ʻO kēia kekahi o nā manawa nani loa o kou ola. I kou moeʻuhane ʻana e pili ana i kāu keiki liʻiliʻi e hiki mai ana i kou mau lima i loko o kekahi mau lā, loaʻa paha iā ʻoe kekahi mau nīnau, a me kahi hopohopo iki paha, e pili ana i ka loaʻa ʻana o kahi pēpē. He mea maʻamau ke noʻonoʻo i nā mea e like me, "Pehea lā wau e loaʻa ai kahi pēpē?", "Pono anei wau e hana i kahi ʻoki cesarean?", "He aha nā pōmaikaʻi o ka loaʻa ʻana o kahi pēpē ma ke ʻano maoli?" No laila i kēia lā, e kamaʻilio kākou e pili ana i nā ʻano like ʻole e loaʻa ai kahi pēpē, nā pōmaikaʻi a me nā pōʻino o kēlā me kēia, a pehea e koho ai i ke ʻano hana kūpono loa iā ʻoe.

Ka Hānau ʻana ma ke ʻAno Kino - Ke ʻano hana a ka hapa nui o ka poʻe e koho ai

I ka ʻōlelo maʻalahi, ʻo kēia ke ala kūlohelohe e hānau ai, ʻo ia hoʻi, ma o ka vagina. Ua hānau ʻia ka hapa nui o nā pēpē ma kēia ʻano. Ua manaʻo ʻia kēia ke ala palekana no nā makuahine a me nā pēpē he nui. Hoʻohana kekahi mau makuahine i ka lāʻau lapaʻau e hōʻemi i ka ʻeha. Makemake kekahi e hānau maoli, me ka ʻole o nā mea hoʻomaha ʻeha. ʻO kēia ka mea a mākou e kapa nei he "Hānau Keiki Kūlohelohe".

ʻO nā pōmaikaʻi nui o ka hānau maʻamau:

• E emi ana kāu pono no ke kahe koko .
• Haʻahaʻa ka pilikia o ka maʻi ma hope o ka hānau ʻana.
• Ma muli o ka emi ʻana o nā ʻōpala ma ka ʻōpū, ʻaʻole i hoʻopilikia ʻia ka hiki ke hānau keiki i ka wā e hiki mai ana.

Eia nō naʻe, hiki i kēia ʻano hana ke hōʻeha i nā ʻiʻo papahele pelvic . I kekahi manawa hiki i kēia ke alakaʻi i nā pilikia me ka kaohi ʻana o ka mimi a me ka ʻōpū. I ia mau hihia, pono paha ke ʻoki ʻana.

Kōkua ʻia ka hānau ʻana ma ke ʻano he vaginal

I kekahi manawa, ke pilikia iki ka pēpē i ka puka ʻana mai loko mai o ka ʻōpū, pono nā kauka e hāʻawi i kahi kōkua iki. Hoʻohana lākou i nā mea hana a me nā ʻano hana like ʻole no kēia.

• Ka Hānai ʻana me ka Forceps: E noʻonoʻo, me ka hoʻohana ʻana i kahi mea e like me ʻelua puna nui, hopu pono ke kauka i ke poʻo o ka pēpē a kōkua mālie i ka pēpē e puka i waho. Ua kapa ʻia kēia he forceps delivery.
• Ka Hoʻokaʻawale ʻana i ka Vacuum : Ua like kēia me nā forceps. Maanei, ua kau ʻia kahi mea e like me ke kīʻaha palaki ma luna o ke poʻo o ka pēpē a huki mālie ʻia ka pēpē i waho me ka hoʻohana ʻana i ka omo .
• ʻEpisiotomy: Pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi ma ka ʻiʻo ma waena o kou puka vaginal a me kou anus (ka perineum). I ka wā ma mua, hana pinepine ʻia kēia e pale aku i nā haehae nui. Akā hōʻike ka noiʻi hou ʻaʻole pono maoli. I kēia manawa, hana wale nā ​​​​kauka i kēia inā pono lākou e hoʻopuka koke i ka pēpē.
• Amniotomy: ʻO kēia ka mea a mākou e kapa nei ʻo "ka uhaki ʻana i ka ʻeke wai." E hoʻohana ke kauka i kahi mea hana liʻiliʻi e like me ka makau plastik e hana i kahi lua liʻiliʻi i loko o kāu ʻeke amniotic. E ʻike ʻoe i kahi wai mahana e kahe ana ma loko.
• Ka Hana ʻana i Hoʻoulu ʻia: I kekahi manawa, inā ʻaʻole hoʻomaka ka hana e like me ka mea i manaʻo ʻia, e hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau e hoʻoulu ai i ka hana. Hana ʻia kēia inā he pilikia olakino me ʻoe a i ʻole kāu pēpē.

Ka Hānau ʻana ma ke ʻAno Cesarean a i ʻole C-Section

ʻAʻole hiki ke loaʻa kahi pēpē maʻamau i nā manawa a pau. I kekahi manawa, no kou palekana ponoʻī a me kāu pēpē, pono ka ʻoki ʻoki cesarean, a i ʻole C-section. He hana ʻoki kēia e wehe ai i ka pēpē mai loko mai o ka ʻōpū.

E nānā kākou i kekahi o nā kumu nui e pono ai ka ʻāpana C-section .

Ka hānau maʻamau ma hope o ka ʻoki ʻana o C? (VBAC)

ʻOiai inā ua loaʻa iā ʻoe kahi ʻoki C ma mua, hiki pinepine ke hānau ʻia kāu pēpē aʻe ma ke ʻano vaginal. Ua kapa ʻia kēia he "Vaginal Birth After C-Section - VBAC". ʻO ka manawa kūpono e loaʻa iā ʻoe kahi VBAC e pili ana i kēia mau mea:

• Inā he ʻoki ʻia ma ka ʻōpū i ka wā o ke kaʻina hana C ma mua, he ʻoki ʻia ma ka ʻaoʻao pālahalaha (ʻoki ʻoki transverse haʻahaʻa).
• Inā lawa ka laulā o kou pelvis no kahi pēpē nui maʻamau e puka mai ai.
• Ke kali nei ʻoe i hoʻokahi pēpē i kēia manawa.

Akā e hoʻomanaʻo, i ka wā e hānau maʻamau ai ma hope o ka ʻoki ʻana o ka ʻōpū, he liʻiliʻi loa ka pilikia o ka haki ʻana o ka ʻōpū. No laila he mea nui e kamaʻilio me kāu kauka e pili ana i kēia a hoʻoholo ma muli o kāna ʻōlelo aʻoaʻo.

He aha nā wahi e hiki ai iā ʻoe ke koho no ka hānau ʻana o kahi keiki?

I kēia manawa, e kamaʻilio kākou e pili ana i nā wahi hiki iā ʻoe ke koho no ka hānau ʻana o kahi pēpē.

1. Ka Hānau ʻana ma ka Halemai

Ma Sri Lanka a me nā ʻāina ʻē aʻe he nui a puni ka honua, hana ʻia ka hapa nui o nā hānau ʻana ma nā haukapila. Inā he hāpai pilikia kiʻekiʻe kou a i ʻole e hoʻāʻo nei no kahi VBAC, ʻo ka haukapila kahi palekana loa e hānau ai. ʻOiai inā he hāpai haʻahaʻa kou pilikia, koho ka poʻe he nui i kahi haukapila no ka mea loaʻa iā ia nā pono lapaʻau hou a pau e pono ai i kēlā me kēia manawa.

ʻAʻole e like me ka wā ma mua, ua hana nā haukapila he nui i kahi ʻano e hiki ai i nā makuahine ke ʻike i ka hānau keiki ʻana ma ke ʻano hoʻomaha. Loaʻa i kekahi mau haukapila nā loko hānau e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha, a me nā pōpō hānau e kōkua iā ʻoe e komo i kahi kūlana ʻoluʻolu.

2. Nā Kikowaena Hānau Kūʻokoʻa

ʻO kēia nā wahi i loko a kokoke loa paha i kahi haukapila. ʻOi aku ka maikaʻi o lākou no ka poʻe makemake e hānau maoli, ma kahi ʻano home. Kōkua pinepine nā kahu hānai-kahu hānai i hōʻoia ʻia i ka hānau ʻana. ʻO ka pōmaikaʻi nui ma ʻaneʻi, inā he pilikia, hiki ke hoʻoneʻe koke ʻia ʻoe i ka haukapila. Eia nō naʻe, kūpono wale kēia no nā wahine hāpai olakino me ka ʻole o nā pilikia olakino.

3. Ka Hānau ʻana ma ka Home

Makemake kekahi poʻe e hānau ma ka home, ma kahi ʻano maʻa mau, ma ko lākou ala ponoʻī. Akā he hoʻoholo kēia e pono e hana me ke akahele loa . Wahi a ka American College of Obstetricians and Gynecologists (ACOG), ʻo ka pilikia o ka hōʻeha ʻana i ka pēpē i ka wā hānau ma ka home he ʻelua a ʻekolu paha manawa kiʻekiʻe ma mua o ka haukapila.

ʻOiai ke ʻano o kāu hoʻoholo ʻana e hānau, he mea nui e kamaʻilio pono me kāu kauka e pili ana i ia mea, e hoʻomaopopo i nā pono a me nā pōʻino a pau, a hoʻoholo.