Ukubuka umzimba wakho, ingane yakho, nokunye
Siyakwamukela evikini 34 lokukhulelwa kwakho. Kulaba besifazane abathile abakhulelwe (kodwa hhayi bonke), izinsana zingaqala ukwehla emathunjini kuleli sonto, zifunde ukuphuma kwazo okukhulu.
I-Trimester yakho: I-trimester yesithathu
Amaviki okuya: 6
Wena kuleliviki
Emasontweni angama-34, i- amniotic fluid ngaphakathi kwesibeletho sakho cishe isifike kakhulu. (Kuvame ukuphakama phakathi kwamanje neviki 36 , ukwehlisa kancane kancane ngemuva kwalokho.) Futhi kwabanye besifazane, lokhu kubuye kufike isikhathi sokukhanya, noma ukuwa, okungenzeka kwenzeke.
Ukukhanyisa lapho ingane ishintshe isikhundla sayo esingaphansi emgodini wokuzalwa. Lokhu akugcini nje ukuvuselela ingane ngokubeletha, kunganciphisa ingcindezi ku-diaphragm yakho, ukunciphisa ukushaya kwenhliziyo nokubunzima kokuphefumula. Ngeshwa, leyo mpumuzo ingase ivele ne-drawback: ukucindezela okwandayo kwesinye isisu sakho.
Uma isisu sakho sibukeka ngokungazelelwe, ungesabi. "Akukho ukulungiswa okucacile phakathi kokuthi ingane yakho yehla futhi lapho kuqala ukusebenza," kusho u-Allison Hill, MD, umkhuba wangasese we-OB-GYN eLos Angeles.
Izingane Zakho Kuleliviki
Izingane zakho ezinamaphesenti angu-5 kuya ku-5½ ziqhubeka nokugcwalisa, futhi i-vernix yakhe-i-waxy, isibopho esimhlophe esimboza isikhumba somntanethi-sikhula. I-Vernix ayivikela nje kuphela isikhumba somntwana emiphumeleni yokumisa yamaminerali amniotic, isebenza njenge-lubricant esiza ingane yakho ukuba idlule emzimbeni wokubeletha kalula. Ungase ubone i-vernix ngezingane zakho ngosuku lokuzalwa kwakhe.
Ungasheshi ukuyihlanza; iqhubeka nokuvikela amasosha omzimba ngesikhathi esalwa.
Yiqiniso kuyilapho ingane yakho engu-17½ intshi ende ingaqhathaniswa nesikhathi esigcwele kuze kufike amasonto angama-39 , labo abazalwa emavikini angu-34 bavame ukuba namapayipi athuthukile futhi benze kahle.
Ehhovisi likaDokotela wakho
Ukuphatha amawele?
Lokhu kungase kube ukuvakasha kwakho kokugcina kokubeletha . Ukukhulelwa kwe-twin isilinganiso kuvumela cishe emavikini angu-35 . Kuwo wonke umuntu, lokhu kuhlolwa kwamaviki angu-34 kuzoba nokuhlolwa okujwayelekile nezilinganiso. Kodwa-ke, uma ubhekwa njengengozi enkulu futhi ungenayo iphrofayili ye-biophysical (BPP) eyenziwe ngesonto eledlule, kungenzeka ukuthi kwenzeke kulolu hambo.
I-BPP iyi-test combo engavumelekile equkethe i-ultrasound eningiliziwe kanye nokuhlolwa okungenayo ukucindezeleka okungenayo ingane . Umhlinzeki wakho wezempilo uyoqapha futhi akhombe amazinga akho amaminithi amniotic, kanye nomsindo we-muscle womntwana, ukunyakaza komzimba, nokunyakaza kokuphefumula. Ngezinye izikhathi i-buzzer isetshenziselwa ukugqugquzela ingane yakho ukuhlolwa, okuzothatha kuze kube ihora ukwenza. Ngemuva kokuba udokotela noma umbelethisi wakho ahlole imiphumela yakho yokuhlolwa, uzobona ukuthi kuyinto enhle yini ukuletha ingane yakho maduze kunokuba ihlelwe ekuqaleni.
Ukucabangela okukhethekile
Uma uphatha ibhulaki , okusho ukuthi ingane yakho ihamba ngemuva- futhi / noma izinyawo-kuqala, lokho akusho ukuthi ingane yakho izohlala kulesi sikhundla kufika usuku lokuletha. Eqinisweni, uDkt. Hill uthi, "ngalesi sikhathi ekukhulelweni, cishe amaphesenti angu-14 ezinsana zihamba ngesibhamu, kodwa ngesonto 36 , lelo nani lihlehliswa ngamaphesenti angu-9 ."
Kungakhathaliseki ukuthi, umhlinzeki wakho wezempilo uzokwazi ukuthi angenzani ukusiza ukuguqula umntwana nokuthi yini eyokwenzeka uma ingane ingaphenduki.
Namuhla, iningi lezinsana ezibelethayo lizalwa ngesigaba seCesare esicelwe , kepha ukuzalwa kwesisu esisodwa okuhleliwe kwesisu kungase kube yindlela yokukhetha.
Okokuqala, udokotela noma umbelethisi wakho angase akhombise inguqulo ye-cephalic yangaphandle (i-ECV) , ebizwa nangokuthi inqubo yesandla-kuya kwesisu, ukuthola umntwana endaweni efanele. Lokhu kwenzeka njalo phakathi kweviki 32 neviki 37 . Lapha, umhlinzeki wakho (futhi mhlawumbe umsizi) usebenza ngokucindezela okuqinile kwesisu sakho ngomzamo wokukhuthaza umntwana ukuba aphenduke. Ungase unikezwe i-terbutaline yezidakamizwa, okusho ukuthi i-uterine contractions kanye / noma i- epidural ukuvimbela ubuhlungu. Ngezinye izikhathi i- ultrasound isetshenziswa njengomhlahlandlela futhi.
Amaphesenti angaphezu kwengxenye yemizamo ye-ECV iphumelele, ngokusho kwe-American College of Obstetricians kanye namaGynecologists. I-caveat: Amanye amantombazane aphethwe ngempumelelo aphinde abuyele esimweni sokuhamba ngaphambi kokubeletha usuku.
Kunezinye izindlela zasendlini ukuze ingane yakho iphenduke ukuthi ungazama, futhi. Noma kunjalo, kubalulekile ukuxhumana nomhlinzeki wakho wezempilo ngaphambi kokuzama lokhu:
Zama iphakethe elibandayo: Beka iphakethe leqhwa noma isikhwama se-peas efriziwe esihlanganiswe ngendwangu ekhanyayo esiswini sakho, lapho ikhanda lomntwana likhona.
Sebenzisa amandla adonsela phansi: Themba phansi phansi nge-stack of pillows ngaphansi kwezintambo zakho imizuzu engu-10 kuya kwangu-15 nsuku zonke.
S ukukhanya: Khombisa i-flashlight esitokisini sakho se-pubic ukuze ukhuthaze umntwana ukuba eze ekukhanyeni (futhi, kanjalo, ukuphendula ubuso).
Cabanga ngalokhu okunye okunye okulandelayo: Ngokusho kombiko we- Journal of Maternal-Fetal & Neonatal Medicine , ukuhlanganiswa kokusebenza kanye nokuxhunyaniswa komsebenzi kungasebenza ngempumelelo ekuxazululeni iphrezentheshini ye-breech. Ukwenza izimpande kuhilela ukufaka izinaliti ezinobuthi ezinamaphuzu athile (okungenabuhlungu) ukugqugquzela ingane yakho ukuba ihambe. Ukuxoshwa komzimba kubandakanya ukushisa ama-herbs nokusebenzisa ukushisa kwawo ezindaweni zomzimba ukukhuthaza okufanayo.
Ungene ekushintsheni kwe-chiropractic: I-pelvis engalungile ingenza kube nzima ukuba ingane iphume endaweni yokuphuma kwe-breech. Noma kunjalo, ukuthola ukulungiswa kwe-chiropractic efanele kungalungisa leso simo. Eqinisweni, umbiko we- Journal of Manipulative and Physiological Therapeutics wathola ukuthi amaphesenti angu-82 abahlengikazi baphumelela ekuphenduleni izingane ngokunakekelwa kwe-chiropractic.
Ukuvakasha kukaDokotela
Phakathi kwamasonto angu-35 no-37 wokukhulelwa kwakho, umhlinzeki wakho wezempilo uzokukrinsela ukuxhuma kweqembu B (futhi okubizwa ngokuthi i-GBS noma i-beta strep). Lokhu ukutheleleka kwama-bacterium okutholakala emaphethweni akho okuzala ngokobulili kukhona cishe kwinekota yabo bonke abesifazane abanempilo. Ngenkathi engabangeli ingozi kuwe, ingabangela ukuphefumula noma i-meningitis emntwaneni osanda kuzalwa. Uma uhlola ukuthi ulungile nge-GBS, uzothola ama-antibiotics ngesikhathi sokubeletha ukuvikela ingane yakho.
Ukunakekelwa
Ingabe ukhulume nomhlinzeki wakho wezempilo mayelana nokusikhipha i-perineal? Uma kunjalo, futhi unesithakazelo sokuqala, leli yiviki ukuqala. Lo mkhuba usiza ukwandisa i-plasticity ye-perineum (indawo ephakathi kwe-vagin kanye ne-anus), ukunciphisa amathuba akho kokubili ukukhipha kanye ne- episiotomy , ukufaka umfutho ku-perineum ngesikhathi sokubeletha.
Ukuze uphumule, wena noma umlingani wakho uzobeka iminwe emibili ngaphakathi kwesiswini sakho bese usebenzisa ukucindezela ngqo phansi imizuzu emibili. "Khona-ke, sebenzisa ingcindezi efanayo ohlangothini ngalunye ngeminye imizuzu emine," kusho uDkt. Hill. "Ukuze uthole imiphumela emihle, yenzani lokhu nsuku zonke ukuze uhlale ukhulelwe." Nakuba kufanele uthole ama-to-tos akho ngokuqondile kudokotela noma umbelethisi wakho, nansi amanye amathiphu awenzayo:
Sebenzisa i-compress efudumele: Faka i-washcloth efudumele ku-perineum yakho cishe imizuzu engu-10 ngaphambi kokusikhipha.
Geza izandla zakho: Noma ubani owenza ukusikhipha umzimba kufanele abe nezandla ezihlanzekile (ngamanunwe ahlanzekile ahlanzekile).
Thola isikhundla esifanele: Abanye besifazane bakhetha ukuhlala bethelwa embhedeni wabo ngamadolo abosiwe noma baqhekeke odongeni ngosizo lwesitokisi.
Sebenzisa i-lube: "Sebenzisa i-lubricant ye-commercial soluble yamanzi, i-vitamin E, noma i-almond amafutha ngqo eminwe yakho (noma yomlingani wakho) ngaphambi kokubuthwa. Lokhu kwenza i-massage ikhululeke futhi ifaka i-perineum, "kusho uDkt. Hill. Phinda usebenzise njengoba kudingeka.
Zama ebhodini: Isikhundla sakho singenza ukuthi ukusikilisa kube lula, futhi amanzi afudumele angasiza isikhumba sakho selule.
Kuzakwethu
Uke waphawula ukuthi umlingani wakho uhlanza kakhulu kamuva? Lokhu kuqhuma kwamandla enhlangano kubizwa ngokuthi ukuhlalisa futhi kucatshangwa ukuthi kuyindlela engokwemvelo lapho omama kufanele babe nokulungiselela ukuzalwa. Abanye besifazane bahlangabezana nalesi sidingo ukuze bahlale esidlekeni nxazonke manje, kanti okunye okuhlangenwe nakho ngaphambili kakhulu noma cha.
Njengomlingani wakho, kuwumsebenzi wakho ukuqinisekisa ukuthi owesifazane okhulelwe empilweni yakho akazenzi kahle. Abesifazane abakhulelwe kule ndawo ekukhulelweni akufanele baphakamise amakhredithi, sebenzisa izinto zokuhlanza ezilimazayo ezifana ne-bleach, noma uphakamise izinto ezinzima. Nikeza usizo nosizo uma kunesidingo.
Futhi akulimazi ukungena ekuzikhuliseni kwakho: Yenza ukuphila komzali omusha kube lula ngokwakho ngokubeka imali ekudleni okungenakonakalayo nasezikhungweni zangasese manje. Ngesikhathi esifanayo, uhlanganise ndawonye ukudla okwenziwe ngaphambili ukuze ugcine efakwe efrijini lakho.
Uhla lokuhlola lwe-Wellwell
Qhubeka uthatha amavithamini okubeletha .
Qhubekani ukuphuza ama-glass angama-8 kuya kwangu-12 ngosuku.
Qhubeka nokwenza umzimba wakho we-Kegel nsuku zonke.
Qala imizimba yokubhuka nsuku zonke.
Iveke eledlule: Iviki 33
Ukufika: Iviki 35
> Imithombo:
> Allison Hill, MD yokuxhumana nge-imeyli. Okthoba, Novemba 2017.
> I-American College yezidakamizwa namaGynecologists. Uma Ingane Yakho Isuke I-Breech. https://www.acog.org/Patients/FAQs/If-Your-Baby-Is-Breech# yangaphandle
> I-American Pregnancy Association. I-B ye-Strep Infection: GBS. http://americanpregnancy.org/pregnancy-complications/group-b-strep-infection
> NgoMashi we-Dimes. Ukukhulelwa Kwabaningi Nokuzalwa: Ukucabangela Ukwelashwa Kwesizalo. http://www.uicivf.org/uploads/March_of_Dimes_multiple_pregnancy_and_birth1.pdf
> Neri, Mina, Airola G, Contu G. Ukwamukelwa kokuhlanganiswa kanye nokuxhunyaniswa kokuxazulula ukuthunyelwa kwe-breech: isifundo esilawulwa ngokungahleliwe. I-Matern Fetal Fetal Neonatal Med. 2004 Apreli; 15 (4): 247-52. https://doi.org/10.1080/14767050410001668644
> I-Pistolese RA. I-Webster Technique: inqubo ye-chiropractic ne-obstetric implications. J Physiol Ther. 2002 Jul-Aug; 25 (6) E1-9. > http://dx.doi.org/10.1067/mmt.2002.126127