Okuqukethwe
Izibhedlela eziningi zokubeletha, njengeDiaconesses eParis, manje zizama ukuvumelanisa amasu, ukuphepha kanye nezifiso zomama bakusasa. Akusadingeki ukuthi ubeletha emhlane wakho, unganyakazeki embhedeni, izinyawo zigaxekile. Ngisho nangaphansi kwe-epidural, sikushiya ukhululekile ukuthi ubambe izimo ezizenzekelayo, ohlangothini lwakho, ukuqothuka, ngayo yonke imilenze emine… Isinyathelo ngesinyathelo, nansi indlela ukubeletha okwenzeka ngayo.
Ukulungiselela
Ngehora lesishagalolunye ekuseni. Yilokho kuphela. I-Clarisse ifakwe egunjini lokuzalwa, esitezi sesi-3 ewodini lababelethayo. Kuvuleka iwindi elikhulu engadini futhi ukukhanya okuhlungwe yimpumputhe kusakaze isithunzi esithambile ekamelweni. Ehlezi eduze kwakhe, uCyril, umyeni wakhe, ubukeka ekhululekile. Kumele kushiwo ukuthi lena ingane yabo yesibili: intombazane, abazoyibiza ngokuthi uLili. Umbelethisi, uNathalie, usefikile ukuzohlolwa igazi kanye nokuhlolwa komfutho wegazi. Manje uzwa isisu sikaClarisse ukuze aqinisekise ukuthi ingane yethulwa ngendlela efanele, ibheke phansi. Konke kuhamba kahle. Ukuqinisekisa lokhu kuhlolwa kokuqala komtholampilo, ulungisa ngokucophelela ukuqapha esiswini sikamama wakusasa. Izinzwa ezimbili ezirekhoda ngokuqhubekayo ukusebenza kwenhliziyo yengane kanye nokufinyela kwesibeletho. Lokhu kuvumela ukuqapha okungcono kwengane. Ukuze abone ukuthi usabela kanjani ekufinyezweni. Ngakolunye uhlangothi, uDenise, umhlengikazi, naye umatasa. Ubeka ama-infusions. I-glucose serum ukunikeza umama amandla kanye neserum enosawoti ukunciphisa ukwehla komfutho wegazi ngezinye izikhathi okuhambisana nama-epidural analgesics. Lawa ma-infusions angasetshenziswa futhi ukudlulisa i-oxytocics. Lawa ma-molecule okwenziwa alingisa isenzo se-oxytocins, ekhiqizwa umzimba ngokwemvelo, asize ukulawula izinga lokufinyela nokusheshisa ukuzala. Kodwa ukusetshenziswa kwabo akuhlelekile.
Ukufakwa kwe-epidural
Sekuyihora leshumi nanye. U-Clarisse useqala ukuba nezinhlungu eziningi. Amaconsi ahlangana ndawonye, cishe kathathu njalo ngemizuzu eyi-10. Manje yisikhathi sokufaka i-epidural. Umhlengikazi uhlalisa umama emaphethelweni ombhede. Ukuze abe nomhlane oyindilinga kahle, ugoqa umcamelo ngaphansi kwesilevu sakhe. Udokotela obulala izinzwa manje usengakwazi ukumxubha emhlane ngesibulala-magciwane esinamandla ngaphambi kokunikeza izinzwa zendawo. Emizuzwini embalwa, u-Clarisse akasezwa lutho. Udokotela ube esefaka inaliti engenalutho, ene-beveled endaweni ye-epidural, phakathi kwe-3rd ne-4th region lumbar, futhi kancane kancane ujova i-cocktail ye-analgesic. Ngaphambi kokukhipha inaliti, uslayida i-catheter encane njengezinwele ezizohlala endaweni futhi izovumela, ngenxa yesirinji kagesi, ukuthi ihlale isakaza umkhiqizo ngamanani amancane. Uma idosiwe kahle, i-epidural ibususa kahle ubuhlungu futhi ayisavimbeli ukuzwa ukuthi kugcinwe., njengoba kwakunjalo eminyakeni embalwa edlule. Ubufakazi bokuthi, abanye okubeletha banikeza i-epidural epidural, evumela ukuthi uma uthanda ukuhamba ekamelweni noma emaphasishi.
Umsebenzi uyaqhubeka ngomoya ophansi
Emini. Zonke izisetshenziswa zezokwelapha sezimi ngomumo. UNathalie weza ezophula isikhwama se-amniotic fluid usebenzisa i-membrane yokubhoboza. Lesi senzo esingenabuhlungu sivumela ingane ukuthi icindezele kakhulu emlonyeni wesibeletho futhi isheshise ukuvuleka. Egunjini lokuzalwa, uClarisse noCyril basengajabulela izikhathi zobumfihlo nenkululeko. Isidlali se-CD siyatholakala nasendlini uma befisa ukulalela umculo.
Namuhla, umama ozobazala akusadingeki ukuthi ahlale ebethelwe esigxotsheni sakhe. Angakwazi ukuhlala, asukume futhi athathe isikhundla esimfanele kakhulu. Kwabanye omama abakhulelwe, njengaboMdikoni, angakwazi ngisho ukugeza ukuze aphumule. Kuso sonke lesi sigaba, umbelethisi uhlala evakashela umama ozozala ukuze ahlole ukuqhubeka kokuzala. Uhlola isitho sangasese sowesifazane ukuze alawule ukuvuleka komlomo wesibeletho. Futhi bheka ama-curve okuqapha ukuze uqinisekise ukusebenza kahle kwe-contraction kanye nesimo sempilo yengane. Uma kunesidingo, angakwazi futhi ukulungisa umthamo we-epidural ukuze izimo zokusebenza zikhululeke ngangokunokwenzeka.
Umlomo wesibeletho unwetshiwe
XNUMX:XNUMX pm Kulokhu ikhola isiphakathi ububanzi obugcwele: 10 cm. Ngaphansi komphumela we-contractions, ingane isivele ihileleke kahle e-pelvis. Kodwa ukuze afinyelele lapho aphuma khona, kusafanele adlule emhubheni omude futhi omncane ongaba ngu-9 cm. Ekuqaphelweni, zonke izibani ziluhlaza. U-Clarisse uhlala ekhululekile ekuhambeni kwakhe. Alale ngohlangothi, aphushe, aphefumule ngokufinyela ngakunye. “Njengalapho ufutha ibhaluni”, kuchaza umbelethisi. Bese ubuyela emhlane wakhe bese ubamba imilenze yakhe ukuze unikeze amandla engeziwe ekududuleni kwakhe. Ukubukeka okusha kokuqapha. Konke kuhamba kahle. Umntwana uqhubeka nokwehla. Eguqe embhedeni, kufakwe ibhola elikhulu ngaphansi kwezingalo zakhe, uClarisse usaqhubeka nokuphusha, ngenkathi enyakaza. Ingane manje isifinyelele ku-perineum kamama ngekhanda. Singabona izinwele zakhe. Lesi isinyathelo sokugcina ngaphambi kokuphumela obala.
Ukuxoshwa
Ngokuxoshwa, uClarisse ekugcineni ukhetha ukubuya emhlane wakhe. Umzamo owodwa wokugcina futhi ikhanda liyaphuma, khona-ke wonke umzimba ozizela wona. Umama, esizwa umbelethisi, ubamba indodakazi yakhe encane, uLili, ukuze ayibeke kahle esiswini sayo. Yihora lesine. UCyril ubaba asondele embhedeni. Enyakaza, ebuka intombazanyana yakhe ezisonge isikhumba kunina. Egcwele ubungqabavu, usekhalela phezulu. Okubajabulisayo ukuthi abazali abamboni ngisho umbelethisi osanda kusika inkaba. Isenzo esingenabuhlungu ngokuphelele, ngoba le tube ye-gelatinous ayinayo imizwa. Akhafule kancane uLili. Kulungile, ikhala lakhe nomphimbo kuminyene nje iphlegm. Umbelethisi uyamthatha ayomnikeza usizo lokuqala futhi athembise ukumbuyisa ngokushesha okukhulu. U-Clarisse, emamatheka futhi ekhululekile, uzwa ukufinyela okumbalwa futhi, kodwa kulula kakhulu. Ukucindezela kokugcina ukukhipha i-placenta, futhi ekugcineni kuwukukhululwa. ULili, owaphumelela ukuhlolwa kwakhe kokuqala ngamalengiso, usekutholile kakade ukufudumala kwesisu sikanina ukuze isikhumba sithambile.