He mea hauʻoli maoli ka lohe ʻana e hiki mai ana kahi malihini liʻiliʻi hou i kou ola? He manawa nani loa kēia. Akā i ka manawa like, hiki mai nā nīnau liʻiliʻi a me ka hoihoi iki i ka noʻonoʻo. ʻO ka nīnau nui e hiki mai ana i ka noʻonoʻo no nā makuahine he nui, "ʻO wai ka mea e kōkua iaʻu e lawe mai i kaʻu pēpē i kēia ao me ka palekana? ʻO wai ke kākoʻo e pono iaʻu ke loaʻa?" ʻOiai ua maopopo i kekahi poʻe kēia manaʻo, no ka nui he mea paʻakikī kēia. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ʻekolu mau mea nui e hiki ke kōkua iā ʻoe ma kēia huakaʻi nani. ʻO lākou ke kauka , ke kahu hānau, a me ka doula.
E aʻo mua kākou e pili ana i ke Kauka Lapaʻau a me ke Kauka Wahine (OB/GYN)
E like me kā kākou e ʻike nei, nui nā makuahine hāpai ma Sri Lanka e koho e ʻike i kahi Obstetrician a me Gynecologist i ko lākou hāpai ʻana a i ka wā hānau keiki. Kāhea pinepine mākou iā lākou he "VOG Doctor." He kauka loea kēia nona ke kēkelē lapaʻau a ua hala i nā makahiki o ke aʻo kūikawā ma ke olakino wahine, ka hāpai ʻana, a me ka hānau keiki ʻana.
Inā ʻoe e mālama ʻia ana e ke kauka VOG, ʻo ia ka mea nāna e hāʻawi iā ʻoe i ka nānā pono ʻana i ke olakino mai ka hoʻomaka a hiki i ka hopena o kou hāpai ʻana. I ka ʻōlelo maʻalahi, ʻo lākou ka poʻe kuleana olakino no kou palekana a me kāu pēpē.
Eia kekahi o nā hana nui a ke kauka VOG:
- Nā nānā maʻamau: E ʻike ʻia ʻoe ma kahi papa hana maʻamau a e nānā mau ʻia kou koko, ka puʻuwai o ka pēpē, a me ka ulu ʻana o ka pēpē.
- Ka mālama ʻana i nā ʻehaʻeha o ka hāpai ʻana: Hāʻawi i ka ʻōlelo aʻoaʻo a me ka mālama ʻana no nā ʻehaʻeha maʻamau e like me ka maʻi kakahiaka.
- Ke kuhikuhi ʻana i nā lāʻau lapaʻau: Inā makemake ʻoe i nā lāʻau lapaʻau no kahi maʻi, e kuhikuhi lākou iā lākou. E nānā pū lākou i nā lāʻau lapaʻau āu e lawe nei a hoʻoholo inā kūpono lākou no ka hāpai ʻana .
- Hoʻāʻo: Hana ʻia nā hoʻāʻo koko, nā hoʻāʻo mimi, a me nā scan ultrasound e hōʻoia i ke olakino ʻoe a me kāu pēpē. Hiki i kekahi o kēia mau hoʻāʻo ke ʻike i nā maʻi genetic a i ʻole nā hemahema hānau i kāu pēpē.
- Ka Hānau ʻana: I ka hopena, e hānau palekana ʻia kāu pēpē ma ka haukapila. Inā he mau pilikia a inā pono ka ʻoki ʻana o kahi ʻoki C, ʻo ke kauka VOG wale nō ke hana a hoʻokō i kēlā hoʻoholo.
ʻO ka mea nui loa, aia kekahi ʻano koko kiʻekiʻe kou.Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka maʻi diabetes, a inā loaʻa kekahi pilikia i ka wā hāpai, he mea pono loa ka nānā ʻana o ke kauka VOG.
No laila, ʻo wai kēia kahu hānai?
Ke lohe mākou i ka huaʻōlelo "midwife," nui ka poʻe ma ko mākou ʻāina e noʻonoʻo ana i ka "midwife lady" a i ʻole ka luna lawelawe olakino ʻohana e kipa mai ana i ko mākou mau home, e kipa aku i nā keʻena lapaʻau ma ka MOH, a nānā mai iā mākou. ʻO ka ʻoiaʻiʻo, he ikaika nui kēlā lawelawe no ke olakino makuahine a me ke keiki ma ko mākou ʻāina.
Akā, ʻokoʻa iki ka 'kahu wahine' a mākou e kamaʻilio nei ma ʻaneʻi, he kanaka i loaʻa i ke aʻo kūikawā i ka hānau keiki ʻana. Ma kekahi mau ʻāina, ʻo nā kahu wahine nā mea mālama mua i ka wā hāpai a me ka hānau keiki ʻana. Hāʻawi lākou i ke kākoʻo kino, naʻau, a me ka nohona i ka makuahine hāpai a me ka ʻohana. ʻOi aku ka maʻamau o kā lākou ʻano hana.
Eia ke kuleana o ke kahu hānau:
- E hāʻawi ʻia ʻoe a me kou ʻohana i ka mālama kino a me ka noʻonoʻo i kou wā hāpai a ma waho aku.
- E hāʻawi pilikino mākou iā ʻoe i ka ʻōlelo aʻoaʻo a me ka hoʻonaʻauao āu e pono ai.
- E noho pū lākou ma kou ʻaoʻao i ka wā hānau keiki, e kākoʻo iā ʻoe a e hāʻawi iā ʻoe i ka ikaika.
- Kōkua mākou i ka hānau ʻana o ka pēpē ma ke ʻano kūlohelohe, e hōʻemi ana i ka hoʻohana ʻana i nā hana loea a me nā lāʻau lapaʻau i ka hiki.
- ʻO ka mea nui loa: Inā he mau hōʻailona o kahi pilikia olakino no ʻoe a i ʻole kāu pēpē, e kuhikuhi koke lākou iā ʻoe i kahi loea (OB/GYN).
Ma Sri Lanka, hana nā kahu hānai ma ke ʻano he hui me nā kauka ma nā haukapila. Eia nō naʻe, ʻaʻole like me kekahi mau ʻāina ʻē, ʻaʻole i maʻamau loa nā lawelawe kahu hānai e kōkua ana i ka hānau keiki ma ka home a i ʻole ma nā kikowaena hānau kaʻawale ma ko mākou ʻāina.
ʻO wai ka 'Doula'? He mea hou iki paha kēia inoa.
E kahaha paha ʻoe i ka lohe ʻana i ka huaʻōlelo 'doula'. He manaʻo hou kēia i kā mākou moʻomeheu. Loaʻa ʻo 'Doula' mai kahi huaʻōlelo Helene ʻo ia hoʻi "wahine lawelawe." I ka ʻōlelo maʻalahi, he hoa i aʻo ʻia ka doula, ʻaʻole ia he kauka.
ʻAʻole ʻo ia he kauka a ʻaʻole hoʻi he kahu hānai. ʻAʻole ʻo ia e hānau i ke pēpē. ʻO kāna hana wale nō ka hāʻawi ʻana iā ʻoe i ke kākoʻo kino a me ka naʻau mau i ka wā hānau. E like me kāu hoaaloha maikaʻi loa, e like me ka makuahine, aia ʻo ia ma laila e hāʻawi iā ʻoe i ka ikaika, ke koa, a me ka hōʻoluʻolu āu e pono ai.
He aha ka hana a ka doula?
- Kōkua i ka mālama ʻana i ke kamaʻilio maikaʻi ma waena ou a me kāu hui lapaʻau.
- Kōkua ia iā ʻoe e ʻimi i nā kūlana ʻoluʻolu a hoʻomaʻamaʻa i nā ʻano hanu kūpono i ka wā hānau.
- Hoʻohana mākou i nā ʻano hana e hiki ai iā ʻoe ke ʻoluʻolu (e like me ka lomilomi, ka hōʻoluʻolu).
- E kōkua i kāu kāne a i ʻole nā lālā o ka ʻohana e komo pū i kēia kaʻina hana.
Ua ʻike ʻia kekahi noiʻi ʻo nā makuahine i kākoʻo ʻia e kahi doula e pono ai ka liʻiliʻi o ka lāʻau ʻeha a loaʻa iā lākou nā hopena hānau maikaʻi no ka makuahine a me ka pēpē. Hana ʻo ia ma ke ʻano he hoa hoʻolaʻa iā ʻoe, ma waho aʻe o kāu kauka a kahu hānai paha.
| Kūlana | Kauka Hoʻoponopono Wahine a me nā Kauka Wahine (OB/GYN) | Kahu wahine | ʻO Doula |
|---|---|---|---|
| Ka hōʻoia lapaʻau | He kauka me ke aʻo loea. | He loea olakino i aʻo ʻia i ka hana hānai keiki. | ʻAʻohe palapala hōʻoia lapaʻau. Hoʻomaʻamaʻa ma ke kākoʻo. |
| Ka mea nui e nānā ai | Nā ʻano lapaʻau a me ka palekana i ka wā hāpai a me ka hānau keiki. | Ka hānau kūlohelohe a me ka mālama holoʻokoʻa no ka makuahine. | Kākoʻo kino a me ka naʻau i hāʻawi ʻia i ka makuahine. |
| Ka hānau ʻana | ʻAe, hana ʻia ia ma ka haukapila. Hiki ke hana ʻoki kino. | ʻAe, hana ʻia nā hānau keiki maʻalahi ma ka haukapila, ma ka home, a i ʻole ma kahi kikowaena hānau. | ʻAʻole. ʻAʻole au e hānau i ke pēpē. Kōkua wale nō wau. |
| Ka hoʻokele pilikia | Hoʻokele piha ʻia. | Kuhikuhi i ke kauka. | ʻAʻole ia e hoʻopilikia iki. |
No laila, ʻo wai ka mea kūpono iā ʻoe? Pehea ʻoe e koho ai?
Ma hope o ka heluhelu ʻana i kēia ʻike, e noʻonoʻo paha ʻoe, "ʻAe, ʻo wai kaʻu e koho ai i kēia manawa?" ʻO kāu wale nō kēia hoʻoholo. E hoʻopili ʻia e nā mea he nui, e like me kou kūlana olakino, pehea ʻoe e nānā ai i ka hānau keiki ʻana, a me ke kākoʻo āu e pono ai.
- Inā loaʻa iā ʻoe kahi maʻi olakino (hāpai keiki kiʻekiʻe) a makemake paha ʻoe e hilinaʻi hou aku e pili ana i kou palekana olakino, ʻo ke kauka hānau keiki a me ke kauka wahine (OB/GYN) ke koho maikaʻi loa a palekana hoʻi. ʻO kēia ke koho kūpono loa i hāʻawi ʻia i ka ʻōnaehana o kēia manawa ma Sri Lanka.
- Inā makemake ʻoe i kahi hānau kūlohelohe, ʻaʻohe lāʻau lapaʻau a olakino loa kou hāpai ʻana, makemake paha ʻoe e noʻonoʻo i ke kākoʻo o kahi kahu hānau . Eia nō naʻe, he mea nui e loaʻa kahi hoʻolālā e loaʻa ai ke kōkua lapaʻau i ka wā o kahi pilikia.
- ʻOiai ʻo wai kāu e hānau ai, inā makemake ʻoe i ke kākoʻo noʻonoʻo a me ke kino hou aku, makemake paha ʻoe e noʻonoʻo e noi i ke kōkua o kahi doula . E lilo ʻo ia i kumu ikaika ma waho aʻe o kāu hui lapaʻau.
Mai hoʻoholo wale i kēia. E kamaʻilio me kāu kāne a ʻohana paha e pili ana i ia mea. E kaʻana like i kou mau manaʻo a me kou mau manaʻolana me lākou. Eia kekahi, e kamaʻilio ākea e pili ana i kēia me kāu kauka, ka mea āu e ʻike nei. E hiki iā ia ke kōkua iā ʻoe e koho i ke ala kūpono loa iā ʻoe ma muli o kou kūlana olakino.
Leka Lawe-Home
- He kauka lapaʻau ʻōpū a me ke kauka wahine (OB/GYN) he kauka loea i ka hāpai ʻana a me ka hānau keiki ʻana. Loaʻa iā ia ke akamai loa i ka mālama ʻana i nā pilikia a me ka hāʻawi ʻana i ka mālama olakino.
- Hāʻawi ka pale keiki i ka mālama kūlohelohe a kau ʻia ma ka makuahine, akā pono ʻoe e mākaukau e ʻimi i ke kōkua lapaʻau inā loaʻa kekahi pilikia.
- He hoa hana i aʻo ʻia, ʻaʻole ia he mea lapaʻau, nāna e hāʻawi i ke kākoʻo naʻau a me ke kino i ka makuahine i ka wā hānau keiki. ʻAʻole ʻo ia he pani no ke kauka a i ʻole ka kahu hānai.
- ʻO ke koho ʻana i ka mea kūpono nou e pili ana i kou kūlana olakino, nā makemake pilikino, a me nā kumuwaiwai i loaʻa.
- ʻOiai he aha kēia hoʻoholo,He mea nui loa ia e noho ma lalo o ka nānā ʻana a ke kauka akamai i kou wā hāpai. E kūkākūkā i kāu mau hoʻolālā a pau me kāu kauka.
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