Fetal Positions For Labor and Birth

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The Fetal Skull

Nzvimbo iyo mwana wako aripo mukati memavhiki ekupedzisira ekudzivirira uye chikamu chekutanga chebasa ichakupa ruzivo rwakanyanya pamusoro pokuti unganyatsobata sei kushungurudzika kwako uye kurwadziwa pamwe nekushanda kwebasa kana nguva yasvika.

Iko kunotanga kunzwisisa kuti mwana anofamba sei kubva pamapepa iwe unoda kuziva zvishoma pamusoro pebhede re fetal. Mafupa emusoro wemwana wako asati asanganiswa, izvi zvinobvumira mapfupa kuti awedzere kana mwana wako achiita nenzira iyo kuburikidza nemapapiro pamagumo ekudzivirira nekushanda. Mitsara inonzi mitsara ye-suture uye inoratidzawo mapainelles kana nzvimbo dzakashata dzedhenya recheche. Pamberi pemusoro wemwana ndiyo chikamu chemukati uye mushure ndicho chikamu chemashure.

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Occiput Anterior (OA) uye Yeft Occiput Anterior (LOA)

Chikamu cheSeft Occiput Anterior (LOA) chinonyanya kuwanikwa mubasa. Iyo inomiririra kusina matambudziko kana kurwadziwa kumwe munguva yebasa kana kuberekwa. Pano musana wemusoro wechecheche unenge uri pakati nepakati pemapapiro nechekumusoro kwekoko kumusoro kuruboshwe rweseri.

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Kuruboshwe kweEpiput Transvers (LOT)

Apo mwana ari kutarisana kunze kwebandauko rorudyi raamai, mwana anonzi ari Kuruboshwe kweEpiput Transvers (LOT). Iyi nzvimbo iri pakati pepaseri uye nzvimbo yekunze. Inogona kuratidza mafambiro akanaka kune chinzvimbo chekare kana mwana akambozivikanwa kuva mushure (mune imwe nzira).

Zvisinei, nechecheche reEftft Occiput Transverse (LOT) munzvimbo yebasa rebasa rinogona kunge rinorwadza uye rinonoka. Kuti kuderedza marwadzo uye kukurudzira mwana kuti arambe achifambisa kune nzvimbo dzekunze, unogona kushandisa nzvimbo dzakasiyana-siyana mubasa:

• Kuchengeta
• Pelvic Tilts
• Simira uye Swaying

Izvi zvinokurudzira mwana kuti aende kune imwe nzvimbo yakanakisisa nekuzarura mapepa akawanda uye kupa humwe rubatsiro pakufamba. Bvunza doula yako, mukoti webasa, muzukuru kana chiremba kuti uwane mamwe mazano.

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Occiput Posterior (OP) uye Left Occiput Posterior (LOP)

Apo mwana wako akarara mumapapiro anotarisana mberi mwana ndiye inonzi occiput posterior position. Apo mwana ari kutarisana mberi uye zvishoma kune kuruboshwe, kuitira kuti mwana aizotarisa kunze kwebandauko rorudyi, zvinonzi uri muChigaro cheSeft Occiput Posterior (LOP). Iyi mharidzo inogona kutungamirira kumarwadzo akawanda kumashure uye kushanda kwenguva pfupi.

Kuti ubatsire kudzivirira kurwadziwa uku, kuderedza marwadzo kana kubatsira kukurudzira mwana wako kuti ave munzvimbo yakanaka pakuberekwa, unogona kushandisa nzvimbo dzakasiyana-siyana, kusanganisira:

• Maoko neKnees
• Lunges
• Pelvic Rocking

Mukuwedzera pakufambisa mwana, zvakananga zvinyaradzo zvinogona kusanganisira:

• Counter kudzvinyirira
• Massage
• Rice Socks (heat packs)
• Cold packs
• Bhati kana kugeza (mvura)
• Movement (swaying, dancing, being on birth ball )

Ichi chinzvimbo dzimwe nguva chinokonzera kushanda kwakadzoka.

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Right Occiput Anterior (ROA)

Yakakodzera Occiput Anterior (ROA) nzvimbo inowanikwa mubasa. Inowanzofananidzira pasina matambudziko kana kurwadziwa kumwe munguva yebasa kana kuberekwa. Pano musana wemusoro wemwana wacho unenge uri pakati nepakati pemapapiro nechekumusoro kwe musoro kumucheto wekona ramai.

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Right Occiput Transvers (ROT)

Apo mwana ari kutarisa kunze kweivo ramai kuruboshwe, mwana anonzi aive Akarurama Occiput Transvers (ROT). Iyi nzvimbo inenge hafu yenzira pakati pekupedzisira uye nzvimbo yekunaka. Inogona kuratidza mafambiro akanaka kune chinzvimbo chekare kana mwana akambozivikanwa kuva mushure (mune imwe nzira).

Zvisinei, nemwana ari muHitendi yeEpiput Transverse (ROT) munzvimbo yebasa rebasa rinogona kunge rinorwadza uye rinonoka. Kuti kuderedza marwadzo uye kukurudzira mwana kuti arambe achifambisa kune nzvimbo dzekunze, unogona kushandisa nzvimbo dzakasiyana-siyana mubasa:

• Kuchengeta
• Pelvic Tilts
• Simira uye Swaying

Izvi zvinokurudzira mwana kuti aende kune imwe nzvimbo yakanakisisa nekuzarura mapepa akawanda uye kupa humwe rubatsiro pakufamba. Bvunza doula yako, mukoti webasa, muzukuru kana chiremba kuti uwane mamwe mazano.

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Right Occiput Posterior (ROP)

Apo mwana wako akarara mumapapiro akatarisana mberi uye zvishoma kune kurudyi, kuitira kuti mwana aizotarisa kunze kwehudyu rezasi, zvinonzi uri muChikwata cheWeight Occiput Posterior (ROP). Iyi mharidzo inogona kutungamirira kumarwadzo akawanda kumashure uye kushanda kwenguva pfupi.

Kuti ubatsire kudzivirira kurwadziwa uku, kuderedza marwadzo kana kubatsira kukurudzira mwana wako kuti ave munzvimbo yakanaka pakuberekwa, unogona kushandisa nzvimbo dzakasiyana-siyana, kusanganisira:

• Maoko neKnees
• Lunges
• Pelvic Rocking

Mukuwedzera pakufambisa mwana, zvakananga zvinyaradzo zvinogona kusanganisira:

• Counter kudzvinyirira
• Massage
• Rice Socks (heat packs)
• Cold packs
• Bhati kana kugeza (mvura)
• Movement (swaying, dancing, being on birth ball )

Ichi chinzvimbo dzimwe nguva chinokonzera kushanda kwakadzoka.

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Nzira Yokutaurira Kupi Mwana Wako Aripo - Leopold's Maneuvers

Leopold's Maneuvers iine maoko emaoko-pane zvipo izvo chiremba wako kana midwife achashandisa kubatsira kubvisa mamiriro emwana wako. Izvi zvinowanzoitwa pahuwandu hwekushanya kwako kwepabonde mumutatu wechitatu . Kana wega wako achiita izvi, iva nechokwadi chekubvunza kuti mwana aripi. Izvi zvinogona kukupa nguva kuti utange kushanda pakuita kuti mwana ave munzvimbo yakanakisisa.

Munguva yekubasa, mukoti wako wekushanda kana mushandi anogona zvakare kutaura nezvakarurama zvakanyanya kuburikidza nekuita zvepabonde kuongorora uye kunzwa nekuda kwemitsetse ye suture yehenya re mwana wako. Muchibereko chechivhadziro inofanira kuve yakanyatsokonzerwa zvakakwana kuitira kuti izvi zviitike. Zvakakosha kuziva kuti vamwe vashandi vane ruzivo rwemhando iyi, zvose zvisati zvaitika uye munguva dzebasa, pamimba uye muchikadzi, kupfuura vamwe. Dzimwe nguva ruzivo rwakanakisisa rwaunogona kuwana ndedze kana mwana wako ari kumusoro kana breech .

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Maziviro Aungaita Kuti Mwana Wako Anotungamirirwa Sei?

Chimwe chinhu icho amai vakawanda vanokanganwa ndechokuti ivo vanowanzova munhu akanakisisa kuti aone kuti mwana wavo aripi mumapapiro. Zvose zvaunoda kuita ndezvokuteerera kuti mwana wako anofamba sei uye iwe unonzwa sei.

Semuenzaniso, uri kutonzwa zvakawanda zvakakanikidzwa here? Unowanzovanzwa kupi? Kwamunofunga kuti kunaka kunokamba, ndiko kwavanoita makumbo emwana wako.

Iye zvino zvibvunze iwe unonzwa sehombe huru, ndege? Izvi zvinogona kunge zvichida musana wemwana wako. Dzimwe nguva unogona kunzwa mwana achisangana naye.

Pamusoro kana pasi pendiza yakadzika iwe uchanzwa bhora rakaoma, zvichida musoro wako mwana kana kuti mhete yakaderera iyo inogona kunge iri pasi pemwana wako.

Iyi nzira inozivikanwawo seBelly Mapping.

> Sources:

> Bamberg C, Deprest J, Sindhwani N, Teichgräberg U, Güttler F, Dudenhausen JW, Kalache KD1, Henrich W. Kuongorora hutatu hwemucheche hunoshanduka panguva yebasa uchishandura magnetic resonance imaging. J Perinat Med. 2017 Apr 1; ​​45 (3): 305-308. doi: 10.1515 / jpm-2016-0005.

> Choi SK, Park YG, Lee da H, Ko HS, Park IY, Shin JC. Kuchengetedza maonero ehutachiona hwemucheche wechipenzi munguva yebasa rekufanotaura kwebasa dystocia nemigumisiro yepininatal. J Matern Fetal Neonatal Med. 2016 Dec; 29 (24): 3988-92. doi: 10.3109 / 14767058.2016.1152250. Epub 2016 Mar 7.

> Gabbe, S, Niebyl, J, Simpson, JL. Obstetrics: Kazhinji uye Matambudziko Okugadzirira. Shanduro yechitanhatu.

> Guittier MJ, Othenin-Girard V, de Gasquet B, Irion O2, Boulvain M. Madzimai akamira panzvimbo yekugadzirisa nzvimbo yepamusoro yekubata pamuviri panguva yekutanga yebasa: chirongwa chinongororwa chisingatarisirwi. BJOG. 2016 Dec; 123 (13): 2199-2207. doi: 10.1111 / 1471-0528.13855. Epub 2016 Jan 24.