Owesifazane oye wathola ukuthi "unethuba lomzimba we-fetus" kunconywa ukuba ahlale esibhedlela kusukela ekuqaleni kweviki lama-37. Lokhu kuzokwenza ukuthi isazi sezifo-mzimba sihlolisise isimo samanje ngokucacile futhi sikhethe uhlobo olwamukelekayo lokudiliva.
Isigaba sasesesariyali ngesethulo sangasese asiqinisekisi ukuphepha okuphelele komama nengane. Ngokuvamile izinkinga ziyizi: ukukhishwa ikhanda, isisindo saso noma ukuguqulwa kokuqala. Isimo esiyingozi sicatshangelwa futhi hhayi ngokuhamba kwesikhathi sikhipha amniotic fluid. Naphezu kokuthi isimo esinjalo somntwana esibelethweni sibhekwa njengesifo sokubeletha, ukubeletha okuzimele okunethuba lokusakaza kwe-fetus kungenzeka. Noma kunjalo, lokhu kudinga ukulawula okuqaphile kanye nolwazi lodokotela.
Izikhombisi ze-cearean ehleliwe ngezethulo ze-pelvic
Izindlela ze-Ultrasound ne-palpation zivumela ukunquma isimo se-fetus nendlela ebonakalayo yokubukeka kwayo. I-cearean ephoqelekile isethulo se-pelvic sinqunywe ezimweni ezinjalo:
- uma ikhanda lomntwana liphonswa emuva;
- kukhona isethulo sefa;
- ukubonwa kokubuka kwangemva kokusakaza kwe-pelvic.
Ukutholakala kwanoma yikuphi kwalokhu kuphazamiseka kungabangela ukulimala okungenakuqhathaniswa kwengane, kanye nokuholela ekufeni kwakhe. Ngaphambi kokugcina ukuqinisekisa ukuthi kunesidingo sokwenza learean nge-pelvic presentation of the fetus, ukubonisana kwezokwelapha kubanjwa, lapho zonke izinzuzo kanye nokukhubazeka kulo msebenzi zilinganiswa.
Isigaba saseKhesariya nge-placenta previa
Isidingo sokuhlukaniswa kwemikhakha sikhuphuka uma kukhona ukusondela ngokuqondile kwe-placenta emgodini wesibeletho. Incazelo yalesi sifo ezinyangeni zokuqala zokubeletha akusho neze ukuthi kuyodingeka ukubeletha ngendlela "yokufakelwa". Ngokuvamile, i-placenta, njengoba isibeletho sikhula, ithatha isikhundla sayo. Kungenzeka ngaphambi kokuzalwa. Esimweni esibucayi, lapho "isihlalo somntwana" sigcina ngokuphelele ukuphuma esibelethweni, i-cearean yenziwa nge-placenta previa.
Isigaba saseKhesari nge-breech presentation
Ukubekwa kwezingane okungenakuphikiswa
Isigaba saseKhesariya nesethulo esithintekayo
Uma isethulo somoya esibelethwayo sisazobeletha ngokwemvelo, ngakho-ke cishe akunakwenzeka ukugwema ukucima ngesikhathi sokudlulisa. Imizamo yombelethisi noma udokotela ukuhambisa ingane endaweni efunayo ngenxa yokulimala.