Isikhundla ngokuphathelene ne-Pelvis Ngesikhathi sokusebenza
Isiteshi ngenye yamazwi ozowasebenzisa njengoba usuku lwakho lokubeletha luzofika. Isiteshini se-Fetal yisilinganiso sokuthi umntwana usulele kangakanani esikhwameni, esilinganiselwe ubuhlobo bekhanda le-fetal kuya ezihlahleni ze-ischial (ahlala amathambo). Izimpondo ze-ischial ziphakathi kwamamitha angu-3 kuya kwangu-4 ngaphakathi kwesiswini futhi zisetshenziselwa njengendawo yokukhomba yesilinganiso sesiteshi.
Isiteshi se-fetal
Isiteshini se-Fetal sichazwe ngezinombolo ezingalungile nezinhle.
- I--5 isiteshi somntwana ohambayo
- -3 isiteshi lapho ikhanda lingaphezu kwesikhumba
- Isiteshini se-0 yilapho ikhanda liphansi phansi kwekhanda, futhi liyaziwa ngokuthi lihlanganyela ngokugcwele
- Isikhungo se-+3 siqala umqhele futhi siqala ukuvela emgodini wokuzalwa
- +5 isiteshi sikhombisa.
Umehluko phakathi kwezinombolo ezilinganisweni kufana nobude ngamentimitha. Ukusuka kusuka ku +1 kuya ku-2 kuhamba cishe okungaba ngu-1 cm.
Isiteshi se-fetal Ngesikhathi sokusebenza
Isikhungo siyisilinganiso sokuzalwa kwesisu ekusebenzeni futhi kulinganiswa izivivinyo zangasese . Isiteshi ngokuvamile asilinganiswa kuze kube amasonto ambalwa okugcina wokukhulelwa noma ungase ungakuzwa uxoxe kuze kube yilapho ususebenza.
Inombolo yesiteshini ingenye yezibonakaliso zokuqhubekela phambili emsebenzini. Lapho uqala ukusebenza, abanye besifazane bayoba nengane ephakeme kakhulu ekhanda le--2. Abanye besifazane baqala ukusebenza ngomntwana osebenza esiteshini esingu-0, noma ephansi.
Esikhathini esiteshini, ezansi ehlathini kusho inombolo enhle. Ungase uzwe othile ethi umntwana wehla, okuyinto ushintsho oluhle esiteshini somntanakho. Isiteshi somntwana wakho siqala ukushintsha uma usuxosha.
Isiteshi se-Fetal nesiqephu se-Bishop
Isiteshi se-Fetal sisetshenziselwa njengenye yezingxenye zesikhombiso se-Bishop, esetshenziselwa ukubikezela ukuthi ngabe uzodinga yini ukuthi usebenze.
Ezinye izici kulezi ziqephu nazo zihlolwe ngokuhlolwa kwesisu. Zihlanganisa ukuxubha komlomo wesibeletho, ukuchithwa komlomo wesibeletho, ukuvumelana komlomo wesibeletho, kanye nesimo somlomo wesibeletho. Isilinganiso se-Bishop esiphakathi kuka-8 noma ngaphezulu sibonisa ukuthi umlomo wesibeletho uvuthiwe cishe uzoba nokusebenza ngokuzenzekelayo nokulethwa kwezidingo, kanti amaphuzu angaphansi kuka-3 akhombisa ukuthi kungadingeka ukuthi usebenze.
Isiqeshana se-Bishop modified sisebenzisa isiteshi, ukuhlenga, ubude bomlomo wesibeletho, ukuvumelana nokuma esikhundleni. Njengawo amaphuzu okuqala, amaphuzu ayisishiyagalolunye noma ngaphezulu abonisa ukuvuthwa komlomo wesibeletho.
I-Fetal Station ne-Forceps Delivery
Ukulinganisa isiteshini sesisu kubalulekile lapho ukuhanjiswa kwe-forceps kucatshangelwa. Ingane kumele iqhubekele esiteshini esifanele sokukhishwa kwe-forceps, njengoba kuchazwe yi-American College of Obstetricians kanye namaGynecologists.
Isikhungo sokulinganisa i-Fetal
Ukulinganisa isiteshi sokubeletha ngokuhlolwa kwamasitini kunesimo esizithobayo futhi kungaba khona ukuhluka phakathi kwabahlinzeki. Udokotela uzizwa ikhanda lomntwana futhi unquma ukuthi lihlobene kanjani nezimpande ze-ischial. I-Ultrasound ingasetshenziswa ukusiza ukunquma isiteshi sesisu.
> Imithombo:
> Isikhungo Sokubambisana Sikazwelonke Sempilo Yabesifazane Nezingane (UK). Ukukhishwa Kwezabasebenzi. I-London: I-RCOG Press; 2008 Jul. (NICE Guidelines Clinic, No. 70.) Isithasiselo B, isiqalo se-Bishop.
> Takeda S, Takeda J, Koshiishi T, Makino S, uKososhita K. Fetal esiteshini esekelwe indiza ye-trapezoidal kanye nokuhlolwa kwezinhloko zezinhloko ngesikhathi sokulethwa kwezinsimbi. Ucwaningo lwe-Hypertension Research in pregnancy . 2014; 2 (2): 65-71. i-doi: 10.14390 / i-jsshp.2.65.