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External cephalic version (ECV)

Nooca cephalic ee dibedda (ECV)

Two cross-section diagrams shows a baby in the womb in breech position and then a baby in the womb in head down position Kani waa hab uu dhakhtar, ama umulisooyin takhasus leh isku dayo inuu ilmaha u rogo booska saxda ah isagoo adeegsanaya cadaadis jilicsan oo caloosha ku jira gacmahooda. ECV waxaa ku guuleystaa qiyaastii 50% dumarka guud ahaanna waa amaan. Mid ka mid ah 200-kii cunug ee kasta wuxuu u baahan doonaa in lagu bixiyo caesarean deg-deg ah ka dib ECV, oo cunuggaaga ayaa lala socon doonaa ka hor iyo ka dib foosha si loo hubiyo inay si wanaagsan u sii socdaan.

Moxibustion loogu talagalay dhallaanka breech-ka ahaa

Tani waa farsamo dhaqameed Shiinees ah oo loo isticmaali karo in lagu rogo dhallaanka. Waxaa lagu sameeyaa iyadoo la gubo moxa-stick (tuunbo aad u adag oo geedo qalalan) inta u dhaxaysa suulasha laga bilaabo 34-36 toddobaad ee uurka. Ma laha waxyeelooyin la taban kara oo la yaqaan iyo caddeyn muujineysa inay ku guuleysan karto u rogista cunug breech-ka ah leh. Waxaad weydiin kartaa umulisadaada ama acupuncturist-ka maxalliga ah macluumaad dheeri ah.
NHS External Cephalic Version (for Breech Baby)
External cephalic version
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Your baby’s position

Booska ilmahaagu

Cross-section diagram of baby in the womb in the head down position Laga bilaabo 36 toddobaad uur leh, ilmahaagu waa inuu madaxa hoos u jeedsadaa (cephalic) booska diyaarinta dhalashada. Tiro yar oo dhallaanka ah ayaan ku jiri doonin booskan, waxayna noqon karaan mid dabayl ah (hoose marka hore) ama transverse/oblique (dhinacyada dhinaceeda caloosha oo dhan). Haddii umulisadaada ay ka shakisan tahay in ilmahaagu uusan madaxa wali, hoos jirin waxaa lagu siin karaa scan iyo ballan dhakhtar/umulisooyin takhasus leh si aad ugala hadasho xulashooyinkaaga. Xulashooyinkaan waxaa ka mid noqon kara isku day inaad ubadkaaga u rogto (fiiri xiriirada laxiriira hoosta), dhalashada caadiga ah ama dhalashada caesarean qorshaysan. Haddii ilmahaagu uusan madaxa hoos u dhicin, ha walwelin – waxaa jira xulashooyin badan oo adiga iyo kooxdaadu ay kaa caawin doonaan inaad go’aanno ka gaadho daryeelkaaga horay u socdo. Ka ogow wax badan oo ku saabsan dhalashada xubinka taranka adoo akhrinaya:
Ku dhalashada cunuggaaga breech
What happens if your baby is breech? Breech babies at the end of pregnancy
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Preparing for birth

Isu diyaarinta dhalmada

Pregnant woman holds up a new born baby outfit Dhamaadka uurka, waxaad dareemi kartaa shucuur kala duwan oo kala gadisan maadaama dhalmada ay soo dhowdahay. Waxaad dareemi kartaa farxad, walwal ama xitaa cabsi – tani waa wax iska caadi ah. Waxaa jira waxyaabo aad sameyn karto si ay kaaga caawiso inaad isu diyaariso dhalmada.
Duugista Perineal Joojinta ama yaraynta shaqada Booska cunuggaaga Nooca dhalmada ee dibedda ee loo yaqaano ‘cephalic’ (ECV)
Five positive ways to prepare for labour
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Options to consider

Arrimo tixgalin u baahan

Smiling health professional hold the arm of a pregnant woman in a reassuring gesture
  • Yaa noqon doona lammaanahaaga xilliga foosha
  • In aad dareento inaad arday ku jirto inta lagu jiro foosha/dhalmada
  • Xulashooyinka xanuun baabiiyayaasha ee kala duwan ee foosha iyo dhalashada
  • Jagooyin kala duwan oo foosha ah/dhalasho
  • La tacaalida istiraatiijiyadaha iyo xanuunka
  • Sida aad u dareento baaritaannada xubinka taranka
  • Haddii aad jeceshahay kormeer joogto ah ama mid isdaba joog ah oo ku saabsan wadnaha ilmaha inta lagu jiro shaqada
  • Wixii doorbid ah ee aad haysatid haddii dhalashada la caawiyo lagu taliyo.
  • Yaa gooyn doona xadhkaha xudunta qaabka ugu fiican
  • Taabashada maqaarka cunugga iyo-maqaarka hooyada
  • Fikradahaaga ku saabsan quudinta ilmaha
  • Sida aad ku saari lahayd mandheerta (dhalasho kadib)
  • Fitamiin K cunuggaaga.
Waa wax faa iido leh in laga fikiro sida aad u jeclaan lahayd dhalashada cunuggaaga inuu noqdo haddii ay dhacdo in la soo geliyo shaqaale ama dhalasho caesarean – la qorsheeyay ama aan la qorsheyn, iyo inaad weydiiso umulisadaada ama dhaqtarkaaga waxa aad uga baahan tahay inaad tixgeliso duruufahaaga shaqsiyeed. Umulisadaada ayaa mar kale kaala hadli doonta waxyaabaha aad jeceshahay marka aad foosha ku jirto iyo sababo kasta oo aad uga fiirsato inaad beddesho qorshaha. Waxaad la wadaagi kartaa qorshaha dhalashadaada umulisadaada markaad kula kulanto qeybta dhalmada (ama guriga haddii aad qorsheynaysid dhalasho). Ku buuxi qorshahaaga Xulashada dhalashada shaqsiyeed ee barnaamijkan kaas oo la daabici karo si aad ula wadaagto kooxda hooyonimada.
Xulashadaada dhalashada iyo qorshahaaga
How to make a birth plan Which? Your birth plan
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Your birth preferences and plan

Xulashadaada dhalashada iyo qorshahaaga

Pregnant woman sitting up on a bed with a note book and pen Dhameystirka qorshaha doorbidista dhalashada ayaa kaa caawin kara adiga iyo lammaanahaaga dhalashada inaad ka fekertaan xulashooyinkaaga iyo waxyaabaha aad doorbidayso inta lagu jiro foosha iyo dhalashada cunuggaaga. Inta aad uurka leedahay waxaad fursad u heli doontaa inaad la kulanto umulisadaada/dhaqtarkaaga oo aad kala hadasho qorshaha – iskuday oo samee tan ku dhawaad waqtiga ballankaaga 34 ama 36 toddobaad. Tani waxay ka caawin doontaa kooxdaada inay fahmaan nooca dhalashada aad jeclaan laheyd. Akhri waxyaabaha ku jira barnaamijka ee ku saabsan foosha iyo dhalashada, ka dib adoo adeegsanaya qorshaha doorbidista dhalashada ee qaybta qorshaha qofka iyo taageerada qaybta qor fikradahaaga iyo waxa aad doorbidayso. Hoos ka eeg xulashooyinka aad tixgelinaysid.
Xulashadaada dhalashada iyo qorshahaaga
Ikhtiyaarada la tixgeliyo
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Would you like to talk with somebody about your options for place of birth?

Ma jeceshahay inaad qof kala hadasho xulashooyinkaaga meesha aad ku dhaleyso?

Mother to be and birth partner attend maternity appointment Haweenka qaar ayaa laga yaabaa inay caawimaad ka helaan inay qof kala hadlaan xulashooyinka dhalashadooda. Tani waxay si gaar ah run u tahay haddii ay leeyihiin uur, fool ama dhalasho hore u adkayd, ama haddii wax lama filaan ah dhacaan. Maaha wax aan caadi ahayn in aan laga hubin xulashooyinkaaga ama waxa saameyn ku yeelan kara xulasho kasta oo ku saabsan uurka iyo dhalashada. Waad la hadli kartaa umulisadaada, haddii loo baahdona waxay kuu gudbin doontaa rugta fursadaha dhalashada, oo sida caadiga ah ay maamusho la-taliyaha umulisada qeybta aad dooratay. Haddii aad ka fiirsaneyso inaad codsato dhalasho caesarean qorshaysan, go’aankan waxaa lagu gaari doonaa adiga iyo khabiir ku takhasusay umulisooyinka iyo kooxaha uurka leh. Weydii umulisadaada inay kuu gudbiso rugta caafimaad ee ku habboon, halkaas oo aad awood u yeelan karto inaad ka hadasho xulashooyinkaaga.
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Which option is safest for me and my baby?

Xulasho noocee ah ayaa ugu ammaan badan aniga iyo cunugeyga?

Two midwives smile at newborn baby Nabdoonaanta had iyo jeer waa mudnaanta, marka haddii aad leedahay baahiyo gaar ah ama dhibaatooyin caafimaadkaaga iyo/ama uurka waxaa laga yaabaa inay ka dhigan tahay in dhalashada qaybta foosha ay tahay ikhtiyaarka ugu ammaansan. Umulisadaada ama dhaqtarkaaga ayaa kaala hadli doona tan haddii ay tahay soo jeedintooda. Haddii tani ay tahay cunuggaaga ugu horreeya, oo uurkaaga loo tixgeliyo mid halis yar, waa sida ugu nabdoon in ilmahaagu ku yeesho xarun umulisooyin ah sida ay tahay in ilmahaagu ku haysato qaybta foosha. Cilmi baaristu waxay muujineysaa halista cunugga yar ayaa la korodha marka la qorsheynayo in lagu dhalo guriga. Haddii tani ay tahay cunuggaaga labaad ama kan xiga, waa sida ugu nabdoon in ilmahaagu guriga ku haysato maadaama ay tahay in ilmahaagu ku yeesho unug umulisooyin ama qaybta foosha. Haweenka ku dhasha guriga, ama xarunta umulisooyinka ay waxay aad ugu yar tahay inay u baahdaan caawimaad caafimaad oo ay ku jiraan qaybta caesarean, gaarsiinta qalabka, dhiig ku shubista iyo dhiig-baxa.
Which? birth choice Birthplace study Is home birth safe?
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Options for place of birth

Ikhtiyaarada goobta dhalmada

Xulashada goobta dhalmada
Waxaad ogaan kartaa halka aad ku dhali karto iyadoo loo eegayo waxyaabaha aad doorbidayso iyo baahiyahaaga – qaybta foosha, xarunta dhalmada ama guriga. Fiiri muuqaalkan si aad wax uga ogaato xulashooyinka kala duwan. Umulisadaada qeybta dhalmada ee aad dooratay ama dhaqtarkaaga ayaa kaa caawin kara inay kaala taliyaan ikhitiyaarka kugu fiican adiga. Muuqaalka: NHS North West London maternity services.
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Choosing place of birth

Xulashada goobta dhalmmada

Sign post with signs to hospital or home birth Tani waa mid go’aan aad ka gaari doonto ka dib wada hadal aad la yeelato umulisadaada ama dhaqtarkaaga qiyaastii 34-36 toddobaad oo uur ah, laakiin waa wax caawimaad leh inaad bilowdo ka fikirka waxyaabaha aad doorbidayso ka hor waqtigan. Waad ka beddeli kartaa maskaxdaada meesha aad ku dhali karto cunuggaaga mar kasta. Haddii aad dooratid inaad cunuggaaga guriga ku haysato ama unug ku yaal bartamaha (xarunta dhalmada), dhacdooyinka qaarkood ama dhibaatooyinka ka hor ama inta lagu jiro foosha waxay macnaheedu noqon karaan in loo wareejiyo qaybta dhalmada ayaa lagula talinayaa.

Hoyga

Ku umul raaxada gurigaaga adiga oo kaashanaya laba umulisooyin iyo qof kasta oo aad doorato inuu kula joogo. Waad kireysan kartaa barkad wax lagu dhalo oo umulisadaada waxay bixin kartaa gaas iyo hawo (entonox) hadaad rabto inaad isticmaasho.

Qeybta ay hogaamiso umulisada (MLU)/xarunta dhalmada

Tani waa waax ka mid ah qaybta dhalmada. Waa deegaan guri deggan oo ah oo taageeraya dhalashada caadiga ah caawimaad yar. Umulisooyinka iyo la-hawlgalayaasha dhalashada ee la xushay ayaa diyaar u ah inay ku taageeraan. Waxaad lahaan doontaa doorashada barkadda wax lagu dhalo, gaaska iyo hawada (entonox), aromatherapy iyo xanuunka baabiiyaha xanuunka ku saleysan, waxay kuxirantahay qeybta dhalmada ee aad dooratay.

Qeybta uu hogaaminayo Obstetric (OLU)/Qeybta shaqaalaha/Qeybta gaarsiinta

Tani waa waax ku taal qaybta dhalmada halkaas oo daryeelkaaga ku bixin doonaan koox dhakhaatiir iyo umulisooyin. Dhalashada caadiga ah ee faragelinta ugu yar had iyo jeer waa hadafka, haddii ay aamin tahay in sidaas la sameeyo. Gaaritaanka tas-hiilaad caafimaad oo takhasus leh iyo qalab ayaa diyaar u ah haweenka u baahan.
Options for place of birth
Ikhtiyaarada goobta dhalmada Xulasho noocee ah ayaa ugu ammaan badan aniga iyo cunugeyga? Ma jeceshahay inaad qof kala hadasho xulashooyinkaaga meesha aad ku dhaleeyso?
Choosing place of birth Which? Birth choice Homebirth Planning a home water birth