{"id":443,"date":"2022-04-26T06:49:02","date_gmt":"2022-04-26T03:49:02","guid":{"rendered":"http:\/\/localhost\/?page_id=443"},"modified":"2022-04-26T06:49:02","modified_gmt":"2022-04-26T03:49:02","slug":"normaldogum","status":"publish","type":"page","link":"https:\/\/tulinkahveci.com\/index.php\/normaldogum\/","title":{"rendered":"NormalDo\u011fum"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"443\" class=\"elementor elementor-443\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6deddbe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6deddbe\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"aux-parallax-section elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6da4110\" data-id=\"6da4110\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8ac544c elementor-widget elementor-widget-heading\" data-id=\"8ac544c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Normal Do\u011fum<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3eb69270 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3eb69270\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"aux-parallax-section elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-499494a6\" data-id=\"499494a6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5bf8ff4b elementor-widget elementor-widget-text-editor\" data-id=\"5bf8ff4b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #943634;\"><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: x-large;\"><b>Normal Do\u011fum<\/b><\/span><\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum son adet tarihinizden sonraki 37-42 gebelik haftalar\u0131 aras\u0131nda, rahim i\u00e7i geli\u015fimini tamamlam\u0131\u015f bebe\u011fin kendili\u011finden ba\u015flayan rahim kas\u0131lmalar\u0131yla vajinal yolla canl\u0131 olarak do\u011fmas\u0131d\u0131r.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum bebek ba\u015f\u0131n\u0131n do\u011fum kanal\u0131na uygun \u015fekilde girmesi ile ba\u015flar. Bu s\u00fcre\u00e7te do\u011fum kanal\u0131n\u0131n geni\u015fli\u011fi ve bebe\u011fin pozisyonu \u00f6nem arz eder. Do\u011fum kanal\u0131 kemik yap\u0131lar, kas ve e\u015flik eden di\u011fer yumu\u015fak dokulardan olu\u015fur. \u00d6zellikle pelvis kemikleri do\u011fum kanal\u0131n\u0131n boyut ve \u015feklini belirler. <\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Pelvis bo\u015flu\u011funun en dar k\u0131sm\u0131 yakla\u015f\u0131k 10-11 cm civar\u0131ndad\u0131r. Bu uzunluk pelvis bo\u015flu\u011funun enidir. \u00d6zelli\u011fi do\u011fum kanal\u0131n\u0131n en dar k\u0131sm\u0131 olmas\u0131d\u0131r. Bebe\u011fin ba\u015f \u00e7ap\u0131 bu kanala uyum g\u00f6stermek ister. Bebe\u011fin ba\u015f\u0131n\u0131n \u00e7ap olarak en az oldu\u011fu k\u0131s\u0131m normal do\u011fum s\u0131ras\u0131nda do\u011fum kanal\u0131na \u00f6nde girer.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum s\u0131ras\u0131nda bebe\u011fin ba\u015f\u0131 \u00f6ne e\u011filerek do\u011fum kanal\u0131na en dar \u00e7apla girer. Normal do\u011fum i\u00e7in en sa\u011fl\u0131kl\u0131 giri\u015f \u015fekli budur. Bu \u00e7ap yakla\u015f\u0131k 9-9,5 cm civar\u0131ndad\u0131r. Ba\u015f\u0131n \u00f6n arka \u00e7ap\u0131 ise 12 cm civar\u0131ndad\u0131r. Ba\u015f\u0131n enlemesine uzunlu\u011fu ise 9-9,5 cm kadard\u0131r. Bebe\u011fin ba\u015f \u00e7ap\u0131n\u0131n en fazla oldu\u011fu nokta \u00e7ene ile ba\u015f\u0131n arkas\u0131ndaki kemik aras\u0131ndaki k\u0131s\u0131md\u0131r. Bu k\u0131s\u0131mda \u00e7ap 13,5 cm civar\u0131ndad\u0131r. Bebe\u011fin bu \u00e7apla do\u011fum kanal\u0131na girmesi geli\u015f anomalisi kabul edilir.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Rahim a\u011fz\u0131n\u0131n a\u00e7\u0131lmaya ba\u015flamas\u0131 ile rahim a\u011fz\u0131nda bulunan mukus t\u0131kac\u0131 d\u0131\u015far\u0131 at\u0131l\u0131r ve halk aras\u0131na buna \u201c<\/span><\/span><span style=\"color: #00b050;\"><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\"><b>ni\u015fan gelmesi<\/b><\/span><\/span><\/span><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">\u201d denilir. Bu ni\u015fan gelmesi do\u011fumun ba\u015flad\u0131\u011f\u0131n\u0131 g\u00f6sterir. Su gelmesi veya kas\u0131lma olmas\u0131 da do\u011fum i\u015faretleri aras\u0131nda yer almaktad\u0131r. Ni\u015fan gelmesi, su gelmesi veya kas\u0131lma olmas\u0131 da do\u011fum i\u015faretleri aras\u0131nda yer almaktad\u0131r.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Do\u011fum a\u011fr\u0131lar\u0131 di\u011fer a\u011fr\u0131lardan farkl\u0131d\u0131r. Bu a\u011fr\u0131lar\u0131n en \u00f6nemli \u00f6zelli\u011fi d\u00fczenli aral\u0131klarla olu\u015fudur.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum i\u00e7in rahim i\u00e7i tek; canl\u0131 gebelik olmas\u0131 ve do\u011fum sanc\u0131lar\u0131n\u0131n normal s\u00fcre\u00e7te ve kendili\u011finden ger\u00e7ekle\u015fmesi ayr\u0131ca d\u00fczenli aral\u0131klarda olmas\u0131 gerekir. <\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Do\u011fumun ba\u015flang\u0131c\u0131nda, 30 dakika ara ile gelen a\u011fr\u0131lar 10-15 saniye s\u00fcrer, giderek hem a\u011fr\u0131lar aras\u0131 s\u00fcre k\u0131sal\u0131r hem de a\u011fr\u0131n\u0131n \u015fiddeti ve s\u00fcresi artar. Do\u011fumun sonlar\u0131na do\u011fru 2-3 dakika arayla gelir ve 60-70 saniye s\u00fcrer. Gebe bir kad\u0131n\u0131n a\u011fr\u0131lar\u0131n\u0131n 10 dakika aral\u0131klar ile d\u00fczenli olarak ba\u015flamas\u0131, do\u011fumun yak\u0131n oldu\u011funun ve hastaneye gidilmesi gerekti\u011finin ifadesidir. <\/span><\/span><\/p><p><span style=\"color: #943634;\"><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: x-large;\"><b>Normal do\u011fum nas\u0131l ba\u015flar?<\/b><\/span><\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fumu ba\u015flatan mekanizmalar g\u00fcn\u00fcm\u00fczde dahi tam olarak bilinmemektedir. Bununla birlikte normal do\u011fumun ba\u015flama s\u00fcreci ile ilgili bir\u00e7ok g\u00f6r\u00fc\u015f bulunmaktad\u0131r.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Oksitosin hormonu normal do\u011fumun ba\u015flamas\u0131nda \u00f6nemli rol al\u0131r. Bu hormon beyinde bulunan hipofiz bezinden salg\u0131lan\u0131r. Oksitosin hormonu rahimde bulunan oksitosin resept\u00f6rleri sayesinde normal do\u011fumun ba\u015flamas\u0131nda \u00f6nemli rol al\u0131r. Gebelik ilerledik\u00e7e rahimde bulunan oksitosin resept\u00f6rlerinin say\u0131s\u0131 artar. Rahim bu hormona kar\u015f\u0131 daha duyarl\u0131 duruma gelir. Bu hormon resept\u00f6rlerinin say\u0131s\u0131 belli bir de\u011ferin \u00fczerine \u00e7\u0131k\u0131nca do\u011fum olay\u0131 ba\u015flar.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Do\u011fumun ba\u015flamas\u0131 ve rahimdeki kas\u0131lmalarda oksitosin d\u0131\u015f\u0131nda progesteron hormonunun azalmas\u0131 ve bebek e\u015finin ya\u015flanmas\u0131 da rol almaktad\u0131r.<\/span><\/span><\/p><p><span style=\"color: #943634;\"><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: x-large;\"><b>Normal do\u011fuma haz\u0131rl\u0131k i\u00e7in neler yap\u0131l\u0131r ?<\/b><\/span><\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum \u00f6ncesi haz\u0131rl\u0131k gebenin hastaneye kabul\u00fc ve kay\u0131t i\u015flemleri ile ba\u015flar. Genital b\u00f6lge temizli\u011fi yap\u0131l\u0131r. Do\u011fumun ger\u00e7ekle\u015fmesine yard\u0131m ama\u00e7l\u0131 lavman ile barsak temizli\u011fi uygulan\u0131r. Nab\u0131z ve tansiyon \u00f6l\u00e7\u00fcmleri al\u0131n\u0131r. Bebe\u011fin pozisyonu, su kesesinin a\u00e7\u0131k olup olmad\u0131\u011f\u0131 ve vajinal a\u00e7\u0131kl\u0131k vajinal muayene ile de\u011ferlendirilir. Rahim a\u011fz\u0131 a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n tam olmas\u0131 10 cm kadar a\u00e7\u0131k oldu\u011funu yani do\u011fuma yakla\u015ft\u0131\u011f\u0131m\u0131z\u0131 g\u00f6sterir. Anne NST\u2019ye ba\u011flanarak bebek kalp at\u0131m h\u0131z\u0131 ve rahimde olan kas\u0131lmalar kontrol edilir. Normal do\u011fum \u00f6ncesi bebek kalp at\u0131m h\u0131z\u0131na bak\u0131l\u0131r. Normalde bebek kalp at\u0131m h\u0131z\u0131 120-160 at\u0131m\/dakika aras\u0131nda de\u011fi\u015fir. Ancak do\u011fum kas\u0131lmalar\u0131n\u0131n ba\u015flamas\u0131 ile 100-110 at\u0131m\/dakika seviyesine kadar inebilir. Ancak bu durum k\u0131sa s\u00fcrer. 15-20 saniye sonra normal seviyesine \u00e7\u0131kar. Kalp h\u0131z\u0131ndaki bu d\u00fc\u015f\u00fc\u015fler deselerasyon olarak ifade edilir.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fumdan hemen \u00f6nce gebenin idrar kesesi sonda tak\u0131larak bo\u015falt\u0131l\u0131r. Bebe\u011fin ba\u015f\u0131 \u00e7\u0131kmadan \u00f6nce do\u011fumun kolay ve g\u00fcvenli yap\u0131labilmesi i\u00e7in epizyotomi denen do\u011fum kesisi uygulan\u0131r. Epizyotomi kesisi ile do\u011fum s\u0131ras\u0131nda an\u00fcs ve \u00e7evresindeki y\u0131rt\u0131lmalar \u00f6nlenmi\u015f olur. Epizyotomi kesisi birka\u00e7 farkl\u0131 \u015fekilde yap\u0131lsa da en s\u0131k mediolateral do\u011fum kesisi kullan\u0131l\u0131r. Di\u011fer do\u011fum kesi \u00e7e\u015fitleri iyile\u015fme problemleri ve komplikasyon oranlar\u0131 nedeni ile daha az uygulan\u0131r.<\/span><\/span><\/p><p><span style=\"color: #943634;\"><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: x-large;\"><b>Normal do\u011fum evreleri nelerdir?<\/b><\/span><\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum haz\u0131rl\u0131k ve aktif d\u00f6nem olmak \u00fczere iki evreden olu\u015fur. Haz\u0131rl\u0131k d\u00f6nemi sessiz evre ya da latent faz olarak ta bilinir. Do\u011fuma haz\u0131rl\u0131k evresi birka\u00e7 g\u00fcn ya da hafta s\u00fcrer. Haz\u0131rl\u0131k evresinde d\u00fczensiz rahim kas\u0131lmalar\u0131 olu\u015fur. B\u00f6ylece rahim a\u011fz\u0131 do\u011fuma haz\u0131r hale gelir. Daha sonra ise do\u011fumun ger\u00e7ekle\u015fti\u011fi aktif evre ba\u015flar.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Aktif evre 3 k\u0131s\u0131mdan olu\u015fur. Birinci k\u0131s\u0131mda rahim a\u011fz\u0131n\u0131n geni\u015flemesi ve incelmesi vard\u0131r. Rahim a\u011fz\u0131n\u0131n geni\u015flemesine dilatsyon; incelmesine de efasman denir. Normal do\u011fumun aktif evresinin ba\u015f\u0131nda rahim a\u011fz\u0131 saatte 1-1,5 cm aras\u0131nda geni\u015fler. \u0130lk evre sonunda rahim a\u011fz\u0131 geni\u015flemesi 10 cm, incelme ise tam olur. Rahim a\u011fz\u0131n\u0131n tam olarak a\u00e7\u0131lmas\u0131 ilk do\u011fumunu yapan kad\u0131nlarda 12 -24 saat kadar, daha \u00f6nce do\u011fum yapm\u0131\u015f kad\u0131nlarda da 8-12 saat kadar s\u00fcrer. Rahim a\u011fz\u0131n\u0131n tam olarak a\u00e7\u0131lmas\u0131ndan sonra rahim kas\u0131lmalar\u0131 daha da s\u0131kla\u015f\u0131r ve annede \u0131k\u0131nma hissi ba\u015flar. Bebek rahim kas\u0131lmalar\u0131 ile itilerek do\u011fum ger\u00e7ekle\u015fir.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Aktif evrenin ikinci k\u0131sm\u0131nda do\u011fum kanal\u0131na giren bebek d\u0131\u015far\u0131 do\u011fru itilir. Bu evre ilk do\u011fumunu yapan bayanlarda 2-2,5 saat, iki ya da daha fazla do\u011fum yapan bayanlarda ise yar\u0131m saat civar\u0131 s\u00fcrer. Ancak bu s\u00fcreler de\u011fi\u015fken olup her gebede ayn\u0131 olmayabilir. Bebe\u011fin do\u011fum kanal\u0131nda ilerleme s\u00fcresi geli\u015f \u015fekli, a\u011f\u0131rl\u0131\u011f\u0131, rahim kas\u0131lmalar\u0131n\u0131n kuvvet ve s\u0131kl\u0131\u011f\u0131 ve uygulanan anestezi \u015fekli ile yak\u0131ndan ili\u015fkilidir. Aktif evrenin bu b\u00f6l\u00fcm\u00fc bebe\u011fin d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131 ile biter. Bu k\u0131s\u0131m do\u011fumda olduk\u00e7a \u00f6nemlidir. Bebe\u011fin sa\u011fl\u0131k durumunu etkileyebilecek do\u011fum problemleri bu evrede izlenir.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fumun aktif evresi son olarak bebek e\u015finin do\u011fum kanal\u0131ndan at\u0131lmas\u0131 ile sona erer. Bu b\u00f6l\u00fcm aktif evrenin \u00fc\u00e7\u00fcnc\u00fc k\u0131sm\u0131n\u0131 olu\u015fturur. Bebe\u011fin do\u011fumundan sonra da rahim kas\u0131lmalar\u0131 devam eder. Bu a\u011fr\u0131lar bebe\u011fin sonunun, e\u015finin (plasenta) \u00e7\u0131kmas\u0131n\u0131 sa\u011flar. Bu devre yakla\u015f\u0131k olarak 10-30 dakika s\u00fcrer.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Lo\u011fusal\u0131\u011f\u0131n ilk g\u00fcnlerinde de rahim kas\u0131lmalar\u0131 azalarak devam eder. Bu kas\u0131lmalar\u0131n amac\u0131, do\u011fumdan sonra damarlar\u0131n a\u011fz\u0131n\u0131n b\u00fcz\u00fclerek kanaman\u0131n azalt\u0131lmas\u0131, lo\u011fusal\u0131k ak\u0131nt\u0131s\u0131n\u0131n (lo\u015fi) d\u0131\u015far\u0131 at\u0131lmas\u0131 ve rahmin k\u00fc\u00e7\u00fclmesini sa\u011flamakt\u0131r.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Do\u011fum s\u00fcresinin beklenenden uzun olmamas\u0131, bebe\u011fin ba\u015f\u0131n\u0131n \u00f6nde olmas\u0131 ve vajinal yoldan kanama miktar\u0131n\u0131n 0,5 litre alt\u0131nda olmas\u0131 normal do\u011fumda aranan \u00f6zelliklerdir. Ayr\u0131ca anne ve bebe\u011fi hayati tehlikeye sokacak bir durum olmamal\u0131d\u0131r.<\/span><\/span><\/p><p><span style=\"color: #943634;\"><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: x-large;\"><b>Normal do\u011fumda bebek nas\u0131l ilerler?<\/b><\/span><\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Bebe\u011fin normal do\u011fum s\u0131ras\u0131nda do\u011fum kanal\u0131nda ilerlemesi bir dizi farkl\u0131 hareketler ile olur. Bebe\u011fin ba\u015f\u0131 ve do\u011fum kanal\u0131n\u0131n en dar yeri bu hareketlerin normal s\u00fcre\u00e7te ilerlemesinde olduk\u00e7a \u00f6nemli rol al\u0131r. Hamileli\u011fin son haftalar\u0131na do\u011fru bebe\u011fin ba\u015f\u0131n\u0131n en k\u0131sa \u00e7ap\u0131 do\u011fum kanal\u0131 girimine oturur. Bu olaya angajman denir.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum s\u00fcrecinde bebek ba\u015f\u0131n\u0131n do\u011fum kanal\u0131na girmesi ile birlikte birbirini takip eden ba\u015f hareketleri meydana gelir. Bu hareketlerin normal \u015feklinde devam etmesi do\u011fumun sorunsuz ger\u00e7ekle\u015fmesini sa\u011flar. Bu hareketler kad\u0131n hastal\u0131klar\u0131 ve do\u011fum uzman\u0131 taraf\u0131ndan yap\u0131lan jinekolojik muayenede de\u011ferlendirilir.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fumda bebek ba\u015f\u0131n\u0131n do\u011fum kanal\u0131na yerle\u015fmesinden sonra ini\u015f ba\u015flar. Ayn\u0131 zamanda rahim a\u011fz\u0131nda geni\u015fleme ve incelme devam eder. E\u011fer ilk do\u011fum olacak ise ini\u015f saatte 1 cm olur. Daha \u00f6nce do\u011fum yapm\u0131\u015f bayanlarda ise saatte 1,5-2 cm h\u0131zla ini\u015f ger\u00e7ekle\u015fir. Rahimdeki kas\u0131lmalar sayesinde do\u011fum kanal\u0131nda ilerleme sa\u011flan\u0131r. Normal do\u011fum s\u00fcrecinde ini\u015f s\u0131ras\u0131nda bebe\u011fin ba\u015f\u0131 \u00f6ne do\u011fru e\u011filir. Bu \u015fekilde do\u011fum kanal\u0131nda ilerler.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Bebek do\u011fum kanal\u0131nda ilerlerken pelvik bo\u015fluk denen k\u0131s\u0131mda kritik bir nokta bulunur. Burada bebe\u011fin ba\u015f\u0131n\u0131n en k\u0131sa \u00e7ap\u0131 bo\u015flu\u011fun en dar k\u0131sm\u0131na uyacak \u015fekilde oturur. Normal do\u011fumda bu b\u00f6l\u00fcm olduk\u00e7a \u00f6nemlidir. Bu olay s\u0131ras\u0131nda ba\u015f i\u00e7e do\u011fru d\u00f6ner. Bu hareket ba\u015f\u0131n yana do\u011fru \u00e7evrilmesi \u015feklindedir. Daha sonra ba\u015f\u0131n arkas\u0131ndaki b\u0131ng\u0131ldak denen k\u0131s\u0131m gebenin \u00f6ndeki kemik birle\u015fim yerinin alt\u0131na do\u011fru iner. B\u0131ng\u0131lda\u011f\u0131n \u00f6n de\u011fil de arkaya d\u00f6n\u00fck olmas\u0131 geli\u015f anomalisidir.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fumda ba\u015f\u0131n arka k\u0131sm\u0131n\u0131n gebenin \u00f6ndeki kemik birle\u015fim yerine oturmas\u0131 rahim kas\u0131lmalar\u0131 s\u0131ras\u0131nda buradan destek almas\u0131n\u0131 sa\u011flar. Arkadan destek alan ba\u015f kas\u0131lmalar ile geriye do\u011fru e\u011filerek do\u011fum kanal\u0131ndan \u00e7\u0131kar. Bu olay olurken bebe\u011fin y\u00fcz\u00fc yere bakar. Ba\u015f\u0131n \u00e7\u0131kmas\u0131 beraberinde bebek g\u00f6vdesinin do\u011fum kanal\u0131nda ilerlemesine neden olur. Do\u011fum kanal\u0131na inen g\u00f6vde ba\u015f\u0131n \u00e7\u0131kmas\u0131 ile birlikte yan d\u00f6ner.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum s\u0131ras\u0131nda bebe\u011fin ba\u015f\u0131n\u0131n d\u0131\u015far\u0131 \u00e7\u0131kmas\u0131 ile s\u0131ras\u0131yla omuzlar ve g\u00f6vde de d\u0131\u015far\u0131 \u00e7\u0131kar. Normal do\u011fumdaki bu k\u0131s\u0131m at\u0131lma evresi olarak ifade edilir. \u00dcst omuz do\u011fum kanal\u0131ndan \u00e7\u0131karken ba\u015f a\u015fa\u011f\u0131 do\u011fru, alt omuz \u00e7\u0131karken ise ba\u015f yukar\u0131 do\u011fru hareket ettirilir. Normal do\u011fumda omuzlar\u0131n \u00e7\u0131kmas\u0131 daha kritiktir. G\u00f6vde ve ayaklar daha sonra rahat olarak \u00e7\u0131kar. Bebe\u011fin do\u011fmas\u0131 ile birlikte bebek e\u015fi yakla\u015f\u0131k yar\u0131m saat i\u00e7inde at\u0131larak \u00e7\u0131kar.<\/span><\/span><\/p><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fumun en do\u011fal ve fizyolojik yol oldu\u011fu unutulmamal\u0131d\u0131r. Eskiden anne ve bebek i\u00e7in hayati tehlike oldu\u011funda sezeryan yap\u0131l\u0131rd\u0131. Art\u0131k do\u011fum ve a\u011fr\u0131 korkusu ile tamamen sa\u011fl\u0131kl\u0131 anneler sezeryan ile do\u011fum d\u00fc\u015f\u00fcn\u00fcyorlar. Ancak normal do\u011fumun hem anne hem de bebek i\u00e7in sezeryanle do\u011fuma g\u00f6re \u00fcst\u00fcnl\u00fckleri vard\u0131r.<\/span><\/span><\/p><ol><li><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Vajinal do\u011fum sonras\u0131nda anne birka\u00e7 saat i\u00e7inde normal aktivitelerini yapabilmekte, \u00e7ok k\u0131sa s\u00fcrede bebe\u011fini emzirmeye ba\u015flayabilmekte, gebelik \u00f6ncesi ya\u015fant\u0131s\u0131na d\u00f6nmesi daha \u00e7abuk olmaktad\u0131r.<\/span><\/span><\/p><\/li><li><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum sonras\u0131 v\u00fccudun (\u00f6zellikle kar\u0131n) eski \u015fekline d\u00f6nmesi sezeryene oranla daha iyi ve \u00e7abuktur. <\/span><\/span><\/p><\/li><li><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Anne i\u00e7in hem do\u011fum yapar yapmaz bebe\u011fini kucaklayabilmek ve emzirebilmek hem de bebe\u011fin do\u011fumuna aktif olarak katk\u0131da bulunmu\u015f olmak b\u00fcy\u00fck bir mutluluktur. Bebe\u011fiyle do\u011far do\u011fmaz o \u00f6zel ba\u011f\u0131 kurabilmek, \u015f\u00fcphesiz ya\u015fam\u0131n en keyifli an\u0131 olacakt\u0131r.<\/span><\/span><\/p><\/li><li><p><span style=\"font-family: Times New Roman, serif;\"><span style=\"font-size: large;\">Normal do\u011fum s\u0131ras\u0131nda bebek kemik kanaldan ge\u00e7ip (annenin pelvis kemikleri ) vajinal do\u011farken, g\u00f6\u011f\u00fcs kafesine olu\u015fan bask\u0131 bebe\u011fin akci\u011ferlerindeki s\u0131v\u0131n\u0131n \u00e7ok b\u00fcy\u00fck k\u0131sm\u0131n\u0131n bo\u015falmas\u0131na ve nefesini daha rahat almas\u0131na neden olur. Sezeryende bu durum s\u00f6z konusu olmad\u0131\u011f\u0131ndan, sezeryenle do\u011fan bebeklerde \u201c yeni do\u011fan\u0131n ge\u00e7ici takipnesi\u201d ve \u201c\u0131slak akci\u011fer\u201d ad\u0131 verilen solunum s\u0131k\u0131nt\u0131lar\u0131 vajinal do\u011fumla do\u011fan bebeklere oranla 5 kat daha s\u0131k g\u00f6r\u00fcl\u00fcr. Bu t\u00fcr solunum sistemi problemlerini, normal zaman\u0131ndan \u00f6nce, iste\u011fe ba\u011fl\u0131 sezeryen ile do\u011furtulan bebeklerde daha s\u0131k g\u00f6rmekteyiz. \u00d6zellikle bu nedenle, iste\u011fe ba\u011fl\u0131 \u201celektif\u201d sezeryenlerin 39. haftadan \u00f6nce yap\u0131lmamas\u0131 \u00e7ok \u00f6nemlidir.<\/span><\/span><\/p><\/li><\/ol><p><br \/><br \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Normal Do\u011fum Normal Do\u011fum Normal do\u011fum son adet tarihinizden sonraki 37-42 gebelik haftalar\u0131 aras\u0131nda, rahim i\u00e7i geli\u015fimini tamamlam\u0131\u015f bebe\u011fin kendili\u011finden ba\u015flayan rahim kas\u0131lmalar\u0131yla vajinal yolla canl\u0131 olarak do\u011fmas\u0131d\u0131r. Normal do\u011fum bebek ba\u015f\u0131n\u0131n do\u011fum kanal\u0131na uygun \u015fekilde girmesi ile ba\u015flar. Bu s\u00fcre\u00e7te do\u011fum kanal\u0131n\u0131n geni\u015fli\u011fi ve bebe\u011fin pozisyonu \u00f6nem arz eder. Do\u011fum kanal\u0131 kemik yap\u0131lar, kas [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-443","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>NormalDo\u011fum - T&Uuml;L\u0130N KAHVEC\u0130<\/title>\n<meta name=\"description\" content=\"Normal do\u011fum son adet tarihinizden sonraki 37-42 gebelik haftalar\u0131 aras\u0131nda, rahim i\u00e7i geli\u015fimini tamamlam\u0131\u015f bebe\u011fin kendili\u011finden ba\u015flayan rahim kas\u0131lmalar\u0131yla vajinal yolla canl\u0131 olarak do\u011fmas\u0131d\u0131r.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tulinkahveci.com\/index.php\/normaldogum\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NormalDo\u011fum - 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