Ibhinqa eliye lafumanisa ukuba "ne-pelvic presentation of the fetus" inconywa ukuba ihlale esibhedlele ukususela ekuqaleni kweveki yama-37. Oku kuya kunceda umgqirha-gynecologist ukuvavanya ngokucacileyo imeko yangoku kwaye ukhethe uhlobo olumkelekileyo lokuziswa.
Icandelo le-Caesarean nge-pelvic presentation akuqinisekisi ukuba ukhuseleko olupheleleyo lomama nomntwana. Ngokuqhelekileyo iingxaki ziyi: ukuphoswa kwentloko, ubunzima bayo okanye ukungabi nantoni. Iimeko eziyingozi ziqwalaselwa kwaye kungekudala zikhutshwa i-amniotic fluid. Nangona kunjalo ukuba isikhundla sokuba umntwana esibelethweni sithathwa njengesifo, ukuzalwa okuzimeleyo kunye nokuveliswa kwe-pelvic ye-fetus kunokwenzeka. Nangona kunjalo, oku kufuna ukulawulwa ngokugqithiseleyo kunye namava ogqirha.
Izibonakaliso zendlela yokucwangciswa okucwangcisiweyo kunye neprovicvic
Iindlela ze-Ultrasound kunye ne-palpation zivumela ukucacisa isikhundla se-fetus kunye nendlela ebonakalayo yokubonakala kwayo. Umyalelo wokunyanzeliswa ngokunyanzeliswayo owenziwe nge-pelvic umiselweyo kwiimeko ezinjalo:
- ukuba intloko yomntwana iphonswa ngasemva;
- kukho imvelaphi yelifa;
- ufumene umboniso ophezulu we-pelvic presentation.
Ubukho bokuba naziphi na izifo zingabangela ingozi engenakulinganiswa kumntwana, kunye nokukhokelela ekufeni kwakhe. Ngaphambi kokuba ekugqibeleni niqiniseke ngesidingo sokwenza i-cereus ne-pelvic ye-fetus ye-pelvic, ukubonisana kwezokwelapha kubanjwe, apho zonke iingxaki kunye nokuxhamla kwalo msebenzi zilinganiswa.
Icandelo laseKesariya kunye ne-placenta previa
Isidingo sokusasazeka sivela xa kukho ukuthethelela ngokuthe ngqo kwipentecenta kwisibeleko somlomo. Inkcazo yale ntsholongwane kwiimigangatho zokuqala zesigxina akuthethi ukuba kuyakufuneka ukuba uzalwe ngendlela "yokufakelwa". Ngokuqhelekileyo, i-placenta, njengoko ibele ikhula, ithatha isikhundla sayo. Kungenzeka ngaphambi kokuzalwa. Kwiimeko ezibuhlungu, xa "isitulo somntwana" sigqiba ngokupheleleyo ukuphuma kwi-uterus, i-laarean yenziwa nge-placenta previa.
Icandelo laseKesare kunye nefreech presentation
Ukufakwa kwabantwana abangenayo
Icandelo laseKesariya elinomxholo osasazo
Ukuba isingeniso somoya sisekhona ukubeletha ngokwemvelo, ngoko ke akunakwenzeka ukuba ugweme ukuhlaselwa ngexesha lokuhamba. Iimvavanyo zombelethisi okanye ugqirha ukuthumela umntwana kwindawo efunwayo kubangelwa kukulimala.