo, njengamagumbi okuhlinzwa, odokotela ababulala izinzwa, kanye nezikhungo zebhange legazi, kufanele kube sekulungele noma nini. Ezinye izibhedlela zingase zingabi nazo izindawo zokubhekana nesimo esiphuthumayo esinjalo. Ngakho-ke, ukukhetha isibhedlela nakho kubaluleke kakhulu.
Ingabe ingozi ephansi isho ukuthi akukho bungozi?
Cha. Kunengozi encane kakhulu yokuqhekeka kwesibeletho kunoma yimuphi umama ophilile onenxeba eliphansi eligobile ozama i-VBAC. Odokotela abakwazi ukusho ngokuqiniseka okungu-100% ukuthi lokhu kuzokwenzeka kuwe noma cha.
Nakuba ukuqhekeka kwesibeletho kwenzeka ngaphansi kwe-1% yabesifazane abazama i-VBAC, kungaba yingozi kakhulu uma kwenzeka, ngakho abanye omama abazimisele ukuthatha ngisho naleyo ngozi encane.
Ngakho-ke, kungcono ukucabanga ngokucophelela ngezinketho zakho, ukhulume nodokotela wakho , bese wenza isinqumo ngemva kokuqonda kokubili okuhle nokubi.
Yiziphi izinzuzo ze-VBAC ephumelelayo?
Kulungile, njengoba sesikhulume ngezinto ezimbi, ake sibheke izinzuzo ze-VBAC ephumelelayo. Uma ungakwazi ukukhokhela i-VBAC futhi ufuna ukubeletha ngesitho sangasese sowesifazane, kunezizathu eziningi ezinhle zokuyizama. Futhi amathuba okuphumelela aphezulu. Cishe u-70% womama abazama i-VBAC baphumelela ekubeletheni izingane zabo ngesitho sangasese sowesifazane. Okunye, izinkinga ngesikhathi sokubeletha zidinga ukubelethwa ngokuhlinzwa okuphindaphindiwe.
Uma une-VBAC ephumelelayo, uzothola lezi zinzuzo:
- Akudingeki ukuthi uhlinzwe kakhulu.
- Ukopha kuncane kakhulu.
- Ungalulama ngokushesha kunangemva kokuhlinzwa.
- Ingozi yokutheleleka iphansi.
- Kunethuba elincane lokulimala kwesinye noma emathunjini akho.
- Uma ulindele omunye umntwana esikhathini esizayo, izinkinga ezingaba khona ngesikhathi sokubeletha zizoncipha.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ukubeletha ngesitho sangasese sowesifazane ngemva kokuhlinzwa (i-VBAC) kungenzeka kubantu abaningi, akulungile kuwo wonke umuntu.
- Isici esibaluleke kakhulu ekunqumeni ukuthi ungaba ne-VBAC yini uhlobo lwesibazi esibelethweni kusukela ekuhlinzweni kwangaphambilini (kungakhathaliseki ukuthi siqondile noma sivundlile).
- Ngaphambi kokuzama i-VBAC, qiniseka ukuthi uxoxa kahle futhi uqonda izinzuzo, izinkinga, kanye nazo zonke izingozi nodokotela wakho.
- Qiniseka ukuthi isibhedlela osikhethela ukubeletha sinazo zonke izinsiza ezidingekayo (i-ETU, amakamelo okuhlinzwa) ukuze kwenziwe ukuhlinzwa okuphuthumayo.
- Ekugcineni, into ebaluleke kakhulu ukukhetha indlela ephephile kuwe kanye nengane yakho. Udokotela wakho uzokusiza ukuthi wenze leso sinqumo.
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