Ukujonga umzimba wakho, umntwana wakho, kunye nokunye
Wamkelekile kwiveki 34 yokukhulelwa kwakho. Kwabafazi abathile abakhulelweyo (kodwa kungekhona konke), iintsana ziqala ukuhla ezantsi kwisisu ngeveki, zifunda ukuphuma kwazo ezinkulu.
I-Trimester yakho: Iyesithathu ezintathu
Iveki ukuya ku: 6
Leveki
Kwiiveki ezingama-34, i- amniotic fluid kwisibeleko sakho sele ifikelele ekuphakameni kwayo. (Ithetha ukuphakama phakathi kweeveki kunye neveki 36 , ukuncipha kancane kancane emva koko.) Kwabafazi abathile, le nto ijikeleze ixesha lokukhanyisa, okanye ukuyeka.
Ukukhanyisa xa umntwana eshintshela isikhundla sakhe esezantsi kwindawo yokuzala. Oku akukona nje ukuvuselela umntwana ukuhanjiswa, kunokunciphisa uxinzelelo kwi-diaphragm yakho, ukunciphisa i-heartburn kunye nobunzima bokuphefumla. Ngelishwa, loo mphumo ingaza ne-drawback: uxinzelelo olunyukisayo kwi-bladder yakho.
Ukuba isisu sakho sibheke ngokukhawuleza, ungakhathazeki. "Akukho ukulungelelaniswa okucacileyo phakathi kokuba umntwana wakho wehla kwaye xa uqala umsebenzi," kusho u-Allison Hill, MD, umzi-bucala o-OB-GYN eLos Angeles.
Umntwana Wakho Ngeveki
I-5- to 5½-pounds-child-to-be iyaqhubeka igcwalisa, kwaye i-vernix yakhe-i-waxy, iingubo ezimhlophe ezigubungela isikhumba somntanantwana-sikhula. I-Vernix ingakhuseli nje kuphela isikhumba somntwana kwimiphumo yokumisa yamanziotic fluid, yenza njenge-lubricant eyanceda umntwana wakho ahambe ngomsele wokuzalwa lula. Unokwazi ukubona i-vernix kwintsana yakho entsha ngosuku lwakhe lokuzalwa.
Musa ukukhawuleza ukucoca; liyaqhubeka nokukhusela umzimba wamasosha omntwana xa ezalwa.
Nangona kuyi nyaniso ukuba i-17½ intshi-intsuku enokubakho ingabonwa njengexesha elipheleleyo kude kube neveki ezingama-39 , abo bazalwa kwiiveki ezingama-34 bavame ukuba nemiphunga ephucukileyo kwaye benze kakuhle.
Kwiofisi yakho yoGqirha
Ukuphatha amawele?
Oku kungakho ukutyelela kwakho kokugqibela. Umyinge we- twin wokukhulelwa unikela ngeeveki ezingama-35 . Kuwo wonke umntu, le-week-check check-up iya kuba nemivavanyo nemigangatho ephantsi. Nangona kunjalo, ukuba unobungozi obuphezulu kwaye ungenayo iphrofayili ye-biophysical (BPP) eyenziwe ngeveki eledlule, kuya kwenzeka kwenzeka kule tyelelo.
I-BPP yinto yokuhlola engekho engavumelekanga eyenziwa nge-ultrasound ecacileyo kunye novavanyo olungengomxinzelelo olungabantwana . Umboneleli wakho wezempilo uya kubeka esweni kwaye ahlawule amanqanaba akho amniotic yamanzi, kunye netoni ye-muscle, ukunyakaza komzimba kunye nokuphefumula. Ngamanye amaxesha i-buzzer isetyenziselwa ukuvuselela umntwana wakho uvavanyo, okuza kuthatha iyure ukuyenza. Emva kokuba ugqirha wakho okanye umbelethisi ahlole iziphumo zakho zokuvavanya, uya kukwazi ukuba ingumzekelo omuhle wokuhambisa umntwana wakho kungekudala kunokuba ucebe uqobo.
Iingqalelo ezikhethekileyo
Ukuba uthetha i- breech , oku kuthetha ukuba umntwana wakho usemva- kunye / okanye inyawo-yokuqala, oko akuthethi ukuba umntwana wakho uya kuhlala kuloo ndawo ifike ngosuku lokuhambisa. Enyanisweni, u-Dr Hill uthi: "Ngeli xesha ekukhulelwe, malunga neepesenti ezili-14 zeentsana zihamba ngesibhakabhaka, kodwa ngeveki 36 , elo nani liyehla ukuya kuma-9 ekhulwini."
Kungakhathaliseki, umboneleli wakho wezempilo uya kuhamba malunga noko unokukwenza ukuguqula umntwana kunye noko kuya kwenzeka ukuba umntwana akaphenduki.
Namhlanje, ezininzi iintsana ezivunguzayo zizalwa ngecandelo leCesarean ecwangcisiweyo, kodwa ukuzalwa kwesisu esisodwa se-baby breech ngezinye izihlandlo ngamanye amaxesha kunokukhetha.
Okokuqala, ugqirha wakho okanye umbelethisi angancoma indlela ye-cephalic yangaphandle (ECV) , ebizwa ngokuba yinkqubo yesandla esiswini, ukufumana umntwana kwisithuba esiphezulu. Oku kuya kwenzeka phakathi kweveki 32 kunye neveki 37 . Apha, umboneleli wakho (kunye mhlawumbi uncedisi) usebenza uxinzelelo oluqinileyo kwisisu sakho kumzamo wokukhuthaza umntwana ukuba aphendule. Unokuba unikwe izilwanyana ze-terbutaline, ezibangela iziphambano ze-uterine kunye / okanye i- epidural ukuvimba intlungu. Ngamanye amaxesha i- ultrasound isetyenziswe njengesikhokelo ngokunjalo.
Ngaphezu kwehafu yesigqibo se-ECV siphumelele, ngokwe-American College of Obstetricians kunye neGynecologists. I-caveat: Ezinye iintsana eziye zatshintshwe ngempumelelo zibuyela emuva kwi-breech isikhundla ngaphambi kokuba kufike imini.
Kukho iindlela zasendlini zokufumana umntwana wakho aphendule ukuba unokuzama, naye. Nangona kunjalo, kubalulekile ukubonisana nomboneleli wakho wezempilo ngaphambi kokuzama oku:
Zama ipakthi ebandayo: Faka ipakethi yeqhankqalazi okanye isikhwama seepayini ezinqabileyo ezihlanganiswe ngendwangu yokukhanya esesisu sakho, apho intloko yentsana ikhona.
Sebenzisa ubukhulu bendawo: Thetha iplati emhlabathini kunye nenqwaba yemithwalo phantsi kweenyawo zakho imizuzu eyi-10 ukuya kwemihla ngemihla.
S sinokukhanya: Lungisa i-flashlight kwisithambo sakho se-pubic ukuze ukhuthaze umntwana ukuba eze ekukhanyeni (kwaye ke, ukujika ubuso).
Cinga ngolu hlobo oluthile lwe-combo: Ngokweengxelo kwi- Journal ye-Maternal-Fetal & Neonatal Medicine , i-combo ye-acupuncture kunye ne-moxibustion inokuphumelela ukuxazulula inkcazo ye-breech. Ukufakelwa kwe-acupuncture kubandakanya ukufaka izilingo ezincinci kwiindawo ezithile (ukungazinzi) ukukhuthaza umntwana wakho ukuba ahambe. Ukuxhaswa kwempahla kubandakanya ukutshisa imifuno nokusebenzisa ubushushu bawo kwiindawo zomzimba ukukhuthaza okufanayo.
Ungene kwi-chiropractic adjustment: I-pelvis engafanelekanga ingenza kube nzima ukuba umntwana aphume kwimeko ye-freree. Nangona kunjalo, ukulungiswa kwe-chiropractic efaneleko kunokulungisa loo meko. Enyanisweni, ingxelo kwingxelo ye- Journal of Manipulative ne-Physiological Therapeutics ithole ukuba i-82 ekhulwini yabasebenzi baye baphumelela ekutshintsheni iintsana ezinokhathalelo lwe-chiropractic.
Uhambo lweDkt
Phakathi kweeveki ezingama-35 no-37 zokukhulelwa kwakho, umboneleli wakho wezempilo uyakukukhenkcela kwiqela le-B (ebizwa ngokuba yi-GBS okanye i-beta strep). Ukusuleleka kwintsholongwane ebanjwe kwisifo sakho sokuzalwa kubakho malunga nekota nganye yabasetyhini abasempilweni. Nangona kungabikho mngcipheko kuwe, kunokukhokelela ekuphepheni kwe-pneumonia okanye kwi-meningitis kwintsana. Ukuba uvavanya ulungele i-GBS, uza kufumana ama-antibiotics ngexesha lomsebenzi ukukhusela umntwana wakho.
Ukunyamekela
Ngaba uthe wathetha nomboneleli wakho wezempilo malunga nokuhlamba umzimba? Ukuba kunjalo, kwaye unomdla wokuqala, le iveki ukuqala. Lo mkhuba unceda ukwandisa iplastiki ye-perineum (indawo phakathi kwesini kunye ne-anus), ukunciphisa amathuba akho okubhukuda kunye ne- episiotomy , ukukhangela kwi-perineum ngexesha lokunikezelwa.
Ukuxilisa, wena okanye iqabane lakho uza kufaka iminwe emibini ngaphakathi kwisini lakho kwaye usetyenzise uxinzelelo ngqo ukuya emibini imizuzu. "Emva koko sebenzisa uxinzelelo olufanayo kwicala ngalinye malunga nemizuzu emine eyongezelelweyo," kusho uDkt. Hill. "Ngezona ziphumo ezilungileyo, yenza le ntsuku ngokusala kwakho kokukhulelwa." Nangona ufanele ufumane indlela yakho ngqo kwi-odokotela okanye umbeleki wakho, nakhu ezinye izicebiso ezenza lula:
Sebenzisa i-compress efudumeleyo: Beka indwangu yokufudumala efudumele kwi-perineum yakho malunga nemizuzu engama-10 ngaphambi kokuba uhlaziye.
Geza izandla zakho: Nabani na owenza ukuxilwa kufuneka abe nezandla ezihlambulukileyo (kunye neenkontsho ezicocekileyo kunye nezicoco).
Fumana isikhundla esifanelekileyo: Abanye abesifazana bakhetha ukuhlala balala emabhedeni abo ngamadolo aboba okanye baqhekeza eludongeni ngoncedo lwesitulo.
Sebenzisa i-lube: "Sebenzisa i-lubricant yamanzi yerhwebo, ioli ye-vitamin E, okanye ioli ye-almond ngokukodwa kwiminwe yakho (okanye iqabane lakho) ngaphambi kokuba uhlaziye. Oku kwenza ukuba ukuxilisa kukhululeke ngakumbi kwaye kufake i-perineum, "kusho uDkt. Hill. Phinda usebenzise kwakhona njengoko kufuneka.
Zama ekubhabheni: Isikhundla sakho senza ukuba kube lula ukucofa, kwaye amanzi atshisayo angakunceda ukunqanda isikhumba sakho.
Kubalingani
Ngaba uye waqaphela ukuba iqabane lakho lihlambulula kakhulu kungekudala? Ukugqitywa kwamandla ombutho kuthiwa ukuhlalisa kwaye kucingelwa ukuba yindlela engokwemvelo apho oomama kufuneka balungiselele ukuzalwa. Abanye abasetyhini bafumana le mfuno yokwenza isidleke ngeenxa zonke ngoku, ngelixa amanye amava kungekuqaleni okanye akunjalo.
Njengomlingane wakho, ngumsebenzi wakho ukuqinisekisa ukuba umfazi okhulelweyo ebomini bakho akazenzeki. Abafazi abakhulelweyo kule ndawo ekukhulelweni akufanele bakhwele amanqanaba, sebenzisa izinto zokucoca ezinobungozi ezifana ne-bleach, okanye ukuphakamisa izinto ezinzima. Nika uncedo kunye noncedo xa kunesidingo.
Kwaye akunakwenzakalisa ukungena kwi-nesting yourself: Yenza ubomi obutsha bube lula lula ngokwakho ngokugcina izinto zokutya ezingabonakaliyo kunye nezindlu zangasese ngoku. Ngexesha elifanayo, faka kunye nezinye izidlo zokuhamba phambili ukuze ugcinwe kwifriji yakho.
Uluhlu loHlolo lwe-Wellwell
Qhubeka uthabatha amavithamini asebele .
Qhubeka uphuza ngamaglasi angama-8 ukuya kwezi-12 ngosuku.
Qhubeka uqhuba imisebenzi yakho yeKegel imihla ngemihla.
Qalisa ngemihla ngemihla yokuhlaziya umzimba.
Iveki yokugqibela: Iveki 33
Ukuza: Iveki 35
> Imithombo:
> Allison Hill, MD Iinkcukacha zonxibelelwano. Oktobha, ngoNovemba 2017.
> Ikholeji yase-American College of Obstetricians and Gynecologists. Ukuba Umntwana Wakho Uhamba. https://www.acog.org/Patients/FAQs/If-Your-Baby-Is-Breech# yangaphandle
> I-American Pregnancy Association. Iqela B I-Strep Infection: I-GBS. http://americanpregnancy.org/pregnancy-complications/group-b-strep-infection
> Matshi weDimes. Ukukhulelwa kunye nokuzalwa: Ukuqwalasela ukunyanga kwezonyango. http://www.uicivf.org/uploads/March_of_Dimes_multiple_pregnancy_and_birth1.pdf
> Neri, I, Airola G, Contu G. Ukukhwabanisa kunye nokuxubusha ukuxazulula inkcazo ye-breech: isifundo esilawulwa ngokungahleliwe. I-Matern Fetal Neonatal Med. 2004 Apr; 15 (4): 247-52. https://doi.org/10.1080/14767050410001668644
> Pistolese RA. I-Webster Technique: ubuchule be-chiropractic kunye nempembelelo yesithintelo. J Uluhlu lwePhysiol Ther. 2002 Julayi-Aug; 25 (6) E1-9. > http://dx.doi.org/10.1067/mmt.2002.126127