अपरिणत प्रसव

aparinat prasav arthat jab garbh 28 se 40 saptah ke bich bahar a jata hai, tab use aparinat prasav (primaichyor lebar) kahate haian. 28 saptah aur usase adhik samay tak garbhashay mean sthit bhroon mean jivit rahane ki kshamata mani jati hai. amarikan aikaidemi aauv pidaitriks ne sanh‌ 1935 mean yah niyam banaya tha ki sadhe paanch pauand ya usase kam bhar ka navajat shishu aparinat shishu mana jae, chahe garbhakal kitane hie samay ka kyoan n ho. di lig av neshans ki iantaranaishanal medikal kameti ne bhi yah niyam svikar kar liya hai. is prakar ke prasav lagabhag das pratishat hote haian.

karan

1. ve rog jo garbhavastha mean mata ke svasthy ke lie apattijanak haian, jaise jirn vrikk kop (kr aaunik naphroitis), gurde ki bimari, uchch raktachap (haee blad preshar), madhumeh (dayabitiz) aur upadansh (siphilis).
2. garbhavastha ke kuchh vishesh rog, jaise- garbhavasthiy vishaktata (t aauksomiya aauv preganainsi), prasavapoorv rudhirasrav.
3. sankramak rog, jaise- gonikarti (pailaitij), inphalueanja, nyoomoniya, uandukarti (aipeandisaitis), pitashayarti (kolisistaitis), mata ki vikrit manosthiti, sharir mean rakt ki atyadhik kami, ityadi.
4. garbhashay mean kee bhroonoan ka hona aur jalatyay (haeedremnayas).
5. lagabhag 50 pratishat aparinat prasavoan mean koee vishesh karan vidit nahian hota.

prabandh

poorvokt karanoan ke anusar prasavavedana praranbh hote hi upayukt chikitsa honi chahie, aur nimnalikhit batoan ko dhyan mean rakhana chahie-

1. garbhakal mean samay samay par daktari pariksha karani chahie aur koee rog hone par usaka uchit upachar hona chahie.
2. raktasrav hone par upayukt upachar se aparanit prasav roka ja sakata hai.
3. prasav aise chikitsalayoan mean hona chahie jahaan aparinat shishu ke palan ka uchit prabandh ho.
4. prasavakal mean uchit chikitsa n milane se bahut se balak janm ke samay, ya janmate hi mar jate haian. isalie prasavakal mean kuchh uchit niyamoan ka palan avashyak hai, jaise garbhashay ki jhilli ko adhik kal tak phootane se bachana, jhilli phootane par nal ko garbhashay ke bahar nikalane se rokana aisi aushadhiyoan ka prayog n karana jo balak ke lie haniprad hoan, jaise aphim ya barabityurets.
5. prasav kal mean mata ko vitamin 'ke' 10 miligram char char ghante par dete rahana aur balak ko janmate hi vitamin 'ke' 10 miligram suee dvara peshi mean lagana.
6. prasav ke samay balak ka sir bahar nikalane ke lie kisi prakar ke astr ka upayog n karana.
7. bachche ke sir ki raksha ke hetu sandhanika chhedan (epijiyotami) karana. kuchh rogoan mean, jahaan mata ki raksha ke lie garbh ka aant karana avashyak samajha jata hai, aparinat prasav karavana avashyak hota hai.

vidhiyaan

aparinat-prasav-vedana unpann karane ki vidhiyaan do prakar ki hai-

1. aushadhiyoan ka prayog.
2. garbhashay ki jhilli ko pho dana ya garbhashay ki griva ko lemineriya tentas dvara phailana.
3. sandhya samay do auans aandi ka tel (kaistar aauyal) pilakar tin ghante bad enima lagana.
4. yadi prat:kal tak pi da aranbh n ho to pittiyootari ke do do yoonit ki sooee peshi mean adhe adhe ghante par chhah bar lagana.
5. kunain (kivanin) adi ka prayog ab nahian kiya jata.

panne ki pragati avastha

adhar

prarambhik

madhyamik

poornata

shodh