Uma une- laarean yangaphambili, kungenzeka uzibuze ukuthi umhlinzeki wakho ukhululekile yini nge-VBAC (ukuzalwa kwesisu emva kwe-cearean). Ukuthatha isikhathi ngaphambi kokukhulelwa kwakho ukuxoxa ngokuzalwa kwakho kungakusiza ukubeka wena nomhlinzeki ekhasini elifanayo futhi sikuqaphele uma udinga ukushintsha odokotela noma ababelethisi. Ukwenza isinqumo kusenesikhathi kusho ukuthi awuvalelwe ezinqumweni ngosuku lwakho olufanele ekhoneni.
Khumbula ukuthi i-ACOG (i-American Congress of Obstetrics ne-Gynecology) iyaphawula ukuthi ukuhlolwa kwezabasebenzi kuyisinqumo esiphephile futhi esinengqondo kwabaningi omama abanesibeletho sokuqala.
Ukukhuluma Nomsebenzi Wakho Nge-VBAC
Izinto zokuqala kuqala: cela udokotela wakho ukuthi bazizwa kanjani ngeVBAC. Izinto ofuna ukuzizwa ziyizingxoxo zengozi, izinzuzo, kanye nezinye izindlela zokubeletha kwesisu ngemuva kwe-cearean. Udokotela noma umbelethisi wakho udinga ukuxoxa ngezingozi, izinzuzo kanye nezinye izindlela zokuphindaphindiwe kwesigaba. Bangase bahlanganise ifilosofi yabo siqu noma ukuthi kungani bazizwa ngendlela abayenza ngayo. Ukugxila ku-2010 ACOG Izinkombandlela zokuzalwa kwamaVaginal Emva Kunye noma amaCesare amaningi aphinde abe yinkomba yokuthi uchwepheshe wakho usebenzisa ulwazi olusekelwe ebufakazini. Amafulege abomvu kungaba: udokotela wakho usebenzisa imihlahlandlela esebenzayo yakudala ukuze akhulume nawe nge-VBAC, udokotela wakho uzama ukukushaqisa noma ekunikeze izindaba zakho kuphela ze-VBAC nawe.
Okulandelayo, cela umlingisi wakho isilinganiso sabo seVBAC. Ufuna ukwazi ukuthi bangaki abesifazane ngonyaka owedlule bazame ukuhlolwa kwezebasebenzi ngemuva kokuyeka ukusebenza kwabo. Ucwaningo lusitshela ukuthi ngabesifazane abazama ukuzalwa ngesisu emva kwe-cearean, i-70% izophumelela. Uma uthola ukuthi abesifazane abambalwa kuphela ekunakekelweni kukadokotela bakho baye bazama, kungenzeka ukuthi udokotela wakho ukhulume kubo ekupheleni kokukhulelwa kwabo.
Kulezo zamehlo ze-VBACs, zingaki i-VBAC ukuthi udokotela wakho wangena kulo nyaka odlule? Kulula ukuthi udokotela akhulume inkulumo, kodwa izinombolo ziyakutshela ukuthi udokotela wakho uhambe yini.
Funda imihlahlandlela yomhlinzeki wakho mayelana nobude bokukhulelwa nezinketho zokungeniswa, uma udinga eyodwa. Abanye odokotela nababelethisi bavumela kuphela ukuvivinywa kokusebenza emva kwe-cearean uma umsebenzi uqala ngokwemvelo ngama-38 (noma ama-39, 40 noma amaviki angu-41.) Lezi zinqubomgomo cishe azisekeli umgomo wakho. Ngokusho kwe-ACOG, ukukhulelwa okuhlala isikhathi eside kunamaviki angama-40 akuyona isizathu sokwenza okuzenzakalelayo ukuphinda okukhethiwe. Nakuba ukugwema ukungeniswa okukhethile kuyindlela enhle kunazo zonke wena nomntanakho, uma kwenzeka isidingo sezokwelapha singena ngesikhathi sokukhulelwa kwakho, uzofuna ukwazi izinqubomgomo zakho. Ngisho noma i-ACOG isetshenziselwa ukushicilela ukuthi ukufakelwa kanye nokwandiswa kwemali kuyindlela yokukhetha labo abahlukunyezwayo, odokotela abaningi benqabe ukufaka lezi ziqondiso zomkhuba wabo siqu.
Thola mayelana nemikhuba yokuzalwa. Uma ukhetha isilingo somsebenzi emva kokuphela kwe-cearean, uzodingeka ubelethe kuphi? Ingabe umhlinzeki wakho uhambela i-VBACs ekamelweni elivamile lomsebenzi kanye nesevisi noma yi-VBAC edingekayo ukubeletha ekamelweni lokusebenza?
Uhlobo luni lokuqapha olufunwa ngumsebenzi wakho? Ingabe udokotela wakho ukhuthaza ukuhambahamba egumbini labasebenzi? Yimaphi amasu okududuza umsekeli wakho asekela?
Ukucela Abanye Omama Ngezibonelo Ezihlangenwe nakho
Buza abanye omama ngalokho okuhlangenwe nakho kwabo nodokotela wakho. Inethiwekhi Yokuqwashisa YaseCesarean International (ICAN) iyisisetshenziswa esimangalisayo sokulindela omama. Ukuya emhlanganweni noma ukujoyina umphakathi waku-intanethi endaweni yakho kungakusiza uzwe izindaba zangempela ezivela kumama wangempela. Yonke into egumbini lokuhlola iyingqikithi. Lokho okushiwo ngumsebenzi wakho kukunikeza ulwazi mayelana nesitayela sabo somkhuba.
Abanye abomama abahlangene nakho kungaba ulwazi oluyigugu.
Lalela intuition yakho. Ingabe umhlinzeki wakho unikeze izinkomba ukuthi ngeke zikusekele esinqumweni sakho ku- VBAC ? Ingabe unomuzwa wokuthi bacabanga ukuthi lokhu kuyisinqumo esiyingozi naphezu kobufakazi obusekela ukukhetha kwakho? Intuition yakho ikhona ngesizathu. Uma amafulegi abomvu ephuma kuwe, uxoxe nabanye odokotela nababelethisi. Into kuphela ebuza abanye abahlinzeki bokunakekelwa bangakwenza ukunikeza ukusekela ngesinqumo sakho sokushiya noma ukuhlala nodokotela wakho.
Umthombo:
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.