Kunemigomo eminingi kanye nama-acronyms aphonswa endaweni yezokwelapha, futhi ukukhulelwa nokunakekelwa kokubeletha akufani. Uma uya ukubuka ishadi lakho lokunakekelwa kokubeletha noma amarekhodi akho ezokwelapha, ikakhulukazi, ungase uzizwe sengathi uzama ukufunda ulimi oluhlukile. Amagama asetshenzisiwe ahloswe ukuba abe nemigomo ebekiwe ukuze noma yimuphi udokotela noma umbelethisi owathatha ishadi lakho uzoqonda ukuthi uyini ukunakekelwa kwezokwelapha owawutholile, nokuthi umlando wakho wezokwelapha nempilo ungubani.
Lokhu kungase kube nzima nakakhulu uma uke wazalwa umntwana ozelwe nge-c-sigaba.
Uma usuhlinzekwe ukuhlinzwa ukubeletha ingane, irekhodi lakho lezokwelapha lizodinga ukukhombisa lokhu ngezizathu ezihlukahlukene. Lesi sizathu sokuqala ukuthi manje unesifo esibelethweni sakho. Nakuba lesi akusona isizathu esisodwa sokuba nesibalo esibelethweni sakho, kungenye yezizathu ezivame kakhulu. Umlando wakho wezokwelapha kufanele uqaphele isizathu sokuthi unesigaba c. Isibonelo, ezinye izizathu ziyizinto eziqondene ngqo nokukhulelwa noma umntwana futhi angeke ziphinde ziphinde ziphindiselele, njengokucindezeleka komntwana ngenxa yokungeniswa noma ngisho ne-baby breech. Ezinye izizathu zesigaba c zingase zenzeke futhi. Lokhu kungakusiza wena nodokotela noma umbelethisi wakho ukuba uhlele ukukhulelwa kwakho nokuzalwa okulandelayo.
Abaningi besifazane abaye babe nesigaba esingaphambi kwe-c bangabantu abakhethekile ukubelethwa kwesisu ngokukhulelwa okulandelayo .
Lokhu kwaziwa ngokuthi ukuzalwa kwesisu nangemva kwe-cearean noma i-VBAC. Abanye odokotela bazothatha isikhathi esiningi bekhuluma ukuthi bazosebenza kanjani kulokhu kukhulelwa okusha, banikeze lokho okuvame ukubizwa ngokuthi yi-trial of labor after a TALAC. Lokhu kubhekisela emzamweni wokuzama ukusebenza ngesikhathi sokuzalwa kwesisu emva kwe-cearean (VBAC).
Abasekeli be-VBAC bathi leli gama lingumqondo omubi futhi likhuthaza abesifazane ukuba bacabange ngamathuba okuphumelela.
I-American College of Obstetricians kanye namaGynecologists (ACOG) bakholelwa ukuthi i-VBAC iyindlela ephephile yabesifazane abaningi, noma ngabe babe ne-two laareans ngaphambi kohlobo oluthile lokuzibopha. Yilapho amarekhodi akho ezokwelapha angeneka ukukhombisa ukuthi ngabe yimuphi umuntu ongenakukwazi ukuwasebenzisa lapho kuzalwa khona.
Kungakhathaliseki ukuthi ubiza ngani, i-VBAC noma i-TOLAC, enezala zangasese ingaba nezinzuzo kumama nengane. Qiniseka ukuthi ukhuluma nodokotela noma umbelethisi wakho ngezingozi nezinzuzo zesimo sakho. Unganqikazi ukuthola umbono wesibili, lokhu kungaba yisinqumo esikhulu futhi akuwona wonke ochwepheshe abakholelwa ukuthi i-VBAC kufanele ihlinzekwe naphezu kwezinzuzo zayo eziqinisekisiwe ekubukeni kwabantu.
Imithombo:
Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. Imiphumela yomama kanye nesifo sokubeletha esihlotshaniswa nesilingo semisebenzi ngemuva kokudilizwa kwangaphambili. I-National Institute of Health Child kanye Nokuthuthukiswa Kwabantu Inethiwekhi YamaNyunithi Wezingane Zama-Fetal Medicine Network. N Engl J Med 2004; 351: 2581-9.
Izikhungo zezempilo zikazwelonke. I-NIH Ingqungquthela Yokuthuthukiswa Kwentuthuko: ukuzalwa kwesifazane emva kwe-cearean: ukuqonda okusha. Isitatimende Senkomfa Yezokuthuthukiswa. I-Bethesda (MD): i-NIH; 2010.
Ukubeletha kwama-vaginal emva kokulethwa kwezidakamizwa zangaphambilini. Hlanganisa i-Bulletin No. 115. Ikholeji yaseMelika yezifo zokukhubazeka kanye namaGynecologists. I-Obstet Gynecol 2010; 116: 450-63.