ʻO ka nānā mua ʻana o kāu keiki liʻiliʻi i ke kauka (Newborn Well-Child Visit): E kamaʻilio kākou e pili ana i kēia!

Hoʻomaikaʻi iā ʻoe a me kou ʻohana! ʻAʻole hiki ke hōʻike ʻia ka hauʻoli āu e manaʻo ai i ka wā e hānau mai ai kahi pēpē liʻiliʻi i kēia ao. No laila, ma hope koke iho o ka hānau ʻana o ke pēpē, e loaʻa iā ia kāna nānā mua ʻana e ke kauka ma ka haukapila. He mea nui loa kēia. E nānā kākou i ka mea e hana ʻia i kēia manawa a me ka mea āu e manaʻo ai.

He aha ka mea e hana ʻia ana ma ka haukapila?

Ma ka haukapila, e hana pū ke kauka a me ke kahu maʻi e mālama i kāu pēpē. ʻAʻohe mea e hopohopo ai, hana ʻia kēia mau mea a pau no ke olakino o ka pēpē.

Pehea e nānā ai i ka ulu ʻana o ka pēpē

ʻO ka mea mua, ana lākou i ke kaumaha o kāu pēpē, ke kiʻekiʻe, a me ke anapuni o ke poʻo . A laila hoʻopaʻa lākou i kēia mau ana ma kā lākou "papa kuhikuhi ulu." Penei lākou e hoʻomaopopo ai inā e ulu pono ana ka pēpē.

Nā nīnau nou, ʻōlelo aʻoaʻo nou

A laila, e nīnau ke kauka a kahu maʻi paha iā ʻoe i nā nīnau e pili ana i ke ʻano o ka mālama ʻana i kāu pēpē. He manawa kūpono kēia e kamaʻilio pū me lākou e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E hāʻawi lākou iā ʻoe i nā ʻōlelo aʻoaʻo waiwai nui.

Ka hānai ʻana

• Ka hānai ʻana i ka waiū umauma : Wahi a lākou ʻo ka waiū umauma ka meaʻai maikaʻi loa no ka pēpē . Eia nō naʻe, inā paʻakikī ka hānai ʻana i ka waiū umauma i kekahi manawa, hiki ke hoʻohana ʻia ka waiū formula e hāʻawi i ka meaʻai e pono ai no kāu pēpē. Pono e hānai ʻia nā pēpē hānau hou i ka wā e pōloli ai lākou. ʻO ia hoʻi, i kēlā me kēia 1 a 3 hola . E nānā paha ke kauka a kahu maʻi paha iā ʻoe e hānai ana a kōkua inā he mau pilikia.
• Hānai ʻia me ka waiū waiū: E inu ana kahi pēpē i hānai ʻia me ka waiū waiū ma kahi o 1-1½ auneke (30-45 milliliters) i ka manawa hoʻokahi.
• Ka hānai ʻana i ke keiki bipi: Mai poina e hānai i ke keiki bipi ke piha hapa a piha paha ma hope o ka hānai ʻana. I ka ulu ʻana o ke keiki bipi, piʻi ka nui o ka waiū āna e inu ai, no laila e emi ana ka nui o ka hānai ʻana i kēlā me kēia lā.

Pehea e mimi ai a me ka poop

• Ka nui o ka mimi ʻana : E mimi kahi pēpē hānai waiū ma kahi o hoʻokahi a ʻelua paha i ka lā a hiki i ka wā e komo pono ai ka waiū o ka makuahine. I nā lā 3-5, pono e loaʻa i kēlā me kēia pēpē ma kahi o 6 mau diaper pulu i ka lā .
• Pehea e ʻō ai: Hiki i nā pēpē hānau hou ke ʻō i hoʻokahi manawa i ka lā no nā lā mua. No nā lā mua, he ʻeleʻele ʻeleʻele a kala ko lākou ʻō . Ma hope o 3-4 mau lā, lilo ia i mea wai a melemele ʻōmaʻomaʻo . ʻO ka maʻamau, ʻō nā pēpē i hānai ʻia me ka waiū umauma i nā manawa he nui i ka lā, ʻoiai ʻo nā pēpē i hānai ʻia me ka waiū waiū, ʻaʻole pinepine ka ʻō. He mea maʻamau kēia.Mai makaʻu, ʻeā?

Moe

Hiki i kahi pēpē hānau hou ke hiamoe no kahi o 14-17 mau hola i loko o 24 mau hola . Eia nō naʻe, ala pinepine lākou (i ke ao a me ka pō) e hānai.

• ʻO ka maʻamau, ala aʻe nā pēpē i hānai ʻia me ka waiū umauma e hānai i kēlā me kēia 1-3 hola .
• ʻOi aku ka lōʻihi o ka hiamoe ʻana o nā pēpē i hānai ʻia me ka waiū formula, e ala ana i kēlā me kēia 2-4 hola (ʻoi aku ka lōʻihi o ka ʻeli ʻana o ka waiū formula, no laila ua māʻona ke pēpē).
• A hiki i ka wā e piʻi pono ai ke kaumaha o ka ʻīlio liʻiliʻi, ʻo ia hoʻi nā pule mua, mai hoʻokuʻu iā ia e hiamoe no nā hola he 4 ma waena o ka hānai ʻana. Ma hope o kēlā, ua maikaʻi no ka ʻīlio liʻiliʻi ke hiamoe no ka manawa lōʻihi.

Ka Hoʻomohala ʻana o ka Pēpē

Pono nā pēpē hānau hou e hana i kēia mau mea:

• Nānā pono lākou i nā helehelena a me nā mea i hoʻomālamalama ʻia e kokoke ana i 8-12 ʻīniha (20-30 kenimika) ka mamao.
• Pane i nā leo - e huli aʻe paha mai ka leo o koʻu makuahine a makuakāne paha, e noho mālie, e ʻimo , e ʻoniʻoni, a e uē paha.
• Mālama ʻia nā lima a me nā wāwae i ke kūlana kūlou .
• Pono kēia mau hopena kūlohelohe ('nā reflexes hānau hou') e maikaʻi:
• ʻO ke aʻa ʻana a me ka omo ʻana : Ke kau ʻia kekahi mea kokoke i nā lehelehe, huli ke poʻo o ke pēpē i kēlā ʻaoʻao a hoʻomaka e omo i ka waiū.
• ʻO ka reflex hopu: Inā ʻoe e hoʻokomo i kahi manamana lima i loko o kou lima, e hopu pono ʻoe iā ia.
• Ke kūlana o Fencer: Ke huli ʻia ke poʻo i kekahi ʻaoʻao, e hohola ʻia ka lima ma kēlā ʻaoʻao a kūlou ka lima ma kekahi ʻaoʻao.
• ʻO ka reflex Moro (pane pūʻiwa): Inā pūʻiwa koke, hoʻolei ke keiki i nā lima a me nā wāwae i waho a laila hoʻihoʻi iā lākou i loko.

Hoʻokolokolo Kino Piha

I mua pono ou, e wehe ʻia ke kapa o ke pēpē a e hana ʻia kahi nānā ʻana o ke kino holoʻokoʻa . E komo pū ana kēia me ka nānā ʻana i nā maka o ke pēpē, ka hoʻolohe ʻana i ka puʻuwai o ke pēpē, ka nānā ʻana i ka pulse, ka nānā ʻana i ke kaula umbilical, a me ka nānā ʻana i ka iwi kuamoʻo, nā pūhaka, a me nā wāwae o ke pēpē.

Kekahi mau hoʻokolohua loiloi kūikawā

Hana ʻia kekahi mau hoʻokolohua kūikawā ('nā hoʻokolohua nānā') e nānā i kekahi mau maʻi e hiki ke hoʻopōʻino i ka pēpē.

• Hana ʻia kēia mau hoʻokolohua ma ka lawe ʻana i kahi kulu liʻiliʻi o ke koko mai ke kuʻekuʻe wāwae o ka ʻīlio liʻiliʻi .
• Eia kekahi, ma mua o ka haʻalele ʻana i ka haukapila , ua hoʻāʻo ʻia ka lohe o ka pēpē ('hoʻāʻo lohe') a ua nānā ʻia nā pae oxygen .

Nā Lāʻau Pale Mua

Pono kāu pēpē e loaʻa i kāna mau lāʻau pale mua ma ka haukapila. Mālama kēia mau lāʻau pale i nā pēpē mai nā maʻi koʻikoʻi o ka wā kamaliʻi.He mea nui e loaʻa i kāu mau lāʻau pale i ka manawa kūpono. Hiki ke ʻokoʻa iki nā papa hana lāʻau pale, no laila e kamaʻilio me kāu kauka e ʻike pono i ka mea e hana nei.

E hoʻomanaʻo i kēia mau mea a hiki i ka nānā hou ʻana

E mālama i kēia mau mea a hiki i kāu nānā kino aʻe, ʻo ia hoʻi i loko o kekahi mau lā.

E pili ana i nā ʻano hānai

No nā makuahine hānai waiū

• E kōkua i kāu pēpē e hoʻopaʻa pono : E wehe ākea i kou waha, e kau i kou alelo ma lalo, a e lawe i ka nui o kou umauma i loko o kou waha i ka hiki.
• Mai hoʻohana i nā ʻōmole a i ʻole nā ​​pacifier a hiki i ka wā e maʻa maikaʻi ai kāu pēpē me ka hānai waiū.
• E hānai i kāu pēpē i ka waiū i ka wā e pōloli ai ʻo ia .
• E hoʻolohe i nā hōʻailona e hōʻike ana ua māʻona kāu pēpē (e laʻa, e huki ana mai ka nipple, e uhi ana i kona waha).
• E lawe i kāu vitamina prenatal a i ʻole multivitamin i kēlā me kēia lā.

No nā Mākuahine Hānai Formula

• E hāʻawi i kāu pēpē i kahi waiū waiū i hoʻonui ʻia i ka hao .
• E hahai pono i nā kuhikuhi ma ka ʻeke formula i ka wā e hana a mālama ai i nā ʻōmole.
• Mai hoʻohui i ka wai hou i ka waiū waiū a kāu pēpē.
• Mai paʻa i nā ʻōmole a hoʻomoe paha i kāu pēpē me ka ʻōmole i loko o kona waha.
• E hāʻawi i kāu pēpē i kahi ʻōmole waiū i ka wā e pōloli ai ʻo ia .
• E hoʻolohe i nā hōʻailona ua māʻona kāu pēpē (e laʻa, e huki ana mai ka ʻōmole, e uhi ana i kona waha).

Pehea e mālama ai i kāu pēpē i kēlā me kēia lā (Daily Baby Care)

• E holoi pono i kou mau lima ma mua o ka lawelawe ʻana i ka pēpē. E mālama i ka pēpē mai ka poʻe maʻi.
• E hoʻopaʻa i ka pēpē, e mālama i kona mau pono. ʻAʻole hiki iā ʻoe ke hōʻino i kahi pēpē hānau hou.
• E kau i ka diaper ma lalo o ke kaula piko e maloʻo. ʻO ka maʻamau, e hāʻule ke kaula piko i loko o 10-14 mau lā.
• E hoʻopili i kahi petroleum jelly liʻiliʻi i nā ʻāpana genital a i ʻole ke alo o ka penis o nā keikikāne i ʻoki poepoe ʻia .
• Hiki i kahi pēpē kaikamahine ke loaʻa i kahi kahe koko mai ka ʻōpū i ka pule mua o ke ola . ʻAʻohe mea e hopohopo ai.
• E hoʻomaʻū i ke kino (ʻauʻau huʻahuʻa) a hiki i ka hāʻule ʻana o ke kaula umbilical a, i ke ʻano o ke keikikāne, e ola ka wahi i ʻoki poepoe ʻia. E hoʻāʻo i ka wai ma ke kau ʻana i kou pulima i loko e ʻike inā wela loa. E hoʻohana i nā kopa a me nā lotion ʻala ʻole .

I ka manawa hea e ʻike ai i ke kauka

I loko o kēia mau manawa, pono ʻoe e ʻike i ke kauka:

• Ke nānā ʻia mai lalo (rectal) o ka pēpēInā he 100.4 Fahrenheit (38 Celsius) a ʻoi aku paha ke kuni .
• Inā hōʻike ka ʻīlio ʻīlio i nā hōʻailona o ka maʻi , ʻaʻole ʻai, mimi , a i ʻole ka ʻōpala.
• Inā ʻaʻole ʻoe e latch pono i ka pēpē a i ʻole e omo pono i ka wā e hānai waiū ana.
• Inā ʻaʻole ʻoe e māʻona i ka hānai waiū.
• Inā ʻike ʻia ke kino he melemele (jaundice) .
• Inā ʻulaʻula a like me ka pus ka ʻāpana a puni ke kaula piko a i ʻole kahi o ke ʻoki poepoe ʻana.
• Mai hāʻawi i kekahi lāʻau lapaʻau me ke kamaʻilio ʻole ʻana me ke kauka.

He mea nui nō hoʻi ke olakino o Māmā!

He mea maʻamau no nā makuahine hou ke luhi a me ke kaumaha i kekahi manawa. Akā inā ikaika loa kēia mau manaʻo, inā ʻoe e kaumaha, huhū i nā manawa a pau, a hopohopo paha, e kamaʻilio me kāu kauka .

Hopohopo e pili ana i nā kūlana o ka noho ʻana?

Ke hopohopo nei ʻoe no kou kūlana noho? Loaʻa iā ʻoe nā mea e pono ai ʻoe e mālama i kāu pēpē? Loaʻa iā ʻoe ka meaʻai lawa, kahi palekana e noho ai, ʻinikua olakino? E kamaʻilio me kāu kauka e pili ana i kēia. Hiki iā ia ke haʻi iā ʻoe e pili ana i nā kumuwaiwai kaiāulu a kuhikuhi paha iā ʻoe i kahi mea hana kaiaulu.

Palekana mua!

Pehea e pale aku ai i ka Sudden Infant Death Syndrome (SIDS)?

He mea nui loa kēia. ʻO ka 'SIDS' ka make koke ʻana o kahi pēpē me ke kumu ʻole. Eia kekahi mau mea hiki iā ʻoe ke hana e pale aku ai:

• I ka wā e hoʻomoe ai i kāu pēpē, e hoʻomoe mau iā ia me ke alo i luna, ma luna o kahi moena palahalaha a paʻa, ma loko o kahi moe keiki a i ʻole kahi bassinet. Mai hoʻomoe i kāu pēpē ma kona ʻōpū a i ʻole ʻaoʻao. Mai kau i nā bumpers, nā pākeke, nā uluna, a i ʻole nā ​​​​mea pāʻani palupalu ma nā ʻaoʻao o ka moe keiki.
• E hānai i ka waiū umauma inā hiki.
• E mālama i kāu pēpē i loko o kahi moe pēpē i loko o kou lumi, ma ka ʻaoʻao o kou wahi moe, a hiki i ko lākou lā hānau mua, a i ʻole no 6 mahina. ʻO kēia ka manawa e kiʻekiʻe loa ai ka pilikia o SIDS. (ʻAʻole ʻōlelo ʻia ka kaʻana like ʻana i ka moe.)
• E mālama i ka mahana o ka lumi i ʻoluʻolu a pale i ka pēpē mai ka wela loa . E ʻaʻahu i ka pēpē e like me ka mahana o ka lumi, mai ʻaʻahu nui . Mai uhi i ke poʻo o ka pēpē i ka wā e hiamoe ana. E nānā i ka hou ʻana a inā wela ke kino i ka pā ʻana.
• Inā makemake kāu pēpē, e hoʻokuʻu iā ia e hiamoe me kahi pacifier . Inā hōʻole kāu pēpē i ka pacifier, mai hoʻokau. Inā moni ʻia ka pacifier i ka wā e hiamoe ana, mai hoʻihoʻi i loko. Inā ʻoe e hānai waiū ana, mai hāʻawi iā ia i ka pacifier a hiki i kona maʻa ʻana i ka hānai waiū pono ʻana.
• Mai hoʻokuʻu i kāu pēpē e hiamoe ma luna o kekahi mea i hana ʻole ʻia no nā pēpē.Eia kekahi laʻana, nā mea e like me nā mea e noho ai (e like me nā noho kaʻa), nā uluna hānai, a me nā moe hoʻomaha pēpē.
• Mai hoʻohana i nā mea hana e koi ana e hōʻemi i ka pilikia o SIDS (e like me nā mea hoʻonoho hiamoe a i ʻole nā ​​​​mea nānā e ana i ka helu o ka puʻuwai a me ka hanu ʻana o ka pēpē). ʻAʻohe huahana e hana maoli i kēia.
• E hōʻoia i ka ʻae ʻia ʻana o kekahi ʻili moe a huahana paha āu e hoʻohana ai no ka hiamoe ʻana o kāu pēpē e kahi ʻoihana kaulana, e like me ka US Consumer Product Safety Commission (CPSC). (Inā ma Sri Lanka, e koho i nā huahana i hōʻoia ʻia he palekana a kūlike i nā kūlana.)

Nā Manaʻo Palekana ʻē aʻe

• Mai puhi paka a hoʻohana paha i nā e-cigarette. Mai ʻae i kekahi e puhi paka a vape paha kokoke i kāu pēpē.
• E kau mau i kāu pēpē ma luna o kahi noho kaʻa e kū pono ana i hope, ma ka noho hope o ke kaʻa .
• Mai waiho wale i kāu pēpē i loko o ke kaʻa.
• Mai waiho wale i kāu pēpē i kona wā e ala ana, ʻoiai ma nā wahi kiʻekiʻe a i ka wā e ʻauʻau ana paha.
• Mai hoʻoluliluli i kāu pēpē - hiki iā ia ke hoʻoulu i ke kahe koko o ka lolo a me ka make. Inā manaʻo ʻoe e hōʻeha paha ʻoe i kāu pēpē, e hoʻokomo i kāu pēpē i loko o ka lumi moe a i ʻole kahi palekana no kekahi mau minuke a kāhea aku i kahi hoaaloha, ʻohana, a i ʻole kāu kauka no ke kōkua.
• E pale i kāu pēpē mai ka lā ma ka uhi ʻana iā ia a me ka malu i ka hiki. ʻAʻole ʻōlelo ʻia nā pale lā no nā pēpē ma lalo o 6 mahina. Eia nō naʻe, inā ʻaʻole hāʻawi ka malu a me nā lole i ka palekana kūpono, hiki ke hoʻopili ʻia kahi liʻiliʻi o ka pale lā i kahi pēpē ma lalo o 6 mahina.

Ua kūlike kēia mau pepa nānā me nā alakaʻi o ka American Academy of Pediatrics (AAP)/Bright Futures.

Leka Lawe-Home

No laila, ʻo ka nānā mua ʻana o ke kauka i kahi keiki hānau hou he ʻanuʻu koʻikoʻi loa ia i ka huakaʻi olakino o ka pēpē.

Mai makaʻu, e nīnau i nā nīnau, a e hoʻolohe pono i ka mea a ke kauka a me ke kahu maʻi e ʻōlelo nei. Aia lākou ma laila e kōkua iā ʻoe a me kāu pēpē.

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka meaʻai a ka pēpē, ka hiamoe, ka ulu ʻana, a me ka palekana. Ma ke ʻano he makuahine, he mea nui nō hoʻi kou olakino. Inā olakino ʻoe hiki iā ʻoe ke mālama pono i kāu pēpē. No laila, ke makemake nei mākou a pau iā ʻoe a me kāu pēpē i kahi hoʻomaka hauʻoli a olakino hoʻi no kēia huakaʻi hou!

Ola kino o nā pēpē, nānā mua ʻana i ke kauka, mālama ʻana i nā keiki hānau hou, hānai waiū, waiū waiū, hiamoe pēpē, pale ʻana i ka SIDS