ʻO wai ke kahu hānau? Kōkua i kou wā hāpai a me ka hānau keiki ʻana!

He makuahine hānau anei ʻoe? A i ʻole ke noʻonoʻo nei ʻoe e hoʻomaka i kahi ʻohana? A laila ua lohe paha ʻoe i ka huaʻōlelo 'midwife'. ʻIke paha kekahi poʻe iā ia he "midwife." Akā ʻo wai ke kahu hānau? Pehea lākou e kōkua ai iā ʻoe? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, e like me ke kamaʻilio ʻana me kahi hoaaloha.

ʻO wai maoli ke kahu hānau?

I ka ʻōlelo maʻalahi, he limahana olakino ka kahu hānai e mālama i kou olakino i ka wā hāpai, hānau keiki, mālama keiki hānau hou, a ma hope o ka hānau ʻana o ke pēpē. Mālama pū kekahi mau kahu hānai i kou olakino hānau maʻamau, e like me nā hoʻokolohua pelvic a me nā hoʻāʻo Pap, a aʻo i nā ʻano hoʻolālā ʻohana.

Hāʻawi pinepine nā kahu hānai i ke kākoʻo holoʻokoʻa no ka hānau kūlohelohe a i ka wā hāpai. Inā makemake ʻoe e loaʻa kahi hānau kūlohelohe, ʻaʻohe lāʻau lapaʻau, a inā makemake ʻoe e hānau ma ka home, koho ka poʻe he nui i kahi kahu hānai.

Akā e hoʻomanaʻo, ʻaʻole maʻamau nā kahu hānai he mau kauka. Akā hana pinepine lākou me nā Obstetricians a me Gynecologists (Ob/Gyns), ʻoi aku hoʻi ma nā haukapila. ʻO ke ʻano kēia hiki iā ʻoe ke loaʻa ka mālama kūikawā i kēlā me kēia manawa āu e pono ai. ʻOi aku ka maikaʻi o kahi kahu hānai inā he haʻahaʻa ka pilikia o kāu hāpai ʻana a i ʻole he mau pilikia liʻiliʻi wale nō.

He ʻike pilikino loa ka hāpai ʻana a me ka hānau keiki ʻana. Loaʻa iā ʻoe ke kuleana e koho i ke ʻano o ka mālama āu e makemake ai. No laila he mea nui e ʻike i nā ʻokoʻa ma waena o kahi kahu hānai a me kahi kauka hānau keiki/gynecologist (Ob/Gyn).

He aha ka hana a ke kahu hānai?

Hiki ke ʻokoʻa nā lawelawe a kahi kahu hānai e hāʻawi ai ma muli o kā lākou mau hōʻoia, nā palapala hōʻoia, ka hoʻonaʻauao, a me ka wahi. Hiki i nā kahu hānai hōʻoia a me nā kahu hānai kahu hānai hōʻoia ke hāʻawi i ka hapa nui o nā lawelawe. Hiki i nā kahu hānai me ka ʻole o ka palapala hōʻoia ke hāʻawi i nā lawelawe palena.

Eia kekahi o nā lawelawe olakino hiki iā ʻoe ke loaʻa mai kahi kahu hānai:

• ʻO ka loaʻa ʻana o nā keʻena hoʻomaʻamaʻa hāpai a me ka nānā mau ʻana iā ʻoe i kou wā hāpai. ʻO ia hoʻi ka nānā ʻana i nā mea e like me kou kaumaha a me ka puʻuwai o ka pēpē.
• Ke hana ʻana i nā mea e like me ke kiʻi ultrasound a me nā hoʻāʻo koko e pono ai i ka wā hāpai.
• Kōkua i ka wā hānau keiki a hāʻawi i ka mālama maʻamau no ke keiki hānau hou.
• Mālama ma hope o ka hānau ʻana. ʻO ke ʻano kēia o ka mālama ʻana i kou pono ma hope o ka hānau ʻana o kāu pēpē.
• Ke aʻo ʻana iā ʻoe e pili ana i ka meaʻai, ka hānai waiū, ka hānau keiki, a me nā pilikia ʻē aʻe e pili ana i ke olakino hānau hou.
• Ke hāʻawi nei i nā ʻōlelo aʻoaʻo no nā ʻano hoʻolālā ʻohana a me ka kaohi hānau.
• Nā mea e like me nā hoʻokolohua Pap a me nā hoʻokolohua umauma.
• Ke nānā ʻana no nā maʻi i laha ma ke moekolohe (STI) a me nā maʻi a me nā maʻi ʻē aʻe o ka vagina.

Hiki i kahi kahu hānai hōʻoia ke hana ma nā haukapila, nā keʻena lapaʻau, nā kikowaena hānau, a i ʻole ma kou home ponoʻī. Eia nō naʻe, aia nā wahi palena ʻole e hiki ai i nā kahu hānai ʻole ke hana. ʻOi aku ka maikaʻi o ka nīnau ʻana e pili ana i nā mākaukau o kahi kahu hānai ma mua o kou koho ʻana i hoʻokahi a e ʻike i nā lula a me nā hoʻoponopono no ka mālama ʻana i ka kahu hānai ma ka haukapila a i ʻole ke kikowaena hānau kahi āu e hoʻolālā ai e hānau i kāu pēpē.

Aia kekahi mau ʻano like ʻole o nā kahu hānai?

ʻAe, aia kekahi mau ʻano o nā kahu hānai. Hiki ke ʻokoʻa iki kēia mau hoʻokaʻawale ʻana a me nā inoa mai kēlā ʻāina a kēia ʻāina, akā ʻo ka manaʻo nui kēia:

• Nā Kahu Hānai Hōʻoia (CNM): ʻO kēia ka poʻe i hoʻopau i ke kula kahu hānai a loaʻa ke kēkelē ma ke kahu hānau. Ma waho aʻe o ka hāʻawi ʻana i ka mālama hānau mua a me ka hānau ʻana i nā pēpē, hiki iā lākou ke hāʻawi i ka mālama hānau maʻamau, kuhikuhi i nā lāʻau lapaʻau, kauoha i nā hoʻokolohua lab, a ʻike i nā maʻi. Ua kūpono lākou e hana ma nā haukapila, nā home, a me nā kikowaena hānau. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, ua hōʻoia ʻia lākou e ka Papa Hōʻoia Kahu Hānai ʻAmelika.

• Nā Kahuna Lapaʻau Hōʻoia (CM): ʻO kēia nā kahuna laeoʻo i loaʻa ke kēkelē laeoʻo ma ke kahu maʻi, akā ʻaʻole lākou i hoʻopau i ke kula kahu maʻi. Hiki i ko lākou kēkelē mua ke kau ma kahi kumuhana ʻē aʻe ma mua o ka kahu maʻi. Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau. Ua hōʻoia ʻia lākou e ka Papa Hōʻoia Kahuna Lapaʻau ʻAmelika, akā ua laikini wale ʻia lākou e hana ma kekahi mau ʻāina/mokuʻāina.

• Nā Kauka Hānau ʻOihana Hōʻoia (CPM): Hana pinepine kēia mau kauka hānau ma nā kikowaena hānau a i ʻole nā ​​​​home. Ua hoʻopau lākou i ke aʻo kūpono a ua hōʻoia ʻia e kahi hui, e like me ka North American Registry of Midwives, ma ʻAmelika ʻĀkau. ʻAʻole lākou i laikini ʻia e hana ma nā ʻāina/mokuʻāina āpau, a ʻaʻole hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau.

• Nā kahu hānai laikini ʻole a i ʻole nā ​​kahu hānai maʻamau: ʻAʻohe palapala hōʻoia a laikini paha o kēia mau kahu hānai e hana ai. Ua loaʻa paha iā lākou kēia ʻike ma o ke aʻo ponoʻī ʻana a i ʻole kekahi aʻo ʻē aʻe (ma ka hana ʻana ma ke ʻano he haumāna). Hana pinepine nā kahu hānai laikini ʻole ma nā home.

Mea nui: ʻOiai ke ʻano o ke kahu hānai āu e koho ai, he mea nui loa ia e nānā inā loaʻa iā lākou nā hōʻoia kūpono, ke aʻo ʻana, a me nā laikini, a hana lākou e like me nā kānāwai o kou ʻāina/wahi.

He mau kauka anei nā kahu hānai?

ʻAʻole kauka ka hapa nui o nā kahu hānai, akā loaʻa paha i kekahi poʻe ke kekelē kauka ma ka hana hānai. Eia naʻe, ʻaʻohe o lākou kekelē lapaʻau mai ke kula lapaʻau.

He aha ka ʻokoʻa ma waena o ke kahu hānai a me ke kauka hānau keiki a me ke kauka wahine (Ob/Gyn)?

ʻO ka ʻokoʻa nui ma ke ʻano o kā lākou hāʻawi ʻana i ka hoʻonaʻauao a me ka mālama.

Hoʻoikaika pinepine nā kahu hānai , a hoʻoikaika lākou i nā ʻano kūlohelohe e kōkua ai i ka hāpai ʻana a me ka hānau keiki ʻana. ʻIke lākou i ka hāpai ʻana a me ka hānau keiki ʻana he hana kūlohelohe, ʻaʻole he kūlana olakino e mālama ʻia. Makemake lākou e hoʻohana i nā ʻano hānau kuʻuna ʻole. ʻO ka poʻe makemake i kahi hānau ʻoluʻolu a emi iki ke kaumaha, ʻoi aku ka nui o ko lākou koho ʻana i kahi kahu hānai.

Eia nō naʻe, no ka mea, ʻaʻole i aʻo ʻia nā kahu hānai ma ke kula lapaʻau, ʻaʻole hiki iā lākou ke hāʻawi i nā lawelawe āpau a kahi kauka hānau keiki a me ke kauka wahine (Ob/Gyn). ʻAʻole hiki iā lākou ke mālama i nā hāpai keiki kiʻekiʻe a i ʻole nā ​​​​pilikia i ka wā hānau keiki. Hiki i nā kauka hānau keiki ke hana i nā hana lapaʻau a ʻokiʻoki paha i hiki ʻole i nā kahu hānai ke hana inā kū mai nā pilikia.

ʻAʻole kēia e ʻōlelo ʻaʻole kākoʻo, pilikino, a wehe paha nā Ob/Gyns i nā ʻano hana ʻē aʻe. ʻAʻole lākou. Inā paʻakikī iā ʻoe ke hoʻoholo, ʻoi aku ka maikaʻi o ka hālāwai ʻana me kahi kahu hānai a me kahi Ob/Gyn e hoʻoholo i ka mea kūpono loa i kou ʻano a me kāu mau manaʻolana no ka hāpai ʻana a me ka hānau keiki ʻana.

He ʻoi aku ka maikaʻi o ke kahu maʻi ma mua o ke kauka?

Pili maoli nō ia i ka makemake pilikino. Makemake kekahi poʻe i nā kahu hānai, makemake kekahi i ka Ob/Gyns. ʻO ka maʻamau, ua ʻōlelo ʻia kahi kahu hānai no nā hāpai haʻahaʻa ka pilikia. ʻO ka hapa nui o nā hāpai he haʻahaʻa ka pilikia.

Eia kekahi o nā pono o ke koho ʻana i kahi kahu hānai:

• Hoʻemi ʻia ka manawa kūpono o ka hoʻokomo ʻana a i ʻole ke kōkua ʻana i ka hānau ʻana.
• Ua hoʻemi ʻia ka manawa kūpono o ka hānau ʻana ma ke ʻano cesarean.
• Hoʻemi ʻia ka hoʻohana ʻana i nā epidurals a i ʻole nā ​​​​lāʻau ʻeha ʻē aʻe.
• Ua hoʻemi ʻia ka pilikia o ka haehae ʻana o ka perineal koʻikoʻi (papa 3 a me 4) i ka wā hānau.
• ʻOi aku ka maʻalahi o ka hānau ʻana ma ka home.
• Loaʻa iā ʻoe ka mana hou aʻe ma luna o kāu mālama ʻana.

Eia nō naʻe, ʻaʻole i hoʻomaʻamaʻa pinepine ʻia nā pale keiki e hana i ke ʻoki kino. Inā paʻakikī kou hāpai ʻana a hānau paha a i ʻole ʻoe i kahi kūlana pilikia kiʻekiʻe, e kuhikuhi nā pale keiki iā ʻoe i kahi kauka hānau keiki a me ke kauka wahine (Ob/Gyn).

Pono anei iaʻu e koho i kahi kahu hānai?

Inā he hāpai maʻamau a haʻahaʻa ka pilikia o kou hāpai ʻana, a ke ʻimi nei ʻoe i kahi pilina pilikino a pili loa me kāu mea mālama ola , kūpono paha ke kahu hānai iā ʻoe.

Eia nō naʻe, inā he maʻi kou e hiki ai ke hoʻopilikia i kou wā hāpai a hānau paha, ʻoi aku ka maikaʻi o ka hana pū ʻana ma waena o kāu kahu hānai a me ke kauka hānau keiki. ʻO kekahi o nā kūlana e makaʻala ai:

• Ke koko kiʻekiʻe
• Maʻi diabetes
• Inā ua loaʻa iā ʻoe nā hopu ma mua (Mōʻaukala o nā hopu)
• Inā ua loaʻa iā ʻoe kahi hāpai pilikia kiʻekiʻe ma mua
• Inā ʻoe e kali ana i nā māhoe a ʻoi aku paha mau keiki (Ke kali nei i nā keiki he nui)

Inā hoʻoholo ʻoe e koho i kahi kahu hānau, paipai mākou e ʻimi i kahi mea i laikini ʻia a hōʻoia ʻia e hana ma kou ʻāina/wahi.

Aia kekahi mau pilikia i ka loaʻa ʻana o nā lawelawe mai kahi kahu hānai?

Hana pū nā kahu hānai me nā kauka hānau keiki a me nā kauka wahine (Ob/Gyns), nā loea lapaʻau makuahine-fetal, a me nā mea lawelawe olakino ʻē aʻe e hōʻemi i nā pilikia o kāu mālama ʻana. Inā he mau hopohopo kou e pili ana i ka hānau keiki ʻana, ʻōlelo pinepine ʻia ʻoe e hana pū me kahi kahu hānai e hana ana ma kahi haukapila. E kōkua kēia iā ʻoe e ʻoi aku ka palekana inā kū mai nā pilikia.

He aha ka ʻokoʻa ma waena o ka doula a me ke kahu hānai?

ʻO ka huaʻōlelo ʻo `Doula` he Helene no "mea kōkua wahine." ʻO ka doula kekahi mea i aʻo ʻia e hāʻawi i ke kākoʻo i ka wā hānau. Hiki iā lākou ke kōkua iā ʻoe e hoʻokele i nā ʻūlū, lawe mai iā ʻoe i nā wai e inu ai, hāʻawi i nā kūlana e hiki ai ke hōʻoluʻolu i nā ʻeha hānau, a hoʻohauʻoli iā ʻoe. Eia naʻe, ʻaʻole lākou i aʻo ʻia e ke kauka. ʻO ka mālama a lākou e hāʻawi ai he kākoʻo naʻau a me ka ʻike, ʻaʻole ka mālama olakino. ʻO ka wahine hānai he kanaka i aʻo ʻia e ke kauka e hāʻawi ana i ka mālama olakino.

Hana nā pale keiki i nā ʻoki cesarean (C-sections)?

ʻAʻole, ʻaʻole hiki i nā pale keiki ke hana i nā ʻoki C. Akā hiki iā lākou ke kōkua me lākou. Inā makemake ʻoe i kahi ʻoki C, e kāhea ʻia kekahi kauka e hana pū ana a nāna e mālama i ka mālama.

Ke hāʻawi nei nā pale keiki i nā epidurals?

Hiki i kekahi mau kahu hānai ke kuhikuhi i nā lāʻau hōʻeha ʻeha e like me nā epidurals. Eia nō naʻe, ʻaʻole hiki i nā kahu hānai ke hāʻawi i nā epidurals.E kūkākūkā lākou i kēia me kahi anesthesiologist a i ʻole kahi Certified Registered Nurse Anesthetist (CRNA). Loaʻa pinepine nā mea lawelawe anesthesia ma kahi haukapila wale nō.

He aha nā nīnau āu e nīnau ai ma mua o ke koho ʻana i kahi kahu hānai?

He nui ka poʻe e ninaninau i nā kahu hānau ma mua o ko lākou hoʻomaka ʻana e hana e ʻike inā kūpono lākou a ʻoluʻolu hoʻi. Eia kekahi mau nīnau āu e noʻonoʻo ai ma mua o ke koho ʻana i kahi kahu hānau:

• Ma hea wau e hānau ai i kaʻu pēpē? (Halemai, kikowaena hānau, a i ʻole ka home?)
• He aha ke ʻano o ke aʻo ʻana āu i loaʻa ai? (E nīnau e pili ana i nā palapala hōʻoia, nā laikini)
• ʻEhia ka lōʻihi o kāu hana ʻana ma ke ʻano he kahu hānai?
• ʻEhia mau hānau keiki āu i hele ai?
• He aha kou mau manaʻo a me nā waiwai e pili ana i ka hānau keiki ʻana?
• He aha nā hoʻokolohua a i ʻole nā ​​​​​​nānā āu e hana ai i ka wā hāpai?
• E uhi anei ka ʻinikua i nā koina?
• Hana pū ʻoe me ka Ob/Gyns ma kou wahi? (Aia kekahi kauka hiki iā ʻoe ke kuhikuhi aku i kahi pilikia?)

E kōkua kēia mau nīnau iā ʻoe e hana i kahi hoʻoholo maikaʻi.

ʻO ka mea hope loa, e hoʻomanaʻo kākou i kēia.

He mea kōkua nui ka pale keiki i kāu hui olakino hānau, ʻoiai i ka wā hāpai a me ka hānau keiki. He kūpono lākou no nā hāpai a me nā hānau keiki haʻahaʻa ka pilikia, a inā ʻoe e ʻimi nei i kahi ala kūlohelohe.

Akā e hoʻomanaʻo, ʻaʻole like nā kahu hānai a pau. I ka wā e ʻimi ai i kahi kahu hānai, e hōʻoia e noiʻi i kā lākou mau palapala hōʻoia, nā wahi i laikini ʻia ai lākou e hana, a inā he pilina olakino ko lākou me kahi hoa kauka.

Inā ʻoe e koho i kahi kahu hānau, he kauka hānau keiki/gynecologist (Ob/Gyn), a i ʻole he hui pū ʻana o nā mea ʻelua, e hana pū kāu poʻe lawelawe olakino e kōkua iā ʻoe e loaʻa ka hopena maikaʻi loa. Makemake mākou iā ʻoe i kahi hāpai olakino a me kahi hānau palekana!

Kahu hānai, hānau keiki, hāpai keiki, kahu hānai, limahana olakino ʻohana, mālama hānau keiki, hānau maoli