ʻO wai ke 'kahu wahine'? He kanaka kōkua ʻo ia i ka hānau keiki ʻana? E kamaʻilio kākou!

Aloha! I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana e pono paha i nā poʻe he nui. Ua lohe paha ʻoe i kahi mea i kapa ʻia he 'midwife'. Akā, ʻo wai kēia 'midwife'? He aha kā lākou hana? He hoʻāʻo kēia e hoʻomaopopo wale i ke ʻano o ka lawelawe āu e loaʻa ai mai kēia poʻe, ʻoiai hoʻi ma ke ʻano he makuahine.

ʻO wai maoli ka 'midwife'?

I ka ʻōlelo maʻalahi, he limahana olakino ka wahine hānau keiki i loaʻa i ke aʻo kūikawā ma ke olakino hānau wahine, ʻo ia hoʻi, ka hānau keiki ʻana a me nā mea pili. E noʻonoʻo, inā ʻoe e manaʻolana nei e lilo i makuahine, hiki i kēia poʻe ke kōkua iā ʻoe me nā ʻōlelo aʻoaʻo a me ka mālama āpau āu e pono ai i ka wā hāpai, ke kōkua i ka wā hānau keiki, a me ka mālama āu a me kāu pēpē e pono ai ma hope o ka loaʻa ʻana o ke pēpē. Akā ʻo ka hapa nui o ka manawa, ʻo kā lākou lawelawe no nā hāpai haʻahaʻa ka pilikia, me ka ʻole o nā pilikia nui .

Eia kekahi, hāʻawi kekahi mau pale keiki i nā ʻōlelo aʻoaʻo e pili ana i nā ʻano hoʻolālā ʻohana, ʻo ia hoʻi, ka kaohi hānau ʻana, a me nā pilikia olakino ʻē aʻe e pili ana i nā wahine, e like me ka menopause. Hana pinepine lākou me nā kauka. Eia nō naʻe, ma kekahi mau ʻāina, ʻae ʻia lākou e hana kūʻokoʻa, ma muli o ke kānāwai.

Aia kekahi mau ʻano like ʻole o nā kahu hānai?

ʻAe, aia nā pae hoʻomaʻamaʻa a me nā hōʻoia no nā 'kahu wahine'. ʻAʻole like nā kānaka a pau. E nānā kākou pehea e hana ai. Ma kekahi mau ʻāina, ua wehewehe pono ʻia kēia mau hoʻokaʻawale ʻana. No ka laʻana, ma kahi ʻāina e like me ʻAmelika, ua hoʻokaʻawale ʻia lākou e like me kā lākou hoʻonaʻauao a me nā palapala hōʻoia. Ma Sri Lanka, ʻokoʻa iki ka lawelawe ʻana o kā mākou 'Family Health Midwives' mai ka manaʻo o 'midwife'. Hāʻawi nui kā mākou PHM i ke olakino kaiāulu, ka mālama home no nā wahine hāpai a me nā keiki ʻōpio, a me nā lāʻau pale. Akā ʻo ka 'midwife' a mākou e kamaʻilio nei i kēia lā, ʻo ia kekahi mea e pāʻani pololei ana i ka hānau ʻana, i kekahi manawa ke kuleana nui.

Ma keʻano laulā, penei nā pae hoʻomaʻamaʻa nui:

• ʻO ka poʻe me ke aʻo lapaʻau kiʻekiʻe a me ke kēkelē: ʻO kēia ka poʻe i loaʻa pinepine ke kēkelē ma ka hānai a laila ke kēkelē kūikawā ma ka hānai keiki. Hiki iā lākou ke hāʻawi i nā ʻano lawelawe like ʻole. ʻO ia hoʻi, hiki iā lākou ke hāʻawi i ka mālama i ka wā hāpai, kōkua i ka hānau keiki ʻana, hāʻawi i ka mālama ma hope o ka hānau keiki ʻana, a mālama i kekahi mau pilikia gynecological. Hana lākou ma nā haukapila, nā kikowaena hānau, nā keʻena lapaʻau, a, i ka wā kūpono, nā hānau ʻana ma ka home. Ma kekahi mau ʻāina, ua kapa ʻia lākou ʻo Certified Nurse Midwives (CNMs) a i ʻole Certified Midwives (CMs).

• ʻO ka poʻe i hoʻopau i nā papahana hoʻomaʻamaʻa kūikawā 'midwifery':ʻAʻole paha i loaʻa i kēia mau kahu hānai ke kēkelē kulanui, akā hoʻopau lākou i kahi papa hoʻomaʻamaʻa kūikawā (ma kahi o ʻekolu a ʻehā mau makahiki) a hala i kahi hoʻokolohua e lilo i kahu hānai. Ke kālele nui nei lākou i ke kōkua ʻana i nā makuahine me nā hāpai haʻahaʻa haʻahaʻa e hānau i nā kikowaena hānau a i ʻole ma ka home. Eia naʻe, ʻaʻole like me nā ʻano i ʻōlelo ʻia ma luna, ʻaʻole ʻae ʻia lākou e kuhikuhi i nā lāʻau lapaʻau, hana i nā hihia paʻakikī i nā haukapila, a mālama paha i nā pilikia gynecological i nā wahine hāpai ʻole. Ma kekahi mau ʻāina, ua kapa ʻia lākou ʻo "Certified Professional Midwives - CPMs".

• Nā kahu hānai kuʻuna a maʻamau paha: ʻAʻole paha i loaʻa i kēia mau kahu hānai ke aʻo kūhelu a i ʻole ka palapala hōʻoia. Ua aʻo paha lākou i ka ʻoihana ma o lākou iho, ua hana ma ke ʻano he haumāna ma lalo o kahi kahu hānai akamai, a i ʻole ua aʻo ʻia ma o ke kuʻuna. Ua kapa ʻia hoʻi lākou ʻo 'Lay Midwives' a i ʻole 'Traditional Midwives'. Ma kekahi mau ʻāina, ua ʻae ʻia lākou e hana ma lalo o kahi ʻōnaehana kānāwai, akā ʻo ka hapa nui no ka hānau ʻana ma ka home wale nō.

ʻO ka mea nui loa, inā ʻoe e noʻonoʻo ana e ʻimi i nā lawelawe mai kahi kahu hānai, pono ʻoe e noiʻi pono i ke aʻo ʻana o kēlā kanaka, nā mākaukau, a me ka ʻike.

I nā kūlana hea ʻoe e ʻimi ai i nā lawelawe a kahi kahu hānai?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'No laila ʻo wai ka mea e koho i kahi 'kahu wahine'? ʻAʻole anei e ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka?' ʻOiaʻiʻo, ʻo ka hapa nui o ka manawa, ke noʻonoʻo mākou i ka hānau keiki ʻana, manaʻo mākou i kahi kauka hānau keiki a me ke kauka wahine (OB-GYN). Akā makemake kekahi poʻe e ʻimi i nā lawelawe a kahi 'kahu wahine'. Aia paha he nui nā kumu no kēia.

Malia paha no ko lākou manaʻo ua kūlike kā lākou makemake pilikino, ʻo ia hoʻi, ke ʻano o ka hāʻawi ʻana o kahi kahu hānai i nā lawelawe, kēlā ʻano akeakamai, me kā lākou mau manaʻolana. Manaʻo pinepine nā kahu hānai i ka hānau ʻana he hana kūlohelohe. No laila, hoʻāʻo lākou e hōʻemi i nā hana lapaʻau pono ʻole a hāʻawi i kahi pae mālama pilikino.

Akā, aia kekahi mea āu e hoʻomanaʻo pono ai ma ʻaneʻi. ʻO nā lawelawe a kahi kahu hānau he kūpono wale nō ia no nā makuahine olakino maikaʻi a ʻaʻole paha e loaʻa nā pilikia nui i ka wā hāpai a hānau keiki paha (ʻo ia hoʻi, 'haʻahaʻa ka pilikia').

A laila, aia kekahi poʻe i kūpono ʻole no nā lawelawe a kahi kahu hānau. ʻO ia hoʻi, ʻo ka poʻe me nā hāpai e hāʻule ana i loko o ka māhele "kiʻekiʻe-pilikia". Eia kekahi mau laʻana:

• Inā he koko kiʻekiʻe kou.
• Inā ʻoe e ʻeha nei i ka maʻi diabetes mellitus.
• Inā he maʻi puʻuwai kou.
• Inā ʻoe e hāpai ana i nā māhoe a ʻoi aku paha (mau keiki he nui).
• Inā ʻaʻole i hoʻonoho pono ʻia ke pēpē, ʻo ia hoʻi, inā ua huli ʻia ke pēpē i ka puʻupuʻu a aia ma ke "kūlana Breech".
• Inā ua hānau mua ʻoe i kahi pēpē ma o ka ʻoki cesarean (C-section) (hiki i kēia ke lilo i mea pilikia i kekahi mau hihia).

I nā hihia e like me kēia, ʻoi aku ka palekana o ka hānau ʻana ma kahi haukapila me nā pono e pono ai, ma lalo o ka nānā ʻana a kahi kauka hānau keiki (OB-GYN).

E aʻo iki kākou e pili ana i ka loaʻa ʻana o nā lawelawe mai kahi 'kahu wahine'

Eia kekahi mea e pono ai ʻoe e makaʻala. Ma nā ʻāina he nui, ʻoi aku hoʻi ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ʻōlelo nā kauka pediatric a me nā OB-GYN ʻo nā wahi palekana a kūpono loa e hānau ai he mau haukapila a i ʻole nā ​​​​kikowaena hānau i ʻae ʻia . ʻO kēia no ka mea he mau pono ko lākou e hāʻawi koke i ka mālama olakino i ka wā e loaʻa ai kahi pilikia i manaʻo ʻole ʻia.

Ua manaʻoʻiʻo ʻia hoʻi ʻo ka mālama hāpai a me ke kākoʻo hānau keiki maikaʻi loa e hāʻawi ʻia ke hana pū nā kauka a me nā kahu hānai kūpono ma ke ʻano he hui . ʻO ke ʻano kēia, hiki i ka kahu hānai ke mālama i nā hihia maʻamau a paʻakikī ʻole, akā hiki iā ia ke kuhikuhi iā ʻoe i ke kauka inā kū mai kahi pilikia. Hāʻawi kēia i ka palekana kiʻekiʻe loa no ka makuahine a me ka pēpē.

Akā, hoʻokahi mea e pono e ʻōlelo ʻia. Aia kekahi mau ʻāina ma ka honua, kahi ma muli o nā kumu e like me ka moʻomeheu, ka mōʻaukala a i ʻole ke komo maʻalahi ʻana i nā lawelawe olakino, he mea maʻamau loa ka lawelawe ʻana o kahi 'midwife' a he mea nui hoʻi. ʻO ia hoʻi, ʻo nā 'midwives' ke alakaʻi i ka hānau keiki ʻana. ʻOiai he ʻokoʻa iki kā mākou ʻōnaehana ma Sri Lanka, manaʻo wau he mea pono iā ʻoe ke ʻike e pili ana i kēia lawelawe i kapa ʻia ʻo 'midwife'.

Nā mea e hoʻomanaʻo ai i ka hōʻuluʻulu manaʻo

ʻAe, no laila mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi no wai kahi 'kahu wahine' a pehea kā lākou lawelawe. ʻO ka mea hope loa, eia kekahi mau mea nui e hoʻomanaʻo:

• He kanaka olakino ka 'midwife' i loea i ke olakino hānau keiki o nā wāhine, ʻoiai hoʻi ka hāpai ʻana, ka hānau keiki ʻana, a me ka mālama ma hope o ka hānau ʻana.
• He kūpono pinepine kā lākou mau lawelawe no nā hāpai keiki haʻahaʻa ka pilikia a me ka paʻakikī ʻole.
• ʻOkoʻa ke aʻo ʻana a me nā mākaukau o nā kahu hānai, no laila he mea nui e noiʻi pono ma mua o ka hoʻolimalima ʻana i kahi kahu hānai.
• Inā loaʻa iā ʻoe nā maʻi kiʻekiʻe e like me ke koko kiʻekiʻe, ka maʻi diabetes mellitus, a i ʻole ka maʻi puʻuwai, he mea nui ka nānā ʻana me ke kauka.
• I nā hihia he nui, ʻo nā kauka a me nā pale keiki kūpono e hana pū ana ma ke ʻano he hui hiki ke hāʻawi i ka palekana maikaʻi a me ka mālama ʻana no ka makuahine a me ke pēpē.
• ʻOiai ʻokoʻa iki ke kuleana o kā mākou 'Nā Kauka Lapaʻau Ola o ka ʻOhana' ma Sri Lanka mai ke kuleana o nā 'Kauka Lapaʻau' nāna e alakaʻi i ka hānau keiki ʻana ma kekahi mau ʻāina, e like me ka mea i wehewehe ʻia ma kēia ʻatikala, he mea nui e makaʻala i kēia.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai poina e kamaʻilio me kāu kauka a i ʻole ka Luna Hoʻokele Ola ʻOhana (PHM). Hiki iā lākou ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa.

ʻO ka wahine hāpai keiki, ka hānau keiki ʻana, ka mālama ʻana i ka hāpai ʻana, ke olakino wahine, ka hāpai ʻana me ka pilikia haʻahaʻa, ka mālama ʻana ma hope o ka hānau ʻana