Kana iwe uine chekuvhara , iwe ungave uchizvibvunza iwe kana mupiro wako ane hutano neVBAC (kubereka kuberekwa mushure memasikati). Kutora nguva musati mamuviri wako kuti ukurukure kuberekwa kwako kunogona kukubatsira kuisa iwe nemupiro pane peji rimwechete uye nekukutarisa iwe kana uchida kuchinja vanachiremba kana vananyamukuta. Kuita chisarudzo kare kunoreva kuti iwe hauna kuvharwa muzvisarudzo nezuva rako rakakodzera pakona.
Yeuka kuti ACOG (American Congress of Obstetrics uye Gynecology) inotaura kuti kuedza kwebasa ndekwekusarura uye kwakasarudzwa kusarudzo kune vanaamai vakawanda vane kuberekwa kusati kwaitika.
Kutaura Nomutariri Wako NezveVBAC
Zvinhu zvekutanga kutanga: bvunza vashandi vako manzwiro avo nezveVBAC. Zvinhu zvaunoda kunzwa ndezvekukurukurirana nezvezvipingamupinyi, zvinobatsira, uye dzimwe nzira dzekuberekwa kwepabonde mushure mekusiya. Chiremba wako kana muchecheti anodawo kukurukura nezvengozi, zvikomborero uye dzimwe nzira dzekudzokorora chikamu chekusiya. Zvinogona kusanganisira mafiroso avo pachavo kana kuti nei vachifunga nenzira yavanoita. A nodhonza kusvika muna 2010 ACOG Guidelines pamusoro peVaginal Birth After Mushure Kumwe kana kuti Kesariya yakawanda ingaratidzawo kuti mushandi wako ari kushandisa humwe uchapupu hunotsvaga. Zvitsvuku zvinoputika zvinogona kuva: chiremba wako anoshandisa mirayiridzo yekare yekuita kuti akurukure VBAC newe, chiremba wako anoedza kukutyisidzira kana kungokupa nyaya dzega dzeVBAC newe.
Zvadaro, bvunza vashandi vako vhidhiyo yavo yeVBAC. Iwe unoda kuziva kuti vangani vakadzi mugore rekupedzisira vakaedza kuedza kwebasa mushure mokunge vaita basa ravo. Kutsvakurudza kunotitaurira kuti kune vakadzi vanoedza kubata pamuviri mushure mokusiya, 70% ichabudirira. Kana iwe ukaona kuti vakadzi vashomanana chete mukuchengetwa kwachiremba wako vakaedza, zvinogona kunge nokuti iwe unyanzvi wako akazvitaura kubva payo pakuguma kwekuzvitakura kwavo.
Kubva kune avo vakaedza VBACs, vangani VBACs vane chiremba wenyu pachavo vakapinda mugore rapera? Zviri nyore kuti chiremba ataure hurukuro, asi nhamba dzinokuudza iwe kana chiremba wako anofamba kufamba.
Dzidza mirayiridzo yako yehutano pamusoro pehurefu hwehutano nekusarudza kwekunyora, kana iwe uchida imwe. Vamwe vanachiremba uye vananyamukuta vanongobvumira muedzo webasa mushure mokusiya basa kana kubasa kunotanga zvisikwa ne 38 (kana 39, 40 kana masvondo 41.) Iyi mitemo inenge isingatsigiri chinangwa chako. Maererano neAACOG, kutora mimba kunogara kwenguva refu kupfuura masvondo makumi mana haisi chikonzero chekuzvitsvaga kwekuzvidzorera izvozvi. Kunyange zvazvo kudzivisa kusarudzwa kwekuzvisarudzira ndicho chisarudzo chine utano kune iwe nemwana wako, kana zviitiko zvekurapa zvinoda kuitika panguva yaunenge uine pamuviri, iwe unoda kuziva zvirongwa zvechiremba wako. Kunyangwe zvazvo ACOG inoshandiswa nhepfenyuro inotsanangura kuti kuburitswa uye kuwedzerwa kunoramba kuri sarudzo kune avo vanotarisana nemuedzo webasa, vanachiremba vazhinji vanoramba kuisa izvi mumitemo yavo yekuita.
Tsvaga nezvemaitiro ekuberekwa. Kana ukasarudza muedzo webasa mushure mokunge uchinge warega, iwe uchafanira kubereka kupi? Ko mushandi wako anoenda kuVBACs mubasa rinowanzoshanda uye muchivako kana kuti VBAC inoda kuberekera muimba yekushanda here?
Ndeupi rudzi rwekuongorora iwe unoda iwe? Chiremba wako anokurudzira kufamba-famba muimba yebasa here? Ndeapi mararamiro anonyaradza aunoita anoshanda?
Kubvunza Vamwe Vanaamai Nezvezvakaitika
Kumbira vamwe vanaamai nezvezviitiko zvavo nevarapi vako. I International International Cesarean Awareness Network (ICAN) inyanzvi yekutarisira vanaamai. Kupinda musangano kana kujoina nharaunda yeInternet munharaunda yako kunogona kukubatsira kunzwa nyaya chaiye kubva kuna vanaamai chaivo. Zvose zviri muimba yekuongorora ndiyo inoretical. Zvaunokuudza iwe zvinokupa ruzivo pamusoro pemutambo wavo.
Ndezvipi zvimwe vanaamai vanoona zvinogona kuva ruzivo rwakakosha.
Teerera kune yako intuition. Ko mushandi wako akakuratidza iwe zvinyorwa zvekuti havasi kuzokutsigira muchisarudzo chako kune VBAC here? Iwe unonzwa here kuti vanofunga kuti ichi chisarudzo chakaipa pasinei nouchapupu hunotsigira chisarudzo chako? Inzwi yako inowanikwa kune chikonzero. Kana mabhogi matsvuku ari kubuda iwe, bvunzurudza vamwe vanachiremba nevanyamukuta. Chinhu chimwe chete chinobvunzurudza vamwe vanotarisira vanogona kuita ndechokupa rubatsiro rwechisarudzo chako chekusiya kana kugara nemuranda wako.
Kunobva:
Kuberekwa kwemazamu mushure mekunge kusununguka kwekuvhara. Dzidzira Bulletin Nha. 115. American College yeVokuvhiya uye Gynecologists. Obstet Gynecol 2010; 116: 450-63.