He manaʻo maikaʻi anei ka loaʻa ʻana o kahi pēpē ma ka home me ke kōkua ʻole o ke kauka? (Hānau Keiki ʻAʻohe Kōkua)

He mea maʻamau ka makaʻu a me ka nui o nā manaʻo i ka wā e kokoke ana ʻoe e hānau. "E ʻeha anei?", "E pilikia anei ka pēpē?", "E ʻae anei ka haukapila iaʻu e noho e like me koʻu makemake?" Hiki mai kēia mau ʻano nīnau i ka noʻonoʻo. Me kēia makaʻu, manaʻo kekahi mau makuahine, "ʻAʻole anei e ʻoi aku ka maikaʻi inā e loaʻa iaʻu ka pēpē ma ka home, maʻu wale nō, me ke kōkua ʻole o kekahi?" ʻO ka ʻoiaʻiʻo, ma nā ʻāina ʻē, aia nā kamaʻilio e pili ana i nā makuahine e hānau wale ana i kā lākou mau keiki, me ke kōkua ʻole o ke kauka (Unassisted Childbirth ). No laila, e kamaʻilio hohonu kākou e pili ana i kēia i kēia lā. E hoʻomaopopo pono kākou i ka maikaʻi o kēia a me nā pilikia huna ma aneʻi.

"He mea maoli ka hānau ʻana o kahi keiki, mai makaʻu" - ka moʻolelo i haʻi ʻia e ka poʻe nona kēia manaʻo

ʻO kekahi mea kākoʻo kaulana o kēia manaʻo ʻo Laura Shanley. Ua hānau ʻo ia i kāna mau keiki ʻehā ma ka home, me ke kauka ʻole a me ka mea hānai keiki paha. Ua ʻōlelo ʻo ia ua hānau ʻo ia i kahi pēpē breech ma kāna iho i ka wā i hele aku ai kāna kāne.

"Manaʻo nā kauka he pupule wau," wahi āna me ka ʻakaʻaka. "Akā, ke manaʻoʻiʻo nei au ʻaʻole ʻeha a weliweli paha ka hānau keiki inā ʻaʻole mākou makaʻu, inā ʻaʻole mākou ma lalo o ke kaomi nui mai waho mai."

Ua ʻōlelo ʻo ia ke kū mai kekahi mea weliweli iā kākou a makaʻu, hoʻomākaukau ko kākou kino no ka pane hakakā a lele paha . I kēia manawa, emi iho ka nui o ke koko e kahe ana i ka ʻōpū, a hiki ke lilo nā ʻeha hānau i mea maʻamau ʻole a i ʻole e pau. No laila, ʻo kāna hoʻopaʻapaʻa ʻana, ke makaʻu ʻole kākou a hoʻomaha i ko kākou manaʻo, e hoʻokuke ke kino i ka pēpē i waho ma kāna iho.

Eia nō naʻe, ʻōlelo kekahi luna hoʻokele o ka American Association of Midwives, "No ia, he mea maʻalahi loa ka hānau keiki ʻana. Akā no ka hapa nui o ka poʻe, ʻaʻole ia he mea maʻalahi a ʻaʻole hoʻi he mea paʻakikī, aia ma waena." ʻO ka ʻoiaʻiʻo, ʻaʻole maʻalahi ka hānau keiki ʻana no nā mea āpau.

He aha ka ʻōlelo a ka ʻepekema lapaʻau e pili ana i kēia? He aha ka pilikia maoli?

ʻOiai paha he mea hōʻoluʻolu iki ka manaʻo ma luna, pono kākou e nānā i kekahi ʻaoʻao o ke kālā. He hanana hoʻololi ola ka hānau ʻana no ka makuahine a me ka pēpē. Maanei, ʻokoʻa loa nā manaʻo o nā kauka a me nā kahu hānai.

He ʻoiaʻiʻo anei aia kahi 'hāpai ʻana me ka pilikia kiʻekiʻe'?

ʻŌlelo ka poʻe i loaʻa nā hānau keiki me ke kōkua ʻole ʻia, ʻo ka nui o nā kūlana "pilikia" i hana ʻia e ke kaiapuni haukapila. No ka laʻana, ʻōlelo lākou ʻo nā mea ʻike i hoʻopili ʻia i ke poʻo o ka pēpē a me nā mea nānā i hoʻopili ʻia i ka ʻōpū e hoʻoweliweli i ka makuahine, a ʻo ka makaʻu ke keakea nei i ka hānau ʻana.

Akā, ʻaʻole ʻae iki nā kauka a me nā kahu hānai i kēia. ʻO ka mea a lākou e kuhikuhi nei, ʻo ia ka mea nui maoli.

He aha nā pōʻino e hiki mai ana ma ke ola maoli?

ʻAʻole ʻoiaʻiʻo mau ka ʻōlelo "e kipaku ke kino i ka pēpē ma kāna iho". Hiki ke kū koke mai nā kūlana weliweli me ka ʻole o ka hōʻike ʻana i ka wā hānau keiki.

• Ke kahe koko ma hope o ka hānau ʻana:ʻO kēia ke kumu nui o ka make ʻana o nā makuahine ma ka honua holoʻokoʻa. Inā hana ʻia kekahi mea e like me kēia ma ka home, hiki iā ia ke pepehi i kahi makuahine ma mua o kona hiki ʻana i ka haukapila.
• Ka Hānau ʻana i ke Kapu: Inā nui loa ke poʻo o ka pēpē a i ʻole ke kūlana hewa o ka pēpē, e pau paha ka hānau ʻana i ka waena. I kēia manawa, pono e hana koke ʻia kahi ʻoki Caesarean.
• Ke kaula a puni ka ʻāʻī o ka pēpē: ʻOiai he mea maʻamau kēia, i kekahi manawa hiki i ke kaula umbilical ke paʻa a hoʻonele i ka pēpē i ka oxygen .
• ʻO ka Asphyxia o ka hānau ʻana: I kekahi manawa, ʻaʻole hanu ka pēpē i ka wā hānau. I ia mau hihia, pono e hoʻohana i nā lako kūikawā e kōkua i ka pēpē e hanu koke.

I loko o kahi pilikia e like me kēia, ʻo ke kāhea ʻana iā "911" mai ka home (ma ko mākou ʻāina, 1990) a me ke kali ʻana i kahi ambulance e hōʻea mai he mea hoʻonele ia i ka manawa waiwai. Ke hoʻohālikelike ʻia me nā pono i loaʻa i loko o kahi Emergency Treatment Unit (ETU) o ka haukapila, he palena loa nā mea hiki ke hana ʻia ma ka home.

Ua ʻōlelo kūhelu ʻia e ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists (ACOG), "ʻAʻole hiki ke hoʻokō ʻia nā kūlana palekana i loaʻa i loko o kahi haukapila ma ka home."

No laila he aha ke koho maikaʻi loa a palekana hoʻi?

He mea kūpono loa kou makemake no ka hānau keiki ʻana, ʻo ia hoʻi, kahi ʻike pilikino a ʻoluʻolu hoʻi. ʻO ka mea pōmaikaʻi, ke noʻonoʻo nui nei ka ʻōnaehana lapaʻau i kēia lā e pili ana i ia mea.

I kēia mau lā, he nui nā haukapila i loaʻa nā lumi hānau i hoʻolālā ʻia e like me ka ʻoluʻolu o kahi lumi moe i loko o ka home. Loaʻa i kekahi mau wahi nā pono no ka hānau ʻana ma ka wai. Eia kekahi, ua paipai nui ʻia i kēia manawa e hoʻololi i nā kūlana e like me kou makemake i ka wā hānau a e ʻimi i ke kākoʻo o kāu kāne.

E hoʻomanaʻo, ʻaʻole kou ʻenemi ke kauka maikaʻi a i ʻole ka mea mālama keiki, akā, ʻo kou hoaaloha maikaʻi loa ia, nāna e mālama iā ʻoe a me kāu pēpē. Aia lākou ma laila e hoʻomaha i kou manaʻo, e kōkua iā ʻoe e hoʻokele i ka ʻeha, a e ʻike i nā pōʻino hiki ke hiki mai i ka wā mua e pale aku iā ʻolua.

ʻOiai ke ʻano nui o ka manaʻo o ka loaʻa ʻana o kahi pēpē ma ka home, ua like ia me ka hele ʻana ma luna o ke kaula paʻa ma luna o kahi mauna kiʻekiʻe me ka ʻole o kahi ʻupena palekana. Hiki i nā mea āpau ke holo pono, akā hiki i kahi hewa liʻiliʻi ke alakaʻi i kahi pōʻino hiki ʻole ke noʻonoʻo ʻia. No laila, i ka wā e hoʻoholo ai e pili ana i kāu hānau ʻana, e ʻae i kou noʻonoʻo e lanakila ma luna o kou mau manaʻo.