Inā he makuahine hānau ʻoe, ʻo kekahi o nā mea i kamaʻāina loa a kamaʻāina hoʻi āu e lohe ai i kēia huakaʻi, ʻo ia ke kahu hānau. I ka ʻōlelo maʻalahi, he kahu hānau kekahi mea nāna e mālama iā ʻoe a me kāu pēpē ma mua, i ka wā, i ka wā, a ma hope o ka hāpai ʻana. ʻO kāna kuleana ke mālama i kou mau pono kino, noʻonoʻo a me ka naʻau a hāʻawi i ke kākoʻo āu e pono ai e loaʻa kahi hāpai holomua.
He aha nā ʻano like ʻole o ka hana hānai keiki?
Ma ko kākou ʻāina, ua ʻike kākou a pau e pili ana i ka 'Family Health Midwife' i koho ʻia e ke aupuni a hele mai i ko kākou mau home e nānā iā kākou. He lawelawe koʻikoʻi loa ia a mahalo ʻia. Akā, ua ʻike anei ʻoe a puni ka honua, ʻoiai ma nā ʻāina ʻē aʻe a ma kekahi mau ʻāpana pilikino ma ko kākou ʻāina, aia nā poʻe e hāʻawi nei i kēia lawelawe kahu hānau ma nā pae like ʻole, me nā hōʻoia a me ke aʻo ʻana like ʻole? E ʻike iki kākou e pili ana i ia mea. E kōkua kēia ʻike iā ʻoe e hana i nā hoʻoholo maikaʻi aʻe e pili ana i kāu mālama hāpai.
I ka ʻōlelo maʻalahi, ʻoiai he hoʻokahi ke kumu nui o nā pale keiki a pau, hiki ke hoʻokaʻawale ʻia lākou i kekahi mau ʻano e pili ana i kā lākou hoʻomaʻamaʻa ʻana, pae hoʻonaʻauao, a me ke ʻano o kā lākou hana.
| ʻAno wahine hānai | Ka wehewehe ʻana i nā hōʻoia a me ke aʻo ʻana |
|---|---|
| Kahu Hānai-Mākua Hōʻoia (CNM) | ʻO kēia ka poʻe i loaʻa i ke aʻo kumu ma ke ʻano he kahu maʻi a laila ua alualu i ke kēkelē a i ʻole ke kēkelē laepua ma ke kahu hānai. Loaʻa iā lākou ka ʻike lapaʻau ākea. Hana pinepine lākou ma nā haukapila a me nā keʻena lapaʻau a ua ʻae ʻia hoʻi e kuhikuhi i kekahi mau lāʻau lapaʻau inā pono. |
| Kahuna Lapaʻau Hōʻoia (CM) | ʻOiai ʻaʻole lākou he mau kahu maʻi, ua hoʻopau lākou i ke kēkelē kūikawā ma ka hana hānai keiki a ua loaʻa iā lākou nā palapala hōʻoia kūpono. Ua like loa ko lākou ʻike a me kā lākou lawelawe ʻana me kahi CNM. |
| Ka Luna Hoʻopaʻa ʻOihana Hōʻoia (CPM) | ʻO kā lākou hana kūikawā ke kōkua ʻana i nā hānau keiki ma waho o ka haukapila, ma ka home a i ʻole ma nā kikowaena hānau kūikawā. Hoʻoikaika pinepine ʻia kā lākou hoʻomaʻamaʻa ʻana i nā hāpai keiki maʻamau a haʻahaʻa ka pilikia. Alakaʻi lākou i nā makuahine i kahi hānau maoli me ka liʻiliʻi o nā hana loea e like me ka hiki. |
| Kauka Lapaʻau Komo Pololei (DEM) | Komo lākou i ka hana hānai keiki me ka ʻole o ke aʻo ʻana i ka mea hānai, ma o nā ala ʻē aʻe (e.g., ke kula kūikawā, ke aʻo ʻana ma lalo o kahi kahu hānai akamai). Hiki i ka CPM ke lilo i DEM. ʻOkoʻa kā lākou mau hōʻoia a me nā kānāwai laikini mai kēlā ʻāina a kēia ʻāina. |
| Kahuna Lay / Kuʻuna | ʻO kēia ka poʻe i komo mai i kēia kahua me ka ʻole o ka hoʻonaʻauao kūhelu, palapala hōʻoia a laikini paha, ma o ka moʻokūʻauhau a i ʻole ka ʻike. Hoʻokumu ʻia ko lākou ʻike ma ka ʻike. ʻOiai ua mahalo nui ʻia lākou ma kekahi mau kaiāulu, ʻaʻole i ʻae ʻia kā lākou lawelawe ma ke kānāwai ma nā ʻāina he nui. |
Pehea ʻoe e koho ai i ka mālama kūpono nou?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea wau e koho ai i kekahi o kēia poʻe?" ʻOiaʻiʻo, e nānā pono kahi kahu hānai i kāu meaʻai, ka hoʻonaʻauao hāpai ʻana, a me ke olakino noʻonoʻo ma mua o kāu e hana ai i kahi nānā maʻamau me ke kauka. Ua like ia me ka loaʻa ʻana o kekahi o kāu iho ma kēia huakaʻi me ʻoe.
Ma mua o ke koho ʻana i ke kanaka kūpono a i ʻole ka lawelawe nāu, e nīnau iā ʻoe iho i kēia mau nīnau:
- Ma hea wau e makemake ai e hānau? Makemake wau e hānau ma ka haukapila, ke kikowaena hānau, a i ʻole ma ka home? ( E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono ma mua o ka hoʻoholo ʻana i ka hānau ʻana ma ka home.)
- He aha ke ʻano hānau aʻu e makemake ai? Pono anei au i nā lāʻau ʻeha a me ke komo ʻana o ka lāʻau lapaʻau? A i ʻole makemake paha au e hānau maoli me ka liʻiliʻi o ke komo ʻana?
- He aha ke ʻano o ka ʻike hoʻonaʻauao e pono ai i kaʻu mea lawelawe? Pono anei au i kekahi me ka ʻike lapaʻau ākea a me kahi pili haukapila? A i ʻole kekahi mea loea i ka hānau maoli ʻana?
Ma muli o kāu mau pane i kēia mau nīnau, hiki iā ʻoe ke loaʻa kahi kiʻi maopopo o ke ʻano o ka mālama āu e pono ai.
Āhea e palekana ai ka hana hānai keiki?
E hoʻomanaʻo, inā ʻaʻohe pilikia a pilikia paha i kou wā hāpai, he palekana loa ke ʻimi i nā lawelawe a kahi kahu hānai i aʻo ʻia a mākaukau. ʻO ka ʻoiaʻiʻo, hiki ke lilo i koho maikaʻi loa no kahi makuahine hāpai olakino.
Eia nō naʻe, inā loaʻa iā ʻoe nā kumu pilikia ma lalo nei , hiki iā ʻoe ke ʻimi i nā lawelawe a kahi kahu hānau ma lalo o ka nānā ʻana a kahi kauka hānau keiki a me ke kauka wahine, me ke kākoʻo o lāua ʻelua.
- Momona
- Ke koko kiʻekiʻe
- Maʻi diabetes
- Hāpai me nā māhoe a ʻoi aku paha ma mua o hoʻokahi pēpē
- Inā ua hana mua ʻoe i kahi ʻāpana cesarean
- Nā maʻi mau ʻē aʻe
I ka ʻōlelo maʻalahi, i nā kūlana pilikia kiʻekiʻe, ʻoi aku ka maikaʻi a me ka palekana o ka loaʻa ʻana o ke kauka a me ke kahu hānai e hana pū ana e mālama iā ʻoe ma ke ʻano he hui. Ua hoʻokō maikaʻi ʻia kēia mālama hui ma ka ʻōnaehana haukapila aupuni o ko mākou ʻāina.
He manawa kūikawā kou hāpai ʻana i kou ola. No laila, he mea nui e koho i kahi loea mālama ola e hiki ke kākoʻo iā ʻoe me ka ʻike, ka lokomaikaʻi, a me ka hoʻomaopopo ʻana i loko o kēia manawa. Mai makaʻu e kamaʻilio ākea me kāu kahu hānai a me ke kauka a haʻi iā lākou i kāu mau pono a me nā manaʻolana.
Leka Lawe-Home
- He loea olakino ka pale keiki nāna e kākoʻo iā ʻoe i ka wā hāpai, ka hānau keiki ʻana, a ma hope o ka hānau ʻana.
- Aia nā ʻano like ʻole, e like me nā Certified Nurse Midwives (CNM) a me nā Professional Midwives (CPM), ma muli o kā lākou hoʻomaʻamaʻa a me nā hōʻoia.
- Inā he hāpai olakino ʻole kou, ʻo nā lawelawe a kahi kahu hānai kūpono he koho palekana loa ia a kūpono hoʻi.
- Inā loaʻa iā ʻoe nā pilikia e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, pono e mālama ʻia kāu mālama ʻana ma lalo o ka nānā ʻana o kahi kauka obstetric a me gynecologist .
- He mea nui loa e kamaʻilio ākea me kāu kauka a me ke kahu hānai e pili ana i kāu mau makemake e pili ana i kou hānau ʻana (e like me ka haukapila, ka hoʻohana ʻana i nā lāʻau ʻeha).
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