E kamaʻilio kākou e pili ana i nā ʻano hānau keiki e pono ai ʻoe e ʻike i ka wā e kali ana ʻoe i kahi pēpē.

Inā he makuahine ʻoe e hāpai ana i kahi pēpē i kēia mau lā, ke manaʻo nei paha ʻoe i ka pīhoihoi a me ka hopohopo iki, ʻeā? I kou kokoke ʻana i ka loaʻa ʻana o kahi pēpē, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui e like me, "Pehea lā? Pehea e hānau ʻia ai ke pēpē?" He nui ka poʻe i loaʻa kahi hoʻolālā i ka manaʻo e like me kēia ka hānau ʻana. Eia naʻe, he paʻakikī ke ʻōlelo mua ʻo ia ke ʻano o ka hānau ʻana o ke pēpē. Eia naʻe, he mea nui loa iā ʻoe ke ʻike e pili ana i kekahi mau ʻano e hānau ai i kahi pēpē. I kēia lā, e kamaʻilio kākou e pili ana i kēia mau ʻano hānau.

He aha nā ʻano hana nui o ka hānau ʻana?

I ka ʻōlelo maʻalahi, aia kekahi mau ala nui no ka hānau ʻana o kahi pēpē i kēia ao. Na kāu kauka a kahu hānai paha e hoʻoholo i ke ʻano hana maikaʻi loa nāu ma muli o kou olakino a me ke kūlana o ka pēpē. E nānā kākou i kēlā mau ʻano hana.

• Ka hānau ʻana ma ke ʻano vaginal
• Ke kōkua ʻana i ka hānau ʻana o ka ʻōpū - ma o ka unuhi ʻana i ka mīkini hoʻowalewale a i ʻole ka lawe ʻana i nā forceps.
• Ka hānau ʻana o kahi pēpē ma o ka ʻoki ʻoki cesarean (C-section / Cesarean birth)
• ʻO ka hānau ʻana ma hope o ka cesarean (VBAC) no kekahi mea i loaʻa i ka ʻoki cesarean ma mua

I kēia manawa, e kamaʻilio kākou e pili ana i kēlā me kēia o kēia mau ʻano hana me nā kikoʻī hou aku , ʻeā?

1. Ka Hānau ʻana ma ka ʻōpū

ʻO kēia ke ʻano hana hānau palekana a maʻamau . ʻO ka hapa nui, ke ʻole he kumu lapaʻau kūikawā, paipai nā kauka i kēia ʻano hana. Hānau pinepine ʻia ma waena o 37 a me 42 mau pule. ʻEkolu mau pae nui i kēia: ka hānau ʻana, ka hānau ʻana, a me ka hānau ʻana i ka placenta.

He aha nā pono o kēia ʻano hana?

• Hiki iā ʻoe ke ho'ōla wikiwiki: Ke hoʻohālikelike ʻia me nā ʻano hana ʻē aʻe, hiki iā ʻoe ke hoʻi koke i ka maʻamau ma hope o ka hānau ʻana o kahi pēpē ma ke ʻano kūlohelohe.
• Palekana no ʻoe a me kāu pēpē: I ka hapanui o nā hihia, ʻo kēia ke ʻano me ka pilikia haʻahaʻa loa.
• Haʻahaʻa ka pilikia o ka maʻi.
• Ua ʻōlelo ʻia ʻaʻole nui ka pilikia o ka hanu ʻana o nā pēpē , a ua hoʻoikaika ʻia hoʻi ko lākou ʻōnaehana pale kino .
• ʻOi aku ka maʻalahi o ka lactation a me ka hānai ʻana i ka waiū.

ʻElua ala e hānau ai i kahi pēpē ma o ka vaginal:

• Hānau koke ʻana o ka ʻōpū: Ma kēia, hoʻomaka maoli ka hānau ʻana a hānau ʻia ke pēpē me ka ʻole o kekahi lāʻau lapaʻau. ʻO ka mea maʻamau e hana ʻia kēia ma kahi o 40 mau pule.
• Ka hānau ʻana i loko o ka ʻōpū:I kekahi manawa, inā loaʻa iā ʻoe kahi pilikia olakino a inā ua hala kou lā hānau, e hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau a i ʻole nā ​​​​ʻano hana ʻē aʻe e hoʻoulu ai i ka hānau ʻana. Hana pinepine ʻia kēia me kahi lāʻau i kapa ʻia ʻo Pitocin® (kahi ʻano synthetic o ka hormone Oxytocin). Kōkua kēia i kou cervix e palupalu a wehe.

He aha ka mea e hana ai inā ʻaʻole ʻoe e paʻi i ka wā hānau ʻana?

ʻO ka hapa nui o ka manawa, ke hoʻonui piha ʻia kou cervix a ua mākaukau kāu kauka a me nā poʻe ʻē aʻe, e ʻōlelo ʻia ʻoe e paʻi i ka wā e hiki mai ai ka ʻeha. Eia nō naʻe, aia nā manaʻo like ʻole e pili ana i ka wā e paʻi ai, pehea ka lōʻihi e paʻi ai, a inā paha e paʻi iki ma hope (paʻi lohi).

He mea paʻakikī ke ʻōlelo pololei i ka mea e hana ʻia inā ʻaʻole ʻoe e paʻi a inā ʻaʻole hiki iā ʻoe ke paʻi, no ka mea, ʻokoʻa ka ʻike o kēlā me kēia kanaka. Eia nō naʻe, hōʻike kekahi mau noiʻi e hiki i ka hoʻopaneʻe ʻana a i ʻole ka hoʻopaneʻe ʻana i ka paʻi ʻana, ʻoiai inā pono ʻoe , ke alakaʻi i ka maʻi, ke kahe koko nui, a i ʻole ka ʻeha pelvic . No laila he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ka paʻi ʻana ma mua o kou hoʻomaka ʻana i ka hānau ʻana.

2. Kōkua i ka Hānau ʻana ma ka Vaginal

I kekahi manawa, pono ke kauka e hoʻohana i nā forceps a i ʻole kahi vacuum e wehe ai i ka pēpē mai loko mai o ka vagina. Ua kapa ʻia kēia he kōkua hānau vaginal. Hana ʻia kēia i nā hihia e like me kēia:

• Inā ua lōʻihi kou wā e hānau ana .
• Inā ʻaʻole e holomua ka hānau ʻana a me he mea lā ua paʻa .
• Inā luhi ʻoe i ka hoʻokuke ʻana a ʻaʻole hiki ke hoʻokuke hou aku,
• Inā ʻoe a i ʻole kāu pēpē e hōʻike ana i kekahi pilikia .

Eia nō naʻe, hana wale ʻia kēia ʻano hānau kōkua inā hoʻokō ʻia kekahi mau kūlana.

He aha nā hiʻohiʻona o nā hānau kōkua?

ʻO ke ʻano hana a kāu kauka e ʻōlelo ai ma muli o nā kūlana āu e ʻike nei i ka wā hānau.

• Ka lawe ʻana i ka forceps: He mea like kēia me ka forceps. Hoʻohana ke kauka iā ia e hopu pono i ke poʻo o ke pēpē a kōkua iā ia e puka i waho o ke kahawai hānau.
• Ka lawe ʻana i ka vacuum extractor: Ma kēia, kau ke kauka i kahi kīʻaha omo liʻiliʻi ma ke poʻo o ka pēpē. Hoʻopili ʻia ia i kahi pamu. Ke paʻi ʻoe, hoʻohana ke kauka i ke kīʻaha e huki mālie i ka pēpē i waho.

Ua like like nā pono a me nā hemahema o nā ʻano hana ʻelua. I ka hapanui o nā hihia, ua kau ʻia ke koho ma waena o nā mea ʻelua ma ka ʻike o ke kauka.

3. Ka hānau ʻana o kahi pēpē ma o ka ʻoki ʻoki cesarean (C-section / Cesarean birth)

ʻO ka ʻoki ʻoki cesarean (C-section) kahi hana kahi e hana ai ke kauka i kahi ʻoki ma kou ʻōpū a me ka uterus e hānau ai i kāu pēpē. I kekahi manawa, hiki ke hoʻolālā mua ʻia kahi ʻoki cesarean no nā kumu lapaʻau. A i ʻole, inā kū mai kahi pilikia i ka wā hānau, pono paha kahi ʻoki cesarean i hoʻolālā ʻole ʻia.

He aha nā kumu no ka hoʻolālā ʻana i kahi ʻāpana C-section?

• Inā ua loaʻa iā ʻoe kahi pēpē ma o ka ʻoki cesarean ma mua .
• Inā ʻoe e kali ana i nā keiki he nui, e like me nā māhoe .
• Inā he placenta haʻahaʻa kou (placenta previa) .
• Inā he ʻūhā ke pēpē , ʻo ia hoʻi ke kū nei ka ʻūhā a i ʻole nā ​​wāwae i lalo ma kahi o ke poʻo.
• Inā kaumaha nui ke pēpē ('Fetal macrosomia') .
• Inā he mau fibroids uterine a i ʻole nā ​​​​mea pale ʻē aʻe i loko o kou ʻōpū .

I nā hihia hea e hana ʻia ai kahi ʻoki C-section i hoʻolālā ʻole ʻia?

I kekahi manawa, loli nā kūlana i ka wā hānau a pono ka ʻoki cesarean no ka palekana o ʻoe a me kāu pēpē.

• Inā pilikia ka pēpē i kekahi ʻano ʻeha ('Fetal distress') , ʻo ia hoʻi, inā me he mea lā ke paʻakikī nei ka pēpē e hoʻomanawanui i ka ʻeha o ka hānau ʻana.
• Inā ʻaʻole holomua ka hana a ua paʻa .
• Inā iho mai ke kaula umbilical a puka i waho ('Umbilical cord prolapse').
• Inā kaʻawale ka placenta mai ka ʻōpū mai ka wā ʻōpiopio (placental abruption).
• Inā he nui ke kahe koko ʻana (`Hemorrhage`).

He aha nā pilikia o ka ʻoki caesarean?

E like me nā ʻoki kino āpau, loaʻa i kahi ʻoki caesarean kekahi mau pilikia. Ma keʻano laulā, ʻoi aku ka kiʻekiʻe o nā pilikia o ka ʻoki caesarean ma mua o ka hānau ʻana ma ka ʻōpū.

• Hiki ke loaʻa ka maʻi .
• Hiki ke kahe nui ke koko , a pono paha ke hoʻoili koko.
• Hiki i kahi ʻūpā koko ke hana a hele i loko o kahi kīʻaha koko a ālai ʻia (embolism).
• Hiki ke hōʻeha ʻia nā ʻōpū a me ka ʻōpū mimi .
• He lōʻihi ka manawa e ho'ōla ai , a ʻoi aku ka lōʻihi o ka noho ʻana ma ka haukapila.
• Hiki i nā ʻiʻo i loko o ka ʻōpū ke pipili pū (nā pipili ʻōpū).

He aha nā pōmaikaʻi o ka ʻoki caesarean?

Makemake kekahi poʻe i ka ʻoki ʻoki cesarean no ka mea manaʻo lākou hiki iā lākou ke koho i ka lā hānau. Ua kapa ʻia kēia he ʻoki ʻoki C elective. E ʻae kekahi mau kauka i kēia ʻoiai inā ʻaʻohe kumu lapaʻau, akā ʻaʻole paipai ka hapa nui. Hana ʻia ka hapa nui o nā ʻoki cesarean no ka mea he mea pono ia no ke olakino.Ua ʻōlelo ka ʻAhaʻōlelo ʻAmelika o nā Obstetricians and Gynecologists (ACOG) ʻaʻole e hana ʻia nā ʻāpana cesarean i hoʻolālā ʻia ma mua o 39 mau pule ke ʻole he kumu olakino.

ʻO kekahi mau pono o ka ʻoki caesarean ma mua o ka hānau ʻana ma ka vaginal:

• ʻAʻole nui ka pilikia o ka trauma ke puka mai ke pēpē ma o ka vagina.
• He haʻahaʻa ka pilikia o ka nele o ka oxygen i ka pēpē i ka wā hānau.
• Hiki ke hoʻemi ʻia ka pilikia o ka hoʻomohala ʻana i ka incontinence urinary a i ʻole ka hana moekolohe ma hope.

4. Ka Hānau ʻana ma hope o ka Cesarean (VBAC)

Inā ua hānau mua ʻoe i kahi ʻāpana cesarean, hiki paha iā ʻoe ke hānau i kāu pēpē hou ma ke ʻano vaginal, ʻo ia hoʻi, ma ke ʻano maʻamau. Ua kapa ʻia kēia ʻo `VBAC` (Vaginal Birth After Cesarean). Eia naʻe, no ka mea, ʻo ka ʻoki ʻana o kahi ʻāpana cesarean i loko o ka uterus, ua hana ʻia kahi ʻeha ma laila. No laila, aia ka hopohopo e hiki i ke kaomi o ka hānau hou ʻana i ka vaginal ke kumu e haki ai ka uterus ma kahi o ka ʻeha kahiko. No laila, aia kekahi mau kūlana e pono e hoʻokō ʻia inā ʻoe e hoʻāʻo i kahi `VBAC`.

Hiki ke hānau keiki ma hope o ka ʻoki cesarean ma ke ʻano maʻamau?

ʻAe, hiki iā ʻoe. Inā ʻoe e hoʻokō i kēia mau kūlana, ʻoi aku ka nui o kou manawa e loaʻa ai kahi `VBAC` holomua:

• Inā ua hana ke kauka i kahi ʻoki haʻahaʻa i ka wā o ka ʻoki cesarean ma mua. Penei ka hana ʻana i ka hapa nui o nā ʻoki cesarean, koe wale nō nā pilikia.
• Inā he mau ʻeha a i ʻole nā ​​mea ʻē aʻe i loko o kou ʻōpū.
• Inā ua hānau ʻoe i kahi pēpē ma o ka ʻōpū ma mua .
• Inā ʻaʻole ʻoe i loaʻa i kahi haki ʻōpū ma mua.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kou kūpono no kahi VBAC. E nānā ʻo ia i kāu mōʻaukala olakino piha a e aʻo aku iā ʻoe e like me ia.

Nā mea ʻē aʻe e pono ai ʻoe e ʻike i ka wā e hānai ai i kahi pēpē

Aia kekahi mau huaʻōlelo ʻē aʻe āu e ʻike ai e pili ana i ka hānau keiki ʻana. E maʻalahi iā ʻoe ke hoʻomaopopo inā kamaʻilio ke kauka e pili ana iā lākou.

He aha ka episiotomy?

ʻO ka episiotomy kahi ʻoki liʻiliʻi i hana ʻia e hoʻonui iki i ka puka o kou vagina i mea e maʻalahi ai ke poʻo o ke pēpē e puka i waho. ʻAʻole pono ka hapa nui o ka poʻe i kēia. ʻElua ʻano o ka episiotomy: kahi ʻoki midline, i hana ʻia ma ke alo pono o ka anus, a me kahi ʻoki mediolateral, i hana iki ʻia ma ka ʻaoʻao o ka anus.

Amniotomy / Ka haki ʻana i kāu ʻeke wai

ʻO ka "Amniotomy" ke kaʻina hana o ka haki ʻana i kou mau membrane (ʻAROM - ka haki ʻana i kou mau membrane), ʻo ia hoʻi ka ʻeke piha wai a puni kāu pēpē. Hiki i kāu kauka ke hana i kēia no kēia mau kumu:

• ʻO ka hoʻomaka ʻana o ka hana a i ʻole e hoʻolalelale iā ia ('hoʻoulu a hoʻonui paha i ka hana').
• E kau i kahi mea nānā kūloko e nānā i kāu mau ʻōhū ʻana.
• E kau i kahi mea nānā i loko o ke poʻo o ke pēpē e nānā i ke olakino o ke pēpē.
• E nānā i ka ʻōpala mua o ka pēpē (`Meconium`). (He mea ʻōmaʻomaʻo-ʻeleʻele kēia).

Hoʻohana ke kauka i kahi mea i kapa ʻia he "Amniohook", he mea like ia me ke kui ulana. Ma hope o ka pau ʻana o kēia, pono e hānau ʻia ke pēpē i loko o 24 mau hola e pale aku ai i ka maʻi.

Ka Nānā ʻana i ka Fetal

ʻO ka "nānā ʻana i ka fetal" ke kaʻina hana o ka nānā ʻana i ka puʻuwai o ka pēpē i ka wā hānau. Hiki ke hana ʻia kēia ma waho (``waho``) a i loko paha (``loko``). Ke ʻike ke kauka pehea e kū nei ka pēpē i ka hānau ʻana, hiki iā ia ke hoʻoholo inā e hoʻomau i ka hānau ʻana a i ʻole e hānau koke i ka pēpē.

• I ka nānā ʻana i ka fetal ma waho , kau ʻia kahi hāmeʻa ultrasound ma kou ʻōpū a hoʻopaʻa i nā mea e like me ka helu o ka puʻuwai o kāu pēpē, pehea ka pinepine o kou hiki ʻana mai o kāu mau ʻūlū ʻana, a pehea ka lōʻihi o ko lākou mau manawa.
• I ka nānā ʻana i loko , ua hoʻopili ʻia kahi electrode liʻiliʻi i ke poʻo o ka pēpē e hoʻopaʻa i ka helu o ka puʻuwai o ka pēpē. Pono e haki kou wai i hiki ai ke loaʻa kēia electrode. Hiki paha iā ʻoe ke kau i kahi sensor kaomi kokoke i kāu pēpē e ana i ka ikaika o nā ʻūlū.

He aha ke ʻano hānau keiki ʻeha loa?

He mea kēia e ʻokoʻa ai mai kēlā kanaka a kēia kanaka. Nui nā mea e pili ana i kēia, e like me ka hoʻohana ʻana i nā lāʻau ʻeha, ke ʻano o nā lāʻau ʻeha āu e hoʻohana ai, a me kou hoʻomanawanui ʻana i ka ʻeha. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka e pili ana i nā koho hoʻomaha ʻeha ma mua o kou komo ʻana i ka hānau keiki. Ma kēlā ala, hiki iā ʻoe ke hoʻomaopopo i nā pilikia a me nā pono o kēlā me kēia koho.

ʻElua mau koho nui: ka hānau ʻana me ka ʻole o ka lāʻau lapaʻau a i ʻole ka hānau kūlohelohe, a i ʻole ka hoʻohana ʻana i nā mea hōʻeha ʻeha. ʻAʻole hiki iā ʻoe ke hana i kahi ʻoki cesarean me ka ʻole o ka lāʻau lapaʻau.

ʻO nā koho no ka hōʻemi ʻana i ka ʻeha i ka wā hānau keiki:

• Nā Analgesics: Hoʻemi kēia i ka ʻeha, akā ʻaʻole e hoʻopau loa i ka manaʻo a i ʻole ka neʻe ʻana o nā ʻiʻo. ʻO kekahi o nā analgesics maʻamau i hoʻohana ʻia i ka wā hānau keiki he epidural. Hiki iā ʻoe ke loaʻa i kahi epidural no ka hānau ʻana ma ka ʻōpū a i ʻole ka ʻoki cesarean.
• Nā lāʻau hoʻomaha:ʻO kēia mau lāʻau lapaʻau (ʻAnesthesia) e ālai i nā hōʻailona e hele ana i kou lolo, e pale ana iā ʻoe mai ka ʻeha. Hāʻawi ʻia lākou ma ke ʻano he injection a i ʻole ma o kahi laina "IV - intravenous". No ka ʻoki ʻana i ka ʻōpū, hiki ke hāʻawi ʻia iā ʻoe ka "General anesthesia", ka mea e hoʻohiamoe loa iā ʻoe. ʻO kekahi koho ʻē aʻe ʻo ia ka "Local anesthesia". ʻO kēia ka manawa e hoʻokomo ʻia ai ka lāʻau lapaʻau i loko o kahi kikoʻī o kou kino, no ka laʻana, ka vagina a me nā aʻalolo a puni.

ʻO kekahi kumu e hiki ke hoʻopilikia i ka hoʻoholo ʻana i ke ʻano hana ʻeha loa, ʻo ia ka manawa hoʻōla. Ma keʻano laulā, ʻoi aku ka maʻalahi o ka hoʻōla ʻana mai ka hānau ʻana ma kahi ʻōpū ma mua o ka ʻoki ʻana i ka cesarean.

E hoʻomanaʻo, ʻo kou ʻike hānau he mea kū hoʻokahi ia iā ʻoe. He manaʻo maikaʻi e ʻike i nā ʻano hānau like ʻole a me nā huaʻōlelo i kou wā hāpai. E ʻōlelo aku kāu kauka i ke ʻano hānau palekana loa nou ma muli o kou mōʻaukala olakino a me ke kahua o kou hāpai ʻana.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

He ʻike nui ka hānau ʻana o kahi pēpē i ke ola. A hiki ke hopohopo iki. Akā, ʻo ka ʻike ʻana i kēia mau mea hiki ke hāʻawi iā ʻoe i ka hilinaʻi nui.

• He ʻokoʻa kēlā me kēia hānau ʻana: mai manaʻo ʻoe e hiki mai ana iā ʻoe ka mea i hana ʻia i kāu hoaaloha.
• E hilinaʻi i kāu kauka: E kamaʻilio me ia e pili ana i nā pilikia a i ʻole nā ​​​​makaʻu āu e loaʻa nei.
• E hoʻolālā, akā e maʻalahi: ʻAʻole paha e holo nā mea e like me kou makemake. ʻO ka mea nui loa, ʻo kou palekana a me kāu pēpē.
• E kamaʻilio e pili ana i ka hoʻokele ʻeha i ka wā mua: E ʻike i nā koho āu i loaʻa ai a me ko lākou mau pono a me nā pōʻino.

Ke makemake nei au iā ʻoe a me kou ʻohana i nā mea maikaʻi loa ma kēia huakaʻi kūikawā! E hauʻoli ʻoe me kahi pēpē olakino!

Hānau keiki, loaʻa ʻana o kahi pēpē, ʻoki ʻoki cesarean, hānau maʻamau, ʻeha hānau, hāpai keiki, nā ʻano hana hānau