Emavikini angu-34 ekhulelwe, umntwana ulinganisa u-43 cm. Isisindo sayo singu-2,2 kg. Izinwele nezinzipho zakhe ziyakhula. Inhlawulo emboze isikhumba sakhe iqala ukuwa. Ithathelwa indawo i-coating, i-vernix caseosa, evikela isikhumba sayo futhi izokwenza kube lula ukuzalwa kwayo. Njengoba ungqimba lwamafutha luhlala ngaphansi kwesikhumba sakhe, isikhumba siyaqina futhi isibalo somntwana siba yindilinga. Ngesikhathi ezalwa, uzozuza u-1 kg ngokwesilinganiso. 

Ingane ishintsha izigaba zomsebenzi kanye nezigaba zokulala. Usuku lonke, ugwinya uketshezi oluningi lwe-amniotic. Uwuphatha ngezinso zakhe, bese uyawenqaba njengomchamo esikhwameni se-amniotic. I-Meconium iyaqhubeka nokwakheka emathunjini akhe. Uma engakakwenzi lokho, umntwana usengaphenduka abheke phansi ukuze azalwe.

Kulesi sigaba sokukhulelwa, zonke izitho zakhe sezivuthiwe, ngaphandle kwamaphaphu, asadinga amasonto ambalwa ukuze asebenze ngokugcwele. Isigaba esibizwa ngokuthi i-alveolar siqala: i-alveoli yamaphaphu iphindaphindeka, inethiwekhi ye-capillary iba i-homogenized. I-Surfactant, leyo nto enamafutha emboza isokhethi ngayinye ukuze iwavimbele ekutholeni, iyaqhubeka nokukhishwa. Kubaluleke kakhulu ekuvuthweni kwephaphu lomntwana.

Uma ukulethwa kwenzeka ngo-36 WA, sikhuluma ngokulingana ngaphambi kwesikhathi (ukuzalwa phakathi kwama-32 kanye nama-36 WA kuqediwe). Umntwana uzodinga ukunakekelwa nokuqondisa, kodwa ukulungele ngempela ukuhlala ngaphandle kwesibeletho sikanina.

Izinyanga ezingu-7 ezikhulelwe, isisu siqala ukuba nesisindo ngempela. Futhi ngesizathu esihle: isibeletho, umntwana, uketshezi lwe-amniotic kanye ne-placenta inesisindo esingama-5 kg. Ukushukuma komzimba kwansuku zonke, ukuhamba, ukuma kuyathinteka, futhi ukukhathala kuqala ukuzwa kumama ozoba khona. 

Ngezikhathi ezithile, angase azwe ukuqina noma ukucindezeleka phezulu kwesibeletho. Lezi yizifinyezo ze-Braxton Hicks, ezivumela isibeletho ukuba siqeqeshelwe ukubeletha. Lezi zifinyezo zomzimba azibuhlungu, azivamile futhi azinawo umthelela emlonyeni wesibeletho. Uma zanda futhi ziba buhlungu, kunconywa ukubonisana.

Kuvamile ngesikhathi sokukhulelwa ukuba nesisu esilumayo. Ngokuvamile ngenxa yokuntuleka kwe-hydration kanye nezinguquko ze-hormonal ngesikhathi sokukhulelwa, lokhu kulunywa kuvame ukuba mnene. Kodwa-ke, uma zivame kakhulu, zinamandla futhi zithinta futhi izintende zezandla kanye nezinyawo zezinyawo noma ngisho nomzimba wonke, kubalulekile ukubonisana ngaphandle kokulibala. Kungaba uphawu lwe-cholestasis yokukhulelwa, inkinga yokukhulelwa sekwephuzile edinga ukwelashwa ngokushesha. 

Izinzuzo zokubeletha kumaseshini angu-8 wokulungiselela ukuzalwa zimbozwe u-100% nguMshwalense Wezempilo. Kungakhathaliseki ukuthi ingane yokuqala, eyesibili, yesithathu noma ngaphezulu, lezi zikhathi zokulungiselela ukubeletha zinconywa kakhulu. Lezi yizikhathi eziyinhlanhla zokushintshisana nezingcweti zokubeletha, ngesikhathi lapho isizungu kwesinye isikhathi singaba nzima kumama ozozala. 

Amalungiselelo akudala okubeletha ngokuvamile aqala ngokuhamba ngekhefu lokuyoteta. Amaseshini enzelwa endaweni yokubeletha noma ehhovisi likambelethisi okhululekile. 

Ziningi ezinye izinhlobo zokulungiselela ukubeletha zikhona: i-haptonomy, ukwelashwa kokuphumula, ukulungiselela i-swimming pool, ukucula ngaphambi kokubeletha, i-yoga yokubeletha, i-hypnosis yangaphambi kokubeletha, njll. Ezinye zingathathwa kanye nokulungiselelwa kwakudala.  

Enganeni yokuqala noma yesibili, ilivu yokubeletha iqala amasonto angu-6 ngaphambi kosuku olulindelekile lokubeletha (DPA). Ngakho-ke isikhathi sokuphumula nokwakha amandla okubeletha nangemva kokubeletha sesifikile kumama ozozala. Isitifiketi sokumiswa komsebenzi kufanele sithunyelwe kuMshwalense Wezempilo ngokushesha okukhulu. 

Kuyenzeka nokho ukuhlehlisa ingxenye yelivu yokukhulelwa (ekugcineni kwamasonto amathathu okuqala) eholidini langemva kokubeletha, ngencwadi kadokotela noma umbelethisi.

Ukubonisana kwenyanga yesi-8 (ukubonisana kwesithupha ngaphambi kokubeletha) kwakuvame ukwenzeka. Uma i-pelvimetry inqunyelwe ukuhlola ubukhulu be-pelvis ngesikhathi sokubeletha, kuhle ukukwenza ngokushesha ngangokunokwenzeka.

Okunye ukuqokwa okubalulekile ekupheleni kokukhulelwa: ukubonisana nodokotela obulala izinzwa. Kunconywa kakhulu, ngisho nomama abakhulelwe abafisa ukubeletha ngaphandle kwe-epidural. Ukuhlolwa kwegazi kuzonqunywa ekupheleni kwalokhu kubonisana. 

Ngokufanayo, kubalulekile ukwenza i-swab yesitho sangasese sowesifazane ngokushesha ngangokunokwenzeka ku-streptococcus B. 

Ekugcineni, sekuyisikhathi sokulungiselela ikhithi yokubeletha kanye nesikhwama segumbi lokubeletha, uma ungakakwenzi kakade. Ngaphezu kwebhizinisi lomntwana nomama wakhe, ungakhohlwa amaphepha ahlukahlukene: I-Carte Vitale, isitifiketi somshuwalense wokubambisana, imiphumela yokuhlolwa, njll. Okungcono kakhulu ukuyibeka ndawonye ephaketheni.

Kulesi sigaba sokukhulelwa, umntwana udla i-calcium ne-iron eningi, futhi kusezinqolobaneni zikamama lapho ezozidweba khona. Futhi, kubalulekile ukuthi athole ngokwanele. Imikhiqizo yobisi (i-yogurts, i-cottage shizi, ushizi) iyimithombo emihle ye-calcium, kodwa itholakala kumasardine ekheniwe (ngamathambo), i-tofu, ubhontshisi omhlophe, amanzi athile amaminerali (Hépar, Contrex, Courmayer, Quézac). I-Vitamin D, ekhiqizwa ikakhulukazi ngesikhathi sokuchayeka elangeni, ibalulekile ukuze imunce kahle futhi ilungiswe kahle i-calcium. Ngenxa yokuthi ukushiyeka kuvame, ikakhulukazi ebusika noma ezindaweni ezinokukhanya kwelanga okuncane, ukwesekwa ngokuvamile kunqunywe ngesikhathi sokukhulelwa, ngendlela ye-ampoule eyodwa.

Ngokuqondene nensimbi, ithathwa ngesimo sayo sesilwane (noma i-heme, ifomu elihle kakhulu elifakwe enyameni nasenhlanzini, futhi ngesimo semifino (okungeyona i-heme) kusuka ku-legumes (ama-lentils, ama-chickpeas, ubhontshisi obomvu), imbewu ithanga, ikakhulukazi i-tofu. . Uma kunesidingo, i-iron supplementation izonqunywa.

Kubalulekile futhi ukuthi umama athole amanzi anele usuku lonke ukuze kube lula ukusebenza kwezinso okuthi, ngaphezu kwemfucuza yayo, ikhiphe okomntwana. Futhi kuyisenzo sokuvimbela ngokumelene nezifo ze-urinary tract, ingozi eyandayo ngesikhathi sokukhulelwa. 

Ngaphandle uma kukhona ukuphikisana (ukuvinjelwa, umlomo wesibeletho oguquliwe, usongo lokubeletha ngaphambi kwesikhathi), kuhle ukuqhubeka nomsebenzi womzimba ohambisana nokukhulelwa: ukuhamba, ukuvivinya umzimba okumnene, i-yoga yokubeletha, ukubhukuda. Lokhu kusiza ukunciphisa ukuphazamiseka okuthile ekupheleni kokukhulelwa (ukuphazamiseka kwe-venous, ukuqunjelwa), ukuze uhlale usesimweni sokubeletha, kodwa futhi ukukhulula ukungezwani nokukhathazeka okungase kwande njengoba i-D-day isondela. 

I-perineum iyisethi yemisipha, imigqa kanye nezicubu ezisekela, njenge-hammock, izitho zangasese, isinye kanye ne-anus. Izodlala indima ebalulekile ngesikhathi sokubeletha, ikakhulukazi ngesikhathi sokuphusha. Ukuze wazi le ndawo, kungase kuthakazelise ukwenza izivivinyo ezithile, ukuqeqesha ukufinyeza i-anal sphincter yakho, bese kuba yi-urinary sphincter yakho. Qaphela, nokho, ukuthi ungawenzi lo msebenzi ngesikhathi uchama, njengoba kunconywe ngaphambilini (sasivame ukukhuluma “ngokuyeka ukuchama”).