Umsebenzi wombelethisi ungudokotela onamakhono achaziwe abekwe yiKhodi Yezempilo Yomphakathi (1). Uchwepheshe we-physiology, umbelethisi angaqapha ngokuzimela ukukhulelwa inqobo nje uma kungazivezi izinkinga. Ngakho-ke, inikwe amandla oku:

• enze izingxoxo eziyisikhombisa eziyimpoqo zokubeletha;
• Memezela ukukhulelwa;
• nquma izivivinyo ezahlukahlukene zokukhulelwa (ukuhlolwa kwegazi, ukuhlolwa komchamo, ukuhlolwa kwe-Down's syndrome, ukukhulelwa ama-ultrasound);
• ukwenza i-obstetric ultrasounds;
• nquma imithi ehlobene nokukhulelwa;
• yenza ukuxoxisana ngaphambi kokubeletha inyanga yesi-4;
• hlinzeka ngamakilasi okulungiselela ukuzalwa.
• emtholampilo wabakhulelwe noma abazimele;
• ngokwenziwa ngasese (2);
• esikhungweni se-PMI.

Lapho nje kuvela ukugula (isifo sikashukela sokukhulelwa, usongo lokubeletha ngaphambi kwesikhathi, umfutho wegazi ophakeme, njll.), Udokotela uyathatha isikhundla. Umbelethisi nokho angakwenza ukunakekelwa okunikezwe ngudokotela.

Ngosuku lwe-D, umbelethisi angaqinisekisa ukulethwa inqobo nje uma ihlala ingokomzimba. Esimeni sezinkinga, uzobiza udokotela, okunguye kuphela ogunyazwe ukwenza izenzo ezithile njengokukhipha izinsimbi (forceps, suction cup) noma ukuhlinzwa. Ngemuva kokuzalwa, umbelethisi unikeza usizo lokuqala kosana olusanda kuzalwa kanye nomama, bese kulandelwa ukubeletha, ukuhlolwa kwangemva kokubeletha, incwadi kadokotela yokuvikela ukukhulelwa, ukuvuselelwa okuphelele.

Njengengxenye yokwesekwa okuphelele, umbelethisi uhlinzeka ngokulandelelwa kokukhulelwa futhi uyakwazi ukufinyelela inkundla yobuchwepheshe ewodini yababelethayo ukuze akwazi ukubelethisa. Ngeshwa, ababelethisi abambalwa abenza lolu hlobo lokulandelela, ngokuvamile ngenxa yokungavumelani nezibhedlela zokubeletha.

Ngokungafani nombelethisi, udokotela wokubelethisa-udokotela wezifo zabesifazane angakwazi ukunakekela ukukhulelwa kwezifo: ukukhulelwa okuningi, isifo sikashukela sokukhulelwa, umfutho wegazi ophakeme, usongo lokuzalwa ngaphambi kwesikhathi, njll. Uhambisa kanzima inkomishi, i-forceps) kanye nezingxenye zokuhlinzwa. Kubizwa futhi nganoma yiziphi izinkinga ngemuva kokubeletha, njengokulethwa kwegazi lokubeletha.

Udokotela wezifo zababelethisi angakwazi ukuzivocavoca:

• enkambweni yangasese lapho eqinisekisa ukulandelwa kokukhulelwa, futhi enza ukubeletha emtholampilo wangasese noma esibhedlela sikahulumeni;
• esibhedlela, lapho eqapha khona ukukhulelwa okuyingozi kakhulu;
• emtholampilo wangasese, lapho ahlola khona ukukhulelwa nokubeletha.

Udokotela ojwayelekile angakwazi ukwenza isimemezelo sokukhulelwa futhi, uma ukukhulelwa kungabikho izinkinga, ukuvakasha kokubeletha kuze kube yinyanga yesi-8. Ngokwenzayo, noma kunjalo, bambalwa omama besikhathi esizayo abakhetha udokotela wabo ojwayelekile wokuqapha ukukhulelwa kwabo. Udokotela ofikayo usenendima azikhethela yona nowesifazane okhulelwe ukwelapha izifo ezincane zansuku zonke, ikakhulukazi njengoba ukuzelapha ngokwakho kufanele kugwenywe ngesikhathi sokukhulelwa kanti ezinye izifo, zimnene ngezikhathi ezijwayelekile, zingabonakala. uphawu lokuxwayisa ngalezo zinyanga eziyisishiyagalolunye. Umkhuhlane ngokwesibonelo kumele ngaso sonke isikhathi kube yindaba yokubonisana. Udokotela ojwayelekile wabe esexhumana naye ngokuzithandela.

Noma ngabe ukukhulelwa kungazivezi kuqala izinkinga, kungenzeka ukuthi kulandelwe udokotela wezifo zabesifazane wasedolobheni lakho futhi ubhalise emtholampilo wangasese lapho esebenzela khona ukuze aqinisekise ukubelethwa. Kwabanye omama besikhathi esizayo, kuyaqinisa impela ukulandela umuntu owaziwayo. Okunye okungenzeka: ukulandelwa ngudokotela wezifo zabesifazane wedolobha lakho nerejista emtholampilo noma kwiyunithi yokubeletha oyikhethile, ngenxa yezizathu ezahlukahlukene: ukusondela, isici sezezimali (ngokuya ngokuvumelana okuhambisanayo, imali yokulethwa kukadokotela wabesifazane emtholampilo wangasese ingaphezulu noma kancane kusekelwa), inqubomgomo yokuzalwa, njll. Ukubonisana ngaphambi kokubeletha kwe-trimester yokugcina kuzokwenziwa ngaphakathi kwesikhungo, esizobe sesithole ifayili lokukhulelwa kudokotela wezifo zabesifazane.

Abanye omama besikhathi esizayo bakhetha ngokushesha ukulandelwa ngumbelethisi okhululekile, egcizelela indlela yabo yezokwelapha encane, ukulalela okukhulu, ikakhulukazi kuzo zonke izifo ezincane zokuphila kwansuku zonke, nokutholakala okwengeziwe - kodwa akuwona umbuzo lapho imibono ezithobayo. Isici sezezimali singabhekwa futhi: iningi lababelethisi banenkontileka emkhakheni 1, ngakho-ke abadluli imali ekhokhwayo.

Uhlobo olufunayo lokubeletha nalo luyacatshangelwa lapho kukhethwa udokotela. Ngakho-ke omama abafisa ukubeletha ngokomzimba bazophendukela kalula kumbelethisi ovulekile, noma ekulandeleleni ekunikezelweni kweyunithi yokubeletha, ngokwesibonelo, isikhungo somzimba.

Kepha ekugcineni, into ebaluleke kakhulu ukukhetha umuntu ozethemba kuye, ozobuza kuye noma yimuphi umbuzo noma aveze ukwesaba kwakho mayelana nokukhulelwa nokubeletha. Isici esisebenzayo kufanele futhi sinakwe: udokotela kufanele atholakale kalula ngesikhathi sokuqokwa noma ngocingo uma kwenzeka kuba nenkinga, futhi kufanele kube nokwenzeka ukuya kukubonisana kalula, ikakhulukazi ku-trimester yokugcina lapho kuba nzima kakhulu. uuku ngcebeleka. .