Pono anei ʻoe i kahi episiotomy ke loaʻa iā ʻoe kahi pēpē? E kamaʻilio kākou e pili ana i kēia!

Inā ʻoe e hoʻomākaukau ana e hānau, ʻo kekahi o nā nīnau ma kou manaʻo, ʻo ia hoʻi "Pono anei au e hana i kahi episiotomy ?". ʻOiai he hana maʻamau kēia i ka wā hānau o ko mākou mau makuahine a me nā kupuna wahine, ua ʻokoʻa loa nā mea i kēia lā. Eia nō naʻe, i kekahi manawa he mea pono paha kēia ma muli o kahi pilikia. No laila, e kamaʻilio kākou e pili ana i kēia ma ke ʻano maopopo a maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka episiotomy?

ʻO ka episiotomy kahi ʻoki liʻiliʻi i hana ʻia e ke kauka ma kahi ma waena o ka vagina a me ka anus (i kapa ʻia ʻo 'perineum' ma ke ʻano lapaʻau) i ka wā hānau keiki e hoʻonui i ka puka o ka vagina i mea e maʻalahi ai ka pēpē e puka i waho. ʻO ke kumu nui o kēia, ʻo ia ka hoʻonui ʻana i kahi i loaʻa no ka pēpē e puka i waho.

I ka wā ma mua, ua hana ʻia kēia ʻoki ʻana ma luna o kēlā me kēia makuahine i hānau keiki. Akā i kēia lā, ʻaʻole ia he hana maʻamau. Eia naʻe, ʻaʻole kēia he mea o ka wā i hala.

I kēlā manawa a me kēia manawa: No ke aha i loli ai kēia kulekele?

He mau makahiki i hala aku nei, he mea maʻamau loa ka episi OT omy. A he mau kumu no kēlā.

I kēlā manawa, ua hoʻohana nā kauka he nui i nā mea kani e like me nā forceps e kōkua i ka hānau keiki ʻana. No laila, pono lākou i kahi ākea e hoʻohana pono ai i kēlā mau mea kani. Eia kekahi, ua manaʻo nā kauka i kēlā manawa he ʻoi aku ka maikaʻi o ka ʻoki pono ʻana ma mua o ka waiho ʻana iā ia e haehae maoli. Aia kekahi manaʻoʻiʻo e hōʻemi kēia ʻoki i nā pilikia lōʻihi e hiki mai ana ma hope o ka hānau keiki ʻana, e like me ka incontinence a me ka ʻeha i ka wā o ka moekolohe.

Eia nō naʻe, ua hōʻike ʻia e ka noiʻi ʻaʻole kēia ka hihia.

Ua hōʻike ʻia nā noiʻi mai nā makahiki 1990 ʻaʻole hāʻawi ka episiotomy i nā pono he nui e like me ka mea i manaʻo mua ʻia.

Wahi a kekahi mau noiʻi, ma kahi o 85% o nā wahine e ʻike i kekahi ʻano o ka haehae maoli i ka wā hānau. Hiki i kēia mau haehae (a me nā ʻoki episiotomy) ke ʻano mai ka liʻiliʻi a i ka koʻikoʻi (ua hoʻokaʻawale nā ​​​​kauka iā lākou ma ke ʻano he kekelē mua, ʻelua, ʻekolu, a me ka hā). I nā hihia koʻikoʻi loa, hiki ke hōʻino ʻia nā ʻiʻo o ka rectum a me kona uhi o loko , hiki ke alakaʻi i ka paʻakikī o ka kaohi ʻana i ka neʻe ʻana o ka ʻōpū.

Inā hana ʻia kahi episiotomy, aia kahi pilikia e pālahalaha aku ka ʻoki ma mua o ka haehae maoli ʻana a me ka hōʻino ʻana i nā ʻiʻo rectal.

No laila, i nā hihia hea e hana ʻia ai kahi episiotomy i kēia lā?

I kēia mau lā, ʻaʻole pinepine nā kauka e ʻōlelo i ka episiotomy ma ke ʻano he koho no ka makuahine. Eia nō naʻe, pono paha ia i nā kūlana pilikia a me nā kūlana lapaʻau e pono ai, e like me kēia:

• Inā loaʻa i ka pēpē kekahi ʻeha (fetal distress): Eia kekahi laʻana, inā he loli koke i ka puʻuwai o ka pēpē.
• Inā nui ka pēpē : ʻAʻole lawa kahi no ka pēpē e puka mai ai i waho.
• Inā pono e wikiwiki ka hānau ʻana: Inā pono e wikiwiki ka hānau ʻana no ka palekana o ka makuahine a i ʻole ka pēpē.

Eia kekahi, ua hōʻike ʻia e ka noiʻi ʻaʻole pono loa ka episiotomy i ke kūlana pilikia i kapa ʻia ʻo ' Shoulder Dystocia' , kahi e paʻa ai ka poʻohiwi o ke pēpē i loko o ke kahawai hānau. No ka mea, i kēlā hihia, ʻo ka mea e ālai ana ʻo ia nā iwi pelvic o ka makuahine, ʻaʻole nā ​​​​ʻiʻo palupalu.

He aha kāu e manaʻo ai i ka wā a ma hope o kahi episiotomy?

I ke kaʻina hana

ʻO ka episiotomy kahi mea e hana ʻia ma mua o kou ʻike ʻana. Hana ʻia ka ʻoki ʻana i loko o kekahi mau kekona.

• Inā ʻoe e loaʻa ana i kahi epidural e hōʻemi i ka ʻeha, ʻaʻole ʻoe e manaʻo i kekahi mea.
• ʻOiai no ka makuahine e hānau kūlohelohe ana, ʻaʻole paha e ʻike ʻia kēia ʻoki ma kahi ʻokoʻa mai ka ʻeha o ka hānau ʻana i kēlā manawa.

Ma hope o ke kaʻina hana

Ma hope o ka hānau ʻana o kāu pēpē, e humuhumu kāu kauka i ka ʻoki a hoʻoponopono iā ia. Hiki iā ʻoe ke ʻike i kekahi ʻeha a me ka pehu no kekahi mau lā ma hope. Hiki i kēia mau mea ke kōkua:

• Nā hola 24 mua: E hoʻopili i ka wahi me ka hau.
• Nā lāʻau hoʻopau ʻeha: E noi i kāu kauka no kahi lāʻau hoʻopau ʻeha kūpono nāu.
• Hoʻomaʻemaʻe: E hoʻohana i kahi ʻōmole pīpī me ka wai mehana e hoʻomaʻemaʻe i ka wahi.
• ʻAuʻau Sitz: ʻO ka noho ʻana i loko o kahi pola wai mehana no kekahi mau minuke hiki ke hōʻemi nui i ka ʻeha a me ka ʻoluʻolu ʻole.

E hana ʻia anei kahi episiotomy no ka pēpē aʻe?

ʻAʻole paha. ʻOiai ua loaʻa iā ʻoe kahi episiotomy i kou wā hānau mua, ʻaʻole ia he manaʻo e pono ʻoe e hana i hoʻokahi no kāu lua. Hiki i kāu kauka ke hoʻoholo e ʻae i ka haehae e hana maoli ʻia i ka lua o ka manawa.

He ʻokoʻa kēlā me kēia hāpai ʻana a me ka hānau ʻana. Eia kekahi laʻana, inā nui kāu pēpē mua a pono ʻoe e hana i kahi episiotomy, akā ʻoi aku ka liʻiliʻi o kāu pēpē ʻelua, a inā paha aia ke pēpē ma kahi kūlana ʻē aʻe, ʻaʻole paha ʻoe e pono i kahi ʻoki. ʻO ka haehae e kū maoli ana he liʻiliʻi paha ia ma mua o kahi ʻoki ʻoki.

Eia nō naʻe, inā ua loaʻa iā ʻoe kahi haehae nui a i ʻole episiotomy i hoʻoulu ai i ka incontinence fecal, hiki i kāu kauka ke ʻōlelo i kahi ʻāpana C-section no kāu hānau ʻana aʻe e pale aku i ka haehae nui mai ka hana hou ʻana a me ke kumu o nā pilikia lōʻihi.

Hiki ke pale ʻia kahi episiotomy a i ʻole ka haehae ʻana?

ʻAʻohe ala i hōʻoia ʻia he 100% e pale aku ai i kahi episiotomy a i ʻole ka haehae ʻana, akā aia kekahi mau mea hiki iā ʻoe ke hana e kōkua ai i ka hōʻemi ʻana i ka pilikia.

• Lomilomi Perineal:Hoʻohana kekahi mau wahine i kahi ʻano ʻaila e lomilomi i ka wahi ma waena o ka vagina a me ka anus i ka mahina hope o ka hāpai ʻana. ʻOiai ʻaʻole i hōʻoia ʻia kēia e ka ʻepekema he pono, ʻaʻole ia he mea ʻino.
• Lālau lohi a kāohi ʻia: ʻO kēia ka mea nui loa. Ke puka mai ke poʻo o ke pēpē (crowning), ma kahi o ka paʻi ikaika ʻana i ka manawa hoʻokahi, e hoʻohana i nā "puʻe liʻiliʻi." Hāʻawi kēia i nā ʻiʻo o ka vagina i ka manawa e kīkoʻo mālie ai. He mea nui loa e hahai pono i nā ʻōlelo aʻo a kāu kauka a kahu maʻi paha.

E kamaʻilio ākea me kāu kauka e pili ana i nā makaʻu a kānalua paha āu e pili ana i ka hānau ʻana. E wehewehe ʻo ia i ke ʻano kūpono a palekana loa nāu.