Kunezimo eziningi ezingathinta indlela okumele kuthathwe ngayo izinhlelo zakho zokubeletha. Ikhono lomntanakho lokubeletha lingathinteka ekuhlangenwe nakho kwakhe kokuzalwa. Ukuphuza ngempumelelo, okuyingxenye ebalulekile yokuncelisa, kuyisici esibalulekile ekukhuleni kwengane nentuthuko. Nakhu okunye ukungenelela okuvamile kanye nezinkinga ezingathinta ukuziphatha okuhle esifubeni.
I-Epidural Anesthesia
I-Epidurals yisisusa esishisayo kakhulu emhlabeni wokuncelisa nokuncelisa. Kwabesifazane abaningi, bangenza noma bahlukane nakho konke ukuzalwa. Ngokuphathelene ne-anesthesia ngenkathi kubelethwe ukukhathazeka, i-epidural ithandwa ngaphezu kwezidakamizwa ngoba ayifaki ukusabalalisa kwezingane, okungabangela ukucindezeleka kwesistimu ephakathi.
Kunzima kakhulu ukusho ngokuqiniseka ukuthi kukhona ubudlelwane phakathi kwe-anesthesia ye-epidural kanye nokuziphatha okungekuzalwa kokuzalwa okusha. Ngokwemvelo, iningi labesifazane abanenkinga yokuncelisa izingane zabo ezisanda kubeletha ngemuva kokuba babe ne-epidural okwesikhashana. Kunezifundo eziningana ezenzelwe ukucacisa imiphumela futhi, ngenjabulo kulabo abafisa ama-epidurals, bambalwa ababonise noma yikuphi ukulungiswa kokuziphatha okuncelisayo kokuncelisa ukubeletha. Kukhona ucwaningo olubonisa ukuziphatha okusha okushintshiwe, ukulala, nokuncelisa okungafanelekile ngemuva kwe-anesthesia ye-epidural, kodwa i-jury isacacile ukuthi ngabe ama-epidurals ayesolwa yini ngempela kulezi zifundo.
Khuluma nodokotela wakho ngaphambi kokuya emsebenzini ukuze wenze isinqumo esinolwazi ngalokho okukuhle kuwe.
Ama-Narcotics
Ehlukile kune-anesthesia ye-epidural, ama- narcotics adlula e-placenta bese efaka ukujikeleza kwe-fetal. Lokhu kungabangela ukucindezeleka kwesistimu ephakathi, futhi ngenxa yalokho, ingane ingase ibe nesikhathi esinzima kakhulu sokugodla.
Kulezi zimo, ingane yakho izogcinwa ngenxa yokulala, ukuziphatha okubi kokudla kanye nokulahlekelwa isisindo.
Izisindo Zesisindo Sokuzalwa Sokuqala Nesisindo Esiphansi
Uma umntwana ezalwa ngaphambi kwesikhathi sakhe esifanele, noma uma isisindo sakhe singaphansi kwamakhilogremu ayisishiyagalombili, ama-ounces angu-8, impilo yakhe ibhekwa njengengozi enkulu, futhi ukucindezeleka okubekwa emndenini kungaba yinto emangalisayo. Umama oye waba nezinhlelo ezinhle zokuncelisa angase adabuke ngokuthi isimo sakhe asihambisani kahle nomsebenzi onjalo. Ngenxa yalokhu, kunezinga eliphansi kakhulu lokuncelisa ukondla izingane ezisencane nesisindo sokuzalwa esincane; Ucwaningo luye lwabonisa ukuthi omfishane isikhathi sokuthi ingane ibuhlungu, ubufushane ubude bokuncelisa. Kodwa-ke, iningi labomama labantwana abengakazalwa ngaphambi kokuba bancelise ukwenza lokhu ngenxa yezinzuzo zezempilo zesifuba kubantwana babo abasengozini, kunokuba babe nesifiso sokunakekela izingane zabo.
Unyatal Intensive Care Unit (NICU)
Kungakhathaliseki ukuthi usana olusanda kuzalwa noma lugcwele isikhathi kodwa luzodinga ukuqapha inkinga ethile yempilo, ukuthunyelwa ku-NICU kungaba nomthelela ekunceliseni ibele. Ngeshwa, imikhuba yezibhedlela iboniswe ukuthi iyisithiyo esikhulu sokuncelisa ukubeletha kwezinsana ze-NICU. I-Baby-Friendly Hospital Initiative ikhuthaza ukuthi wonke umntwana, kuhlanganise nalawo aseNICU, abhekwe njengabanakekeli besifuba.
Uma unayo ingane e-NICU, futhi ungaqiniseki ukuthi uhlela kanjani ukondla, kunconywa ukuba uqale ukupompa ukukhuthaza ubisi bakho uma kwenzeka unquma ukuthi uzomncelisa. Kulula kakhulu ukwakha ukuhlinzeka ngokushesha emva kokuzalwa ngoba umzimba wakho ulindele ukwenza kanjalo. Ukuzama ukuvuselela ubisi lwakho kamuva kungaba nzima nakakhulu. Ungakwazi ukukhetha ukuyeka njalo.
Nasi "Isigaba Sesi-4" sokuncelisa i-NICU:
- Ukuveza nokuqoqwa ubisi lwebele
- Ukondla i-Gavage yobisi lwebele
- Ukubonisana kwe-hospital lactation
- Ukubonisana esibhedlela ngemuva kokukhipha
Ukudilizwa kwe-Caesarean
Ngeshwa e-United States, izingxenye ze-c zixhunywe nokunciphisa amathuba okungenzeka ukuthi umama uzomncelisa.
Zombili izinkinga ezingokomzimba nezingokwengqondo emva kweCesarean zingathinta isinqumo sokuncelisa. Ngokwemvelo, umama angase angakhululekile futhi abe nobuhlungu obukhulu - ukucabanga nje kokubeka umntwana noma kuphi eduze kwesisu sakhe kungamenza asebenze. Ngokwengqondo, kungenzeka ukuthi wayengalindele ukuthi izethulo zakhe zihambe ngale ndlela (ikakhulukazi uma enesigaba esiphuthumayo se-c-sigaba futhi senze ukuhlinzekwa kwemvelo). Angase azizwe edangele kulo lonke uhlelo.
Uhlobo lwe-anesthesia umama oluthola ngesikhathi sokubeletha lungathinta futhi amandla okudla. Kodwa-ke, naphezu kwazo zonke lezi zici, abesifazane abaningi balwa nezibalo ngokuthatha isifundo sokubeletha ngaphambi kokubeletha noma ukufunda izincwadi futhi baziswa kahle ngokuncelisa ingane ngaphambi kokubeletha.
Kungakhathaliseki ukuthi une-c-section ehleliwe noma uqede ukulethwa kwezimo eziphuthumayo, funda ngokuncelisa emva kokubeletha ukuze usheshe uzizwe ulungele.
Uma isipiliyoni sakho sokubeletha singaphansi kwesilinganiso esihle, kubalulekile ukuthi uthintane nomxhumanisi we-lactation ukuze uthole imfundo efaneleko ye-lactation nokusekelwa.
> Imithombo:
> Chang ZM, RN, MN, IBCLC, noHeaman MI, RN, PhD. "I-Epidural Analgesia Ngesikhathi Sokusebenza Nokunikezwa: Imiphumela ekuQalisweni nasekuqhubekeni kokuphumelela ukubeletha." I-Journal of Human Lactation 21: 305-314.
> Meier PP. "Ukubeletha ku-Nursery Special Nursery: Izidumbu nezinsana ezinenkinga yezokwelapha." I-Pediatr Clin North Am. 48 (2): 425-442.