Liviki 40 lokukhulelwa kwakho

Ukubuka umzimba wakho, ingane yakho, nokunye

Siyakwamukela evikini 40 lokukhulelwa kwakho. Siyakuhalalisela! Sethemba ukuthi uzokwamukela ingane yakho entsha kuleli sonto. Kungakhathaliseki ukuthi lokho kwenzeka noma uzithola usengaphezu kwesikhathi , umgwaqo ozayo uyisifushane. Yize bonke abesifazane abakhulelwe bebona ukuthi ukubeletha nokudiliva sekugcineni, imizwa ezayo neqiniso lokuthi "usuku olukhulu" ingathatha abaningi ngokumangala.

I-Trimester yakho: I-trimester yesithathu

Amaviki okuya: 0

Wena kuleliviki

Emasontweni angama-40 ukhulelwe, uqinisekile isikhathi esigcwele. Kodwa-ke, yazi ukuthi uma ungenayo ingane yakho kuleli sonto, awuyedwa. Eqinisweni, "kuphela abesifazane abangamaphesenti angu-19 abaya emsebenzini ngesikhathi seviki 40, kanti amaphesenti ayisishiyagalolunye angama-14 asebenza emasontweni angaphezu kwangu-41 noma ngaphezulu," kusho u-Allison Hill, MD, umbhali we- Your Pregnancy, Your Way kanye nobhala be- Mama. I-Docs 'Umhlahlandlela Wokugcina Wokukhulelwa Nokuzalwa.

Uma ungena emisebenzini kuleli sonto, uzothola iziphambano ze-telltale uterine . Kodwa-ke, ekusebenzeni kokuqala, abesifazane abaningi abaqiniseki uma behlangabezana nokuphambana kweqiniso noma i- Braxton Hicks . UDkt. Hill uthi: " Isigaba sokuqala sokusebenza somsebenzi singase sibe nezingqinamba ezingavamile, ezingenabuhlungu kakhulu ezinemizuzwana engu-30 kuya kwezingu-45." "Kodwa kungase kuhlanganise nezingqinamba ezibuhlungu kusukela ekuhambeni."

Kungakhathaliseki ukuthi yikuphi, ukukhwabanisa ngakunye, isibeletho sakho siyaqhubeka sivula (siphucula) futhi sincane (siphume) .

Ngokungafani ne-Braxton Hicks, ukuvinjelwa kwemisebenzi akumeli uma ushintsha izikhundla. Baqala ngemuva futhi baqhubekela phambili kwesisu sakho, futhi bazizwa benamandla kunokwenziwa kwemivimbo.

Kusukela lesi sigaba sokuqala sokusebenza singapheli usuku noma ezimbili , kungcono ukuhamba ngosuku lwakho ngangokunokwenzeka.

Umsebenzi osebenzayo

Uma usungena esigabeni esisebenzayo sokuqala komsebenzi , umlomo wakho wesibeletho udonsa cishe u-1 cm engehora. Ukuze ufeze lokho, izinkinga zakho ziba njalo; sondela eduze (njalo imizuzu emibili ukuya kwemibili); isikhathi eside (amasekhondi angu-60 kuya kwangu-90); futhi ube namandla kakhulu.

Uzofuna ukwenza indlela yakho esibhedlela noma esikhungweni se-birthing ngesikhatsi esithile sesigaba sokusebenza. UDkt. Hill ukhuthaza ukuhamba uma ukuchotshozwa kube yimaminithi amathathu kuya kwemihlanu ngaphandle kokungenani amahora ambalwa . (Ungabuza umlingani wakho ukuthi akusize ulandele inothi kanye ne-timer , noma ungacabangela ukusebenzisa uhlelo lokusebenza lweselula olwenzelwe ukwenza lo msebenzi ube lula kakhulu.)

Kodwa, yiqiniso, qhubeka uxhumana nomhlinzeki wakho wezempilo ukuze wenze isinqumo esingcono kakhulu kuwe. Hlala ubheke isikhathi sokuhamba engqondweni uma wenza isinqumo sakho, njengoba ithrafikhi ngezikhathi ezithile zosuku kungenza uhambo lwakho luhambe kancane kunalokho ongathanda.

Isigaba esisebenzayo sokusebenza sithathwe ngokuthi yini ebizwa ngokuthi ushintsho . Ngenkathi lena yingxenye emfushane kakhulu yomsebenzi, imizuzu engama-30 kuya kwezingu-90 ehlala njalo, futhi yinkimbinkimbi kakhulu. Manje, ukuphazamiseka okukhulu kwenzeka njalo ngemva kwemizuzu emibili. Bazama ukukuyisa esiteji sesibili sokusebenza , okuphawulwe ngokuhlanjululwa okuphelele komlomo wesibeletho (amasentimitha angu-10), kunciphisa izinhlangothi, futhi ukuxoshwa.

Isigaba sesibili singadlulela kuphi ukusuka emaminithini ambalwa kuya emahoreni ambalwa.

Uzozwa ukucindezeleka kwekhanda lomntanakho phakathi kwemilenze yakho kanye nesifiso esinamandla sokusunduza; qiniseka ukuthi ulinde isiqondiso sakho somsebenzi wezempilo ukuze uqale ukwenza kanjalo. Uma une- epidural , noma kunjalo, ukuzwa kuyodambiswa. Nakuba lokhu kungase kwandise inqubo yokugqoka, kungenzeka ukuthi ngeke kuthinte kakhulu ikhono lakho lokusunduza uma sekuyisikhathi .

Pushing

Phakathi nesigaba sokuqhuma, ikhanda lomntanakho lizoqala ukuvela ebiswini lakho ngokuphambana ngalunye. Uma ikhanda lomntwana lihlala libonakala lingabonakali ngaphakathi ngaphakathi, ubeka umqhele .

Lesi sigaba, esigcwele umsebenzi onzima, siphela ngomvuzo omuhle: Ezimweni eziningi, uzobona indodana noma indodakazi yakho ngaphakathi kwehora.

Ukukhulula i-Placenta

Emva kokuba ingane yakho izalwe, uzofaka isigaba sesithathu nesokugcina sokusebenza: ukuletha i-placenta yakho. Ukusiza ngenqubo, ungase ufune ukondla ingane yakho . Lokhu kusiza inkontileka yakho yesibeletho futhi ususe i-placenta yakho.

Kubalulekile ukukhumbula ukuthi awekho okuhlangenwe nakho okubili okufana nakho okufanayo. Nakuba ilukuluku lakho linganeliswa ngokuzwa izindaba zabanye, isipiliyoni sakho (ukuthi uhambisa kanjani, kuthatha isikhathi esingakanani, nokuningi) kuzoba ngokwakho.

Izingane Zakho Kuleliviki

Izingane zakho ezisanda kuzalwa zingase zibe phakathi kwamasentimitha angu-19 kuya kwangu-21 ubude futhi zibe nesisindo esingamakhilogremu angu-6 kuya kwangu-10, kodwa angase angaboni sengathi ulindele .

Okokuqala, i-skull yengane ithambile futhi ilulazeka. Lokhu kuvumela ushintsho olusheshayo nge-canal yokuzalwa, kodwa kungamshiya nekhanda elibunjwa ngombono uma uhambisa izitho zangasese. Lokhu kuzovame ukubuyela emuva ngemuva kwezinsuku ezimbalwa, kodwa izindawo ezithambile ezibizwa ngokuthi i-fontanelles zizohlala ezinyangeni ezintathu kuya kwezingu-15.

Ingane yakho entsha ingase futhi idlale i-vernix eqhubekayo ne-yoursgo; amehlo akhe angase abe nesibindi; Izandla nezinyawo zomntwana zingase zikhishwe nge-blue; futhi / noma kungase kube nezinkinobho zokuvuvukala okubomvu (okubizwa ngokuthi i-nevus simplex) ebunzini lomntwana, izinkophelo, kanye / noma ngemuva kwengane yomntwana. Zonke zijwayelekile ngokujwayelekile.

Ngemuva kokubeletha, umhlinzeki wakho wezempilo angancelisa i-mucus kanye ne- amniotic fluid emlonyeni nasemphunjini wengane yakho bese uyibeka esiswini noma esifubeni sakho othintana nesikhumba-nesikhumba sakho sokuqala. Uma lokho kungakenzeki ngaso leso sikhathi, kungenzeka ukuthi ingane ibonisa izimpawu zokucindezeleka noma unesigaba se-C; abantwana abazalwa ngale ndlela kudingeka bahlolwe udokotela wezingane kuqala.

Umlingani wakho noma umhlinzeki wakho wezokunakekelwa kwezempilo uzobe eseqedile intambo. Okokugcina, ezinye izivivinyo kanye nezinqubo zokuhlola kuzokwenziwa. Ezinye zenzeka emaminithini ambalwa noma amahora ambalwa, ezinye ezinsukwini zokuqala zengane, njenge:

Ehhovisi likaDokotela wakho

Uma uzithola ukhulelwe futhi ehhovisi lakho lodokotela noma umbelethisi kuleli sonto, hlala lapho. Yazi ukuthi awucatshangwa ngokomthetho ngemuva kwesikhathi kuze kube yilapho unamaviki angu-42 ukhulelwe. Izinsuku zokudliwa akuzona isayensi eqondile ; izinto ezinjengezikhathi ezingavamile kanye nomlando ongalungile wokuya esikhathini kungaba ukulahla izibalo zesikhathi sokulethwa kwezidingo.

Kungakhathaliseki ukuthi umhlinzeki wakho wezezempilo anganikeza ukuhlukumeza izibilini zakho ngomzamo wokwenza umsebenzi wokuvakasha. UDkt. Hill uthi: "Esinye sezizathu ezivame kakhulu ukuthi ingane yakho ingazange iphume kodwa ukuthi kungenzeka ukuthi ayikho kahle . "Khuthaza umntanakho ukuba ahlele emgodleni ngokuhlala ekhuthele, ehamba ngezinyawo, futhi elula ngokucophelela u-hip yakho nokuphunga."

Uma ungangeni emsebenzini ngaphambi kwesonto, cishe uzoba nokuhlolwa okungezona ukucindezeleka kanye / noma iphrofayili ye-biophysical (BPP) ukuhlola izinga lenhliziyo yengane, ukunyakaza, nokuphila konke. Umhlinzeki wakho wezempilo uyobukeza imiphumela ukuze anqume ukuthi ukufakelwa kwezimali kukwaziswa.

Ukucabangela okukhethekile

Amaphesenti angama-32 wezingane ezelwe e-United States afika ngesigaba seCesarea ( isigaba C) . Kwabesifazane abathile, inqubo ihlelwe ngenxa yezimo ezinjengalezi:

Kodwa kulabo besifazane abaningi, izinkinga ezingalindelekile ngesikhathi sokunyuka komsebenzi isinqumo sokuletha ngendlela ye-C-sigaba.

C-Section: Isinyathelo-nge-Isinyathelo

Nakhu okulindeleke ngesikhathi nangemva kokuhlinzwa:

Ukuvakasha kukaDokotela

I-American College of Obstetricians kanye namaGynecologists uncoma ukuthi uhlele ukuvakasha kwakho kokunakekelwa ngemuva kokubeletha ngaphakathi kwamasonto ayisithupha wokubeletha. (Kwabesifazane abasengozini enkulu yokucindezeleka emva kokubeletha, ukuqokwa okulandelayo kuya kwesonto elilodwa kuya kokubili kukhuthazwa.)

Phakathi nokuqokwa kwakho, ungalindela:

Udokotela wakho uzokwazisa futhi ngokuvimbela ukukhulelwa kanye nokuqala ukulala; Yebo, kungokwenyama ukukhulelwa masinyane emva kokuzalwa .

Thatha leli thuba futhi ukhulume ngomsebenzi wakho kanye nokulethwa kwakho, futhi usule noma yikuphi imibuzo ongase ube nayo. Yabelana ukuthi uzizwa kanjani ngokomzimba nangokomzwelo njengomzali omusha. Unganqikazi ukubuyekeza noma yiziphi izinkinga zezempilo eziphathelene nokukhulelwa ezinjengeziqubu, ama-varicose veins, kanye nezinguquko zesikhumba . Futhi uphakamise noma yiziphi izinkinga okungenzeka zivele zikhuphuke, njengokungathi u-urinary noma ukucindezeleka kokudala okungahambisani nokucindezeleka.

Ukunakekelwa

Lapho ingane yakho ilapha, kungaba lula kakhulu ukunganaki izidingo zakho. Kodwa khumbula, ngabe ngabe uneCesarean noma uzalwa ngesisu, uphinde ululame kulokho okungenzeka kube umcimbi ohlukumeza kakhulu umzimba wakho oke waphumelela. Hlonipha lokho futhi usize ukunciphisa inqubo yokutakula ngokusemandleni akho.

Ukunciphisa ubuhlungu besisu nesifo se-perineum:

Ukuze wenze lula ukugeza:

Ukuze unciphise amabele amancane:

Ngaphezu kwalokho, uma uhlangabezana nanoma yiziphi izimpawu zomzimba ezibuhlungu , ukushisa okunjalo ngokweqile, ukuphuza okwedlulele ngokweqile, ukushaywa kwesigaba se-C, noma ngaphezulu, ungalindeli kuze kube sekugcineni ukuhlolwa kwakho kokuhamba ngemuva kokufuna ukunakekelwa nokuqondiswa kudokotela noma umbelethisi wakho.

Impilo Yakho Yengqondo

Ngesikhathi esifanayo, ungayinaki impilo yakho yengqondo. Ngenkathi uzwa ukuthi i-postpartum eluhlaza okwesibhakabhaka kulindeleke (futhi yesikhashana), ukubhekana nokucindezeleka kokuhamba ngemuva noma ukukhathazeka kudinga ukunakwa okukhethekile.

Naphezu kwalokho ongase ubone emathengisini, uzobe ucindezelwe kanzima ukuthola umama omusha ongakhaliyo. I-postpartum blues ijwayelekile emasontweni amabili okuqala ngemva kokubeletha. Kodwa-ke, izimpawu eziqhubeka ngaphesheya kwalokho noma eziba nzima kakhulu zingase zibe uphawu lokucindezeleka kokuhamba kwesikhathi. "Akusikho okwenzayo, ncamashi. Kungakanani ukuthi uzizwa kangaki, ukuthi uke wazizwa kangaki ngaleyo ndlela, nokuthi ungakanani ukuphazamisa ukusebenza kwakho kwansuku zonke, "kusho uShara Marrero Brofman, PsyD, isazi sezengqondo sokuzala nokubeletha eSeleni Institute, inhlangano engenzi inzuzo ngokukhethekile empilweni yengqondo yomama nokuzala.

Uma unesifo esisodwa noma ngaphezulu, funa usizo lomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka:

Kuzakwethu

Noma kunjalo umlingani wakho wenza ukuphakama okukhulu kokusebenza nokudiliva, usuyingxenye eyinhloko yenkambiso yonke, ikakhulu uma kuziwa ekunikezeni isikhuthazo nokusekelwa; iziphazamiso zesikhathi; futhi kusiza ukukala uma sekuyisikhathi sokuya esikhungweni noma esibhedlela.

Khumbula izikhathi zokuvimbela okwesibili, usebenzisa isici sokushiya isitoreji efonini yakho noma uhlelo lokusebenza. Uzochitha isikhathi ngasinye sezingxabano zomlingani wakho kusukela ekuqaleni kuya ekugcineni ukuze ubone ukuthi izinqamuzana zide kangakanani . Okulandelayo, uzobe uhamba ibanga phakathi kokuphela kwesinye isiqalo kanye nokuqala kokulandelayo. Yilokho okungafani kakhulu nokuphazamiseka komlingani wakho. Qopha konke lokhu kwaziswa bese uphinda inqubo izikhathi ezimbalwa ukuhlola ukuhlala njalo.

Yenza wena nomlingani wakho okhulelwe ube nomusa futhi ungayeki isikhathi isikhathi ngasinye sokuphambana. Yenza kuphela uma kubonakala sengathi kube ushintsho (futhi / noma yonke ihora). Kungumqondo omuhle ukuthola umlingani wakho esibhedlela noma esikhungweni se-birthing uma izinsolo zihlala kumasekhondi angu-45 kuya kwangu-60 futhi imizuzu emithathu kuya emihlanu ngaphandle okungenani amahora ambalwa. Uma lokhu kungesiyo ingane yokuqala yomlingani wakho, hlola lapho uya khona lapho ukuphika kwenzeka njalo imizuzu emihlanu kuya kwemibili.

Thatha isiqondiso esivela esibhedlela noma esibhedlela sakwa-birthing, kanye nomlingani wakho, lapho esebenza-futhi wazi ukuthi nje ukhona futhi ubambe isandla sakhe, uma lokho kududuza, kungaba yinto engcono kakhulu ongayenza ngaleso sikhathi. Uma ukhetha ukungaboni ukubeletha kwangempela, izwi elizosebenza ukuze ukwazi ukubekwa ekhanda lombhede (noma kwenye indawo).

Uma ingane ifika futhi ubuyela ekhaya, ungase uzizwe ungaqiniseki ngezindlela ezingcono zokusiza, ikakhulukazi uma umlingani wakho ebeletha-okunye okuwumthwalo wemfanelo kaMama, uma ekhetha ukuthatha. Yenza okusemandleni akho ukusiza umlingani wakho ekugxileni ekuzileni kwakhe, kanye nokunakekela ingane yakho entsha. Mlethe amanzi ngenkathi ehola. Shintsha i-diaper yomntwana . Nikela ukunikeza indodana noma indodakazi yakho ibhodlela. Buza ukuthi yini ongayithola esitolo.

Okubaluleke kakhulu, khumbula ukuthi ezinsukwini, emasontweni, nasezinyangeni eziseduze, bobabili uzosebenza ukuze ufunde ukungena nokuphuma komntwana wakho osanda kuzalwa, umzali, mhlawumbe ngisho nokuphila njengomndeni wezingane ezine , ezinhlanu noma ngaphezulu, uma umntwana engumntakwethu. Zama ukubekezela nokuqonda omunye nomunye-futhi wena.

Uhla lokuhlola lwe-Wellwell

Iveke eledlule: Iviki 39

> Imithombo:

> Allison Hill, MD yokuxhumana nge-imeyli. Okthoba, Novemba 2017.

> I-American Academy of Pediatrics. I-AAP Incoma ukuthi Izinsana Zithola Isikhathi Sokuqala Sesibeletho Sesibeletho Ngamahora Angama-24 Okuzalwa. https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Recommends-That-Infants-Receive-First-Hepatitis-B-Dose-Within-24- Amahora-we-Birth.aspx

> I-American College yezidakamizwa namaGynecologists. Ob-Gyns Ukugcizelela Ukubaluleka kokunakekelwa kwe-postpartum: I-Trimestre yesine. https://www.acog.org/About-ACOG/News-Room/News-Releases/2016/Ob-Gyns-Stress-the-Impumelelo-of-Postpartum-Care-The-Fourth-Trimester

> I-American Pregnancy Association. Iviki lokukhulelwa 40. http://americanpregnancy.org/week-by-week/40-weeks-pregnant/

> Izikhungo Zokulawula Nokuvimbela Izifo. Izikhungo Zikazwelonke Zemininingwane Yezempilo. Ukuzalwa - Indlela Yokuletha. https://www.cdc.gov/nchs/fastats/delivery.htm

> Ukubambisana Kazwelonke Kwabesifazane Nemindeni. Ukuxhumana kokubeletha. Umzimba Wakho Kuzo zonke Ukukhulelwa. http://www.childbirthconnection.org/healthy-pregnancy/your-body-through-pregnancy.html

> Shara Marrero Brofman, PsyD. I-imeyili ne-Hambayo Communications. Okthoba, Disemba 2017.