Momwe mungasankhire malo oyembekezera oyenera

Momwe mungasankhire chipinda choyenera cha amayi oyembekezera: zinthu zofunika kuziganizira

Kusankha kwa uchembere ndi chisankho chofunikira chifukwa chimakhudza kutsatiridwa kwa mimba ndi njira ya moyo yobereka. Koma ndi chiyani zofunika kukumbukira kutsimikiza kuti musalakwitse popanga chisankho? Nthaŵi zina pamakhala zinthu zimene sitingathe kuzilamulira, makamaka thanzi lathu ndi la mwanayo. Komanso, ngati omwe akukhala m'matauni kwambiri ali ndi mwayi wokhoza kuzengereza pakati pa malo angapo, izi sizili choncho kwa iwo omwe amakhala m'dera limene zipatala za amayi oyembekezera zimakhala zochepa. Nthawi zina, kusankha kumapangidwa, kukakamizidwa ndi kukakamizidwa, pa malo okhawo omwe alipo. Kwa amayi ena onse oyembekezera, chisankhocho chimapangidwa malinga ndi zofuna zawo.

Kuti mumvetse bwino mmene zinthu zilili panopa, m’pofunika kubwereranso zaka zingapo. Kwa zaka pafupifupi makumi awiri, tawona kusintha kwakukulu mu kayendetsedwe ka kubereka. M’chaka cha 1998, akuluakulu a zaumoyo anaganiza zokonzanso zipatala ndi zipatala kuti akazi onse azibeleka m’mikhalidwe yotetezeka kwambiri ndiponso kuti azisamalira mwana aliyense mogwirizana ndi zosowa zake. Mumalingaliro awa, mayunitsi ang'onoang'ono ambiri adatsekedwa. Obereka otsalawo tsopano agawidwa m'magulu atatu.

Mtundu wa amayi 1, 2 kapena 3: pamlingo uliwonse tsatanetsatane wake

Ku France kuli zipatala za amayi oyembekezera zopitilira 500. Mwa izi, mabizinesi omwe adalembedwa ngati level 1 ndi ochulukirapo.

• Oyembekezera a Level 1:

Oyembekezera a Level 1 alandilidwa Mimba "zabwinobwino"., amene sizikuwoneka kuti zikupereka chiopsezo china chilichonse. M'mawu ena, unyinji wa amayi apakati. Ntchito yawo ndikuwona zoopsa zomwe zingatheke panthawi yomwe ali ndi pakati kuti athe kutsogolera amayi amtsogolo ku zipatala zoyenera za amayi oyembekezera.

Zida zawo zimawalola kukumana ndi zochitika zilizonse komanso kuthana ndi zobweretsa zovuta zosayembekezereka. Zogwirizana kwambiri ndi chipatala cha amayi a Level 2 kapena Level 3, ayenera, ngati kuli koyenera, kuonetsetsa kusamutsidwa kwa mtsikanayo ndi mwana wake ku dongosolo lotha kuthana ndi mavuto omwe anachitika panthawi yobereka.

• Oyembekezera a Level 2:

Oyembekezera a Type 2 ali ndi zidachipatala cha ana akhanda kapena chipatala cha odwala kwambiri, kaya pamalopo kapena pafupi. Chifukwa cha izi, amatha kuonetsetsa kuti kutsatiridwa ndi kubereka kwa mimba yabwinobwino pamene mayi wamtsogolo akufuna, komanso kusamalira mimba zovuta kwambiri (mwachitsanzo, ngati ali ndi matenda a shuga a gestational kapena matenda oopsa). Iwo akhoza makamaka kulandira makanda osakwana zaka 33 kapena kuposerapo kumafuna chisamaliro, koma osati chisamaliro cholemera cha kupuma. Pakachitika vuto lalikulu lodziwika panthawi yobereka, iwo amachita, mwamsanga, ndi kusamutsa ku mtundu wa 3 wa amayi pafupi kwambiri ndi zomwe zimagwira ntchito molumikizana kwambiri.

• Oyembekezera a Level 3:

Oyembekezera a Level 3 ali nawochipinda cha anthu odwala mwakayakaya kapena chipinda cha ana ndi amayi omwe akudwala kwambiri. Amapatsidwa mphamvu zoyang'anira mimba zomwe zili pachiwopsezo chachikulu (kuthamanga kwa magazi, kutenga pakati, ndi zina zambiri) ndi landirani makanda osakwana zaka 32. Makanda omwe adzafunika kuyang'aniridwa kwambiri, ngakhale chisamaliro cholemera, monga kutsitsimula. Oyembekezerawa amalumikizidwa ndi mabungwe a Level 1 ndi 2 ndipo amawathandiza popanga chisankho chofunikira. Komabe, angathe landirani mayi wamtsogolo amene akufuna, ngakhale mimba yake ikupita patsogolo bwinobwino, makamaka akakhala pafupi.

Miyezo sizimawonongeratu mtundu wa mabizinesi ndi luso la ogwira nawo ntchito. Iwo kwenikweni ndi ntchito ya zida zachipatala zomwe zilipo kale mu ana ndi kutsitsimula kwa ana. Mwa kuyankhula kwina, amangoganizira za kukhalapo kwa magulu ndi zida zofunikira kuti apereke chisamaliro chapadera kwa ana obadwa kumene omwe akudwala matenda aakulu (zowonongeka, kuvutika maganizo, etc.) kapena kusakhwima kwa masabata osachepera a 32.

Kuphatikiza apo, m'madera onse, mitundu yosiyanasiyana ya zipatala za amayi oyembekezera imagwira ntchito molumikizana kuti akwaniritse bwino chisamaliro choperekedwa kwa amayi oyembekezera ndi makanda. Mwachitsanzo, gulu lachipatala lingasankhe kuti agone m’chipatala m’chipinda cha amayi oyembekezera cha mtundu 2 kapena 3 mayi woyembekezera amene akuoneka kuti ayenera kubala msanga milungu 33 isanakwane. Koma, ngati pambuyo pa masabata a 35, zonse zabwerera mwakale, mayi wamtsogolo uyu adzatha kubwerera kwawo ndikubweretsa mwana wake kudziko lapansi, panthawi yake, kuchipatala cha amayi omwe amasankha.

Ngati, m'malo mobereka monga momwe anakonzera mu chipatala cha amayi amtundu wa 2 kapena 3, tidzipeza tokha mwadzidzidzi m'chipinda chowawa cha unit 1, palibe chifukwa choopa. ndi obstetrical block ndi yofanana kulikonse, magulu azachipatala ali ndi luso lofanana. Oyembekezera onse amatha kubereka movutirapo, kumaliseche kapena mwa opaleshoni, pamaso pa mzamba wa gynecologist kapena kuchita. njira zoberekera mwachindunji. Amakhalanso ndi dokotala wogonetsa anthu odwala mwakayakaya, dokotala wa ana ndi azamba angapo pagulu lawo.

Choncho, mayi woyembekezera adzapindula ndi thandizo la gulu lachipatala lathunthu ndipo adzasamutsidwa mwamsanga ndi mwana wake wakhanda kupita ku mlingo wa 2 kapena 3 woyembekezera, wokhoza kuwapatsa chithandizo choyenera.

Unikani zofuna zanu kuti musankhe bwino chipatala cha amayi oyembekezera

Chilichonse chikawoneka bwino, zili ndi inu kuti muganizire bwino musanasankhe chipinda cha amayi oyembekezera kuposa china. Gawo loyamba ndi ku kuzindikira zosowa zawo ndi ziyembekezo zawo moyenera. Ndikofunikira kupanga chisankho mwanzeru. Kumbukirani kuti kuchokera ku bungwe lina kupita ku lina, zambiri zimakhala zosiyana.

Ena oberekera amadziwika kuti ali nawo njira yamankhwala. Ndipo ngakhale mutakhalako kwakanthawi kochepa, kukhala kumeneku ndi gawo lofunika kwambiri pamoyo wanu ngati mayi. Pamene umayi wochuluka udzasinthidwa ndi zosowa zanu zakuya, mudzakhala ndi moyo wabwino pakubala kwanu ndi zotsatira zake. Ngati m'dera lanu, palibe kufulumira kulembetsa ku chipatala cha amayi oyembekezera (m'madera ena ndi osowa ndipo muyenera kusungitsa mofulumira kwambiri), dzipatseni nthawi, dikirani kuti mukhale otsimikiza nokha ndikupeza zambiri. lumikizanani ndi mabungwe omwe angakulandireni. Choyamba, yesani kudziwa zomwe mukuyang'ana dongosolo la "geographic". ndi mwamankhwala.

Yambani ndi malo ndikudzifunsa mafunso osavuta. Kodi mumaona kuyandikira kukhala chinthu chofunikira kwambiri? Chifukwa ndi zothandiza kwambiri: mwamuna wanu, banja lanu sali kutali, kapena mulibe galimoto, kapena mukudziwa kale azamba kapena madokotala oyembekezera ... Choncho, musazengereze, lembani mwatcheru momwe mungathere.

Kufunika kwachitetezo kumatha kukhala ndi gawo lalikulu. Monga tanenera, zipatala zonse za amayi oyembekezera zimatha kusamalira zobereka zonse, ngakhale zofooka kwambiri. Koma ngati muli ndi mkhalidwe wosakhazikika, lingaliro la kusamutsidwira m’kupita kwanthaŵi pamene mukubala, kapena mwamsanga pambuyo pake, ku chipatala cha amayi oyembekezera chokonzekera bwino lingakusokonezeni. Pamenepa, nyamulani zomwe mwasankha molunjika ku mlingo wa 3 wa amayi omwe ali pafupi kwambiri ndi inu.

Ngakhale kudziwa kuti njira yotereyi sikuti imatsimikizira amayi omwe ali ndi nkhawa kwambiri. Zida zamakono si yankho lokha, muyenera kudziwa momwe mungalankhulire mantha anu ndi dokotala ndi mzamba wa kukhazikitsidwa. Chimanga zinthu zina ziyeneranso kuganiziridwa : mtundu wa kubadwa wofunidwa, kukhalapo kapena ayi kwa chipinda "chachirengedwe", kuwongolera ululu panthawi yobereka ndi pambuyo pake, kukonzekera, chithandizo chakuyamwitsa, kutalika kwa nthawi.

Fotokozani mtundu wa kubadwa kumene mukufuna

Nthawi zambiri amayi oyembekezera, timapereka njira yoberekera "yokhazikika" yomwe imakhala, mwadongosolo, kukupendani mukafika, kudziyika kuti muyang'anire ndikuyika epidural pamene mukufunsira. Kulowetsedwa kumalowetsa oxytocics (oxytocin) m'thupi lanu zomwe zimayendetsa kugundana. Kenako, mzamba adzathyola thumba lamadzi, ngati izi sizinangochitika zokha. Mumathera nthawi ya "ntchito" m'malo mwabata, mpaka nthawi yomaliza. Ndiye nthawi yokankhira, motsogozedwa ndi mzamba kapena gynecologist, ndi kulandira mwana wanu.

Azimayi ena amafuna kuti azichita zambiri ndi chitsanzo ichi. Chifukwa chake amachedwetsa kuyika kwa epidural kapena kuchita popanda iwo ndikupanga njira zaumwini. Ndi kubereka kwachirengedwe kochepa, kowonjezereka. Azamba angapereke kwa mayi woyembekezera kuti asambe ndi madzi otentha, kuti azikayenda koyenda, kukavina pampira… Ndipo kumuthandiza pa ntchito yakeyo kapena, ngati asintha maganizo ake, asinthe maganizo ake kuti asinthe zina. mankhwala mode. 

Njira yabwino yokonzekera kubadwa kwamtunduwu ndi: "Ndondomeko ya kubadwa", yomwe inalembedwa pafupi ndi miyezi 4 ya mimba panthawi ya zokambirana za mwezi wa 4. Lingaliro ili limachokera ku Great Britain kumene amayi akulimbikitsidwa kulemba zofuna zawo zobereka zakuda ndi zoyera. "Ntchito"yi imachokera ku zokambirana pakati pa gulu la obereketsa ndi awiriwa kuti azisamalidwa payekha.

Ntchitoyi ikukambidwa ndi gulu pa mfundo zenizeni. Chifukwa chake muyenera kulemba zomwe mukufuna. Kawirikawiri, zokambiranazo zimazungulira pa mafunso obwerezabwereza : palibe episiotomy ngati nkotheka; kusuntha kwakukulu panthawi ya ntchito; ufulu wokhala ndi mwana wanu pamene wabadwa ndi kudikira mpaka mchombo utamaliza kumenya musanachidule. 

Koma muyenera kudziwa kuti sitingathe kukambirana chilichonse. Makamaka mfundo zotsatirazi: intermittent auscultation of the fetal heart rate (monitoring), kuyezetsa nyini ndi mzamba (panthawi inayake, safunika kuchita chimodzi ola lililonse) , kuika catheter kuti kulowetsedwa kuthe kukhazikitsidwa mwamsanga. , jekeseni wa oxytocins mwa mayi pamene mwana watulutsidwa, zomwe zimachepetsa chiopsezo chotaya magazi panthawi yobereka, zochita zonse zomwe gulu likuchita pakagwa mwadzidzidzi.

Dziwani momwe ululuwo udzathetsedwere

Ngati simuganiziranso lingaliro la zomverera zowawa funsani za mawu a epidural, pa mlingo wochitidwa pakukhazikitsidwa ndi kukhalapo kosatha kwa wogonetsa wodwala (akhoza kukhala pa foni, ndiko kunena kuti akhoza kufika pa telefoni). Komanso funsani ngati "yasungidwa" kumalo osungirako amayi oyembekezera kapena ngati imagwiranso ntchito zina. Pomaliza, dziwani kuti pakachitika ngozi yazachipatala (mwachitsanzo, opaleshoni ya opaleshoni) sangakhalepo panthawiyo, ndiye kuti muyenera kuyembekezera pang'ono. 

Ngati mukuyesedwa kuyesa popanda epidural, monga choncho, “kungoona”, kodi mumatsimikizira kuti mudzakhala nawobe luso losintha malingaliro anu panthawi yobereka. Ngati mwasankha kuchita popanda epidural kapena pakakhala contraindication yovomerezeka (ndipo ochepa), funsani njira zina zothetsera ululu (njira, mankhwala ena ...). Pomaliza, muzochitika zonse, fufuzani momwe ululuwo udzasamalire pambuyo pobereka. Iyi ndi mfundo yofunika yomwe sitiyenera kuinyalanyaza.

Kuti muwone muvidiyo: Kodi kusankha umayi?

Amayi: dziwani za kukonzekera kubereka

Kukonzekera kubereka nthawi zambiri kumayamba kumapeto kwa trimester yachiwiri ya mimba. Social Security imapereka magawo 8 kuyambira mwezi wa 6 wa mimba. Ngati kukonzekera sikuli kovomerezeka, kumalimbikitsidwa pazifukwa zambiri:

Amaphunzitsa njira zopumula zogwira mtima kufooketsa msana, kuwongolera ndikuthamangitsa kutopa. Mayi wamtsogolo amaphunzira kusuntha chiuno chake pogwiritsa ntchito masewera olimbitsa thupi, kuti apeze perineum yake.

Magawowa amakulolani kuti muphunzire ndikuzidziwa bwino magawo onse obereka. Chidziwitso chabwinoko chimathandiza kuthana ndi nkhawa zomwe zimagwirizanitsidwa ndi nkhani za kubadwa kwatsoka kapena kusowa chidziwitso cha mphindi ino.

Ngati anakonza epidural sanali zotheka pobereka, njira zomwe anaphunzira zidzatsimikizira kuti ndizofunika kwambiri pa "kulamulira" ululu. Maphunzirowa nthawi zambiri amapereka mwayi wodziwa azamba a chipatala cha amayi, kotero mwinamwake amene angakuthandizeni pa D-Day.

Amayi: tchulani malo omwe mukufuna

Kuganizira za zosowa zanu pambuyo pa kubadwa kwa mwana wanu (ngakhale kuli kovuta kuyesa) kudzakutsogoleraninso pakusankha kwanu kukhazikitsidwa. Funso loyamba kufunsa mwachibadwa limakhudza kutalika kwa nthawi yokhala m'chipatala cha amayi.

Ngati mwaganiza zoyamwitsa mwana wanu Mukufuna kudziwa ngati malo oyembekezera ali ndi azamba omwe aphunzitsidwa kuti athandize kuyamwitsa? Kodi zilipo zokwanira kukupatsani nthawi ndi chithandizo chomwe mukufuna?

Muyenera kuganizira zinthu zosiyanasiyana:

• Kodi zipindazo ndi zamunthu kapena ayi? Ndi shawa m'chipinda?
• Kodi pali bedi “lotsatira” kuti atate akhalemo?
• Ndi antchito angati omwe ali mu "ma suites of layers"?
• Kodi pali nazale? Kodi khanda limakhala kumeneko usiku wonse kapena amagona pafupi ndi amayi ake? Ngati atakhala m'chipinda cha amayi, n'zotheka kupeza malangizo usiku?
• Kodi pali mapulani ophunzitsa amayi maluso ofunikira osamalira ana? Kodi timamuchitira iye kapena mumamulimbikitsa kuti azichita yekha?

Pitani kumalo osungirako amayi oyembekezera ndikupeza gulu

Mwakhazikitsa zoyembekeza zanu m'mbali zonse. Tsopano ndi funso lakudziwitsani zomwe mabungwe osiyanasiyana amakupatsirani zenizeni, polandila, chitetezo ndi chithandizo. Osazengereza kugwiritsa ntchito mawu apakamwa ndikufunsa anzanu. Anaberekera kuti? Kodi iwo amaganiza chiyani za ntchito zomwe zimaperekedwa m'chipinda cha amayi oyembekezera?

Funsani kukumana ndi antchito onse, fufuzani amene adzakhalapo pa tsiku lopereka. Adokotala akadalipo? Kodi epidural idzafunsidwa mofulumira? Mosiyana ndi zimenezo, kodi mukutsimikiza kuti mungapindule nacho? Kodi mudzatha kupempha epidural yomwe imakulolani kuyendayenda (chifukwa ichi, gawo la amayi oyembekezera liyenera kukhala ndi zipangizo zina)? Kodi mungatani kuti musamamve bwino mukatha kugona? Kodi ndondomeko ya amayi yoyamwitsa ndi yotani? Komanso ganizirani kuti mumalumikizana bwino kwambiri ndi ogwira ntchito yobereka kapena, mosiyana, kuti madzi sadutsa pakati pa inu ndi azamba.

Ndipo musazengereze kusintha malingaliro anu ndikuyang'ana kukhazikitsidwa kwina. Lingaliro ndiloti masiku ochepawa adzakuthandizani kuti mubwererenso ndikuyamba moyo wanu watsopano monga mayi watsopano.