Ngokuqala xa unomntwana, mhlawumbi uyazi ukuba ulindele ntoni. Emva koko, akukho mntu uyazi kakuhle ukuba abasebenzi baya kuziva njani bade baxakeke. Mhlawumbi ukhathazeka ngokukodwa malunga nokuba uya kuba nokukwazi ukusingatha iziphambano ngexesha lokuqala lomsebenzi xa umlomo wesibeleko uvula ukuze umntwana angene kwi-canal yokuzalwa.
Kodwa kuthekani ngesigaba sesibini? Yintoni eyenzekayo xa kufika ixesha lokutshiza?
Isigaba sesiBini seMisebenzi
Eli nqanaba lomsebenzi libhekiselele ekunciphiseni ukuphulwa komama. Baqala ukuvela ngaphantsi. Apho ngaphambi kokuba umama axelelwe ukuba "aphelelwe yindlela" yokuchasana kwakhe, ngoku kufuneka asebenze ngokusebenzayo kunye neendlela zokuzala.
Isibongo sokuKhupha
Abanye abafazi baya kuziva oko kuthiwa unqwenela ukunyusa. Oku kubangelwa ukuba umntwana uxineke kwiFerguson Plexus yeentliziyo, edala iFlexguson's reflex. Abafazi bonke abayi kuvakalelwa. Kungakhathaliseki ukuba ungenzi okanye ungathinteka njani nokusetyenziswa kwe -anesthesia yengingqi (i-epidural, njl.) , Enokukwenza uzive unzima kwaye ungakwazi ukuphendula iimpawu zomzimba wakho. Ngeli xesha, abanye oogqirha baya kufaka kwakhona i-epidural ukwenzela ukuba loo nto ibhinqa umfazi.
Ukuphumla kwaye Yiba Isigaba Sokubonga
Xa usuhlanjululwe ngokupheleleyo, unako ukufikelela kwiiyure zokungahlawulwanga.
Oku kuye kwathandwa ngokuthethiweyo kokunye kwaye kuba isigaba sokubonga. Kwezinye izibhedlele kunye namaziko okuzalwa , umama kufuneka aqhutywe ngeli nqanaba nangona bengenakuvakalelwa. Oku akusoloko kunenzuzo kumama okanye umntwana.
Ukuqeshwa kwabasebenzi
Ukubeka indawo efanelekileyo kungakholiswa kwinqanaba lesibini labasebenzi, njengoko kuvumela ukunyamezela ukunceda unina.
Zininzi izithuba ezikhoyo kwiibhedi zokuzalwa zanamhlanje, kubandakanywa ne-squat bar kunye neenyawo zenyawo.
Izikhundla zokulala zibuye zithandwa kakhulu. Ezi ziquka:
- ukunqumla (ivula i-pelvic outlet iipesenti ezongezelelweyo ezili-10)
- ukusetyenziswa kwezitulo zokuzalwa
- ukusetyenziswa kweebhola zokuzalwa
- amachibi amanzi
- ukusetyenziswa kwesihlalo sokuzalwa
- ku dangling
- ngasese
Izikhundla zokulala ezicaleni ngamanye amaxesha zisetyenziselwa ukunciphisa umsebenzi okhawuleza kwaye zikulungele ukukhusela i-perineum ngexesha lokuzalwa ngokukhawuleza.
I-semi-relined, okanye ukubeka emhlane wakho ngeemvumba, isesidlangalaleni kwizibhedlele ezininzi, ngakumbi ukuba unendawo ye-anesthesia okanye iya kuba ne- forceps okanye i-vacuum delivery . Esi sikhundla asisebenzisi ukuvutha komhlaba kwaye sandisa ubude besigaba sokunyusa kwaye sikwandisa ukubaluleka kwe- episiotomy , ukukhutshwa kwe-vacuum, kunye ne-forceps. Unokucela indawo ehlukile ukuba awukhathazi ngalolu khetho.
Ukunyuka kwePuphu
Xa uceliwe ukuba ubambe umoya wakho ngokubala kwezinto ezilishumi ngexesha lokuchasana, uqhuba umbala obomvu. Ngoba? Ngenxa yomfanekiso okhangayo womama ohluphekayo ogubuzelayo, amehlo ekhupha ngaphandle, imivumba yegazi iphula, kunye negumbi elizele abantu bakhala, "PUSH!"
Ukunyuka kwempuphu kuqhutywe njengamaxabiso e-epidural.
Ngoku siyakwandisa ukuba phantse wonke umntu onomntwana.
Ezinye iinketho kwisigaba sesibini sezabasebenzi ziquka:
Ukusebenza phantsi: ukuvumela umzimba wakho ukuba unyuse umntwana ngokwabo. Oku kuthetha ukuba awuncedisi ukunyusa iinzame zesisu ngaphandle kokuba unomnqweno omkhulu wokunyusa.
Ukuphawula ngokukhawuleza: Ngelo ndlela, ulindele ukuba umzimba wakho ukuxelele xa usenokutshiza.
Kubalulekile ukukhumbuza ukuba, xa usuhlanjululwe ngokupheleleyo, ngaba umntu uqiqa malunga nendlela oya kuphendula ngayo kwisigaba sesibini sezabasebenzi. Abanye banamfutshane amanqaku athatywayo, ngelixa abanye batshayela ixesha elide. Ngokusetyenziswa kwezikhundla ezahlukahlukeneyo kunye nokusebenzisa ubuchule, unokukwazi ukufezekisa isigaba sesibini esilungeleyo somzimba wakho.