Uninzi lwenu luya kwazi, ngoJuni ophelileyo, emva kokuya kwindibano yakhe yokukhulelwa, umfazi owayekwiveki ye-40 yokukhulelwa, walile ukwenziwa. Njengoko kuxeliwe nguDona Llum ngelo xesha (umbutho wonikezelo oluhloniphekileyo), ugqirha wabasetyhini walumkisa malunga nobungozi obunokubakho bokuqhubeka nokukhulelwa (ukukhulelwa kunokuthathwa njengexesha elipheleleyo phakathi kwe-38 kunye ne-42), ngaphandle kokunikezela ngolwazi oluthe kratya kumfazi okhulelweyo.
Okwenzekileyo emva koko kusishiye simangalisiwe: IParc Sanitariant Sant Joan de Déu de Sant Boi (iziko lezempilo apho umfazi owahlala engaziwa aphathwa khona) babhenela kwiinkundla ngenxa yokwala kukaRosa- igama eliyintsomi-, kwaye Bathumela iMossos d ' Ukujikeleza kwe-Esquadra kwikhaya losapho. Kwimbonakalo ebaxiweyo yokungenelela, kuya kujongeka njengomboniso ovela kwimovie yaseMelika.
Kodwa hayi, yayiyinyani njengobomi uqobo, kwaye ukungxamiseka kokunyanzelwa kwakukufutshane kuba emva kokuba ebuyiselwe esibhedlele umama wexesha elizayo kwafuneka alinde iiyure ezininzi ade anyanzelwe. Kule mihla, iindaba ziyasasazeka kwakhona, ngaphandle kokuba usana sele luneeveki ezimbalwa ubudala, kwaye nakumajelo eendaba athetha ngawo, sifumanisa ukuba Ukuzalwa kwaba Bethu (EPEN), kwaye sigqamisa ezinye zeenkcukacha abazinikelayo:
"Ukuthembeka emzimbeni nasempilweni kowasetyhini kunye nosana lwakhe kuhlaselwe ngaphandle kwesiseko somthetho kwaye kujongelwa phantsi inkululeko nelungelo lokwenza izigqibo benolwazi" El Parto es Nuestro
Eli ziko likwabonisa ukuba "lo myalelo ubangelwe sisenzo esingekho mthethweni kunye nokusetyenziswa gwenxa kwamandla ngoogqirha ababelekisayo", okanye "Bophule isidima ngokwenza amagunya ezomthetho akholelwe ukuba babenomdla ngakumbi kunabazali ekukhuseleni ubomi kunye nempilo yosana kwaye oko kungeniswa kwabasebenzi yayiyeyona ndlela inokusebenziseka.
Ukuba ukungabikho kolwazi olunikezelwa sisibhedlele bekuyinyani, Ngaba akuyi kuba yinyani ukuba ukuzimela kwabasetyhini kunqatshelwe? (kuthathelwa ingqalelo ukuba lilungelo). Sifuna ukwandisa ulwazi malunga nokungeniswa kwabasebenzi kancinci, kwaye yile nto sikuxelela yona:
Ukuphembelela abasebenzi kukuphelisa ukukhulelwa.
Kufuneka nini ukuziqhelanisa nokungeniswa.
La Ikholeji yaseMelika ye-Obstetrician kunye neGynecologist khankanya ezinye zezizathu ezinjengokuphazamiseka kweplacenta (indawo ekuyo ezahlulwe kwiindonga zangaphakathi zesibeleko ngaphambi kokuzalwa), usulelo olufana ne-chorioamnionitis, preeclampsia okanye eclampsia, ukukhulelwa okungaphezulu kweeveki ezingama-41/42, ukuqhekeka kweembumba (into esiyaziyo 'njengokuqhekeka kwengxowa') kunye nokufa komntwana.
I-ACOG isixelela ngovavanyo lukaBhishophu lokujonga ukuba umlomo wesibeleko uyalwenza na utshintsho, kodwa amanqaku afunyenweyo (anokuxela kwangaphambili ukuphunyezwa) nawo athathela ingqalelo ukungqinelana komlomo wesibeleko, kunye nokuphakama kwentetho. Kwi-EPEN sifumana uxwebhu ngokwamanqaku alinganayo okanye angaphantsi kwe-4 anika ulwazi lomlomo wesibeleko esingekavuthwa ekufuneka sikhule ngokusebenzisa i-prostaglandins.
Kwimeko nayiphi na into, umfazi okhulelweyo kufuneka azi ulwazi olunxulumene nale nkqubo kwaye babe nokuzimela xa besenza izigqibo zabo, kwaye kufuneka bavume nakungenelelo olucetyelwe ukwenziwa.
Kuyanceda ukwazi ukuba ukuba ungeniso alwenziwanga ngononophelo, Kukho ithuba lokuba izakuphelela kwicandelo lokuhlinzwa, kwi-50% yamatyala!Ke ngoko, abasebenzi bezonyango kufuneka bavavanye kwaye kufaneleke ngokupheleleyo, kwaye bagqithise olo vavanyo koomama.
Akukho kunyusa!
Ngendlela efanayo yokuba kukho iimeko eziyicebisayo, abanye baneziphumo ezichaseneyo, ke ngoko ukwenziwa akufuneki kwenziwe ukuba:
- Kukho i-carcinoma ehlaselayo yomlomo wesibeleko.
- Umama une-herpes esebenzayo.
- Inkcazo-ntetho ngomntwana iyajikeleza okanye ibreech.
- IVasa previa: ngokolu lwaziSisifo esinqabileyo esibuhlungu esenzeka xa enye okanye nangaphezulu yemithambo yegazi evela kwiplascenta yomntwana okanye intambo yesibeleko inqumla ukungena kumjelo wesibeleko, ezantsi komntwana.
- Sifumana ukubonelelwa kwentambo (phambi kwentloko).
- Okanye i-placenta yi-previa iyonke / ngekota.
- Kukho ukungangqinelani okupheleleyo kwe-pelvic ngenxa ye-pelvic stenosis okanye ulwakhiwo olungaqhelekanga.
- Uxinzelelo olubi lomntwana luye lwabonwa
Ukukhulelwa kude kube ngeveki 40 ... nangaphezulu?
Isicwangciso-qhinga sikaZwelonke sezeMpilo yezeSondo kunye nokuzala seSebe lezeMpilo, uMgaqo-nkqubo weNtlalo kunye nokuLingana, sicebisa ngokukhethekileyo ukukhulelwa phakathi kweveki yama-41 neye-42 yokumitha, ukunqanda oku ukunyuka okuncinci (kodwa okuqhubela phambili) kokugula kunye nokufa okulindelweyo ukusuka kubudala bokukhulelwa be-41 kunye neeveki ezingama-42. Izikhokelo zenzelwe oku kukhulelwa, ngaphandle kokuba zinomngcipheko omncinci, njenge:
- Ukusukela ngeveki yama-41 + 0, ukubanakho ukubakho ukulinda ukuqala okuzenzekelayo okanye ukwenza ukwenziwa, "NGOLWAZI OLUFANELEKILEYO kumama".
- Umfazi onikwa i-induction uya kwenza isigqibo ngolwazi olupheleleyo, kwaye uya kuba nexesha lokwenza njalo; kufuneka avume.
- Xa umama engavumi ukwenziwa kwiveki ye-41, iya kubekwa esweni rhoqo (ulawulo lweeveki ezimbini).
- Nangaluphi na uphawu lokungalungi komntwana, ukukhulelwa kuya kuphela.
- Ipesenti encinci yokukhulelwa iyaqhubeka emva kweeveki ezingama-42 (phakathi kwe-5 kunye ne-10) nangona umngcipheko kwimveku usanda.
- Akukho bungqina bokuba ucebise ngokungeniswa ngaloo okanye ngomhla wokukhulelwa ngaphandle komngcipheko, kuba ngelixa ezinye iingozi zilahliwe, ezinye ziyabonakaliswa.
Kwaye kukwenziwa kwemisebenzi, ukongeza ekubeni yindlela engeyiyo yokuphelisa ukukhulelwa yinkqubo ehlaselayo (kwaye ibuhlungu kakhulu). Kwimeko ekukuyo, iziko lezempilo alizifumani izikhalazo, kwaye kwelinye icala, umntwana wazalwa nge-12 kaJuni, eziva kamnandi ngexesha lokuzalwa. Ndishiyeke nolo nyhashwa kwelungelo lokuzikhusela kwezomthetho eliboniswe yi-EPEN, kuba usapho lwalunganikwanga thuba lokunxibelelana noncedo lwezomthetho., kwaye umntwana unamalungelo athintelwe ekuzalweni, kuba igunya lomzali, elinabazali, ligcinwe ngabo.