Yug Los Hauv Tsev Tom Qab Cesarean (HBAC): Yam Koj Yuav Tsum Tau Paub

Zoo Siab

• Tshawb fawb zoo li cas?
• Cov txiaj ntsig ntawm HBAC
• Kev phom sij ntawm HBAC
• Ib tug poj niam zaj dab neeg
• Koj puas yog ib tus neeg sib tw rau HBAC?
• Cov nqa mus

Koj yuav tsum paub txog lub sij hawm VBAC, lossis yug me nyuam hauv chaw mos tom qab phais mob. HBAC sawv cev rau kev yug menyuam hauv tsev tom qab phais menyuam. Nws yog qhov tseem ceeb VBAC ua rau lub hnub yug hauv tsev.

VBACs thiab HBACs yuav raug muab faib ntxiv los ntawm tus naj npawb ntawm cov khoom xa khoom ua ntej. Piv txwv, HBA1C yog hais txog kev yug menyuam tom tsev tom qab ib leeg phais, hos HBA2C yog hais txog kev yug menyuam hauv tsev tom qab ob leeg phais.

Muaj kev nyiam sib cav ob leeg rau thiab tawm tsam HBACs.

Nws yog ib qho tseem ceeb kom nco ntsoov tias cov lus qhia teeb tsa los ntawm American College ntawm Obstetricians thiab Gynecologist pom zoo tias VBACs yuav tsum muaj nyob rau hauv tsev kho mob. Cia saib ntawm qee qhov zoo, kev pom zoo, thiab lwm yam xwm txheej los txiav txim siab thaum koj npaj koj hnub yug.

Tshawb fawb zoo li cas?

Cov kws tshawb fawb hauv Tebchaws Meskas tau tshaj tawm txog 1,000 tus HBAC hauv xyoo 2008, nce ntxiv ntawm 664 xyoo 2003 thiab tsuas yog 656 nyob rau xyoo 1990. Xyoo 2013, tus lej tau nce mus txog 1,338. Thaum tseem muaj tsawg, HBACs zoo li tau nce zuj zus nyob rau txhua xyoo, uas cov kws tshawb nrhiav tau lees paub txog kev txwv VBAC nyob hauv tsev kho mob.

Yuav ua cas rau cov nqi kawm tiav? Ib txoj kev tshawb fawb kuaj 1,052 tus pojniam sim HBAC. Feem pua ​​ntawm VBAC vam meej yog 87 feem pua ​​nrog lub tsev kho mob hloov mus 18 feem pua. Txhawm rau sib piv, txoj kev tshawb no kuj tau soj ntsuam 12,092 cov poj niam sim xa khoom hauv tsev yam tsis muaj kev phais mob yav dhau los. Lawv lub tsev kho mob hloov mus tsev tsuas yog 7 feem pua. Cov laj thawj feem ntau ntawm kev hloov chaw yog qhov ua tsis tiav.

Lwm txoj kev tshawb fawb qhia tawm tias cov kev ua tau zoo feem ntau yog nruab nrab ntawm 60 txog 80 feem pua, nrog rau ntau tshaj plaws los ntawm cov tib neeg uas twb tau muaj tsawg kawg ib qhov kev vam meej qhov chaw mos yug.

Cov txiaj ntsig ntawm HBAC

Xa koj tus menyuam mos vaginally tsis siv los ntawm kev txiav phais menyuam phais txhais tau tias koj yuav tsis raug phais lossis phais mob nyuaj. Qhov no txhais tau tias yuav rov qab tau luv dua txij thaum yug los thiab rov qab sai dua rau koj cov haujlwm txhua hnub.

Kev tso tawm hauv chaw mos kuj tseem yuav pab koj kom tsis txhob muaj kev phom sij rau kev yug menyuam ntau - teeb meem me nyuam hauv plab, piv txwv li - tom ntej kev xeeb menyuam yav tom ntej, yog koj xaiv muaj menyuam ntau.

Cov txiaj ntsig pom tau ntawm kev xa khoom hauv tsev yog feem ntau ntawm tus kheej. Lawv suav nrog:

• kev xaiv thiab lub zog
• zoo nkaus kev tswjhwm
• nqi qis dua
• saib mus rau kev ntseeg lossis kev coj noj coj ua
• kev txuas thiab kev nplij siab hauv qhov chaw zoo nkauj

Thiab thaum koj hnov ​​cov lus tsis zoo nrog kev npaj muaj menyuam hauv tsev, qhia tias tsis muaj kev nce hauv cov menyuam mos tuag vim piv rau kev yug menyuam hauv tsev khomob. Cov niam kuj ua tau zoo dua nyob hauv tsev, qhia tsawg dua kev cuam tshuam thiab muaj kev nyuaj, nrog rau kev zoo siab ntau dua nrog qhov kev paub tab ntawm kev yug menyuam.

Kev phom sij ntawm HBAC

Tau kawg, muaj kev pheej hmoo nrog kev yug menyuam tom qab phais mob phais, ib yam nkaus. Thiab cov kev pheej hmoo no yuav muaj loj tuaj yog tias koj xaiv muab koj tus menyuam nyob hauv tsev.

Ib txoj kev tshawb nrhiav tau qhia tias cov uas tau sim HBAC muaj kev pheej hmoo muaj ntshav ntau, ua mob rau tom qab yug menyuam, ua kom lub tsev menyuam sib tawg, thiab kev saib xyuas cov neeg mob hlwb zoo dua thaum piv rau hauv tsev tsis muaj kev phais mob yav dhau los.

Qhov kev pheej hmoo loj tshaj plaws yog uterine rupture, uas cuam tshuam rau qee 1 feem pua ​​ntawm cov neeg uas sim VBAC hauv txhua qhov chaw. Thaum tsis tshua muaj, txoj kev sib kho txoj hlab ntaws txhais tau tias lub tsev menyuam qhib lub kua muag thaum lub zog ua haujlwm, yuav tsum tau phais mob phais sai.

Txog rau VBAC niam, qhov kev sib tsoo no feem ntau yog ua raws txoj kab caws pliav nyob rau hauv lub tsev menyuam los ntawm kev phais yav dhau los. Kev los ntshav hnyav, raug mob thiab tuag rau tus menyuam mos, thiab kev tuaj yeem tu menyuam yog txhua yam kev mob uas yuav tsum tau txais kev khomob sai tsuas yog muaj hauv tsev khomob.

Ib tug poj niam zaj dab neeg

Chantal Shelstad birthed nws tus menyuam thib peb hauv tsev tom qab nws thawj tus menyuam nthuav dav breech thiab raug xa tawm los ntawm kev phais mob. Nws qhia ntxiv tias, "Tom qab kuv lub hom phiaj yug me nyuam nrog kuv thawj tus menyuam hloov mus rau kev phais plab, rov zoo li qub, thiab tom qab yug menyuam tag thiab muaj kev ntxhov siab, Kuv paub tias kuv xav tau kev yug menyuam txawv thiab cog lus tias kuv yuav tsis ua nws nyob hauv tsev kho mob ib zaug ntxiv, yog tias Kuv zam dhau nws. "

"Tau sai rau peb xyoos thiab ib nrab xyoo, thiab kuv tau yug menyuam (VBAC) rau peb tus menyuam thib ob hauv qhov chaw yug menyuam hauv Kaus Lim Qab Teb, uas nyob ib puag ncig los ntawm tus pab yug menyuam, tus kws saib xyuas mob, thiab OB tus neeg uas txhawb kuv zoo tsis muaj kev nthuav qhia ntawm kuv tus menyuam. Peb yuav xaiv rau kev yug menyuam hauv tsev yog tias peb tau tsim kev kub ntxhov, tab sis qhov chaw yug me nyuam yog qhov kev paub zoo. ”

Thaum nws los rau nws tus menyuam thib peb, Shelstad tau xaiv los muab menyuam hauv tsev. Shelstad piav qhia tias "Peb tus menyuam thib peb thiab tus menyuam kawg tau yug los hauv kuv chav pw, hauv lub txaj yug, yuav luag ob xyoos tom qab peb tus thib ob,"

“Thaum kuv xeeb menyuam - peb paub tias peb xav yug menyuam hauv tsev. Peb tau xam phaj ib khub niam txiv kws pab yug menyuam los ntawm thaj chaw thiab pom ib qho uas peb tau nyem nrog thiab yuav pab txhawb peb yog tias peb tus menyuam yaus tshau. Tag nrho cov kev pabcuam thaum yug menyuam tau xis nyob thiab ua rau muaj kev cia siab. Peb teem sijhawm yuav ntev li ib teev, uas peb muaj peev xwm sib tham, sib tham txog phiaj xwm, thiab ua si dhau los ntawm cov xwm txheej yug txawv. "

“Thaum txog lub sijhawm yug menyuam, Kuv hlub tias kuv tsis tas yuav tawm hauv kuv lub tsev mus. Qhov tseeb tiag, kuv txoj kev mob siab ua haujlwm sai heev - txog li ob teev ntawm kev ua haujlwm nquag - thiab kuv tus kws pab pojniam tau tsuas nyob ntawd 20 feeb ua ntej kuv tus tub tau yug los. Los ntawm yug menyuam Kuv muaj peev xwm mus rau kuv tus kheej lub txaj mus so thiab puag kuv tus menyuam, thaum tsev neeg muab khoom noj rau kuv thiab saib xyuas lwm tus menyuam. Tsis txhob tawm hauv lub tsev khomob hnub tom qab, Kuv tau nyob hauv kuv lub tsev so thiab kho kom zoo. Yog ib qho zoo kawg. ”

Koj puas yog ib tus neeg sib tw rau HBAC?

Shelstad zaj dab neeg piav txog qee qhov kev ntsuas uas ua rau ib tus neeg xaiv tsa zoo rau HBAC.

Piv txwv li, koj yuav tsim nyog tau yog tias:

• koj tau muaj ib los ntau dua khoom xa tuaj ntawm chaw mos
• koj qhov phais yog tsawg transverse lossis qis ntsug
• koj tsis tau muaj ntau dua ob zaug ua ntej yug menyuam
• nws tau 18 lub hlis lossis ntau dua tom qab koj tau txais kev phais mob zaum kawg
• tsis muaj teeb meem uas yuav cuam tshuam qhov kev xa tawm ntawm lub paum, xws li cov teeb meem placental, nthuav tawm, lossis ntau dua kev txiav txim siab
• koj tsis tau muaj dua li lub tsev menyuam sib tawg

Tseem, feem ntau ntawm cov ntaub ntawv koj yuav pom tau pom zoo tias VBAC tsuas yog npaj siab ua rau hauv cov chaw muaj peev xwm tuav tau kev phais mob phais mob thaum muaj xwm ceev. Qhov no txhais tau hais tias kev xa khoom hauv tsev tsis yog feem ntau pom zoo rau ntawm qhov dav. Nco ntsoov sib tham txog lub hom phiaj hloov tsev kho mob nrog koj tus kws kho mob, uas tuaj yeem pab coj koj kev txiav txim siab ib qho zuj zus.

Nco ntsoov tias txawm hais tias koj yog ib tus neeg muaj HBAC zoo meej, kev xa mus rau tom tsev kho mob tej zaum yuav tsim nyog yog tias koj lub zog tsis nce, yog tias koj tus menyuam mob ntxhov siab, lossis yog tias koj los ntshav.

Cov nqa mus

Shelstad hais tias "Kuv paub HBAC tuaj yeem txaus ntshai, tab sis rau kuv, kuv qhov kev ntshai yog mus hauv tsev kho mob," “Kuv muaj kev tswj hwm ntau dua thiab muaj kev nplij siab nyob hauv tsev. Kuv ntseeg txoj kev yug me nyuam thiab cov kws tshaj lij ntawm kuv tus pab yug menyuam thiab pab yug menyuam, thiab paub tias yog muaj xwm txheej ceev, peb muaj ob peb lub tsev kho mob npaj rau peb. "

Thaum kawg, kev txiav txim siab txiav txim siab qhov twg thiab yuav yug koj tus menyuam nyob ntawm koj thiab koj tus kws kho mob. Nws yog qhov zoo los nug cov lus nug thiab hais txog kev txhawj xeeb thaum ntxov hauv kev saib xyuas ua ntej yug menyuam yog li koj muaj cov ntaub ntawv zoo tshaj plaws rau koj txhawm rau pab koj txiav txim siab.

Raws li koj lub sijhawm yuav los txog, nws tseem ceeb uas yuav tau hloov kho koj lub hom phiaj thaum nws los txog rau cov xwm txheej uas yuav cuam tshuam koj lossis koj tus menyuam txoj kev noj qab haus huv.