Ma ke ʻano he makuahine, he ʻike kūikawā ka hānau ʻana mai o kahi pēpē i ka honua. Inā ʻo kāu keiki mua a ʻo kāu keiki ʻelua paha, ʻaʻohe mea nui. I kekahi manawa hiki koke mai kāu pēpē ma mua o ka mea i manaʻo ʻia. I kekahi manawa, ʻaʻole ia e hana wikiwiki. ʻO ka wikiwiki o ka hiki ʻana mai o kāu pēpē e pili ana i nā kumu he nui. ʻO ka mea nui loa o kēia, ʻo ia ka wikiwiki o ka hānau ʻana.
I ka ʻōlelo maʻalahi, ʻo ka hānau ʻana ka hoʻomau ʻana o nā ʻiʻo i loko o kou ʻōpū. ʻO kēia mau ʻūlū, a i ʻole "ʻeha" ma kā mākou ʻōlelo, kōkua i ka hoʻokuke ʻana i ka pēpē i waho o ka ʻōpū a i loko o ke kahawai hānau. E ʻike pinepine ʻoe i kēia ʻeha ma kou kua i lalo a i ʻole ka ʻōpū i lalo. ʻO kēia ʻeha ke kumu o ka wehe mālie ʻana o ka cervix, ka puka i ka vagina. Hāʻawi kēia i ke ala no ka pēpē e puka mai ai.
ʻO ka maʻamau, e ʻike ka makuahine hānau mua i nā ʻeha hānau no 12 a me 18 mau hola. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi pēpē ma mua, hiki i ka hānau ʻana ke holo wikiwiki. ʻO ia ka hapalua o ia manawa.
No laila, he aha ka hana lōʻihi?
I kekahi manawa hiki ke hoʻōki ka hānau ʻana i ka hapalua o ka manawa, a i ʻole e holomua mālie ma mua o ka mea i manaʻo ʻia. Ua kapa pū nā kauka i kēia " Failure to Progress ."
ʻO ka lōʻihi o ka hānau ʻana a i ʻole ka lōʻihi ʻana paha, pili ia i ke kahua o ka hānau ʻana a inā ua lawa ka hoʻonui ʻia ʻana o ka cervix. Ma ke ʻano laulā, inā ʻaʻole i hānau ʻia ka pēpē ma hope o 20 mau hola o ka hana mau ʻana , ua manaʻo ʻia he hana lōʻihi. Wahi a kekahi mau kauka, ʻo kēia wā ma waena o 18 a me 24 mau hola. Inā he nui kāu mau pēpē, e like me nā māhoe, ua manaʻo ʻia he lōʻihi ka hana inā ʻoi aku ia ma mua o 16 mau hola.
E hoʻomanaʻo, ʻaʻole pono ʻoe e hopohopo nui e pili ana i kēia manawa. Ke nānā mau nei kāu kauka a me ka hui lapaʻau iā ʻoe a me kāu pēpē.
Aia kekahi mau kumu e hiki ai ke hoʻolōʻihi ʻia ka hānau ʻana. E nānā kākou i ke ʻano o lākou.
| Nā kumu no ka hana lōʻihi | He wehewehe maʻalahi |
|---|---|
| Ke piʻi nei ka nui o ka pēpē. | Inā ʻoi aku ka nui o ke pēpē ma mua o ka maʻamau, he mea paʻakikī paha ke puka i waho ma ke kahawai hānau. |
| Ke kūlana o ka pēpē | ʻO ka maʻamau, pono ke poʻo o ke pēpē i lalo a kū pono i kou kua. Inā aia ke pēpē i kahi kūlana ʻē, hiki ke lohi ka hānau ʻana. |
| He liʻiliʻi ke kahawai hānau o ka makuahine. | Inā liʻiliʻi ke kahawai hānau o ka makuahine i ka hoʻohālikelike ʻia me ka nui o ka pēpē, ʻaʻole paha lawa kahi no ka pēpē e puka i waho. |
| Ka nāwaliwali o nā ʻūmiʻi hana | Hiki ke hoʻōki i ka hānau ʻana ke ʻole ka ikaika o ka ʻeha hānau e wehe ai i ka cervix a pahu i ka pēpē i waho. |
He aha ka mea e hana ʻia ke lohi ka hānau ʻana? Pono anei au e makaʻu?
Moeʻuhane nā makuahine a pau i ka hānau wikiwiki a maʻalahi. Akā inā manaʻo ʻoe e lohi ana kāu hana, mai hopohopo. E nānā pono ana kāu kauka, kahu maʻi, a kahu hānai paha iā ʻoe a me kāu pēpē i kēia manawa.
Hoʻolohe pono ka hui lapaʻau i kēia mau mea:
- ʻO ke alapine (pinepine) o kou ʻeha .
- Ka ikaika o ka ʻeha.
Hiki ke hana ʻia nā hoʻokolohua ma lalo nei e loiloi i kēia kūlana.
He aha kēia mau hoʻāʻo?
- Ke kau ʻana o ka catheter Intrauterine Pressure (IUPC): Pili kēia i ke kau ʻana i kahi mea liʻiliʻi e like me ka paipu i loko o kou ʻōpū e ana i ka ikaika o kāu hana. Inā manaʻo ke kauka ʻaʻole i lawa ka ʻeha, hiki iā lākou ke hoʻoholo e hāʻawi iā ʻoe i kahi lāʻau lapaʻau e like me Pitocin.
- Ka Nānā ʻana i ka Fetal Uila Mau Loa (EFM): Pili kēia i ka nānā mau ʻana i ka puʻuwai o ka pēpē me ka hoʻohana ʻana i kahi hāmeʻa kūikawā. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā maikaʻi ka pēpē.
He aha nā lāʻau lapaʻau no ka hana lōʻihi?
Inā lohi ka hānau ʻana, e ʻōlelo paha kāu kauka iā ʻoe e hoʻomaha no kekahi manawa. I kekahi manawa, hiki iā lākou ke hāʻawi iā ʻoe i ka lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha. Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka neʻe ʻana i kahi kūlana ʻoluʻolu.
Eia kekahi, pili ka lāʻau i hāʻawi ʻia ma ke kumu o ka lohi o ka hana.
- Lāʻau lapaʻau: Inā manaʻo kāu kauka ʻaʻole lawa kāu hānau ʻana a ʻaʻole paha i lawa ka ikaika, hāʻawi paha lākou iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Pitocin . Hoʻolalelale kēia a hoʻoikaika i ka hānau ʻana.
- Ka hoʻohana ʻana i nā mea hana: Inā ua hiki ka pēpē i ke kahawai hānau, hiki i ke kauka ke hoʻohana i nā mea hana kūikawā, e like me nā forceps a i ʻole kahi mea hoʻomaʻemaʻe, e kōkua i ka wehe ʻana i ka pēpē mai ka vagina.
- ʻOki Cesarean (ʻoki C): Inā nui loa ka pēpē, a inā ʻaʻole holomua ka hānau ʻana me ka nānā ʻole i nā lāʻau lapaʻau e like me Pitocin, pono paha ʻoe e hana i kahi ʻoki cesarean (ʻoki C).
He aha nā pilikia o ka hana lōʻihi?
Hoʻonui ka hānau lōʻihi i kou pilikia o ka loaʻa ʻana o ka ʻoki cesarean (C-section) .
Eia kekahi, hiki i ka hānau lōʻihi ke hoʻopilikia i ka pēpē. Akā e hoʻomanaʻo, ua ʻike maopopo ka hui lapaʻau i kēia mau pilikia a ke nānā mau nei iā ʻolua ʻelua.
| Ka pilikia hiki ke loaʻa i ka pēpē | Manaʻo |
|---|---|
| Nā pae oxygen haʻahaʻa i loko o ka pēpē | I ka holomua ʻana o ka hānau ʻana, e emi iho paha ka nui o ka oxygen i loaʻa i ka pēpē. |
| Nā ʻano ʻē i ka puʻuwai o ka pēpē | Ke kaumaha ke pēpē, hiki ke loli ke ʻano ʻē o ka helu o ko lākou puʻuwai. |
| Nā ʻano ʻino o ka wai amniotic | Ke kaumaha ke pēpē, hiki ke hui pū ʻia ka ʻōpala o ke pēpē (meconium) me ka wai amniotic. |
| Nā maʻi o ka ʻōpū | Ma muli o ke ʻano lōʻihi o ka hānau ʻana, aia kahi pilikia o ka maʻi i loko o ka ʻōpū o ka makuahine. |
Inā pilikia ka pēpē, pono paha ka hānau ʻana i kahi keiki i ka wā e pono ai ka nānā pono ʻana i ka makuahine a me ka pēpē no ko lāua olakino. Ua mākaukau kāu hui lapaʻau e hāʻawi koke i ka lāʻau lapaʻau inā kū mai kekahi pilikia.
Leka Lawe-Home
- ʻO ke kaumaha lōʻihi, ʻo ia hoʻi, ua hānau ʻia ka pēpē ma mua o ka manawa maʻamau. ʻAʻole na ʻoe kēia hewa.
- Hiki i nā kumu he nui ke hoʻopilikia i kēia, e like me ka nui o ka pēpē, ke kūlana, a me ka ikaika o ka ʻeha hānau.
- Ma kēia kūlana, e nānā pono kāu kauka a me ke kime lapaʻau iā ʻoe a me kāu pēpē. No laila, mai makaʻu.
- ʻOkoʻa nā koho lapaʻau mai nā mea maʻalahi e like me ka hoʻomaha a i ka lāʻau lapaʻau a i ʻole, inā pono, kahi ʻoki cesarean (C-section).
- ʻO ka mea nui loa, ʻo ia ka palekana o ka makuahine a me ke pēpē. E kau mau ana kāu kauka i kēlā ma mua. E kamaʻilio me ia e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
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