Ukuzala
Konke oku kunokugwenywa ngexesha lokubeleka ngokuzenzekelayo: ukuba ibhinqa lihleli okanye likuzo zonke ezine, i-uterus icinezela ngaphantsi kwiinqanawa ezinkulu, ukujikeleza kwe-uteroplacental kuphucula, kwaye umntwana ufumana i-oxygen eyaneleyo. Ngenxa yoko, kungekhona ngexesha lokulwa, okanye ngethuba lokuhamba kwintloko ngedaka lokuzalwa kwisigaba sesibili sokubeleka, umntwana akasongelwa nge-hypoxia-oksijeni yendlala. Isigaba sokuqala sabasebenzi siyashesha. Kungenxa yokuba ngexesha lokubeleka ngokukodwa umfazi unako ukuhamba, kwaye kungekhona nje ukulala phezu kombhede, isisu somntwana kunye nentloko icinezele ngakumbi ngokunyanisekileyo kwaye ngokunyanisekileyo kwingxenyana engaphantsi kwesibeletho nentamo. Ngenxa yoko, i-uterine pharynx ivula ngakumbi ngokufanelekileyo nangokufanelekileyo, kwaye ixesha lokuqala labasebenzi lihamba ngokukhawuleza. Ukuphumelela kwiiyure eziyi-2-3 akuzuzisi nje kuphela kwizigulane, ukunciphisa isigaba sezinto ezibuhlungu, kodwa nangenxa yomntwana, kuba ngexesha lokulwa nganye i-oksijithi iphelelwa ukuza kuye. Umngcipheko wokuba ubelethwe ngumzimba uncitshiswa. Ukuba ubude bexesha eli-1 lokubeleka komzimba linciphisa iiyure eziyi-2-3, isigaba sesibini, ngokuchaseneyo, sanda kancane (malunga nemizuzu engama-20 ukuya ku-30). Oku akuthethi ukuba ukuzalwa komntwana kwiimeko ezingafaniyo kubangela ukuba umama ozayo abe nentlungu. Imiboniso ibonisa ukuba ekumeni okanye ekuhlaleni amabhinqa umntwana uhamba phantsi kungekhona nje ngokuthe ngcembe, kodwa nangaphezulu. Kwaye oku kuthetha ukuba umngcipheko wokufumana ukulimala kokuzalwa uncitshiswa. Ngaphezu koko, kwinqanaba lesibini lezabasebenzi, imisipha yesigxina sesisu, i-back, iplasvic kunye nayo yonke imisipha yamathambo yomsebenzi kamama ozayo ngendlela echanekileyo necacileyo, kwaye, njengoko sele ikhankanywe ngasentla, umfazi uncedwa ngamandla okudalwa kwamandla. Kwaye isigulane senza umgudu ongaphantsi ukuba umntwana azalwe, imisipha yomzimba ye-pelvic ikhululekile, umntwana uhamba ngokulula ngokungena kwinqanaba lokuzalwa kwaye asebenzise amandla angaphantsi. Umama ozayo uyalahlekelwa igazi elincinci (ngexesha lokuzalwa, emva kokuzalwa kuya kufika ku-300 ml). Kwimeko apho umama osemncinci ehleli (kusekuhlaleni kwexesha lesithathu lokugqithisa kokubeleka), i-placenta ihlukanisa ngokukhawuleza kunye nokulahleka kwegazi iyancipha ukuya kwi-100-150 ml. Ngokukhawuleza emva kokuba umntwana azalwe, kwaye intambo yomlomo ayigodli ukutshiza, iya kufakwa kwisisu somama ukuze iqhubekele kwimbilini, ibambe kwaye ithole ubisi.
Ukugxotha
Ngaphantsi kwesisindo somzimba wakhe, usana luhamba ngokukhawuleza ngokusebenzisa umsele wokuzalwa. Umva kunye nemilenze ithatywe ngokukhawuleza, kufuneka uvuke ukuze uphephe okanye ulale kwicala lakho. Ukunceda ugqirha nombelekazi baya kufuna izakhono ezizodwa. Ngexesha leemfazwe kunye nokuzama, le ntokazi ibhala. I-uterus kunye nosana zibonelelwe nge-oxygen. Umama wesikhathi esizayo uyasichukumisa, uzincedise ngezihlunu ze-back and girdle girdle.
Kuzo ezine
Kule ndawo kulula ukuphefumula, inqeni ingakhathali. Ukuxhomekeka ngokuthe ngqo kwizandla nangeenyawo, umama ozayo ulula ukulawula imizamo, ubona iziphumo zomsebenzi wakhe, kuba umntwana uzalwa phambi kwamehlo akhe. Kule ndlela kulula ukuzala abantwana abakhulu. Kuya kuba nzima kunogqirha nombelethisi ukunceda umfazi. Kwaye kule ndawo uza kuyidinga ibhedi ekhethekileyo kunye netafile, mhlawumbi abayi kuba sewadi yokubeletha oye ukhetha. Ibhinqa limi kuzo zonke iine, ixhomekeke kwiingalo zakhe ezigugukileyo kunye namadolo. Esi sigxina sithathwa njengento ebonakalayo yimizimba: ukusebenzisana kwengqondo kunye nokulwa komntwana kwenza ukuba ukukhuthazwa kwakhe kusebenze ngakumbi. Ngexesha eliphakathi kokuphambana kunye nokuzama, isikhulu sogonyamelo singasuswa kwiintendelezo ezandleni.
Ngemuva
Ngexesha lokulwa kunye neengqungquthela, imilenze ingafakwa kwizinto ezixhasayo okanye zixinzeleleke zona, ziguqa ngamadolo, nezandla-zibambe kwizandla zetafile, njengokungathi zidonsa iingcongolo. Umntwana omdala unokusasaza iinqanawa zesisu esiswini, ngenxa yokuba ukujikeleza kwegazi kuphazamiseka, ukusasazeka kwe-oksijeni kunciphisa, umfazi usweleka ngakumbi. Emva koko phakathi kokuchaswa kunye nokuzama ukuba oogqirha bawabeke ecaleni. Ibhinqa lilele emqolo wayo, lisasaze imilenze yayo kwaye iguqa ekhangeni lakhe. Ngezandla zakhe ubambelela kwizandla zokuhambisa. Eli lungiso lwamkelwe kuzo zonke izibhedlele zokubeletha. Kukulungele umama nabasebenzi.
Kuhlala
Ukuba umfazi unenkathazo ngomgudu (umzekelo, i-scoliosis okanye i-tracy of coccyx), kungcono ukuba akhethe indawo ehlukile. Umlenze ongezantsi wowesifazane ugobile emadolweni, kwaye phezulu kwiimeko ezininzi kukho umgca okhethekileyo wetafula yokuhambisa. Ngobunzima bayo, umntwana akawucuceli iinqanawa ezinkulu zesisu esiswini (okwenzekayo ukuba umama uhlala kuphela emva kwakhe ixesha elide).