Isigaba sokuqala somsebenzi
Isigaba sokuqala siyingxenye ende kakhulu yokusebenza futhi singahlala amahora angama-20. Iqala lapho umlomo wesibeletho uqala ukuvula (ukunwebeka) futhi uphele lapho usuvuleke ngokuphelele (uvuleke ngokugcwele) ngamasentimitha ayi-10.
Ukusebenza kwangaphambi kwesikhathi noma okucashile
Isigaba sokuqala noma esicashile yilapho umhelo uqala. Uzoba nokufinyela okuthambile okuqhelelene ngemizuzu engu-15 kuya kwengama-20 futhi kudlule imizuzwana engama-60 kuye kwangama-90. Ukufinyela kwakho kuzovame kakhulu kuze kube ngaphansi kwamaminithi angu-5 ngokuhlukana. Ukufinyela kubangela ukuthi umlomo wesibeletho sakho uvuleke futhi uphele, okusho ukuthi uya uba mfushane futhi ube mncane, futhi ulungele ukulethwa. Esigabeni sokuqala, umlomo wesibeletho sakho unwebeka ukusuka ku-0 kuye ku-6 amasentimitha, futhi ukufinyela kuba namandla njengoba isikhathi siqhubeka. Phakathi nalesi sigaba, ungase uphume esithweni sangasese esicacile sibe negazi kancane.
Le ngxenye yomsebenzi ingathatha amahora noma izinsuku. Kungcono ukuyisebenzisela ukunethezeka kwekhaya lakho. Nazi ezinye izinto ongazenza ukuze usize inqubo ngokulandelayo:
- Hamba ngezinyawo.
- Shintsha izikhundla njalo.
- Qhubeka nokuzijwayeza izindlela zokuphefumula nokuphumula.
- Cwilisa kubhavu ofudumele noma uthathe ishawa elifudumele. Uma amanzi akho ephukile, khuluma nodokotela wakho ngaphambi kokucwiliswa kubhavu.
- Phumula uma ukwazi.
- Phuza uketshezi oluningi futhi ube nokudla okulula.
- Zilungisele futhi ulungele ukuya esibhedlela uma ungakafiki.
Isigaba esisebenzayo
Ngenkathi umlomo wesibeletho unwebeka ukusuka ku-6 kuya ku-8 wamasentimitha (okuthiwa i-Active Phase), ukufinyela kuba namandla futhi kuqhelelene ngemizuzu emi-3, kuthatha cishe imizuzwana engama-45. Ungase ube nomgogodla kanye nokopha okwandisiwe esithweni sakho sangasese (okuthiwa "umbukiso wegazi"). Uma ulwelwesi lwakho lwe-amniotic luphuka -- noma "ukuphuka kwamanzi" kwakho kuleli qophelo --ukufinyela kungase kuqine kakhulu.
Le ngxenye ngokuvamile ihlala cishe amahora angu-4 kuya kwangu-8. Isimo sakho sengqondo singase sibe sibi kakhulu njengoba ugxila ekulawuleni ukufinyela. Uzoncika kakhulu kumuntu osekelayo.
Ngokuvamile kuphakathi nesigaba sokusebenza lapho uzoya khona esibhedlela noma esikhungweni sokubeletha. Lapho ufika, uzocelwa ukuthi ugqoke ingubo yasesibhedlela. Ukushaya kwenhliziyo yakho, umfutho wegazi, nezinga lokushisa kuzohlolwa. Imonitha izofakwa esiswini sakho isikhathi esifushane, noma ngokuqhubekayo, ukuhlola ukufinyela kwesibeletho nokuhlola ukushaya kwenhliziyo yengane. Umhlinzeki wakho wokunakekelwa kwezempilo uzophinde ahlole umlomo wakho wesibeletho ngesikhathi sokuhlolwa kwe-pelvic ukuze anqume ukuthi ukusikwa sekuqhubeke kangakanani.
Ulayini we-intravenous (IV) ungase ufakwe emthanjeni osengalweni yakho ukuze ulethe uketshezi kanye imithi uma kunesidingo. Udokotela wakho angase akuvumele ukuba ulinganisele lokho okudlayo nokuphuzayo ngalesi sikhathi uma ecabanga ukuthi kungenzeka uzodinga isigaba C i-anesthesia jikelele.
Amanye amathiphu angakusiza esigabeni esisebenzayo somsebenzi:
- Zama ukushintsha indawo yakho. Ungase ufune ukuzama ukubamba izandla namadolo ukuze udambise ukungakhululeki komsebenzi ongemuva.
- Qhubeka uhambe phakathi kokufinyela.
- Thulula esinyeni sakho kaningi ukuze uvule isikhala esengeziwe sekhanda lomntwana okhalweni lwakho.
- Qhubeka nokuzijwayeza izindlela zokuphefumula nokuphumula.
- Cela umlingani wakho wokuzalwa ukuthi akubhucungele kahle.
- Ukulalela umculo opholile.
- Gxila ekuthatheni ukusifinyeza okukodwa ngesikhathi. Khumbula ukuthi ngayinye ikusondeza ekubambeni ingane yakho.
Isigaba soguquko
Isigaba soshintsho sifushane, kodwa futhi sinamandla futhi sibuhlungu. Ngokuvamile kuthatha imizuzu eyi-15 ukuya ehoreni ukuze umlomo wesibeletho unwebe kusuka ku-8 kuya ku-10 amasentimitha. Izifinyezo zihlukene ngemizuzu emi-2 kuya kwemi-3 futhi zihlala cishe iminithi elingu-1. Ungase uzizwe ucindezelekile ku-rectum futhi ubuhlungu beqolo bungase buzizwe bubi kakhulu. Ukopha esithweni sakho sangasese kuzoba nzima kakhulu.
Ungase uzizwe unesifiso sokusunduza, kodwa ungakwenzi kuze kube yilapho udokotela wakho ekutshela ukuthi wenze kanjalo. Ukuphusha ngaphambi kokuba umlomo wesibeletho sakho uvuleke ngokugcwele kungase kubangele ukuthi uvuvuke futhi kubambezele inqubo.
Isigaba Sesibili Sabasebenzi (Ukulethwa)
Isigaba sesibili sokubeletha siqala lapho umlomo wakho wesibeletho usuvuleke ngokugcwele ngamasentimitha ayi-10. Lesi sigaba siqhubeka kuze kube yilapho ingane yakho idlula emgudwini wokuzalwa, esithweni sangasese, futhi izalwe. Lesi sigaba singathatha amahora angu-2 noma ngaphezulu.
Izifinyezo zingase zizizwe zihlukile kusukela esigabeni sokuqala sokubeletha -- zizohamba kancane ziye emaminithini angu-2 ukuya kwangu-5 ngokuhlukana futhi zigcine kusukela kumasekhondi angu-60 kuya kwangu-90. Uzozizwa unesifiso esinamandla sokuphusha ngokufinyela kwakho. Zama ukuphumula ngangokunokwenzeka phakathi kwezikhawu zokusunduza, futhi uphushe kuphela lapho umhlinzeki wezempilo ekutshela.
Amanye amathiphu angakusiza ukuthi uphushe:
- Zama izindawo ezimbalwa -- squatting, ulale ngohlangothi uphakamise umlenze wakho, noma uphumule ezandleni nasemadolweni.
- Thatha umoya ojulile ngaphakathi nangaphandle ngaphambi nangemva kokufinyela ngakunye.
- Gcoba ku-push ngangokunokwenzeka; lokhu kuvumela yonke imisipha yakho ukuthi isebenze.
Ungathola imishanguzo edambisa izinhlungu noma ube ne-episiotomy uma kunesidingo ngenkathi uphusha. I-episiotomy inqubo lapho ukusika okuncane kwenziwa phakathi kwe-episiotomy indunu kanye nesitho sangasese sowesifazane ukuze kwandiswe ukuvuleka kwesitho sangasese sowesifazane. I-episiotomy ingase idingeke ukuze ingane yakho iphume ngokushesha noma ukuvimbela izinyembezi ezinkulu, ezingajwayelekile zodonga lwakho lwesitho sangasese sowesifazane.
Indawo yekhanda lomntanakho njengoba lihamba okhalweni (okuthiwa ukwehla) kubikwa enombolweni ebizwa ngokuthi isiteshi. Uma ikhanda lomntwana lingakaqali ukwehla, isiteshi sichazwa ku-minus 3 (-3). Uma ikhanda lengane yakho lisesiteshini esinguziro, limaphakathi nomgudu wokuzalwa futhi ligxile okhalweni. Isiteshi somntanakho sisiza ukukhombisa ukuqhubeka kwesigaba sesibili sokubeletha.
Lapho ingane yakho izalwa, umhlinzeki wakho wezempilo uzobamba umntwana ehlise ikhanda ukuze avimbele uketshezi lwe-amniotic, amafinyila, kanye negazi ukuthi lingangeni emaphashini engane. Umlomo nekhala lomntwana kuzomuncwa ngesipetu esine-bulb encane ukuze kukhishwe noma yiluphi olunye uketshezi. Umhlinzeki wakho wezempilo uzobeka ingane esiswini sakho futhi ngemva nje kwalokho, inkaba izosikwa.
Isigaba Sesithathu Somsebenzi (Ukulethwa Kwe-placenta)
Isigaba sesithathu sokubeletha siqala ngemva kokuzalwa komntwana futhi siphela lapho i-placenta ihlukana nodonga lwesibeletho futhi idlula esithweni sangasese. Lesi sigaba sivame ukubizwa ngokuthi ukulethwa "kokubeletha" futhi yisigaba esifushane kakhulu sokubeletha. Kungase kuthathe imizuzu embalwa kuye kwengama-20. Uzozwa ukufinyela kodwa ngeke kube buhlungu. Uma ube ne-episiotomy noma izinyembezi ezincane, izothungwa phakathi nalesi sigaba sokubeletha.
Umthombo https://www.webmd.com/baby/pregnancy-stages-labor
