Kungenzeka ukuthi wezwe ngomsebenzi wamanga kusuka kubangani nomndeni noma eklasini lakho lokubeletha. Igama elithi labor labasebenzi liyingcosana yesikhuthazo ngoba lokho kungabonisa abantu abaningi ukuthi izinzwa ozenzayo uma unomsebenzi wamanga, azibuhlungu futhi azikhiqizi. Zingaba kokubili, kodwa nokho, usengabasebenzi.
Ukukhulelwa, ikakhulukazi ekupheleni kokukhulelwa, kungakulinganisa ngempela (akukho phathi okuhlosiwe).
Phakathi namasonto ambalwa okugcina wokukhulelwa, kunezibonakaliso nezimpawu ezivame ukungakhululekile futhi zenze ukuphila kube nzima kakhulu ukubhekana nazo kwezinye izici. Esinye sezinto ezimbi kakhulu lapho lezi zimpawu ziphutha njengemisebenzi.
Kwenzekani Uma Uya Esibhedlela Akungabasebenzi?
Ungase uzibuze ukuthi kwenzekani uma ubonisa esibhedlela noma esikhungweni sokuzalwa bese uthi usuke usebenza, kuphela ukuthunyelwa ekhaya. Izindaba ezinhle ukuthi akukho muntu ohleka noma ocabanga ukuthi ulahlekelwe ingqondo yakho. Lokhu kwenzeka sonke isikhathi emindeni eminingi. Akuyona into eyenzeka kuphela kumama oqala okokuqala.
Ngokuvamile uma ufika endaweni yakho yokuzalwa uzothola umhlengikazi oyokusiza ekusebenzelaneni nesibhedlela noma esikhungweni sokuzalwa. Ingxenye yale nqubo ukubona lapho usebenza khona uma kusebenza nhlobo. Lokhu kungasho isikhathi sokuqapha. Lokhu kuvame ukuhlanganisa ukuqapha izinga lenhliziyo yengane, iphethini lakho lokuvimbela, ubukhulu bezinkinga zakho, nendlela umlomo wakho wesibeletho uphendula ngayo lezi zinhlangothi.
Ezibhedlela eziningi, le nqubo igcwaliswa endaweni yokuhlanza. Lona indawo ehlukile ezibhedlela eziningi ezinemibhede ehlukaniswe ngamakhethini noma emakamelo amancane kakhulu eduze komsebenzi nokudilizwa phansi. Ngokuvamile uzoba nesikhathi esifushane sokuqapha ingane bese ubuzwa imibuzo ethile. Khona-ke uzobe uhlolwe umlomo wakho wesibeletho.
Ungavunyelwa uma umlomo wakho wesibeletho udlula ngamasentimitha ayisithupha, noma uma amanzi akho ephukile, noma unezimo ezikhethekile ezithathwe udokotela noma umbelethisi wakho.
Kungani Kunzima Ukuhamba Ngokushesha?
Sivame ukucabanga ukuthi uma ufika esibhedlela uzobe usanda kubantwana bakho. Lokhu akusiyo njalo indaba. Akusilo futhi ukuthi ukulinda nje umsebenzi ukuqoqa ngenkathi esibhedlela kungumqondo omuhle kubantu abaningi abakhulelwe, ikakhulu kulabo abathola ukukhulelwa okuphansi.
Ucwaningo lusitshengisa ukuthi uma umuntu engeniswa esibhedlela, ekusebenzeni okukhulu kakhulu, angakwazi ukubhekana nokufaka ingozi nokungenelela okungeziwe uma bevele behamba ekhaya balinde umsebenzi ukuze baqoke ngokwemvelo. Isibonelo esihle salokhu yilokho ubonisa esibhedlela ekuqaleni komsebenzi. Izinqumo zakho kufanele uhambe ekhaya futhi ulinde noma uhlale esibhedlela bese usebenzisa i- Pitocin noma uphule amanzi akho ngokusheshisa ukusheshisa abasebenzi . Lezi zinto ezimbili zokugcina zingakwandisa amathuba okuba nezinkinga emsebenzini wakho nakumntanakho.
Ukuba Ngomsebenzi Wokuqala Nezenzo Zokungamanga
I-dynamic ye-labor labasebenzi yokuqala neyomsebenzi wamanga iyadlala ku-equation, futhi. Ngenkathi isitatimende esihlangene esivela ezinhlanganweni zezokwelapha ezifana ne-American College of Obstetricians and Gynecologists (ACOG) kanye neNhlangano ye-Maternal Fetal Medicine (SMFM) ithi umsebenzi osebenzayo akufanele uchazwe kuze kube yilapho umlomo wesibeletho ubhekene namasentimitha ayisithupha ukuhlanjululwa ukuze ugweme izingozi ezingeziwe kumzali nengane, ezinye izibhedlela asalandeli lesi siqondiso.
Ukusebenzisa le mihlahlandlela kuboniswe njengendlela ephephile futhi ephumelelayo yokunciphisa okuyinhloko, noma okokuqala, ukulinganisa izinga lokuzalwa .
Uma ungenayo iziphambano ezishintshe umlomo wakho wesibeletho cishe cishe ihora, lokhu kungaba yinkinga yamanga-isisu sakho somlomo wesibeletho asishintshi futhi awusasebenzi. Uma isifo sofuba sakho sashintsha, kodwa ungakabi ngamasentimitha ayisithupha ahlanjululwe, lokhu kwaziwa njengemisebenzi yokuqala. Imisebenzi yokuqala ilawulwa kahle kusukela enduduzo yendlu yakho.
Kwenzekani Uma Uhamba Esibhedlela
Uma usuka esibhedlela uzonikezwa imiyalo ngalokho okumele ubheke ukuze ukwazi ukuthi uzobuya nini.
Kubalulekile ukuqaphela ukuthi abazali abaningi bangena futhi babuyela ekhaya balinde isikhashana ngaphambi kokuba babuyele ekugcineni babe nabantwana babo. Lokhu kungaba ukukhipha ngokomzwelo ngisho nokuhlazeka okuncane. Lesi esinye sezizathu ukuthi imindeni eminingi ikhetha ukulinda ukuxwayisa izihlobo zazo ukuthi ziya esibhedlela kuze kube yilapho sezivumile.
Ungaphinde unikezwe imithi ukukusiza ukulala noma ukuzolalisa izimpawu zakho phansi. Ungabuye unikezwe imiyalo mayelana nemithi yokwelapha ongayithatha ukukusiza ukuphumula. Uma ungatshelwanga indlela yokuphatha izimpawu, qiniseka ukucela iseluleko.
Izindlela Zokunciphisa Ukuya Ezibhedlela
Akekho ofuna ukuthi udluliselwe ekhaya kusuka esibhedlela hhayi emsebenzini noma ekusebenzeni kakhulu. Kunezinye izinto ongayenza ukuqinisekisa ukuthi uma wenza isinqumo sokuya esibhedlela noma endaweni yokuzalwa, uzobe uhlala kuze kube sekuzalweni kwengane yakho.
1. Ukuqasha i-Doula: I-doula ngumuntu oqeqeshwe ukukusekela wena nomndeni wakho ezinyangeni eziholela ekuzalweni, ekuqaleni kokusebenza nokusebenza, kanye nesikhathi sokuqala sokuhamba kwesikhathi. Lokhu kuhlanganisa ukusiza ukuthi unqume ukuthi ungumuntu ongokoqobo noma umsebenzi wamanga. Lokhu kungase kubandakanye nokuba ne-doula eze endlini yakho kanye nesikhathi okunye ukuphikisana nawe. Bangakusiza futhi ukukuqondisa ukuthi ungathanda ukubiza ucingo wakho noma ubuyele esibhedlela.
2. Thatha Iklasi Lokubeletha Kwabazali: Isilasi sokubeletha kuyindlela enhle yokufunda ukuthi yikuphi okusebenzayo ngempela nokuthi yini ekupheleni kokukhulelwa. Lokhu kuhlanganisa ukufunda ukutshela uma uvele nje ube nezingqinamba, noma unemivimbo yokusebenza. Isigaba esihle sokubeletha sizokwazi ukukusiza ukwazi ukuthi yiziphi izinqubomgomo zesibhedlela ezikuzo endaweni yakho ukuze ukwazi ukulungiswa ngalolo lwazi njengoba kufika isikhathi sokuba umntwana wakho azalwe. Uzofunda nezinhlobonhlobo zokubhekana nezinkinga ezizokusiza uhlale ukhululekile kokubili ekupheleni kokukhulelwa kwakho nasekusebenzeni. Lokhu kukusiza ukuba uhlale ekhaya isikhathi eside ekusebenzeni kokuqala kanye neklasi Lamaze International Childbirth amakilasi aboniswe ukukusiza ukuba ugweme ukukhishwa kwemisebenzi ekhethiwe, njengokungathi ufika esibhedlela ngaphambi kokuba umsebenzi uqalile.
3. Ukuhlukaniswa kwesikhathi : Ukuphambana kwesikhashana kuzwakala kulula ukwenza, kodwa kukhona ukukhohlisa okufundiswa kakhulu kumuntu. Uhlelo lokusebenza lwe-contraction timing luhle , kodwa alufaki esikhundleni somuntu okwazi ukukusiza ukuba ulinganise ukuqina kwezingqinamba. Kukhona i-nuance yokuphambana okungaphezulu kakhulu kwesikhathi.
Izimpawu Ekukhulelweni Okukhatshana Okungahle Kusetshenziswe Imisebenzi
Ezinye zalezi zimpawu zokukhulelwa kulindeleke. Ungase uthole ukuthi uzizwa ubuhlungu obuningi bokubuyiselwa emuva kanye nokuhlangenwe nakho kwama-backaches njalo emavikini okugcina okukhulelwa. Lokhu kuvame ukubangelwa ukuhlanganiswa kwesisindo esikhulayo osithweleyo nesimo esibi. Ukwelapha lokhu nge-posture nokuphuculwa okuthuthukisiwe kuyasiza. Kukhona nezinye izinzuzo zokusikhipha umzimba nokuzivocavoca okuqondile, njengama-tilts e-pelvic.
Ukuqhathaniswa kwe-Braxton-Hicks kungakusiza nokuba ucabange ukuthi usebenza. Lezi zingqinamba kukhona ukuphambana kwangempela. Umehluko phakathi kwalezi zindlela zokuvimbela umkhuba ukuthi awushintshi umlomo wesibeletho. Ukuthi isandulela ngculazi yinkomba yomsebenzi.
Nini Ukubuyela Endaweni Yakho Yokuzalwa
Ngesinye isikhathi, kuzodingeka ubuyele endaweni yakho yokuzalwa. Indlela engcono kakhulu yokuthola ukuthi yisikhathi nini lapho izimpawu zakho zomsebenzi sezikhulile, ukuhlukana kwakho kunamandla, isikhathi eside, futhi kusondelene ndawonye, noma uhlangabezane nezinye izindlela ezibekwa udokotela noma umbelethisi wakho. Uzofuna ukuqapha izimpawu ezifana nokuthi:
- Ukusuka kwamanzi okuphuma emkhathini wakho
- Ukusuka kwamagciwane
- Ukunyakaza kokunyakaza kwe-fetal
- Fever
- Izinhlanganisela eziba namandla kakhulu, zinde, futhi zisondelene ndawonye
- Ezinye zibonisa ukuthi udokotela wakho ucele ukuthi ubuke emzimbeni wakho
Uma ubona lezi zimpawu zibuyela esibhedlela noma endaweni yokuzalwa. Lokhu kungase kube amahora ambalwa ngemuva kokushiya esibhedlela ngaphambi, noma kungaba izinsuku noma amasonto. Ngokweqiniso, akekho ongakutshela ukuthi kuzokwenzeka nini.
Ungase ucabange nokucela ukungena ukuze ubone udokotela noma umbelethisi wakho isheke esisheshayo phakathi namahora okusebenza ukusiza ukubambezeleka ukuya esibhedlela futhi uhlezi ekuhlaleni uze wazi ukuthi usebenza. Abahlinzeki abaningi banikeza le nsizakalo uma bevulekile futhi benabasebenzi.
Ngesinye isikhathi esibhedlela futhi, uzophinde uqhubeke nenqubo yokuhlelwa kabusha. Uma kunqunywa ukuthi usebenza, uzovunyelwa ekusebenzeni futhi uqhubeke nomntwana wakho. Khumbula, ukusebenza kuyinkqubo futhi ihamba ngezinyathelo ngezigaba eziningana ezihlukene nezindlela zabo bonke abantu abangabodwa. Kungenza ngisho nokushintsha ukukhulelwa ukuya ekukhulelweni nomuntu ofanayo. Wonke umuntu eqembu lakho ufuna okungcono kakhulu wena nomntanakho, ngakho sebenzani ndawonye futhi ningakhathazeki!
Imithombo:
Main, EK, Moore, D., Barrell, B., Schimmel, LD, Altman, RJ, Abrahams, C., et al. (2006). Ingabe kunesilinganiso sokuzalwa esilusizo? Ukuhlolwa kwe-terminal singleton vertex i-cearean birth rate njengethuluzi lokuthuthukiswa kwekhwalithi ye-obstetric. I-American Journal ye-Obstetrics & Gynecology, 194, 1644 - 1652.
Mikolajczyk, R., Zhang, J., Chan, L., & Grewal, J. (2008). Ukuqala kokungeniswa kokusebenza emsebenzini / ukulethwa, inqubekela phambili yomsebenzi, kanye nengozi yecala lasarean kwabesifazane abangenalutho. Am J Obstet Gynecol, 199 (6 Isamba A), S49.
> Ukuvikeleka okuphephile kokulethwa kwezidingo eziyinhloko. Ukuzibophezela kokunakekelwa kokuphepha okungekho emthethweni No. 1. I-American College of Obstetricians and Gynecologists. I-Obstet Gynecol 2014; 123: 693-711.
> Simpson, K., G. Newman, no-O. Chirino, imbono yeziguli mayelana nendima yokufundiswa kokubeletha okulungiselelwe ekuthatheni izinqumo ngokuphathelene nokuqashwa kwabasebenzi. J Perinat Educ, 2010. 19 (3): iphe. 21-32.