Kuvame ukubonisana kwabesifazane, abesifazane abakhulelwe kaningi futhi abaye bazalwa ngokokuqala ngqa ngosizo lwesigaba sokugcina ukuthi emva kwalokho, ukubeletha kungokwemvelo kungenakwenzeka. Kodwa-ke, maduzane, ochwepheshe bezokwelapha sebeqalile ukufakazela ukuthi akudingekile ukuzalwa okuphindaphindiwe ukuthi isigaba sokudla singase sidingeke. Abesifazane abaye babe nesigaba se-cearean, ezimweni eziningi, bafuna ngempela ukusebenza kabusha, kodwa ingxenye enkulu yabo ikwazi ukubeletha ngokujwayelekile, futhi lokhu kuyasiza kakhulu.
Kusobala ukuthi ezimweni eziningana kungenzeka ukuthi ubelethe okwesibili ngokusebenza kwesigaba se-cearean. Njengomthetho, lezi zimo lapho ukuphikisana okufanayo nokubeletha okujwayelekile kubonakala njengokuqala okokuqala, okungukuthi, uma kuhlotshaniswa nezici eziqondene nomzimba womama.
Kungaba yizibonakaliso ezifana nokuguqulwa kwamathambo ekhanda, okuncane kakhulu kwesitsha kanye nezinye izinkinga. Okunye okuvamile okukhona izifo ezithinta izifo, okuwukuthi, ukubhekwa okuncane kakhulu, amasosha okubuyisela kabusha, ukuhlukunyezwa kwe-craniocerebral. Uma kunesinye sezifo, khona-ke ingxenye yesibili yokulahla ingase ibekiwe. Uma ukukhulelwa kukhulu, khona-ke ukuzalwa ngendlela engokwemvelo kungaba nzima kakhulu noma kungenzeki ngaphandle kwengozi kubantwana.
Futhi, isigaba sesibili sokugcina isikhashana singahle sibekwe ezinkingeni ezifana nesifo sikashukela noma umfutho wegazi ophezulu. Izinkomba zakhe ziyoba njalo uma okokuqala ngqangi isigaba se-cearean siphumelelanga, sishiya isikebhe esingavumelani esibelethweni noma kunezinye izinkinga. Kodwa-ke, ukuba khona kwesibalo esibelethweni akuyona inkomba yokuqokwa kwesigaba sokudla.
Esinye isigaba se-caesarean singanconywa uma ukukhulelwa kabusha kwenzeka ngaphansi kweminyaka engu-3-4 emva kokusebenza kokuqala kwesigaba se-cearean, noma lapho kukhishwa isisu phakathi kwesigaba sokuqala sokukhumula nokukhulelwa okusha, ngoba ukukhipha isisu kungenza ukuphela kungaphelele.
Nakuba ingxenye yesibili yaseKhesari yayicatshangwa ukuthi iyindlela kuphela yokuphuma ekubelethweni okuphindaphindiwe, empeleni, esinye isigaba sokwelashwa yisimiso esiyinkimbinkimbi kakhulu kunokuqhuba isigaba sokuqala sokuyeka. Okokuqala, emva kokuhlinzwa kwesibili kwesigaba sokudla, cishe abangaphezu kwengxenye yabesifazane balahlekelwa ithuba lokukhulelwa, njengoba umsebenzi wokuya esikhathini uphazamiseka. Kusobala ukuthi uma owesifazane ophethe isisindo sokubeletha ebeletha umntwana wesibili ekubelethweni kwemvelo, khona-ke amathuba okuhlala ekwazi ukukhulelwa kuye aphezulu kakhulu.
Kanti futhi, ukuqhutshwa kwesigaba sokuqapha okuphindaphindiwe ezimweni eziningi kuholela ekubukeni kwezinkinga ezifana nokulimala kwezigulane, isisu, amathumbu. Lezi zixazululo zibangelwa izinguquko ebuhlotsheni obuthile bezitho, ezihambisana nenqubo yokubamba iqhaza eyenzeka endaweni ye-rumen.
Amathuba okutholakala kwezinkinga ezinjenge-postoperative njenge-endometritis, i-anemia, i-thrombophlebitis yemithanjeni ye-pelvic yanda kakhulu. Futhi, isigaba sesibili sesondlo sandisa kakhulu ingozi yegazi le-hypotonic, okuyinto ezimweni eziningi ezingenakunyakazwa ngosizo lwezindlela ezizenzekelayo, okuholela ekudingeni isidingo sokususwa kwesibeletho, okuyinto ngeshwa, isiphumo esivame kakhulu sesigaba sesibili sokulahla.
Ngakho-ke, njengoba isigaba sokuqala sokuyeka, futhi siphindaphindiwe, singenziwa kuphela lapho sikhethwe ochwepheshe bezokwelapha kuphela ngezizathu zezokwelapha, futhi akusona ukhetho lomama osejele.
Izinkomba zesigaba sesibili sokudla kwesisu, esingabhekwa njengento ephelele, ngaphandle kwalezi zibonakaliso ezidinga isigaba sokuqala sokugaya izidakamizwa, odokotela babheka ubuhlungu besikhathi eside esibelethweni, inqwaba yezicubu ezingenayo imisipha endaweni yesifo se-uterine, previa ekuqotheni kwe-placenta.
Ngaphezu kwalokho, emva kwezigaba ezimbili (noma ngaphezulu) ze-cearean, ukubeletha ngokwemvelo kuyaphikisana. Futhi-ke, uma lona wesifazane ngokwayo eveza ukwenqaba kokubeletha okuzenzekelayo, isigaba se-cearean senziwa futhi. Nakuba, njengoba kuchazwe ngenhla, isigaba sesibili sesondlo singenakuqhathaniswa njengento engcono kakhulu, kokubili umama nengane.