Gabatarwar isarwa

Gabatarwar isarwa tana bayanin yadda aka daidaita jariri don sauko mashigar haihuwa don haihuwa.

Dole ne jaririn ku ya ratsa ƙasusuwan ku na cinya don isa buɗewar farji. Sauƙin da wannan hanyar zata gudana ya dogara da yadda aka sanya jaririn a yayin haihuwa. Matsayi mafi kyau ga jariri ya kasance don wucewa ta ƙashin ƙugu shi ne tare da kai ƙasa kuma jiki yana fuskantar wajen bayan uwar. Wannan matsayi ana kiransa occiput gaba (OA).

A cikin yanayin iska, gindin jaririn yana fuskantar ƙasa maimakon kan. Mai ba ku kiwon lafiya mafi yawanci zai gano wannan a ziyarar ofis kafin fara aikin ku. Yawancin jarirai za su kasance a cikin yanayin ƙasa da makonni 34.

Wani ɓangare na kulawar ku na farko bayan makonni 34 zai ƙunshi tabbatar da cewa jaririn yana cikin yanayin ƙasa.

Idan jaririnka yana iska, to ba shi da aminci don haihuwa ta farji. Idan jaririnku baya cikin yanayin ƙasa bayan sati 36, mai ba ku sabis zai iya bayyana zaɓinku da haɗarinsu don taimaka muku yanke shawarar matakan da za ku ɗauka a gaba.

A matsayi na gaba na occiput, kan jaririnka yana ƙasa, amma yana fuskantar gaban uwar maimakon ta baya.

Yana da lafiya don haihuwar jariri yana fuskantar wannan hanyar. Amma yana da wahala ga jariri ya ratsa ta ƙashin ƙugu. Idan jariri yana cikin wannan matsayin, wani lokacin yakan jujjuya yayin haihuwa domin kai ya zauna kuma jiki yana fuskantar bayan uwar (OA position).

Mahaifiyar na iya tafiya, dutsen, kuma gwada wurare daban-daban yayin haihuwa don taimakawa jariri ya juya. Idan jaririn bai juya ba, nakuda na iya daukar dogon lokaci.Wani lokaci, mai ba da sabis na iya amfani da ƙarfi ko na'urar motsa jiki don taimakawa fitar da jaririn.

Jariri a cikin yanayin wucewa yana gefe. Sau da yawa, kafadu ko baya suna kan wuyan mahaifa. Wannan kuma ana kiranta kafada, ko matsattse, matsayi.

Haɗarin samun jariri a cikin maɗaukakin matsayi yana ƙaruwa idan kun:

• Shiga nakuda da wuri
• Sun haihu sau 3 ko sama da haka
• Shin previa previa

Sai dai idan jaririnku za a iya juya shi zuwa matsayin ƙasa, haihuwar farji zai zama da haɗari sosai a gare ku da jaririn. Wani likita zai ba da haihuwar jaririn ta hanyar haihuwa (C-section).

Tare da matsayin brow-first, kan jaririn ya fadada baya (kamar neman sama), kuma goshin yana jagorantar hanya. Wannan matsayin zai iya zama gama gari idan wannan ba shine cikinku na farko ba.

• Da wuya mai ba ku sabis ya gano wannan matsayin kafin aiki. Wani tayi zai iya tabbatar da gabatarwar brow.
• Wataƙila, mai ba da sabis ɗinku zai gano wannan matsayin yayin da kuke nakuda yayin gwajin ciki.

Tare da matsayin farko-farko, an miƙa kan jaririn a baya har ma fiye da yadda ya kamata ya kasance a matsayi na farko.

• Mafi yawan lokuta, karfin maƙura yana sa jariri ya kasance a farkon-fuska.
• Hakanan ana gano shi lokacin da aiki bai ci gaba ba.

A wasu daga cikin waɗannan gabatarwar, haihuwar farji abu ne mai yiwuwa, amma aiki zai ɗauki tsawon lokaci. Bayan haihuwa, fuskar jaririn ko kuzarinsa zai kumbura kuma yana iya bayyana rauni. Wadannan canje-canjen zasu tafi nan da yan kwanaki masu zuwa.

Ciki - gabatarwa; Aiki - gabatarwa; Occiput na baya; Occiput gaban; Brow gabatarwa

Lanni SM, Gherman R, Gonik B. Gabatarwa. A cikin: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obetetrics: Ciki da Ciki. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 17.

Thorp JM, Grantz KL. Fannonin asibiti na aiki na al'ada da na al'ada. A cikin: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy da Resnik na Maganin Uwar-Gida: Ka'idoji da Ayyuka. 8th ed. Philadelphia, PA: Elsevier Saunders; 2019: babi na 43.

Vora S, Dobiesz VA. Haihuwar gaggawa. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: babi na 56.

• Haihuwa