Okuqukethwe
Ukunwebeka: isikhathi sokufinyela
Isigaba sokuqala odokotela noma ababelethisi abasibizayo “Umsebenzi”, Ibonakala ngokuvela kwe izinhlangothi. Lezi ekuqaleni zinomphumela we nciphisa umlomo wesibeletho okuvamise ukuba ngu-3cm ubude. Bese, ikhola iyavuleka (“uyafiphala”) kancane kancane aze afike ububanzi obuyi-10 cm. Lesi sikhala esanele sokuvumela ikhanda lomntwana lidlule. Lesi sigaba sokuqala sithatha isilinganiso samahora ayishumi, ngoba sibala isentimitha elilodwa ngehora.
Kodwa empeleni amasentimitha ambalwa okuqala avame ukuhamba kancane futhi ijubane likhuphukela kokugcina. Yingakho ithimba lababelethisayo likweluleka ukuba wenze kanjalo kufika kuphela lapho ukufinyela sekujwayelekile futhi kusondelene, ukuze ukunwetshwa okungenani kube ngu-3 cm.
Ukulawula ubuhlungu lapho umlomo wesibeletho unwebeka
Ukufinyela kuvame ukuba buhlungu ngoba kunjaloumsebenzi wemisipha ongavamile. Wonke umuntu usabela ngendlela ehlukile kulo muzwa. Ubude balesi sigaba budlala indima ebalulekile: uma sisinde, amandla esinawo ayancipha ukubekezelela ukufinyela. Abafisayo bangacela a ukuqeda, i-analgesia yendawo eqeda ubuhlungu. Kusukela enganeni yesibili, umlomo wesibeletho uba mfushane futhi ufiphele kanyekanye. Yingakho lesi sigaba sivame ukuba sifushane.
Mxoshwe : ingane ifika
Lapho ikhola ivulekile ku-10 cm, ikhanda lomntwana lizokwazi ukungenela umsele wesitho sangasese sowesifazane. Usenomhubhe omncane ongaba amasentimitha angu-7 kuya kwangu-9, ngaphambi kokubona ukukhanya kosuku. Ngayinye inesigqi sayo. Abanye bazalwa ngokushesha okukhulu, emizuzwini eyi-10 ngokulambisa, kanti abanye bathatha izingxenye ezintathu kwezine zehora ukulinda. Lokhu akuyona into okufanele sikhathazeke ngayo.
Uma wakho umntwana usesihlalweni (4% wamacala), kwenzeka ezinyaweni noma ezinqeni ngakho-ke akulona ikhanda elehla kuqala, kodwa umzimba ophansi. Lokhu kwenza lesi sigaba sithambile kancane futhi ngokuvamile lokhu kuzalwa kudinga ukuba khona kodokotela abanolwazi noma ababelethisi, njengoba ezinye izindlela zokubelethisa zidingeka ngezinye izikhathi.
Ukwelula i-perineum ngesikhathi sokuxoshwa
Kungesikhathi sokuxoshwa lapho i- i-perineum, umsipha ozungeza isitho sangasese sowesifazane, welulelwe uze ufike phezulu. Ingase idabuke ngaphansi kwengcindezi, noma i-episiotomy ingenziwa uma udokotela noma umbelethisi ebona kudingekile. Ukuze ugweme lezi ziphazamiso ezimbili, kungcono ukulandela iseluleko esinikezwe ngaleso sikhathi, ukusunduza ngaphandle kokuphoqa.
Ukulethwa: ngaphansi kweso elibukhali
Cishe ngemva kwemizuzu engu-15 kuya kwengu-20 umntwana ezelwe, ukufinyela kwesibeletho kuyaqala futhi. Kusele ukususa placenta, leli “khekhe” elimbozwe imithambo yegazi elalivumela ukushintshaniswa komoyampilo nezakhi phakathi kukamama nomntwana ngesikhathi sokukhulelwa. Uyobe usuphusha futhi, kanye nje.
Ukopha ngemva kokubeletha kuyinto evamile ngokuphelele njengoba imithambo yegazi okwakuxhunywe kuyo i-placenta ayikavaleki. Ngokushesha kakhulu, bayafinyela futhi ukulahlekelwa kwegazi kuzokwehla. Kucatshangwa ukuthi kukhona ukopha uma umthamo wegazi elahlekile ufinyelela ku-500 ml.