txheem
Ntau lub tsev kho mob me me, xws li Diaconesses hauv Paris, tam sim no sim ua kom rov zoo cov txheej txheem, kev nyab xeeb thiab kev xav ntawm cov niam yav tom ntej. Tsis tas yuav yug me nyuam ntawm koj nraub qaum, immobilized ntawm lub txaj, ko taw wedged nyob rau hauv stirrups. Txawm tias nyob rau hauv ib qho epidural, peb tso koj dawb los txais yuav ntau spontaneous postures, ntawm koj sab, squatting, ntawm tag nrho cov plaub… Ib kauj ruam, ntawm no yog yuav ua li cas yug me nyuam qhov chaw.
Kev npaj
cuaj teev sawv ntxov. Qhov ntawd yog nws. Clarisse tau teeb tsa hauv chav yug me nyuam, nyob rau 3rd pem teb ntawm lub tsev kho mob maternity. Lub qhov rais loj qhib rau lub vaj thiab lub teeb lim los ntawm qhov muag tsis pom diffuses tus duab ntxoov ntxoo muag hauv chav. Zaum ntawm nws ib sab, Cyril, nws tus txiv, zoo li so. Nws yuav tsum tau hais tias qhov no yog lawv tus menyuam thib ob: ib tug ntxhais, uas lawv yuav hu ua Lili. Tus kws yug menyuam, Nathalie, twb tuaj kuaj ntshav thiab kuaj ntshav. Tam sim no nws xav tias Clarisse lub plab kom paub tseeb tias tus menyuam tau nthuav tawm zoo, rov qab. Txhua yam zoo. Txhawm rau kom paub meej qhov kev kuaj mob thawj zaug no, nws ua tib zoo kho cov xyuas ntawm lub plab ntawm tus niam yav tom ntej. Ob lub sensors uas txuas ntxiv sau cov haujlwm ntawm lub plawv fetal thiab contractions ntawm lub tsev menyuam. Qhov no tso cai rau kev saib xyuas tus menyuam zoo dua. Saib seb nws ua li cas rau cov contractions. Rau nws, Denise, tus kws saib xyuas neeg mob, kuj tsis khoom. Nws teev cov infusions. Glucose serum muab lub zog rau leej niam thiab cov dej qab ntsev kom txo qis hauv cov ntshav siab qee zaum cuam tshuam nrog epidural analgesics. Cov infusions no tuaj yeem siv los hla oxytocics. Cov hluavtaws molecules no ua raws li qhov kev txiav txim ntawm oxytocins, ib txwm tso tawm los ntawm lub cev, pab tswj tus nqi ntawm kev cog lus thiab ua kom muaj zog. Tab sis lawv siv tsis yog systematic.
Lub installation ntawm epidural
twb yog kaum ib teev. Clarisse pib mob heev. Cov contractions tuaj ua ke, txog peb zaug txhua 10 feeb. Tam sim no yog lub sijhawm los tso rau ntawm epidural. Tus nais maum ua rau tus niam zaum ntawm ntug txaj. Txhawm rau kom muaj qhov sib npaug zoo, nws yooj yim wedges lub hauv ncoo hauv qab nws lub puab tsaig. Tam sim no tus kws kho mob tuaj yeem txhuam nws nraub qaum nrog tshuaj tua kab mob ua ntej muab tshuaj loog hauv zos. Hauv ob peb feeb, Clarisse tsis hnov dab tsi ntxiv lawm. Tus kws kho mob tom qab ntawd ntxig rau lub hollow, bevelled koob mus rau hauv qhov chaw epidural, nruab nrab ntawm 3rd thiab 4th lumbar cheeb tsam, thiab maj mam txhaj cov tshuaj tua kab mob. Ua ntej tshem lub koob, nws swb ib tug nyias catheter zoo li cov plaub hau uas yuav nyob twj ywm nyob rau hauv qhov chaw thiab yuav cia, ua tsaug rau ib tug hluav taws xob syringe, mus tas li diffuse cov khoom nyob rau hauv me me qhov ntau. Dosed kom raug, cov epidural zoo tshem tawm qhov mob thiab tsis tiv thaiv kev hnov qab khaws cia., zoo li cov ntaub ntawv ob peb xyoos dhau los. Cov ntaub ntawv pov thawj, qee qhov kev yug me nyuam muaj cov neeg mob sab nraud epidural, tso cai yog tias xav tau taug kev hauv chav lossis hauv txoj kev hauv tsev.
Kev ua haujlwm tseem nyob twj ywm
Ib tag hmo. Tag nrho cov cuab yeej kho mob tau muab tso rau hauv qhov chaw. Nathalie tuaj rhuav lub hnab kua amniotic siv lub tshuab piercer. Qhov no tsis mob piav tes piav taw tso cai rau tus me nyuam los nias kom khov kho ntawm lub ncauj tsev menyuam thiab ua kom nrawm nrawm. Hauv chav yug me nyuam, Clarisse thiab Cyril tseem tuaj yeem txaus siab rau lub sijhawm ntawm kev ceev ntiag tug thiab kev ywj pheej. Lub CD player tseem muaj nyob hauv chav yog tias lawv xav mloog nkauj.
Niaj hnub no, niam-rau-yuav tsis tas yuav tsum nyob twj ywm ntsia nws lub txaj. Nws tuaj yeem zaum, sawv ntsug thiab txais txoj haujlwm uas haum nws qhov zoo tshaj plaws. Hauv qee tus me nyuam, xws li Deaconesses, nws tuaj yeem da dej kom so. Thoob plaws hauv lub sijhawm no, tus kws yug menyuam tsis tu ncua mus xyuas niam-rau-ua kom kuaj xyuas kev ua haujlwm ntawm kev ua haujlwm. Nws kuaj qhov chaw mos los tswj qhov dilation ntawm lub ncauj tsev menyuam. Thiab saib xyuas cov nkhaus kom paub meej qhov ua tau zoo ntawm kev cog lus thiab lub xeev kev noj qab haus huv ntawm tus menyuam. Yog tias tsim nyog, nws tuaj yeem kho qhov koob tshuaj ntawm epidural kom ua haujlwm tau zoo li qhov ua tau.
Lub ncauj tsev menyuam yog dilated
XNUMX: XNUMX pm Lub sijhawm no lub dab tshos nyob ntawm tag nrho dilation: 10 cm. Raws li qhov tshwm sim ntawm qhov contractions, tus me nyuam twb tau zoo nyob rau hauv lub plab mog. Tab sis kom ncav cuag qhov kev tawm mus, nws tseem yuav tsum tau hla lub qhov ntev thiab nqaim txog 9 cm. Ntawm kev saib xyuas, tag nrho cov teeb yog ntsuab. Clarisse nyob twj ywm dawb ntawm nws lub zog. Pw ntawm nws sab, nws thawb, exhaling nrog txhua qhov contraction. "Zoo li thaum koj tshuab rau hauv lub zais pa", piav qhia tus kws yug menyuam. Tom qab ntawd rov qab mus rau nws nraub qaum thiab tuav nws ob txhais ceg kom muaj zog ntau dua rau nws cov thrusts. Tshiab saib xyuas. Txhua yam zoo. Tus me nyuam txuas ntxiv nws qhovntsej thiaj tsis mob. Lub hauv caug ntawm lub txaj, ib lub pob loj nyob rau hauv nws txhais tes, Clarisse tseem thawb, thaum swaying. Tam sim no tus me nyuam tau mus txog tus niam perineum nrog nws lub taub hau. Peb tuaj yeem pom nws cov plaub hau. Qhov no yog kauj ruam kawg ua ntej yuav tawm mus rau hauv qhov qhib.
Laij tawm
Rau kev ntiab tawm, Clarisse thaum kawg xaiv rov qab los rau nws nraub qaum. Ib qhov kawg siv zog thiab lub taub hau sticks tawm, ces tus so ntawm lub cev uas los ntawm nws tus kheej. Tus niam, pab los ntawm tus kws yug menyuam, rub nws tus ntxhais me, Lili, tso nws lub plab rau ntawm nws lub plab. Nws yog plaub teev. Cyril, leej txiv, los ze ntawm lub txaj. Tsiv mus, nws saib nws tus me ntxhais coiled daim tawv nqaij ntawm daim tawv nqaij tawm tsam nws niam. Tag nrho ntawm qhov tseem ceeb, tam sim no nws quaj nrov nrov. Ua rau lawv zoo siab, cov niam txiv tsis pom tus kws yug menyuam uas nyuam qhuav txiav txoj hlab ntaws. Ib tug zoo kawg nkaus tsis mob piav tes piav taw, vim hais tias no gelatinous raj tsis muaj tej hlab ntsha. Lili spat me ntsis. Tsis yog, nws lub qhov ntswg thiab caj pas tsuas yog me ntsis congested nrog phlegm. Tus kws yug menyuam coj nws mus pab thawj zaug thiab cog lus tias yuav coj nws rov qab sai sai. Clarisse, luag nyav thiab so, hnov ntxhiab ob peb zaug ntxiv, tab sis sib dua. Qhov kawg thawb kom tshem tawm cov placenta, thiab thaum kawg nws yog kev cawmdim. Lili, uas dhau nws thawj zaug kuaj nrog cov xim ya, twb pom qhov sov so ntawm nws niam lub plab rau kev sib tw ntawm daim tawv nqaij.