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Emergency caesarean birth

Dhalmada qaliinka ee degdegga ah

Crying new born is delivered in an operating theatre setting Qiyaastii 15% dhallaanka waxay ku dhashaan qaybta degdegga ah ee caesarean, ha ahaato xilliga uurka ama foosha. Waxaad u baahan kartaa qaybta caesarean-ka degdegga ah haddii:
  • Madaxa ilmahaagu aad uga weyn yahay pelviskaaga, ama joogo boos qaldan
  • Fooshaadu ma sii socoto, ka hortagyadaadu waa daciif, oo ilmahaaguna ma uusan furmin wax ku filan
  • Ilmahaagu wuu dhaw yahay, oo fooshu kuma filna inaad haysato xoog badbaado leh ama gaarsiinta ventouse
  • Waxaad ku haleelay cudur halis ah, sida cudurka wadnaha ama dhiig karka
  • Sababta kale waa in ilmahaagu u baahan yahay inuu si dhakhso leh u dhasho, tusaale ahaan sababta oo ah la-dagaallanka placental (halkaasoo mandheerta ay goor dhow kala baxdo).
Haweenka badankood waxay lahaan doonaan suuxin laf-dhabarka si aysan u dareemin qalliinka, si kastaba ha noqotee xaaladaha qaarkood oo xanuunka  uusan ku filnayn, ama aysan jirin waqti ku filan oo laf-dhabarka lagu dhigo, suuxin guud ayaa lagula talin karaa. Dhakhtarka uurjiifku wuxuu sameyn doonaa 10 ilaa 15cm oo goynaysa caloosha hoose, kaliya dusha sare ee hawo-mareenka, taas oo weyn oo ku filan in ilmahaaga lagu soo gudbiyo, ka dib goyn ilmo galeenka si aad loo gaaro cunuggaaga, badiyaa kadib dib u dhac hal daqiiqo ah. Waxaad dareemi kartaa xoogaa xanaaq ah markii ilmahaagu kor u qaadayo – mararka qaarkood tan waxaa lagu sameeyaa gacanta iyo mararka qaarkood laba xoog. Ilmahaagu wuxuu lahaan doonaa xadhiggooda xudunta ah oo la gooyo, si dhakhso ah ayuu u hubiyaa dhakhtarka ilmaha, haddii wax walbana ay hagaagsan yihiinna waa lagu gudbin doonaa adiga ama lammaanahaaga, si aad u qaban karto oo aad u yeelato xiriir taabasho jireed ah ah. Dhuunta iyo xuubka ayaa la keenaa ka dib goynta uurkaaga caloosha ayaa lagu xira tolmo. Waxay caadi ahaan qaadataa 10 daqiiqo in la keeno cunuggaaga, iyo 30 illaa 40 daqiiqo si loo dhammaystiro tolmada. Waxaa jira qaar ka mid ah khataraha la xiriira gaarsiinta qaybta caesarean, adiga iyo cunuggaaga iyo kooxdaadaba waad kala hadli doontaan khatarahaas ka hor qalliinka. Ka soo kabashada qaliinka-ka degdegga ah waxay la mid tahay soo kabashada caesareanka qorshaysan.
What is involved in a caesarean?
What happens during a caesarean More on caesarean Choosing to have a caesarean Recovery from caesarean
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Ventouse or forceps

Qalabka dhalmada ee ventouse ama forceps

Pregnant woman in hospital bed covered by a sheet while healthcare professionals assist with birth Xaaladaha qaarkood dhaqtarkaagu wuxuu kugula talin karaa caawinta dhalashada cunuggaaga adoo adeegsanaya venthouse ama forceps. Tani waxay dhici kartaa halka marxaladda labaad ee fooshu (marxaladda riixmada) ay ka dheeraato sidii la filayay, halka madaxa ilmahaagu uusan ku jirin meesha ugu wanaagsan ee uu ku soo maro kanaalka dhalashada ama haddii ay jiraan isbeddelo ku yimid garaaca wadnaha oo macnaheedu yahay in dhalashada ay u baahan tahay inay dhacdo sida ugu dhaqsaha badan. Ventouse waa koob bir ama caag ah oo lagu dhejiyo madaxa cunuggaaga. Forceps waa afaf bir ah oo lagu meeleeyo madaxa ilmahaaga. Waxaa lagu siin doonaa xanuun baabiiye dhalashada xubinka taranka ee la caawiyay, oo leh suuxin maxalli ah ama epidural. Dhalashada waxaa maamuli doona dhaqtarkaaga. Umulisadaada ayaa joogi doonta si ay kuu caawiso oo ay kuu taageerto. Dhakhtarkaagu si tartiib ah ayuu u jiidi doonaa isagoo adeegsanaya venthouse ama forceps inta aad riixeyso inta lagu jiro. Mararka qaarkood dhowr jiiditaan ayaa loo baahan yahay, ama haddii hal qaab uusan shaqeynin, kan kalena waa la isku dayi karaa. Waxaad u badan tahay episiotomy, gaar ahaan haddii xoog loo isticmaalo. Duruufaha dhif ah, haddii labada ventouse ama forceps aysan si guul leh u dhalin cunuggaaga, dhalashada qaliinka ayaa lagu talin karaa.
What’s involved in assisted birth?
Ventouse and forceps More on ventouse and forceps
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Episiotomy

Episiotomy

New born baby lies on the mother's chest while the umbilical cord is cut ‘Episiotomy’ waa goyn la sameeyay (ogolaanshahaaga) perineum (aagga u dhexeeya xubinka taranka  iyo dabada) si looga caawiyo dhalashada cunuggaaga. Umulisadaada ama dhaqtarkaaga ayaa kugula talin kara tan haddii:
  • Garaaca wadnahaaga ee ilmahaagu wuxuu soo jeedinayaa inuu isagu ama iyadu u baahan yahay inuu ku dhasho sida ugu dhakhsaha badan ee suurogalka ah.
  • Haddii aad leedahay dhalasho caawin ah; ama
  • Haddii ay jirto halis sare oo ilmada daran ee saameysa malawadka. ‘episiotomy’ waxaa lagu hagaajiyaa iyadoo la adeegsanayo tolmo aan la kala saari karin oo caadi ahaan bogsato bil gudaheed dhalashada.
Episiotomy
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Oxytocin (known as synth or syntocinon)

Oxytocin (oo loo yaqaan synth ama syntocinon)

Close up of a woman's arm receiving oxytocin via cannula while connected to a fetal monitoring machine Oxytocin waa hormoonka dabiiciga ah ee dhaca ee sababa in uurkaagu yeesho ka hortag. Haddii ka hortaggaagu hoos u dhaco, ama aan waxtar u lahayn inay keenayso in ilmo-galeenka uu ku milmo, waxaa lagu talin karaa inaad haysato dhibic isku-dhafan oo loo yaqaan ‘oxygentocin drip’ kaas oo lagu bixiyo qaddar yar si toos ah xididka iyada oo loo marayo cannula. Oxytocin wuxuu ka dhigayaa ka hortaga waxyaabaha ka hor imanaya mid sii xoog badan oo joogto ah. Haddii aad leedahay dhibic oxytocin ah, kormeer dhow oo adiga iyo cunuggaaga ah (adoo adeegsanaya kormeer joogto ah oo uurjiif ah, oo mararka qaarkood loo yaqaan wadnaha ama CTG) ayaa lagula talinayaa.
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Breaking your waters (amniotomy)

Biyo-baxa (amniotomy)

Pregnant woman reclines on a hospital bed holding her bump Kahor, ama inta lagu gudajiro foosha biyahaagu caadi ahaan way jabayaan waqti uun (in kasta oo mararka qaar aysan sameynin – iyo dhallaanka qaarkood waxay ku dhasheen sacadooda amniyootiga). Haddii fooshaadu u muuqato inay hoos u dhacday ama ay jiraan walaac ku saabsan caafimaadka cunuggaaga, umulisadaada ayaa kugula talin karta inay biyahaaga jabiso. Tan waxaa la sameeyaa inta lagu gudajiro baaritaanka joogtada ah ee xubinka taranka, ma dhaawaceyso cunuggaaga, waxaana la muujiyey inuu mararka qaar yareeyo dhererka shaqada. Haddii aad u maleynaysid in biyahaagu jabeen waxaa muhiim ah inaad ugu yeerto unuggaaga dhalmada/qeybta qiimeynta isla markiiba, gaar ahaan haddii aad u maleynaysid inaad arki karto meconium, oo cagaar ama bunni midab leh. Haddii aad ka yar tahay 37 toddobaad uur tani waxay calaamad u noqon kartaa fool dhicis ah.
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Interventions in labour

Wax ka qabashada foosha

Pregnant woman reclines on a hospital bed while a midwife feels her bared bump Inta lagu guda jiro hawusha foosha, mararka qaarkood arrimuhu way gaabi karaan ama walaac ayaa ka soo bixi kara caafimaadkaaga ama ka cunuggaaga. Haddii tani dhacdo umulisadaada iyo/ama dhakhaatiirtu waxay kugula talin karaan ikhtiyaarro gaar ah oo kaa caawinaya inaad dhasho cunuggaaga si badbaado leh.
Biyo-baxa (amniotomy) Oxytocin (oo loo yaqaan synto ama syntocinon) Episiotomy Guri ama xoog Dhalashada caesarean-ka degdegga ah