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Giving birth to your breech baby: Frequently asked questions

Dhalmada dhallaanka lugihiisu hoos jiraan : Su’aalaha badanaa la isweydiiyo

Sidee loo xaqiijiyaa cilladan?

Waxaa laga yaabaa in laga shakiyo in ilmahaagu uu u jiifo qaab ay cagihiisu ama baridiisu soo horreyso marka hore ee uurka, marka aad umusho ama ka dib toddobaadka 36aad ee uurka. Tan waxaa badanaa lagu xaqiijiyaa iskaanka ‘ultrasound scan’. Haddii aad foolanayso markii tan la tuhunsan yahay, booska ilmaha waxaa lagu xaqiijin karaa baaritaan gudaha ah.

Maxay kooxda caafimaadku ku talin doonaan?

Markuu ilmuhu ku sugan yahay xaalad cakiran ka dib 36 toddobaad oo uurka ah waxaa jira saddex ikhtiyaar oo suurtagal ah: 1. Nooca cephalic-ka dibedda (ECV) – adoo isticmaalaya cadaadis caloosha ku jira si aad u weeciso madaxa ilmaha marka hore 2. Dhalmada xubinta taranka ah ee qorshaysan 3. Dhalmada qalliinka oo qorsheysan Haddii booska cunuga la beddeli waayo inta lagu jiro foosha, ECV ma suurta gasho, hooyaduna waxay u baahan doontaa inay kala doorato dhalmada xubinta taranka iyo dhalmada qaliinka.

Baaritaanno noocee ah ayaa la sameyn doonaa? Immisa jeer ayaa loo baahan karaa?

Qalabka loo yaqaan ‘ultrasound’  ayaa la isticmaali si loo hubiyo koritaanka cunuggaaga haddii booska ciriiriga ah la ogaado kahor foosha. Tani waxay kaa caawin kartaa hagida go’aan qaadashadaada ku saabsan nooca dhalmada aad doorbideyso.

Waa maxay astaamaha iyo calaamadaha ay tahay inaan iska fiiriyo?

Waa inaad la xiriirtaa rugta dhalmada haddii aad u maleyneyso in biyahaagu ay soo daateen ama aad la foolaneyso cunug la yaqaan inuu ku sugan yahay booska iyo qaabka ugu wanaagsan.

Waa maxay astaamaha ama walaacyada halista ah, taas oo macnaheedu tahay in si dhakhso leh loo soo sheego?

Haddii biyuhu kaa yimaadaan oo ilmahaagu u jiifo qaab ay cagta ama barida soo horreyso, waxaa jirta halis kordhaysa oo ah in xariga xudunta uu ka hooseeyo ilmaha – tan waxaa loo yaqaannaa soo-jiidashada xudunta. Haddii taasi dhacdo waa inaad si dhakhso leh u tagtaa isbitaalka si laguu eego. Haddii xarigga xudunta uu dibada yimaado, waa inaad isla markiiba wacdaa 999.

Sidee tani u saameyn kartaa xulashooyinka dhalmadeyda?

Umulisadaada iyo dhakhtarkaaga ayaa kaala hadli doona xulashooyinkaaga. Xulashooyinkaagu waxay ku xirnaan doonaan haddii booska ilmaha la ogaado inta lagu jiro uurka ama foosha.

Tani maxay uga dhigan tahay uurka mustaqbalka? Sideen u yarayn karaa halista aan u leeyahay dhacdadan mar kale?

Haddii ilmahaagu ku dhasho dhalmada qalliinka, tani waxay saameyn ku yeelan kartaa uurka mustaqbalka.

Xagee ka heli karaa macluumaad dheeri ah oo ku saabsan xaaladdan?

Breech baby at the end of pregnancy
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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