A ƙarshen ciki, yana da yawa ga mahaifiyar da ke tsammanin samun sabbin abubuwan jin daɗi:

• jin nauyi a cikin ƙashin ƙugu da zafi (wani lokacin kwatankwacin ƙaramin ƙugu) a cikin mashaya da farji, alamar cewa jariri ya fara gangarawa cikin ƙashin ƙugu;
• jin takura a cikin ƙananan ciki saboda annashuwar gabobin ƙashin ƙugu wanda, a ƙarƙashin tasirin hormones, ya fara ƙaura zuwa gefe don wucewar jariri;
• matsanancin gajiya da tashin zuciya kuma saboda yanayin yanayin hormonal a ƙarshen ciki, kuma musamman ga prostaglandin tare da tasirin laxative kaɗan;
• asarar filogi na mucous, wannan taro na ƙwaryar mahaifa wanda ke rufe hatimin mahaifa. A ƙarƙashin tasirin ƙulle -ƙulle a ƙarshen ciki wanda ke balagar mahaifa, toshewar mucous na iya yin ƙaura cikin sigar m, translucent ko launin ruwan kasa mai launin shuɗi, wani lokacin tare da ƙananan ɗigon jini;
• haushin tsaftacewa da tsaftacewa wanda zai kasance, a cewar wasu kwararru, halin gama gari ga duk masu shayarwa. Muna kuma magana game da “ilhamar nesting” (1).

Duk waɗannan alamun suna nuna cewa jiki yana shirye -shirye don haihuwa, amma ba alamun gaskiya bane na fara haihuwa da ke buƙatar tafiya zuwa ɗakin haihuwa.

Mahaifa wata tsoka ce da ta ƙunshi nau’o’in zaruruwa daban -daban waɗanda za su yi kwangila don ba da damar canjin mahaifa ya canza kuma jariri ya gangara zuwa ƙashin ƙugu. A ƙarshen ciki, al'ada ce a ji ƙanƙarar “kafin haihuwa” wanda zai inganta balagar mahaifa don ranar D. Waɗannan ba su da raɗaɗi ko ƙanƙara masu raɗaɗi, waɗanda ke ɓacewa bayan maimaitawar 3 ko 4. tazara tsakanin mintuna 5-10.

Ba kamar waɗannan ƙuntatattun shirye -shiryen ba, naƙuda na aiki ba ya tsayawa, yana ƙaruwa kuma yana ƙaruwa da kusanci tare. Daidai ne da yawaitawa da daidaiton waɗannan ƙanƙara da ke nuna farkon fara aiki. Dangane da mace da daidaiton, ana kafa ƙulle -ƙulle na aiki gwargwadon tsari iri -iri, amma muna ba da shawarar ku je sashin haihuwa:

• bayan sa'o'i 2 na nakuda kowane minti 5 zuwa 10 idan jariri ne na farko;
• bayan 1h30 na kwangilar kowane minti 10 don multiparas.

Ita ma uwar gida dole ne ta yi la’akari da irin haƙurin da take da shi na ƙulle-ƙulle da sauraron yadda take ji. Idan naƙasasshe ba na yau da kullun bane amma suna da ƙarfi wanda ke hana magana, idan ya zama ba za a iya jimre da su shi kaɗai ba ko kuma idan baƙin ciki na gaske ne, yana da kyau ku je asibitin haihuwa aƙalla. don a tabbatar. Mahaifiyar nan gaba koyaushe za ta sami karbuwa sosai a wurin ƙungiyar ungozoma da ta saba da irin wannan yanayin.

Wasu mata ba sa samun ƙanƙanuwa da gaske amma a maimakon haka suna yawan buƙatar yin hanji ko yin fitsari. Har yanzu wasu za su ji ƙanƙarar a saman ciki, ƙarƙashin haƙarƙarin, yayin da wasu uwaye za su ji su a cikin ƙananan baya. Idan cikin shakku, yana da kyau ku je sashin haihuwa.

A ƙarshe, lura cewa don gano aikin ƙarya, wato ƙuntatawar da ba ta da tasiri a cikin mahaifa, ana ba da shawara ga iyaye mata masu zuwa su yi wanka da maganin kashe ƙwari. Idan ƙulle -ƙullen ta ci gaba, wataƙila sun kasance “naƙasasshe” na ƙanƙara.

A duk lokacin ciki, jariri yana haɓakawa a cikin rami na ruwa, aljihu wanda aka yi da membranes biyu (amnion da chorion) kuma ya cika da ruwan amniotic. Lokacin da aka goge murfin mahaifa kuma aka fitar da toshewar mucous ɗin, to waɗannan murfin ko “jakar ruwa” (ƙaramin jakar amniotic) kawai ke kare jariri. Yawanci, membranes suna fashewa kwatsam yayin aiki mai cike da ɗimbin yawa, amma wani lokacin wannan fashewar yana faruwa yayin aiki ko ma kafin. Shahararriyar “asarar ruwa” ko, a yaren mahaifa, “ɓarkewar tsufa a lokacin kafin haihuwa” wanda ya shafi 8% na ciki (2). Ruwan amniotic - ruwa mai haske, mai ƙamshi da ɗumi - zai bi ta cikin farji a cikin ƙananan rafuffuka idan tsagwaron aljihu ne ko fiye da gaske a yayin fashewa. Idan akwai wata ƙaramar shakku, musamman ta fuskar ɗan ƙaramin fitar da ruwa wanda za a iya kuskure ga ɓoyayyen farji, yana da kyau a je sashin haihuwa inda za a yi gwaji don tabbatar da cewa ko da gaske ruwan amniotic ne.

Rashin ruwa na iya faruwa kafin fara haihuwa da naƙuda amma yana buƙatar zuwa sashin haihuwa domin da zarar aljihun ya fashe, ba a ƙara kare jariri daga kamuwa da cututtuka. Hakanan akwai haɗarin fadowa daga igiyar: an ja shi ƙasa kuma yana haɗarin haɗewa yayin haihuwa. Bayan ɓarkewar da ba a gama ba kafin lokacin haihuwa, rabin uwaye masu zuwa za su haihu cikin sa'o'i 5 da 95% cikin sa'o'i 28 (3). Idan aiki bai fara bayan sa'o'i 6 ko 12 ba, za a jawo shi saboda haɗarin kamuwa da cuta (4).