40 hafta s\u00fcresince olduk\u00e7a sakin duran rahim, do\u011fum a\u015famas\u0131 yakla\u015ft\u0131\u011f\u0131nda \u00e7e\u015fitli de\u011fi\u015fimlerle kas\u0131lmaya ba\u015flar. Do\u011fum, ilk olarak kas\u0131lmalarla ba\u015flar. Bu kas\u0131lmalar adele kas\u0131lmalar\u0131d\u0131r ve yukar\u0131dan a\u015fa\u011f\u0131 do\u011fru yay\u0131l\u0131rlar. Bu kas\u0131lmalar sayesinde bebek rahim a\u011fz\u0131na do\u011fru gidebilir.Bebe\u011fin i\u00e7erisinde y\u00fczd\u00fc\u011f\u00fc amniyon yani su kesesi do\u011fumun herhangi bir zaman\u0131nda kendi kendine y\u0131rt\u0131labilmektedir. Ya da doktor m\u00fcdahalesi ile do\u011fumu h\u0131zland\u0131rmak ya da ger\u00e7ekle\u015ftirmek i\u00e7in a\u00e7\u0131labilir. Bu kese, do\u011fum a\u011fr\u0131lar\u0131ndan hemen \u00f6nce a\u00e7\u0131ld\u0131\u011f\u0131 taktirde do\u011fum k\u0131sa bir s\u00fcrede ger\u00e7ekle\u015fir. Bunun d\u0131\u015f\u0131nda bir di\u011fer belirti de toplum aras\u0131nda bilinen \u201dni\u015fan\u0131n gelmesi\u201d belirtisidir. Bu ni\u015fan, rahim a\u011fz\u0131ndaki t\u0131kac\u0131n vajinadan d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131d\u0131r. \u0130\u015fte bu ni\u015fan\u0131n gelmesi ve s\u0131v\u0131 kesesinin a\u00e7\u0131lmas\u0131 do\u011fumun i\u015faretlerindendir.<\/p>\n

Hamileli\u011fin ba\u015flamas\u0131 ile beraber uterusta bir sessizlik evresi ba\u015flar, bu evrede yaln\u0131zca servikste yumu\u015fama ya\u015fan\u0131r. fakat rahimde herhangi bir olay meydana gelmez. Hamileli\u011fin son aylar\u0131nda haz\u0131rl\u0131k (aktivasyon) a\u015famas\u0131 ismi verilen denilen d\u00f6neme girilir. Bu d\u00f6nemde rahim, do\u011fum a\u015famas\u0131nda ya\u015fanacak olan kas\u0131lmalar i\u00e7in pratik yapar. Do\u011fumun toplamda 3 a\u015famas\u0131 vard\u0131r. Bu a\u015famalar:<\/p>\n

1.EVRE:<\/strong><\/p>\n

Hamilelik s\u00fcresince kapal\u0131 olarak dduran rahim a\u011fz\u0131 bu evrede a\u00e7\u0131l\u0131r. Kas\u0131lmalar ile rahim a\u011fz\u0131 10 cm\u2019e kadar a\u00e7\u0131l\u0131r. Bu evre, do\u011fumun 3 evresi aras\u0131nda en uzun s\u00fcren evredir. Yakla\u015f\u0131k olaran 8-10 aras\u0131 s\u00fcrer. Annenin ikinci gebeli\u011fi ise bu s\u00fcre azal\u0131r.<\/p>\n

\u0130lk evre pasif ve aktif d\u00f6nem olarak ikiye ayr\u0131l\u0131r.<\/strong><\/p>\n

Pasif d\u00f6nem: Birinci evrenin en uzun s\u00fcren a\u015famas\u0131d\u0131r. Pasif s\u00fcre\u00e7te, a\u011fr\u0131lar ve kas\u0131lmalar daha seyrek ya\u015fan\u0131r. Gene kas\u0131lmalar daha hafiftir. \u0130lerleyen saatlerde bu kas\u0131lmalar artacakt\u0131r.<\/p>\n

Pasif D\u00f6nemde:<\/strong><\/p>\n

Rahim a\u011fz\u0131nda a\u00e7\u0131lma: 3-4 cm\u2019e kadar
\nSanc\u0131lar: Hen\u00fcz d\u00fczene girmemi\u015ftir. 40ila 10 saniye aras\u0131nda ya\u015fanabilir.
\nAnne aday\u0131 haz\u0131rl\u0131klar\u0131n\u0131 yapabilir. Hen\u00fcz hareketlerinde bir k\u0131s\u0131tlanma olmaz.
\n\u0130nsanlarla konu\u015fabilir.
\nS\u0131k s\u0131k tuvalet ihtiyac\u0131 duyabilir.
\nDuygusal olarak gelgitler ya\u015fan\u0131r.
\nBu d\u00f6nemde yap\u0131lmas\u0131 gerekenler:
\nAnne aday\u0131 y\u00fcr\u00fcmeli, hareket etmeli.
\nSanc\u0131lar d\u00fczene girdi\u011finde ve 5 dakika aral\u0131klarla ya\u015fand\u0131\u011f\u0131nda doktora haber verilmeli.
\nKendini \u00e7ok yormamaya ve enerjisini muhafaza etmeye \u00e7al\u0131\u015fmal\u0131.
\nSakinle\u015fmek ad\u0131na e\u015fi ile sohbet edebilir, film izleyebilir.
\nIl\u0131k bir du\u015f al\u0131p rahatlayabilir.<\/p>\n

Aktif d\u00f6nem:<\/strong> Bu d\u00f6nemde rahim a\u011fz\u0131 ortalama 3 cm a\u00e7\u0131kl\u0131\u011fa ula\u015ft\u0131ktan sonra, ba\u015flanan d\u00f6nemdir. Aktif d\u00f6nemde annenin sanc\u0131lar\u0131 daha s\u0131k ya\u015fanmaya ba\u015flar. A\u011fr\u0131lar\u0131n \u015fiddeti artar. Yakla\u015f\u0131k olarak 5 dakika bir ya\u015fan\u0131r.<\/p>\n

Aktif d\u00f6nemde:<\/strong><\/p>\n

S\u00fcre: 4-12 saat s\u00fcren bir d\u00f6nemdir.
\nRahim a\u011fz\u0131nda a\u00e7\u0131lma:4-8\/9 cm\u2019e kadar ula\u015f\u0131r.
\nSanc\u0131lar: 45-60 saniye aral\u0131klar\u0131nda gelebilir.Anne aday\u0131:
\nGebe art\u0131k pek fazla konu\u015famaz.
\nDaha hassas bir ruh halindedir.
\nSanc\u0131lar aras\u0131nda ba\u011f\u0131rmaya ba\u015flayabilir.
\nAktif d\u00f6nemde anne aday\u0131 kusabilir.
\nArt\u0131k yoruldu\u011fu i\u00e7in uzanmak isteyebilir.Yap\u0131lmas\u0131 gerekenler:
\nYorucu olmayan serbest hareketler yapmal\u0131d\u0131r.
\nDu\u015f almas\u0131 rahatlatabilir.
\nSaat ba\u015f\u0131 idrara \u00e7\u0131kmas\u0131 rahatlatacakt\u0131r.
\nS\u0131v\u0131 almaya \u00f6zen g\u00f6stermelidir.
\nSanc\u0131 aras\u0131nda kesinlikle dinlenmelidir.
\nAnne aday\u0131n\u0131n sakinlen\u015ftirilmesi sa\u011flanmal\u0131d\u0131r.
\nBu iki evre sonunda dinlenme ve ge\u00e7i\u015f evreleri ya\u015fan\u0131r. Rahim a\u011fz\u0131 10 cme ula\u015facakt\u0131r ve ard\u0131ndan do\u011fum evresine ge\u00e7ilecektir.<\/p>\n

GE\u00c7\u0130\u015e D\u00d6NEM\u0130<\/strong><\/p>\n

S\u00fcre: Bir ka\u00e7 dakika ve 1 saat olmak \u00fczere ya\u015fan\u0131r.
\nRahim a\u011fz\u0131nda a\u00e7\u0131lma: rahim a\u011fz\u0131 art\u0131k 10 cm\u2019e ula\u015f\u0131r.
\nSanc\u0131lar: 2 dakikada bir 90 saniye s\u00fcrecek \u015fekilde uzam\u0131\u015ft\u0131r.Bu a\u015famada:
\nBu d\u00f6nemde rahim a\u00e7\u0131lma eyleminden itme eylemine ge\u00e7i\u015f i\u00e7in kendini haz\u0131rlar.
\nAnne, rektumunda bas\u0131n\u00e7 hisseder. Kendili\u011finden gelen bir itme iste\u011fi duyabilir.
\nAnnenin bacaklar\u0131 titreyebilir. Mide bulant\u0131s\u0131 ve kusma ya\u015fanabilir.
\nBunlar\u0131n d\u0131\u015f\u0131nda anne \u00fc\u015f\u00fcyebilir, \u00f6fkelenebilir.
\nNormal do\u011fumdan vazge\u00e7ip sezaryen yapt\u0131rmak isteyebilir.
\nBu a\u015famada yap\u0131lmas\u0131 gerekenler:
\nBaba aday\u0131 kontrol\u00fc eline almal\u0131 ve anne aday\u0131n\u0131 sakinle\u015ftirmeli.
\nAnne aday\u0131 s\u00fcrekli telkin edilmeli.
\nBu s\u00fcre\u00e7te anne aday\u0131 \u0131k\u0131nmamas\u0131 konusunda uyar\u0131l\u0131r. Nefes alma teknikleri uygulanmal\u0131 ve \u0131k\u0131n\u0131lmamal\u0131d\u0131r.
\nBu a\u015famadan sonra anne do\u011fum masas\u0131na yat\u0131r\u0131l\u0131r.
\n EVRE<\/strong>
\nBu evrede rahim a\u011fz\u0131 art\u0131k tamamen a\u00e7\u0131lm\u0131\u015ft\u0131r ve bebek art\u0131k do\u011facakt\u0131r. 2. evre, annenin ilk do\u011fumu ise yakla\u015f\u0131k olarak 50 dakikada tamamlan\u0131r. Ancak ikinci ya da \u00fcc\u00fcnd\u00fc gebelik ise 20-30 dakikada da do\u011fum ger\u00e7ekle\u015febilir. Do\u011fumun ikinci evresinde bebe\u011fin \u00e7\u0131k\u0131\u015f\u0131n\u0131 sa\u011flamak ve do\u011fumunun ger\u00e7ekle\u015fmesi i\u00e7in anne aday\u0131 \u0131k\u0131n\u0131r.<\/p>\n

Ik\u0131nma Y\u00f6ntemleri:<\/strong><\/p>\n

A\u011fr\u0131n\u0131n en zorlay\u0131c\u0131 oldu\u011fu a\u015famada anne aday\u0131 derin bir nefes al\u0131r. Bu havay\u0131 d\u0131\u015far\u0131ya vermeden a\u011fz\u0131n\u0131 kapat\u0131r ve \u0131k\u0131n\u0131r. Ik\u0131nma a\u015famas\u0131nda kal\u00e7a ve bel \u201cC\u201d \u015feklinde konumlanm\u0131\u015ft\u0131r. \u00c7ene g\u00f6\u011fse dayan\u0131r ve b\u00fct\u00fcn kuvvetle makata do\u011fru \u0131k\u0131n\u0131r. Bebek b\u00f6ylece itilmi\u015f olur. Ik\u0131nma a\u011fr\u0131 s\u00fcresince s\u00fcrd\u00fcr\u00fclmelidir. A\u011fr\u0131 durdu\u011funda ise anne aday\u0131 dinlenmelidir, \u0131k\u0131nmamal\u0131d\u0131r. Sakinle\u015fmeye \u00e7al\u0131\u015fmal\u0131d\u0131r. Bebe\u011fin ba\u015f\u0131 \u00e7\u0131kmaya ba\u015flarken anne, \u0131k\u0131nmamas\u0131 \u00fczerine uyar\u0131l\u0131r. Bu a\u015famada anne \u0131k\u0131nma iste\u011fi duyacakt\u0131r. Ik\u0131nmamak ad\u0131na k\u0131sa k\u0131sa nefesler al\u0131n\u0131p verilmelidir.<\/p>\n

Bebe\u011finizin do\u011fumunun ard\u0131ndan 2-3 cm\u2019lik mesafeden g\u00f6bek klempi tak\u0131l\u0131r. Bebe\u011fin kordonu kesilir. \u015eayet her \u015fey yolundaysa, bebek emzirilmesi i\u00e7in anneye verilir.<\/p>\n

\u0130K\u0130NC\u0130 A\u015eAMA (DO\u011eUM)<\/strong><\/p>\n

S\u00fcre:20-50 dakika
\nRahim a\u011fz\u0131 a\u00e7\u0131lma:Rahim 2. evrede art\u0131k tamamen a\u00e7\u0131lm\u0131\u015ft\u0131r ve 10 cm\u2019dir.Anne aday\u0131 bu a\u015fama:
\nIk\u0131nma ihtiyac\u0131 duyacak
\nRektumuna \u015fiddetli bir bask\u0131 gelecek
\nAdrenalin ve enerjide oran\u0131nda art\u0131\u015f g\u00f6zlemlenecekBu a\u015famada yap\u0131lmas\u0131 gerekenler:
\nPerineyi gev\u015fetmeye \u00e7al\u0131\u015fmak
\nDo\u011fum ard\u0131ndan bebe\u011fin ve annenin birbirine dokunmas\u0131n\u0131 sa\u011flamak
\nDo\u011fru \u0131k\u0131nma ve nefes teknikleri ile do\u011fuma yard\u0131mc\u0131 olmak.Do\u011fumun 2. evresinin uzamas\u0131na yol a\u00e7abilecek etkenler:<\/strong>
\nNulliparite: Anne aday\u0131n\u0131n ilk do\u011fumu olmas\u0131
\nGrand Multiparite: Anne aday\u0131n\u0131n 5.den fazla do\u011fumu olmas\u0131
\nAnne aday\u0131n\u0131n ya\u015f\u0131n\u0131n ilerlemi\u015f olmas\u0131
\nEpidural anestezi
\nBebe\u011fin normalden iri olmas\u0131
\nAnnenin a\u015f\u0131r\u0131 kilolu olmas\u0131
\n\u0130nd\u00fcksiyon<\/p>\n

EVRE<\/strong>
\nBebe\u011fin d\u00fcnyaya gelmesinin ard\u0131ndan plasentan\u0131n yani bebe\u011fin e\u015finin ayr\u0131lmas\u0131na kadar ge\u00e7en a\u015famad\u0131r\u0131. \u00c7o\u011funlukla bebek d\u00fcnyaya geldikten yakla\u015f\u0131k 10 dakika sonra plasenta da ayr\u0131l\u0131r. Bu a\u015famada plasentan\u0131n \u00e7\u0131k\u0131p \u00e7\u0131kmad\u0131\u011f\u0131 kontrol edilir. \u015eayet plasenta tam olarak \u00e7\u0131kmaz da rahim i\u00e7inde kal\u0131rsa, kanama ya da enfeksiyonlara yol a\u00e7abilir. Kesi uygulanm\u0131\u015f ise diki\u015f i\u015flemleri yap\u0131l\u0131r. \u00c7o\u011funlukla 3. evrede anneler art\u0131k b\u00fcy\u00fck bir rahatlama, sakinlik ve yorgunluk duyarlar. Son olarak da anne temizlenir. Kontrolleri yap\u0131l\u0131r ve odas\u0131na al\u0131n\u0131r. Do\u011fum ard\u0131ndan bir s\u00fcre daha kanama kontrol\u00fc yap\u0131l\u0131r. Tansiyon \u00f6l\u00e7\u00fcl\u00fcr. Bu odada art\u0131k bebe\u011fi ile beraberdir.<\/p>\n

Bu evrede:<\/strong><\/p>\n

S\u00fcre: Do\u011fum ard\u0131ndan 10 dakika i\u00e7inde ger\u00e7ekle\u015fir.
\nPlesentan\u0131n kendili\u011finden \u00e7\u0131k\u0131\u015f\u0131 i\u00e7in beklenir.
\nBu evredeki kas\u0131lmalar olduk\u00e7a hafiftir.
\n\u015eayet baba aday\u0131 do\u011fuma kat\u0131lm\u0131\u015f ise, anneye dokunmas\u0131 ve konu\u015fmas\u0131 \u00f6nerilir.
\nAnnenin son kontrolleri yap\u0131l\u0131r, rahim temizlenir ve anne odas\u0131na yollan\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

40…<\/p>\n","protected":false},"author":4,"featured_media":7692,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1523],"tags":[5172,5174,5173,5175,5169,5171,5168,5170],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7688"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=7688"}],"version-history":[{"count":0,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/7688\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/7692"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=7688"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=7688"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=7688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}