Kufamba Kurudyi Pamwe Pamwe: Fetal Station muLabour uye Dhirivhari

Zvemukati

• Chii chinonzi fetal station?
• Kusarudza chiteshi chemwana wako
• Fetal chiteshi chati
• Nei fetal station ichiyerwa?
• Zvayakanakira
• Nezvayakaipira
• Fetal chiteshi uye Bishop chikamu
• Kutora

Chii chinonzi fetal station?

Paunenge uchienda kuburikidza nebasa, chiremba wako anoshandisa mazwi akasiyana kutsanangura mafambiro ari kuita mwana wako kuburikidza negwara rekuzvarwa. Rimwe remashoko aya i "chiteshi" chemwana wako.

Fetal chiteshi inotsanangura kuti yakadzika zvakadii pasi pemusoro wemwana wako waburukira mukati mako.

Chiremba wako anotarisa fetal station nekuongorora chibereko chako uye nekuona kuti chikamu chepasi checheche chako chiri chei nechepachiuno chako. Chiremba wako anozopa nhamba kubva -5 kusvika +5 kurondedzera panowanikwa chikamu chemwana wako (kazhinji musoro).

Iyi nhamba inomiririra huwandu hwemasendimita mwana aburukira muchiuno.

Kusarudza chiteshi chemwana wako

Chiremba anowanzoita cheki yemuberekero kuti aone kuti cervix yako yakakura zvakadii uye kuti mwana wako akatamira pasi zvakadii.

Chiremba wako anozopa nhamba kubva -5 kusvika +5 kutsanangura kuti mwana wako aripi maererano neiyo ischial spines. Iyo ischial spines ndeye bony protrusions iri mune yakatetepa chikamu chepachiuno chako.

Munguva yekuongororwa kwemukadzi, chiremba wako achanzwira musoro wemwana wako. Kana iwo musoro wakakwira uye usati wabatanidzwa mumukoto wekuzvarwa, unogona kuyangarara kure neminwe yavo.

Panguva ino, fetal station i -5. Kana musoro wemwana wako wakaringana neiyo ischial spines, fetal chiteshi zero. Kamwe kana musoro wemwana wako wazadza kuvhurika kwechikadzi, nguva pfupi asati azvarwa, chiteshi che "fetal" +5.

Kuchinja kwega kwega muhuwandu kunowanzoreva kuti mwana wako aburukira imwe masentimita muchiuno chako. Nekudaro, kugovera iyo nhamba kufungidzira.

Kazhinji anenge mavhiki maviri asati asununguka, mwana wako anowira mumugwagwa wekuzvarwa. Izvi zvinonzi "kuvimbiswa." Panguva ino, mwana wako anenge ari pachiteshi 0. Kudonha uku mumukoto wekuzvarira kunonzi kupenya.

Iwe unozonzwa yakawanda nzvimbo yekufema kwakadzika, asi dundira rako rinogona kumanikidzwa saka iwe uchafanirwa kuita weti kazhinji. Kazhinji, zvishoma weti zvakajairika. Ona chiremba wako kana paine kurwadziwa kana kutsva paunenge uchiita weti.

Fetal chiteshi chati

Fetal chiteshi chinogona kuve chakakosha kuna chiremba sezvo iyo American Congress yeZvekuzvimba uye maGynecologists isingakurudzire kuendesa kwekumanikidza kunze kwekunge mwana afambira mberi kune chimwe chiteshi.

Vanachiremba vanoyera fetal station pachiyero kubva -5 kusvika +5. Vamwe vanachiremba vanogona kushandisa -3 kusvika +3. Kazhinji, zvinotevera zviratidzo zvinoenderana ne fetal station:

Misiyano yenhamba kubva -5 kusvika -4, zvichingodaro, zvakaenzana nekureba nemasendimita. Kana mwana wako achifamba kubva pazero chiteshi kuenda ku1 chiteshi, ivo vafamba ingangoita 1 sentimita.

Nei fetal station ichiyerwa?

Fetal chiteshi chakakosha kuongorora. Inobatsira vanachiremba kuongorora kuti basa riri kufambira mberi sei.

Zvimwe zviyero izvo chiremba wako anogona kufunga nezvazvo zvinosanganisira remuromo remuromo, kana kuti wakawanda sei chibereko chako chakawedzera kuti mwana wako apfuure, uye remuromo kubviswa, kana kuti mutete sei chibereko chako chave kusimudzira kuburitsa.

Nekufamba kwenguva, kana mucheche asiri kufambira mberi kuburikidza nemuromo wechibereko, chiremba angangoda kufunga nezve kuburitswa necarearan delivery kana nerubatsiro rwezviridzwa senge forceps kana vacuum.

Zvayakanakira

Cervical kuongororwa kuti uone fetal station inogona kukurumidza uye isingarwadzi. Iyi nzira inoshandiswa kuona kuti mwana ari kufambira mberi sei kuburikidza negwara rekuzvarwa. Ichi chiyero chinowanzo kuve chimwe chezvakawanda icho chiremba chingashandise kuona kuwedzera kwebasa.

Imwe nzira yekuongororwa kwechibereko che fetal station iri kushandisa muchina we ultrasound, uyo unoshandisa masaisai ezwi kuona chinzvimbo chemwana.

Zvinoenderana neongororo yakaburitswa mupepanhau, ultrasound inowanzo shanda sekuzviongorora wega kuona chinzvimbo chemwana.

Vanachiremba vangasarudza kushandisa chishandiso chekufungidzira seimwe nzira kana nzira yekusimbisa izvo zvavanoona seye fetal chiteshi.

Nezvayakaipira

Imwe yematanho angangovapo pakushandisa fetus chiteshi ndechekuti chipimo chekuzviisa pasi. Chiremba wega wega anogadza kutsunga kwavo kwe fetal chiteshi pane kwavanofunga kuti ischial spines iri.

Vanachiremba vaviri vaigona vese kuitisa bvunzo yemuchibereko kuyedza kuona fetal station uye nekuuya nenhamba mbiri dzakasiyana.

Zvakare, kutaridzika kwechiuno kunogona kusiyana kubva kumukadzi kusvika kumukadzi. Vamwe vakadzi vanogona kunge vane mapfupi mapfupa, ayo anogona kuchinja nzira iyo chiremba angawanzo kuyera fetal chiteshi.

Chimwe chikonzero chiremba wako angangoda kushandisa chenjera nekushandisa fetal chiteshi ndechekuti yakawanda kwazvo bvunzo dzechikadzi dzinoitwa apo mukadzi ari mukubereka anogona.

Izvo zvakare zvinogona kuti mucheche anogona kunge ari munzvimbo inozivikanwa se "kumeso" mharidzo. Izvi zvinoreva kumeso kwemwana, pachinzvimbo chekuseri kwemusoro wavo, ari kunongedza pamberi pechiuno chaamai.

Maumbirwo emusoro wemwana pachinzvimbo ichi anogona kukonzeresa chiremba kuti afunge kuti mwana ari kumberi pasi pegwara rekuzvarwa kupfuura zvavari chaizvo.

Fetal chiteshi uye Bishop chikamu

Fetal chiteshi ndechimwe chezvinhu zvezvikamu zveBhishopi mamaki. Vanachiremba vanoshandisa ichi chiratidzo chehurongwa kuti vaone kuti zvinobudirira sei kuburitswa kwevashandi kuri kuenda uye mukana wekuti iwe unozogona kuburitsa kusangana nekutsi kwemukadzi kana kuda kuitirwa cesarean delivery.

Izvo zvikamu zvishanu zvebhishopi mamaki ndeaya:

• Kupora. Yakayerwa mumasentimita, kuderedzwa kunotsanangura kukura kwechibereko chechibereko.
• Kubudirira. Inoyerwa muzana, kubvunda chiyero chekuti wakaonda sei uye wakareba sei cervix iri.
• Chiteshi. Chiteshi ndiko kuyerwa kwemwana anoenderana neiyo ischial spines.
• Kusachinja-chinja. Kutangira pane yakasimba kusvika pakunyorova, izvi zvinotsanangura kuenderana kwechibereko chechibereko. Iyo cervix yakapfava, iri padyo nekusununguka mwana.
• Chinzvimbo. Izvi zvinotsanangura chinzvimbo chemucheche.

Zvibodzwa zveBhishopi zvisingasviki zvitatu zvinoreva kuti haukwanisi kuendesa pasina imwe nzira yekunyorwa, semishonga yakapihwa kusimudzira contractions. Chibodzwa cheBhishopi chakakwira kupfuura masere chinoreva kuti ungangoburitsa zvega.

Chiremba anozopa mamakisi anotangira pa0 kusvika matatu pakumisikidza kwakaparadzana. Chikamu chakaderera pane 0, uye chepamusoro chiri gumi neshanu.

Nzira idzo vanachiremba vanowana nadzo izvi zvinotevera:

Vanachiremba vanogona kushandisa zvibodzwa zvaBhishopi kururamisa mamwe marapirwo, sekumisikidzwa kwevashandi.

Kutora

Nepo chiteshi che "fetal" chingave chisina kujeka, uye zviyero zvinogona kusiyana kubva kuna chiremba kuenda kuna chiremba, chakakosha chikamu chekuongororwa kwachiremba wako nezvekuti basa rako riri kufambira mberi sei.