Indlela yokukhetha iwadi lababeletha elifanele

Indlela yokukhetha iwadi lababeletha elilungile: izici okufanele zicatshangelwe

Ukukhethwa kokubeletha kuyisinqumo esibalulekile ngoba sinomthelela ekulandeleni kokukhulelwa kanye nendlela yokuphila ngesikhathi sokubeletha. Kodwa ziyini indlela okufanele uyikhumbule ukuze uqiniseke ukuthi awenzi iphutha lapho wenza isinqumo? Ngezinye izikhathi kuhilela izici ezingaphezu kwamandla ethu, ngokuyinhloko impilo yethu neyomntwana. Ngaphezu kwalokho, uma labo abahlala ezindaweni zasemadolobheni kakhulu banenhlanhla yokukwazi ukungabaza phakathi kwezikhungo eziningana, lokhu akunjalo kulabo abahlala esifundeni lapho izibhedlela zokubeletha zingavamile. Kwezinye izimo, ukukhetha kuyenziwa, kuvinjelwe futhi kuphoqelelwe, ekusungulweni okukhona kuphela. Kubo bonke omama abakhulelwe, isinqumo sithathwa ngokwezifiso zabo.

Ukuze uqonde ngokugcwele ukuthi isimo sinjani manje, kuyadingeka ukubuyela emuva eminyakeni embalwa. Cishe iminyaka engamashumi amabili, sibone izinguquko eziningi ekuphathweni kokubeletha. Eqinisweni, ngo-1998, iziphathimandla zezempilo zanquma ukuhlela kabusha izibhedlela nemitholampilo ukuze bonke abesifazane babelethe ngaphansi kwezimo ezivikeleke kakhulu futhi banikeze ingane ngayinye ukunakekelwa okuvumelana nezidingo zayo. Kule logic, amayunithi amaningi amancane avalwa. Ababelethi abasele manje sebehlukaniswa ngamaleveli amathathu.

Uhlobo lokubeletha 1, 2 noma 3: ezingeni ngalinye ukucaciswa kwalo

Kunezibhedlela zokubeletha ezingaphezu kuka-500 eFrance. Phakathi kwalokhu, izikhungo ezisohlwini lwezinga 1 ziningi kakhulu.

• Izinga loku-1 lokubeletha:

Ukubeletha okuLeveli 1 wamukelekile ukukhulelwa "okuvamile"., labo akubonakali ilethe ingozi ethile. Ngamanye amazwi, iningi labesifazane abakhulelwe. Umgomo wabo uwukuthola izingozi ezingase zibe khona ngesikhathi sokukhulelwa ukuze baqondise omama bakusasa ezibhedlela ezifanele kakhulu zokubeletha.

Imishini yabo ibavumela ukuthi babhekane nanoma yisiphi isimo futhi babhekane nokudiliva okunzima okungalindelekile. Ihlobene eduze nesibhedlela sokubeletha sika-level 2 noma 3, kufanele, uma kunesidingo, baqinisekise ukudluliselwa kowesifazane osemusha kanye nengane yakhe esakhiweni esikwazi kangcono ukubhekana nezinkinga ezavela ngesikhathi sokubeletha.

• Izinga loku-2 lokubeletha:

Izinhlobo zokubeletha zohlobo 2 zifakweumuthi wezingane ezisanda kuzalwa noma iyunithi yokunakekela izingane ezisanda kuzalwa, kungaba kusayithi noma eduze. Ngenxa yalesi sici, bayakwazi ukuqinisekisa ukulandelwa nokulethwa kokukhulelwa okuvamile lapho umama wesikhathi esizayo efisa, kodwa futhi lawula ukukhulelwa okuyinkimbinkimbi (uma kwenzeka kunesifo sikashukela sokukhulelwa noma umfutho wegazi ophakeme ngokwesibonelo). Bangakwazi ukuhlalisa ikakhulukazi izingane ezizalwa ngaphambi kwesikhathi ezinamasonto angama-33 nangaphezulu edinga ukunakekelwa, kodwa hhayi ukunakekelwa okunzima kokuphefumula. Uma kwenzeka inkinga enkulu ekhonjwe ngesikhathi sokubeletha, benza, ngokushesha ngangokunokwenzeka, i dlulisela kuhlobo lwesi-3 lokubeletha abaseduze kakhulu abasebenza nabo ngokuxhumene eduze.

• Izinga loku-3 lokubeletha:

I-Level 3 yokubeletha inakhoiyunithi yokunakekela abagulayo kakhulu noma iyunithi yokunakekela izingane kanye nomama abagula kakhulu. Banikezwe amandla ngokukhethekile okuqapha ukukhulelwa okuyingozi kakhulu (umfutho wegazi ophakeme, ukukhulelwa abantu abaningi, njll.) kanye wamukelekile izingane ezizalwa ngaphambi kwesikhathi ezingaphansi kwamasonto angama-32. Izingane ezizodinga ukugadwa kakhulu, ngisho nokunakekelwa okunzima, njengokuvuselelwa. Laba omama abakhulelwe baxhunywe nezikhungo zeleveli 1 nelesi-2 futhi zibanikeze usizo lapho benza isinqumo esibalulekile. Nokho, bangakwazi wamukelekile noma yimuphi umama wakusasa ofisa, ngisho noma ukukhulelwa kwakhe kuqhubeka ngokujwayelekile, ikakhulukazi uma ehlala eduze.

Amazinga awahluleli kusengaphambili ikhwalithi yezikhungo kanye nolwazi lwabasebenzi bazo. Empeleni ziwumsebenzi wezingqalasizinda zezokwelapha ezikhona kwezokwelapha zezingane kanye nokuvuswa kwezingane ezisanda kuzalwa. Ngamanye amazwi, bacabangela kuphela ukuba khona kwamaqembu kanye nemishini edingekayo ukuze kuhlinzekwe ukunakekelwa okujulile ezinganeni ezisanda kuzalwa ezihlushwa izinkinga zempilo ezimbi (ukukhubazeka, ukucindezeleka, njll.) noma ngaphambi kwesikhathi esingaphansi kwamaviki angu-32.

Ngaphezu kwalokho, kuzo zonke izifunda, izinhlobo ezahlukene zezibhedlela zokubeletha zisebenza kunethiwekhi ukuze kuthuthukiswe izinga lokunakekelwa okunikezwa omama abakhulelwe nezingane. Ngokwesibonelo, ithimba lezokwelapha lingase linqume ukulalisa esibhedlela eyunithi yokubeletha yohlobo 2 noma 3 umama okhulelwe obonakala kufanele abelethe ngaphambi kwesikhathi ngaphambi kwamaviki angu-33. Kodwa, uma ngemva kwamasonto angu-35, yonke into ibuyele evamile, lo mama wesikhathi esizayo uzokwazi ukubuyela ekhaya futhi alethe ingane yakhe emhlabeni, ngesikhathi, esibhedlela sokubeletha esikhethwe nguye.

Uma, esikhundleni sokubeletha njengoba kuhleliwe esibhedlela sokubeletha sohlobo 2 noma 3, sizithola sisesimweni esiphuthumayo egunjini lababeletha leyunithi yeleveli 1, asikho isidingo sokwethuka. i i-block obstetrical block icishe ifane yonke indawo, amaqembu ezokwelapha anamakhono afanayo. Bonke okubeletha bayakwazi ukubelethisa okunzima, ngesitho sangasese sowesifazane noma ngokuhlinzwa, phambi kukadokotela wezifo zabesifazane noma ukubeletha. izindlela zokubelethisa ethize. Futhi banodokotela obulala izinzwa, udokotela wezingane kanye nababelethisi abambalwa eqenjini labo.

Ngakho-ke umama ozozala uzozuza osizweni lwethimba lezokwelapha eliphelele futhi uzodluliselwa ngokushesha ngangokunokwenzeka nosana lwakhe olusanda kuzalwa luyiswe ezingeni lesi-2 noma lesi-3 lokubeletha, ozokwazi kangcono ukubanikeza ukunakekelwa okudingekayo.

Hlaziya izifiso zakho zokukhetha kangcono isibhedlela sokubeletha

Uma yonke into ibonakala iyinhle, kukuwe ukuthi ucabange kahle ngaphambi kokukhetha iwadi yababelethele ngaphezu kwelinye. Isinyathelo sokuqala uku zihlonze kahle izidingo zabo kanye nalokho abakulindele. Kubalulekile ukwenza isinqumo unolwazi. Khumbula ukuthi kusuka kwesinye isikhungo kuya kwesinye, kuningi okuhlukile.

Abanye okubeletha kwaziwa ukuthi banayo indlela yokwelashwa okwengeziwe. Futhi noma uhlala lapho isikhashana nje, lokhu kuhlala kuyisigaba esibaluleke kakhulu empilweni yakho njengomama. Lapho ukubeletha kuzofanelana nezidingo zakho ezijulile, uzophila kangcono ukubeletha kwakho kanye nemiphumela yako. Uma endaweni yangakini, asikho isidingo sokubhalisa ewodini lababeletha (kwezinye izindawo akuvamile futhi kufanele ubhukhe ngokushesha), zinike isikhathi, linda ukuze uqiniseke ngawe futhi uthole okwengeziwe. xhumana nezikhungo okungenzeka zikwamukele. Okokuqala, zama ukuthola ukuthi yini oyifunayo uhlelo “lwendawo” futhi ngokwezokwelapha.

Qala ngendawo bese uzibuza imibuzo elula. Ingabe ubheka ukusondela njengento ebalulekile? Ngoba kuyasebenza kakhulu: umyeni wakho, umndeni wakho awukho kude, noma awunayo imoto, noma usubazi ababelethisi noma odokotela ababelethayo … Ngakho, unganqikazi, bhalisa eduze ngangokunokwenzeka.

Isidingo sokuvikeleka singadlala indima ewujuqu. Njengoba sesishilo, zonke izibhedlela zokubeletha ziyakwazi ukunakekela konke ukubelethisa, ngisho nalezo ezintekenteke kakhulu. Kodwa uma unomoya ongahlaliseki kahle, umcabango wokuthi ekugcineni udluliselwe ngesikhathi sokubeletha, noma ngokushesha ngemva kwalokho, esibhedlela sokubeletha esihlomele kangcono kungase kukuphazamise. Kulokhu, phatha ukukhetha kwakho ngqo kuzinga 3 labakhulelwe eliseduze nawe.

Nakuba ukwazi ukuthi lolu hlobo lwendlela akubaqinisekisi abesifazane abakhathazeke kakhulu. Imishini yobuchwepheshe akuyona ukuphela kwempendulo, kufanele wazi ukuthi ungaxoxa kanjani nodokotela kanye nombelethisi wokusungulwa. Ukolweni nezinye izici kufanele zibhekwe : uhlobo lokubeletha olufiswayo, ukuba khona noma ukungabi khona kwegumbi "lemvelo", ukuphathwa kwezinhlungu ngesikhathi sokubeletha nangemuva, amalungiselelo, usizo lokuncelisa, ubude bokuhlala.

Chaza ukuthi ufuna uhlobo luni lokubeletha

Kokubeletha okuningi, sihlinzeka ngokuletha “okujwayelekile” okuhlanganisa, ngokohlelo, ukukuhlola lapho ufika, ukuzibeka ngaphansi kokuqashwa kanye nokufaka i-epidural lapho ukucela. I-infusion ifaka i-oxytocics (oxytocin) emzimbeni wakho ezolawula ukufinyela. Khona-ke, umbelethisi uzophula isikhwama samanzi, uma lokhu kungenzeki ngokuzenzakalelayo. Ngaleyo ndlela uchitha isikhathi "somsebenzi" kunokuthula, kuze kube isikhathi lapho ukunwetshwa sekuphelile. Sekuyisikhathi sokuphusha, ngaphansi kokuqondiswa ngumbelethisi noma udokotela wezifo zabesifazane, futhi wamukele ingane yakho.

Abanye besifazane bafuna ukuzibandakanya kakhulu nalo modeli. Ngakho-ke babambezela ukufakwa kwe-epidural noma benze ngaphandle kwayo futhi bathuthukise amasu omuntu siqu. Kuwukuzalwa kwengane okungenakwelashwa, okungokwemvelo. Ababelethisi bangasikisela kumama okhulelwe ukuba ageze ngamanzi ashisayo anemiphumela yokudambisa ubuhlungu, ahambe ayoshaywa umoya, abhukule ebholeni… Futhi bamsekele emsebenzini wakhe noma, uma eshintsha umqondo, ashintshele kokunye okwengeziwe. imodi yezokwelapha. 

Indlela enhle yokulungiselela lolu hlobo lokubeletha yileli: "uhlelo lokuzalwa", olubhalwe cishe izinyanga ezi-4 zokukhulelwa ngesikhathi senhlolokhono yokubeletha yenyanga yesi-4. Lo mbono uvela eGreat Britain lapho abesifazane bekhuthazwa khona ukuthi babhale izifiso zabo zokubeletha ngombala omnyama nomhlophe. Le “phrojekthi” iphumela engxoxweni phakathi kwethimba lababelethisayo kanye nombhangqwana wokunakekelwa komuntu siqu.

Iphrojekthi ixoxwa nethimba ngamaphuzu athile. Ngalokho kufanele ubhale okufunayo. Ngokuvamile, ingxoxo izungeza emibuzweni ephindaphindayo : ayikho i-episiotomy uma kungenzeka; ukuhamba okuphezulu ngesikhathi somsebenzi; ilungelo lokugcina ingane yakho lapho izalwa kanye nokulinda kuze kube yilapho inkaba iqeda ukuyishaya ngaphambi kokuyisika. 

Kodwa kufanele wazi ukuthi asikwazi ukuxoxisana ngayo yonke into. Ikakhulukazi amaphuzu alandelayo: i-auscultation ngezikhathi ezithile zokushaya kwenhliziyo yengane (ukuqapha), ukuhlolwa kwesitho sangasese sowesifazane umbelethisi (ngaphakathi komkhawulo othile, akudingeki enze eyodwa njalo ngehora), ukufakwa kwe-catheter ukuze kumiswe ukumnika ngokushesha. , umjovo we-oxytocins kumama lapho umntwana ekhishwa, okunciphisa ingozi yokopha ngesikhathi sokubeletha, zonke izenzo ezithathwa yiqembu uma kwenzeka isimo esiphuthumayo.

Yazi ukuthi ubuhlungu buzolawuleka kanjani

Uma ungacabangi ngisho nomqondo wokuzwa okubuhlungu buza mayelana izimo ze-epidural, ngezinga elenziwa lapho kusungulwa kanye nokuba khona unomphela kodokotela obulala izinzwa (angaba ocingweni, okusho ukuthi uyafinyeleleka ngocingo). Futhi buza ukuthi "ibekelwe" iwadi yababeletha noma inakekela nezinye izinkonzo. Okokugcina, qaphela ukuthi esimweni esiphuthumayo sezokwelapha (isibonelo sokuhlinzwa), udokotela obulala izinzwa angase angatholakali ngaleso sikhathi, ngakho kuzodingeka ulinde kancane. 

Uma ulingeka ukuthi uzame ngaphandle kwe-epidural, kanjalo, “ngokumane” ukubona, uyaqinisekisa ukuthi usazoba nayo ikhono lokushintsha umqondo wakho ngesikhathi sokubeletha. Uma unqume ukwenza ngaphandle kwe-epidural noma uma kwenzeka kune-contraindication esemthethweni (zimbalwa), buza ukuthi yiziphi ezinye izixazululo zokulawula izinhlungu (amasu, eminye imithi…). Ekugcineni, kuzo zonke izimo, thola ukuthi ubuhlungu buzophathwa kanjani ngemva kokubeletha. Leli yiphuzu elibalulekile okungafanele lishaywe indiva.

Ukuze uthole kuvidiyo: Ungakhetha kanjani ukubeletha?

Omama: thola mayelana namalungiselelo okubeletha

Ukulungiselela ukubeletha kuvame ukuqala ekupheleni kwe-trimester yesibili yokukhulelwa. I-Social Security ihlanganisa ngokugcwele amaseshini angu-8 kusukela enyangeni yesi-6 yokukhulelwa. Uma ukulungiswa kungaphoqelekile, kunconywa kakhulu ngezizathu eziningi:

Bafundisa izindlela zokuphumula ezisebenzayo ukuwohloza umhlane, uwukhulule futhi uxoshe ukukhathala. Umama wesikhathi esizayo ufunda ukuhambisa i-pelvis yakhe ngokusebenzisa izivivinyo zokuzamazama, ukuze athole i-perineum yakhe.

Izikhathi zikuvumela ukuthi ufunde futhi uzijwayeze nazo zonke izigaba zokubeletha. Ulwazi olungcono lusiza ekulweni nokukhathazeka okuhlobene nezindaba zokuzalwa okuyinhlekelele noma ukuntula ulwazi lwalesi sikhathi.

Uma i-epidural ehleliwe yayingenakwenzeka ngesikhathi sokubeletha, amasu afundiwe azobe esebonakala ewusizo "ekulawuleni" ubuhlungu. Izifundo zivame ukunikeza ithuba lokwazi ababelethisi basesibhedlela sokubeletha, mhlawumbe lowo ozokusiza ngo-D-Day.

Omama: cacisa ukuhlala okufunayo

Ukucabanga ngezidingo zakho ngemva kokuzalwa kwengane yakho (ngisho noma kunzima ukuyihlola) nakho kuzokuqondisa ekukhetheni kwakho ukusungulwa. Umbuzo wokuqala okufanele uwubuze ngokwemvelo uphathelene nobude bokuhlala esibhedlela sokubeletha.

Uma unqume ukuncelisa ingane yakho Thola ukuthi ingabe iwadi yababelethisayo inabo yini ababelethisi abaqeqeshelwe ukusiza ukuncelisa? Ingabe ayatholakala ngokwanele ukuze akunike isikhathi nokwesekwa okudingayo?

Kufanele ucabangele izici ezahlukahlukene:

• Ingabe amagumbi awodwa noma cha? Ngeshawa ekamelweni?
• Ingabe ukhona umbhede “ohambisanayo” ukuze ubaba ahlale?
• Bangaki abasebenzi abakhona “kuma-suites of layers”?
• Ingabe ikhona inkulisa? Ingabe ingane ingachitha ubusuku bayo lapho noma ingabe ilala eduze kukanina? Uma ehlala ekamelweni likamama, kungenzeka yini ukuba afune iseluleko ebusuku?
• Ingabe zikhona izinhlelo zokufundisa umama amakhono abalulekile okunakekela izingane? Siyamenzela zona noma uyamkhuthaza ukuthi azenzele yena?

Vakashela iwadi yababelethele futhi uthole iqembu

Uzibekele okulindelekile kuzo zonke izindawo. Manje umbuzo wokukwazisa ngalokho izikhungo ezahlukene ezikunikeza zona empeleni, mayelana nokwamukela, ukuphepha kanye nokwesekwa. Ungangabazi ukusebenzisa izwi lomlomo bese ubuza abangani bakho. Babelethela kuphi? Bacabangani ngezinkonzo ezihlinzekwa yiwodi yabo yokubeletha?

Cela ukuhlangana nabo bonke abasebenzi, thola ukuthi obani abazobe bekhona ngosuku lokulethwa. Usekhona udokotela? Ingabe i-epidural izobuzwa kusenesikhathi? Ngokuphambene, uqinisekile ukuthi ungazuza kukho? Uzokwazi yini ukucela i-epidural ekuvumela ukuthi uhambehamba (ngenxa yalokhu, iyunithi yokubeletha kufanele ibe nemishini ethile)? Ungakuqeda kanjani ukungakhululeki ngemva kwamanabukeni? Ithini inqubomgomo yokubeletha mayelana nokuncelisa? Futhi cabangela ukuthi unokuxhumana okuhle kakhulu nabasebenzi bokubeletha noma, ngokuphambene nalokho, ukuthi umsinga awudluli phakathi kwakho nababelethisi.

Futhi-ke ungangabazi ukushintsha umqondo wakho futhi ubheke esinye isikhungo. Umbono wukuthi lezi zinsuku ezimbalwa zizokusiza ukuthi ululame futhi uqale impilo yakho entsha njengomama omusha.