Nhamba shoma yevakadzi inosarudza kuberekera kumba, kumba, nanyamukuta. Kusununguka kumba kunoenda sei? Zvine ngozi here pane kuzvarira muchipatara? Zvamunoda kuziva nezvekuzvarwa kumba.

Kutya kubvisirwa imwe yenguva dzinofadza dzekuvapo kwavo, chido chekuberekera mwana wavo panzvimbo yake, kurarama nguva yekuzvarwa chete nababa nanyamukuta… Hezvino zvikonzero zvinotsanangura kusarudzwa kwevanaamai vamangwana. kuzvarira kumba. Ivo vashoma kwazvo muhuwandu: isingasviki 1% yevana vanozvarwa muFrance.

Ndiani angazvarira kumba?

Kuzvarirwa kumba kwakarongwa kuzvarwa kumba. Mukuwedzera kune chido chevabereki, mitemo yakawanda inofanira kusangana:

• Amai vanofanira kunge vaine hutano hwakanaka vasati vabata pamuviri (hapana chirwere cheshuga kana hypertension somuenzaniso)
• Mimba iri kufamba zvakanaka chose: hapana gestational chirwere cheshuga, high blood pressure, kubuda ropa ...
• Mimba yapfuura uye kuzvara kunofanira kufamba zvakanaka
• Nhumbu inhumbu ye singleton (mwana mumwechete) ane mwana mumwe chete anouya akatsikitsira
• Kuzvarirwa kumba kunofanira kuitika pakati pemasvondo makumi matatu nemanomwe kusvika makumi mana nemaviri.

Ongorora: Chero pathology panguva yekuzvitakura inofanirwa kutungamira mukubvunzana kana kuendeswa kune imwe nyanzvi. Kana gestational chirwere cheshuga kana high blood pressure ikaonekwa, kuongororwa kwechiremba kunosungirwa. Chirongwa cheDAA chinofanira kusiiwa.

Mudzimai anenge achida kusunungukira kumba anonyeverwa nezvenjodzi dziripo uye anoudzwa nezvekudiwa kunobvira kwekuendeswa kuchipatara chemadzimai kana pane matambudziko panguva yekusununguka.

Kuberekera kumba chikamu chenzira yerutsigiro rwakakwana: ndiye mumwechete nyamukuta ane rusununguko achaita kuti kutevedzana kwepamuviri nekusununguka, kutevera kwekuzvara uye mushure mekusununguka. Vananyamukuta vakasununguka vanoita maDAA vakanyorwa neNational Association of Liberal Midwives (ANSFL).

Vaviri vanoda kutevera pamuviri uye kusunungukira kumba vanofanira kutsvaga nyamukuta akasununguka achidzidzira maDAA kubva pakutanga kwenhumbu. Kana zvisungo zvekupa mvumo yeDAA zvazadzikiswa, nyamukuta anopa ongororo yemunhu panguva yese yekuzvitakura, aripo pakusununguka uye anopa kutevera mushure mekusununguka.

Cherechedzo: Sangano reNational Association of Liberal Midwives (ANSFL) rakagadzira gwaro rekuzvarirwa kumba.

Iyo yakasununguka nyamukuta inovimbisa kuteverwa kwepamuviri mukati megadziriro yerutsigiro rwepasi rose. Kutevera uku kwakafanana nekwaiitwa nachiremba kana nyamukuta: kubvunzana kwevasati vasununguka uye maultrasound (zvinorairwa nanyamukuta). Nyamukuta mukati mehurongwa hweAAD anopawo makosi ekugadzirira kuzvara.

Apo amai vanova baba vanotanga kurwadziwa, vanoshevedza nyamukuta anomutevera. Izvi zvinovimbisa kuvapo panguva yose yekusununguka.

Epidural anesthesia hazvigoneki (zvinoda chiremba weanotindivadza). Nyamukuta anogona kupa masaja kuti abvise marwadzo ekuzvimba.

Kuendeswa kuchipatara chepedyo chekuberekwa kunogona kuitwa nokuda kwezvikonzero zvekurapa (mucheche ari kurwadziwa somuenzaniso) asiwo kana marwadzo asingatsigirwi naamai kana kana vabereki vachikumbira.

Kuberekera kumba: kutevera mushure mekusununguka

Nyamukuta akaita mbereko kumba anotarisisa mukadzi achangobva kusununguka uye mwana achangozvarwa kwemaawa maviri. Iye ndiye anoita rubatsiro rwekutanga rwemwana, uye kunyangwe iye anoita zvekutevera mushure mekuzvarwa kwaamai nemwana wavo, kwevhiki (kushanya kwake kunofukidzwa neSocial Security kwemazuva manomwe).

Kuitika kwenjodzi inotyisidzira hupenyu (kubuda ropa panguva yekuzvitakura kunyanya) uye njodzi dzine chekuita nekunonoka kwekutamisa. Njodzi huru dzinoramba dzakabatana nenguva refu yekupindira kwekurapa. Ngozi yacho yakakura sezvo chimiro chechipatara chiri kure.

Kuzvarirwa kumba hakukurudzirwe neKoreji yeFrench Obstetricians uye Gynecologists kana neCollege of Midwives.