Kwizigaba zokuqala zesigxina, xa umntwana usenamithamitha angama-12 kuphela, kwaye ubunzima bawo abugqithisi amagremu angama-400, kukho umboniso ongenakulinganiswa womntwana, njengokuba umntwana ehamba ngokukhululekile kwi-amniotic fluid kwaye ehamba ngokunyanisekileyo. Nangona kunjalo, umfanekiso ushintsha ngokuphawulekayo, ngokukhawuleza ukuba iiveki zokugqibela zentshukumo zifike.
Kwakukho ngeli xesha ukuba izithinteli kunye nababelethi baqala ukuba nomdla kwiindawo ezizinzile zentsana, kuba ukuzalwa akude kude. Ukuhambelana okwaneleyo, okuyimfuneko ekuqaliseni amaqhinga okusombulula umthwalo, umntwana uqala ukubonisa malunga nama-32 ukuya kwe-35 kwiiveki zokukhulelwa, xa ubukhulu bayo bukhulu bukwenza ukuba isibeletho siqine. Kwakungoku ngeli xesha isikhundla sakhe kwisitho socansi asinakwenzeka ukuba sitshintshe ngokwaso, kodwa kusenokwenzeka ukwenza oku ngoncedo loogqirha. Xa inkqubo yokusombulula umthwalo ifinyelele kwixabiso elibalulekileyo, iingcali zichonga ukuba yiyiphi inxalenye yomzimba umntwana ecinezelwe ukuba aphume kwesibeleko, ngaloo ndlela anqumle intsingiselo yakhe.
Iintlobo zentetho yomntwana
Ngokuxhomekeke kwindlela umntwana ahlala ngayo "endlwini" yakhe, umgqirha kunye nodokotela uya kukhetha iindlela zokuphelisa ukukhulelwa kunye nenkqubo yokunikezelwa. Cinga ngeendlela oza kuthatha ngayo umntwana:
- Uboniso obusweni - intloko yomntwana iphonswe ngokukhawuleza, kwaye umntu ucinezelwa ukuba aphume kwi-uterus. Ukuzalwa, kule meko, kuqhubeka ixesha elide kwaye kufuna ukufaneleka kwemfundo yabasebenzi. Iziphumo zobuso bentsholongwane zingabakho: ukuthululwa okungapheliyo kwe-amniotic fluid, i-traumas yomntwana, ukuzalwa komntwana ofayo. Kukholelwa ukuba indlela engcono kakhulu yokuphuma kwimeko iya kuba yinqanaba lekota.
- Intshumayelo ye-Occipital ye-fetus ayikho imbangela yokukhathazeka ukuba umntwana ubeke ibunzi ekuphumeni kwi-uterus. Iimva ziyakwazi ukuphazamisa kakhulu inqanaba yokuzala, okuchaza ukuba kufuneka umgcini-mhlaba. Kucingelwa ukuba ukuhanjiswa kwendalo kuya kunzima kwaye kuthathe ixesha elide.
- Umboniso weBrachial okanye ojikelezayo uyindawo engavumelekanga xa umntwana elala ngokungaqhelekanga kwisibeleko. Iimbangela zokutshintshana okutshintshileyo kwe-fetus zininzi zokuzalwa ngaphambi kokuzalwa okanye ubukho bentlalo yezilwanyana zesisu. Kungenzeka ukuba ngexesha lokusebenza ngumntwana uya kutshintsha isikhundla sakhe. Nangona kunjalo, ngokuphindaphindiweyo kunye ne-oblique isingeniso se-fetus sincoma ukwenza i-dissection.
- Kwimeko ye- pelvic presentation, umntwana usesibilini kwindawo ehleli kuyo. Ukuba izibonda zentsana zixinzelelwe ekuphumeni kwilungu lomzimba, ke le ndawo ibizwa ngokuba yi-gluteal, ukuba imilenze, ngoko sele sithetha ngokuthetha ngomlenze wesisu. Njengomthetho, akukho mfuneko enkulu yokuhlinzwa, kodwa iingxaki kunye nokuhanjiswa kwe-breech zisenokuvela. Ingxaki enzima yeyona nto iyingozi yinkcazo ye-pelvic ye-fetus, iya kuba xa ibhinqa lithwele umntwana oyindoda enkulu, iminyaka yakhe idlulile ngaphaya kweempawu zeminyaka engama-35, unenkathazo enempilo yintliziyo okanye eye yabhekana namathambo amaninzi.
- Inkcazo ye-longitudinal ye-fetus yinto eqhelekileyo kwaye ithetha ukuba umntwana uthathe isikhundla esiphezulu sokuzalwa kwakhe. Intloko icinezelwa ukuba iphume kwi-uterus, eqinisekisa ukuba iimeko eziqhelekileyo zabasebenzi.
Ngomsebenzi wesithintelo, kukho amaxesha apho ukunikezelwa okuphantsi komntwana kufunyaniswa. Kuthetha ukuba unina unengxube engafanelekanga, ukuze umntwana athathe isikhundla sakhe siphezulu kakhulu. Impendulo yombuzo, yintoni esongela ukuveliswa okuphantsi kwe-fetus, kukho ukuphakama okuphezulu, okufuna ukuba uphathwe rhoqo.
Ekuhambeni kwexesha, inkcazo yamanga ye-fetus yenza ukuba kube lula ukukhetha iindlela ezichanekileyo zokuqala kwasebuntwaneni, kunye nokuziphatha komama kunye noogqirha kwinkqubo yokusombulula umthwalo.