Ukuba unesithuba esingaphambi kwexesha , unokuzibuza ukuba umnikezeli wakho ukhululekile ngeVBAC (ukuzalwa kwesisu emva kwe-laarean). Ukuthatha ixesha ngaphambi kokukhulelwa kwakho ukuxoxa ngokuzalwa kwakho kunokukunceda ukubeka wena nomnikezeli kwiphepha elifanayo kwaye sikuqaphele ukuba ufuna ukutshintsha oogqirha okanye ababeleki. Ukwenza isigqibo kwangaphambili kuthetha ukuba awuvalelwanga kwizigqibo kunye nomhla wakho wokugqibela.
Khumbula ukuba i-ACOG (i-American Congress ye-Obstetrics kunye ne-Gynecology) iyaphawula ukuba uvavanyo lwezabasebenzi lukhuselekile kwaye lukhetho olukhethekileyo kuninzi kunina onokuzalwa kwangaphambili.
Ukuthetha nomsebenzi wakho malunga neVBAC
Izinto zokuqala kuqala: cela umqeqeshi wakho indlela abavakalelwa ngayo ngeVBAC. Izinto ofuna ukuzithetha ziingxoxo zengozi, iintlawulo kunye nezinye iindlela zokuzalwa kwamanzi emva kokusasaza. Ugqirha wakho okanye umbelethisi naye kufuneka axoxe ngeengozi, inzuzo kunye nezinye iindlela zokuphindaphinda kwicandelo le-ward. Bangabandakanya ifilosofi yabo okanye isizathu sokuba bazive ngendlela abayenzayo. Ukuxhamla kwi-2010 ACOG Izikhokelo zokuzalwa kwamaVaginal Emva kokuba omnye okanye abaSareare abaninzi banokubonisa ukuba ugqirha wakho usebenzisa ulwazi olusekelwe kubungqina. Iiflegi ezibomvu ziza kuba: ugqirha wakho usebenzisa izikhokelo zokudala ezisebenzayo ukuxoxa nge-VBAC nawe, ugqirha wakho uzama ukukwesaba okanye ukunikezela ngamabali aBBB kunye nawe.
Emva koko, cela umyinge wakho umlinganiselo weVBAC. Ufuna ukwazi ukuba bangaphi abesifazana kunyaka odlulileyo baye bazama ukuvavanywa kwezabasebenzi emva kokuyeka ukusebenza kwabo. Uphando lusitshela ukuba ngabasetyhini abazama ukuzalwa ngesisu emva kokusasaza, i-70% iya kuphumelela. Ukuba ufumanisa ukuba ngabafazi abambalwa kuphela ekunyamekeleni koogqirha bakho baye bazama, kungenxa yokuba ugqirha wakho uthe wathetha kuwo ekupheleni kokukhulelwa kwabo.
Kulezo zilingo ze-VBACs, zingaphi i-VBACs ugqirha wakho oye wangena kulo nyaka odlulileyo? Kulula ukuba ugqirha uthethe intetho, kodwa iinombolo zixelela ukuba ugqirha wakho uhambahamba.
Funda izikhokelo zakho zecandelo ngobude bokukhulelwa kunye nokukhethwa kwe-induction, ukuba kufuneka ufune enye. Abanye oogqirha kunye nababelethisi bavumela kuphela uvavanyo lwezabasebenzi emva kokusasaza ukuba umsebenzi uqala ngokwemvelo ngama-38 (okanye ama-39, ama-40 okanye iiveki ezingama-41.) Imigaqo-nkqubo ayinakusekela injongo yakho. Ngokutsho kwe-ACOG, ukukhulelwa okuhlala ixesha elide ngaphezu kweeveki ezingama-40 akusisona sizathu sokuphindaphinda ngokuzenzekelayo. Nangona ukugwema ukutyunjwa okukhethileyo kukukhetha okunempilo kuwe kunye nosana lwakho, ukuba kunokwenzeka ukuba unyango lwe-induction luvela ngexesha lokukhulelwa kwakho, uya kufuna ukwazi iinkqubo zakho zoogqirha. Nangona i-ACOG isetyenziselwa i-bulletin ingxelo yokuba ukufakwa kunye nokunyuswa kwamaxabiso kuyinto ekhethiweyo kulabo bafumana ilingo labasebenzi, abaninzi abagqirha banqabile ukuquka ezi zikhokelo zabo zokuziphatha.
Fumana ngeendlela zokuzalwa. Ukuba ukhetha uvavanyo lwentsebenzo emva kokuba usuphelile, uya kuvela kuphi na? Ngaba ingcali yakho iya kwii-VBAC kwiindawo zokuhlala zabasebenzi kunye neenkonzo ze-VBAC ezifunekayo ukuba zizalwe kwigumbi lokusebenza?
Luhlobo luni lokujonga ilanga lakho? Ingaba ugqirha wakho ukhuthaza ukuhamba ngegumbi labafundi? Ziziphi iindlela zenduduzo eyenziwa ngugqwesa wakho?
Ukubuza abanye oomama malunga namava
Buza abanye oomama ngamava abo kunye nogqirha wakho. Inethiwekhi yoLwazi lokuSasazwa ngamazwe ngamazwe (i-ICAN) yinkxaso enhle yokulindela oomama. Ukuya kwiintlanganiso okanye ukujoyina inxaxheba kwintlalo kwintsimi yakho kunokukunceda ukuva amabali okwenene evela koomama bokwenene. Yonke into egumbini lokuhlola iyingcali. Into ochazwa ngayo nguwe inika ulwazi malunga nesitayela sabo somsebenzi.
Ziziphi ezinye oomama abanokuba nazo ezinokuba nolwazi oluxabisekileyo.
Mamela i-intuition yakho. Ingaba ingcali yakho inikezele iinkcukacha zokuba abayi kukuxhasa kwisigqibo sakho kwi- VBAC ? Ngaba uvakalelwa kukuba bacinga ukuba le sigqibo sengozini nangona ubungqina obuxhasa ukhetho lwakho? Intuition yakho ikhona ngenxa yesizathu. Ukuba iiflegi ezibomvu zivela kuwe, dliwano nabanye oogqirha kunye nababelethisi. Into ejongene nabanye ababoneleli ngononophelo banokuyenza, kukunika inkxaso malunga nesigqibo sokuba ushiye okanye uhlale kunye nogqirha wakho.
Umthombo:
Ukuzalwa kwama-vaginal emva kokuhanjiswa kwexesha elidlulileyo. Jonga i-Bulletin Nombolo 115. Ikholeji yaseMerika yase-American and Gynecologists. I-Obstet Gynecol 2010; 116: 450-63.