Ma hea ʻoe e makemake ai e hānau i kāu pēpē? (Nā Koho Wahi Hānau) E kamaʻilio kākou e pili ana i kēia!

I kēia lā, e kamaʻilio mākou e pili ana i kahi āu e koho ai e hoʻokipa i ka lālā hou o kou ola, kāu pēpē, i kēia ao. He hoʻoholo koʻikoʻi a noʻonoʻo pono kēia, ʻeā? I kekahi manawa, e makaʻu iki paha ʻoe a hoihoi. Akā, mai hopohopo, e kamaʻilio maopopo mākou e pili ana i kēia mau mea a pau. A laila hiki iā ʻoe ke koho i kahi e kūpono loa iā ʻoe a me kāu pēpē.

Ka Hānau ʻana ma ka Halemai

He nui ka poʻe, ʻoi aku hoʻi ma ko kākou ʻāina, e koho i kahi haukapila e hānau ai i kā lākou mau pēpē. Akā, ʻaʻole like nā pono o nā haukapila a pau. Aia kekahi mau kumu e hoʻohuli ai i kēlā hoʻoholo.

Ka pae o ka mālama i loaʻa mai ka haukapila

Aia kekahi mau haukapila e mālama wale ana i nā hāpai maʻamau a haʻahaʻa ka pilikia . ʻO ia hoʻi, inā ʻaʻohe pilikia nui no ka makuahine a me ka pēpē, maikaʻi kēlā wahi. Eia nō naʻe, i kekahi mau hāpai ʻana , hiki ke loaʻa nā kūlana pilikia kiʻekiʻe . I ia mau hihia, he mea naʻauao ke koho i kahi haukapila i loaʻa nā pono kūikawā a me nā kauka loea no ia mea.

Ke hui olakino haukapila

Ke loaʻa kāu pēpē ma ka haukapila, aia kahi hui olakino nui e kōkua iā ʻoe. E nānā kākou i ko lākou ʻano a me ko lākou mau kuleana:

• Nā Kauka Hānau/Nā Kauka Hānau (OB/GYN): I ka ʻōlelo maʻalahi, ʻo kēia nā kauka nui e mālama iā ʻoe i ka wā hāpai a kōkua iā ʻoe me ka hānau ʻana o kāu pēpē. ʻO kēia ka poʻe i hoʻolilo i ka liʻiliʻi he 4 mau makahiki o ke aʻo kūikawā ma ke olakino wahine a me ka hānau hou ʻana ma hope o ke kula lapaʻau. Hiki iā lākou ke hoʻokele i nā hāpai paʻakikī a hana i nā ʻoki cesarean (C-sections) inā pono. ʻO ka poʻe i loaʻa ke aʻo kūikawā i nā hāpai pilikia kiʻekiʻe ua kapa ʻia hoʻi he Maternal-Fetal Specialists, a i ʻole Perinatologists .
• Nā Kauka ʻOhana: Loaʻa i kekahi mau kauka ʻohana ke aʻo kūikawā i ka mālama ʻana i ka hāpai ʻana a me ka hānau keiki ʻana. ʻOiai lākou e ʻike i nā maʻi o nā makahiki āpau, mai ka hānau ʻana a hiki i ke ola, hiki iā ʻoe ke loaʻa kahi pilina maikaʻi me lākou.
• Nā kahu hānai: ʻO nā kahu hānai he poʻe i loaʻa i ke aʻo kūikawā ma ke olakino o nā wahine, ʻoiai i ka wā hāpai, hānau keiki, a me ka mālama ma hope. Eia nō naʻe, kōkua pinepine lākou me nā hāpai keiki maʻalahi . Aia nā kahu hānai me nā pae aʻo like ʻole. Hana pinepine lākou me nā kauka, akā ma kekahi mau ʻāina hiki iā lākou ke hana kūʻokoʻa.
• Nā Kahu Maʻi i Kāinoa ʻia (RN): Loaʻa nā kahu maʻi e mālama a kākoʻo i ka makuahine a me ke pēpē i ka wā hānau keiki. Ma kekahi mau haukapila, loaʻa paha i kahi makuahine ka mālama kahu maʻi hoʻokahi mai kahi kahu maʻi hoʻokahi.
• Nā Doula:ʻO nā Doulas ka poʻe i aʻo ʻia i ka hānau keiki ʻana a hāʻawi i ke kākoʻo naʻau a me ke kino i nā makuahine a me nā makuakāne ma mua, i ka wā, a ma hope o ka hānau ʻana o ke pēpē.
• Nā Kauka Lapaʻau Keiki: Hiki ke hele mai kahi kauka keiki e ʻike i kāu pēpē i kona wā hānau a e nānā i kona olakino. ʻO nā kauka neonatologists he mau kauka e mālama pono ana i nā pēpē i hānau mua ʻole ʻia a i ʻole me nā pilikia olakino .
• Nā Anesthesiologists: Aia kēia mau kauka ma laila e kōkua iā ʻoe e hoʻokele i ka ʻeha inā pilikia ʻoe i ke kūpaʻa ʻana me ia, a e hāʻawi iā ʻoe i nā mea e like me ka epidural inā pono.
• Nā kamaʻāina, nā haumāna lapaʻau: I kekahi manawa, ʻoi aku hoʻi ma kahi haukapila aʻo , hiki i nā kamaʻāina, nā haumāna lapaʻau, a me nā mea ʻē aʻe ke hele pū i ka hānau ʻana.
• Nā Kākā'ōlelo Lactation: Inā he mau nīnau kāu e pili ana i ka hānai ʻana i kāu pēpē, aia kēia poʻe ma laila e kōkua a aʻo iā ʻoe.

Nā ʻAno o nā Lumi Hana a me nā Lumi Hānau

I ka wā ma mua, ua lawe ʻia ka makuahine e hānau ana i kahi lumi hānau, a laila i kahi lumi hānau, a laila neʻe ʻia i kahi lumi ʻē aʻe ma hope o ka hānau ʻana o ka pēpē. Akā i kēia manawa, ke noʻonoʻo nei nā haukapila he nui i ka "mālama ʻohana." ʻO ia hoʻi, hiki i ka makuahine ke hānau, loaʻa ka pēpē, a laila hoʻōla - a pau ma kahi hoʻokahi, ma kahi lumi pilikino me nā pono lumi ʻauʻau, i kapa ʻia ʻo "birthing suite." A laila ʻaʻohe pono e neʻe i mua a i hope. I kēia manawa, loaʻa i nā haukapila he nui nā pono "rooming-in" . ʻO ia hoʻi, hiki i ka pēpē ke noho i loko o ka lumi o ka makuahine, me ka ʻole o ka lawe ʻia ʻana i kahi lumi hānai kaʻawale. E noʻonoʻo i ka maʻalahi o ia mea!

Nā kulekele a me nā kaʻina hana o ka haukapila

Hiki i nā haukapila like ʻole ke loaʻa nā kulekele ʻokoʻa e pili ana i kekahi mau lāʻau lapaʻau, ke alapine o nā hoʻokolohua, a pēlā aku. Hiki iā lākou ke loaʻa nā kulekele ʻokoʻa e pili ana i ka poʻe i ʻae ʻia i loko o ka lumi i ka wā hānau, pehea e nānā ʻia ai ka puʻuwai o ka pēpē, a inā paha e hāʻawi ʻia ka meaʻai a me ka mea inu i ka wā hānau.

Ma ka haukapila, hiki iā ʻoe ke loaʻa nā lāʻau ʻeha , nā epidural , a me ka anesthesia spinal e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha, inā pono ʻoe iā lākou. Hiki iā lākou ke kōkua iā ʻoe e hoʻoulu i ka hānau keiki inā ʻaʻole palekana ke hoʻomau i ka hāpai ʻana, inā he pilikia i ke olakino o ka makuahine a i ʻole ka pēpē. ʻO ka haukapila kahi palekana loa no ka mea me ka hāpai ʻana i kahi pēpē me ka pilikia kiʻekiʻe .

Ka Hānau ʻana ma kahi Kikowaena Hānau

Aia iā ʻoeInā he haʻahaʻa kou pilikia hāpai ʻana a makemake ʻoe i kahi ʻano home a hoʻomaha hoʻi, he koho maikaʻi paha kahi "kikowaena hānau" . Hiki ke kaʻawale kēia mau mea mai ka haukapila, ma kahi hale ʻokoʻa, a i ʻole e pili pū ʻia me ka haukapila, ma ke ʻano he ʻāpana o ia mea. Hāʻawi pū kēia mau wahi i ka "mālama ʻohana." Loaʻa pinepine iā lākou nā lumi pilikino me nā kukui palupalu, nā ʻauʻau, nā ʻauʻau whirlpool, a me kahi lumi kuke no ka hoʻohana ʻohana. I ka ʻōlelo maʻalahi, hoʻāʻo lākou e hoʻolilo i kahi e like me ka home ma mua o ka haukapila.

Nā mea e pono ai ʻoe e ʻike e pili ana i ka Hale Hānau:

• ʻAʻole no nā kānaka a pau nā kikowaena hānau. Nānā lākou i ka poʻe e hele mai ana iā lākou no ka mālama ʻana i ka wā hāpai e ʻike inā kūpono lākou. ʻAe wale lākou i ka poʻe olakino maikaʻi a ʻaʻole paha e loaʻa i nā pilikia nui i ka wā hāpai a hānau keiki paha. Eia kekahi laʻana:
• ʻAʻole kūpono nā kikowaena hānau no ka poʻe me nā maʻi olakino e like me ke koko kiʻekiʻe , ka maʻi diabetes , a i ʻole ka maʻi puʻuwai .
• Inā he mau māhoe a ʻoi aku paha (mau keiki he nui) , a inā paha ua hānau ʻia ke pēpē ma o ka ʻoki cesarean ma mua (C-section), ʻaʻole paha lākou e ʻae.
• Nānā lākou i ke olakino o ka makuahine i ka wā hāpai. Inā he loli i kona olakino, no ka laʻana, preeclampsia (ke koko kiʻekiʻe i ka wā hāpai), hānau mua ʻana , a i ʻole he pēpē breech , e hoʻoneʻe lākou iā ʻoe i kahi haukapila.
• ʻO ka maʻamau, aia nā kahu hānai, nā kahu maʻi, a me nā doula i loko o ka hui olakino ma kahi kikowaena hānau. ʻOiai ʻaʻole nā ​​kauka ma kahi, hana pū nā kikowaena hānau he nui me nā kauka hānau keiki a me nā kauka keiki ma ke ʻano kūkākūkā.
• ʻO ka maʻamau, ʻoi aku ka liʻiliʻi o nā hana lapaʻau ma kahi kikowaena hānau ma mua o ka haukapila. No ka laʻana, ma kahi o ka nānā mau ʻana i ka puʻuwai o ka pēpē e like me nā haukapila, hoʻohana lākou i ka nānā ʻana i ka helu o ka puʻuwai fetal intermittent . Hāʻawi kēia i ka makuahine i ke kūʻokoʻa hou aʻe e neʻe a puni. Eia nō naʻe, hiki iā lākou ke hāʻawi i ka mālama olakino, e like me nā wai IV , oxygen , a me kekahi mau lāʻau lapaʻau , inā pono.
• Hāʻawi nā kikowaena hānau i kekahi mau ʻano hana hoʻomalu ʻeha . No ka laʻana, kekahi mau lāʻau lapaʻau, lomilomi, nā ʻano hana hoʻomaha, nā hoʻomaʻamaʻa hanu, nā pōpō hānau, a me ka ʻauʻau ʻana. Eia naʻe, ʻaʻole lākou e hāʻawi i nā epidurals a i ʻole ka anesthesia spinal.
• ʻO ke kikowaena hānau āu e koho ai ʻo "CABC (Komisina no ka Hōʻoia o nā Kikowaena Hānau)"E nānā e ʻike inā ua ʻae ʻia e kahi hui kaulana, e like me ka National Institute of Health. Hoʻoponopono kekahi mau ʻāina/mokuʻāina i nā kikowaena hānau, no laila e nānā e ʻike inā loaʻa i ka hale āu e koho ai nā hōʻoia kūpono.

Ka Hānau ʻana ma ka Home

ʻO kaʻoiaʻiʻo, ʻaʻole ʻōlelo ka poʻe loea i ka hānau ʻana ma ka home. Ua hōʻike kekahi mau noiʻi e pili ana ka hānau ʻana ma ka home me ka nui o ka pilikia o nā pilikia koʻikoʻi, me ka make ʻana o ka pēpē , i kekahi mau hihia. Ma keʻano laulā, ʻo nā haukapila a me nā kikowaena hānau i ʻae ʻia nā wahi palekana loa e hānau ai.

Eia nō naʻe, hoʻoholo kekahi mau ʻohana e hānau ma ka home (a i kekahi manawa hiki ke hānau ma ka home me ka ʻole o ka hoʻolālā). No nā ʻohana e noʻonoʻo ana i ka hānau ma ka home, ua ʻōlelo ka American Academy of Pediatrics i kēia mau mea:

• Hana ʻia kēia inā haʻahaʻa ka pilikia o ka hāpai ʻana .
• Ma ka liʻiliʻi he ʻelua kānaka e hele i ka wā hānau - hoʻokahi e mālama i ka makuahine a ʻo kekahi e mālama i ka pēpē. Pono ka mea mālama i ka pēpē he kanaka akamai i ka mālama ʻana a me ka hoʻōla ʻana i nā pēpē hānau hou a loaʻa iā ia nā lako e pono ai e hana pēlā.
• Inā hele hewa kekahi mea , pono e loaʻa ke kauka a i ʻole he paramedic i hōʻoia ʻia e kōkua, a pono e loaʻa kahi hoʻolālā no ka lawe wikiwiki ʻana i ka haukapila inā pono.

No laila, ʻo wai ka mea kūpono iā ʻoe? (ʻO wai ka mea kūpono iaʻu?)

ʻO kēia ka nīnau koʻikoʻi loa. Eia kekahi mau mea e kōkua iā ʻoe e koho i kahi kūpono:

• E kamaʻilio me kāu kauka a kahu hānai paha. Hiki i ke kauka a kahu hānai paha nāna e mālama iā ʻoe i kou wā hāpai ke hoʻoholo inā he haʻahaʻa a kiʻekiʻe paha kou hāpai ʻana. E hāʻawi lākou iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa e like me ia.
• E nānā me kāu ʻinikua olakino e ʻike i nā ʻano wahi a lākou e uhi ai no ka hānau keiki ʻana.
• E hele i kahi mākaʻikaʻi o ka haukapila a i ʻole ke kikowaena hānau. E kōkua kēia iā ʻoe e ʻike inā he ʻoluʻolu nā limahana a inā he ʻano hoʻomaha. Hiki iā ʻoe ke loaʻa kahi manaʻo o nā kulekele a me nā kaʻina hana o ka hale.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He hoʻoholo nui ke koho ʻana i kahi e hānau ai kāu pēpē. E hoʻomanaʻo i kēia mau mea:

• ʻO ka palekana ka mea mua. E kau mua i kou palekana a me ka palekana o kāu pēpē.
• E kamaʻilio me kāu kauka a nīnau i nā koho i kūpono loa no kou kūlana olakino.
• E hoʻomaopopo i nā pono a me nā pōʻino o kēlā me kēia koho.
• He mea nui nō hoʻi kāu mau makemake pilikino , akā pono lākou e noho i loko o nā palena palekana.
• Ua hilinaʻi a ʻoluʻolu hoʻi ʻoe i kahi āu i koho ai.Makemake au e ʻike.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi ma kēia huakaʻi. Nui ka poʻe e hiki ke kōkua a alakaʻi iā ʻoe. Lana ko mākou manaʻo e kōkua kēia ʻike iā ʻoe a me kou ʻohana e hana i ka hoʻoholo maikaʻi loa a hauʻoli hoʻi e hoʻokipa i kēia malihini hou!

Hānau keiki, Halemai, Kikowaena Hānau, Hānau ma ka Home, Mālama Hāpai Keiki, Obstetrics a me Gynecology, Vawanaliya