Inā ʻoe e hoʻomākaukau ana no ka hānau keiki ʻana, aia paha kekahi mau nīnau a me kahi makaʻu iki i loko o kou manaʻo. He mea maʻamau loa ia. No ke kōkua ʻana iā ʻoe a mālama iā ʻoe ma kēia huakaʻi, aia nā kauka, nā kahu maʻi, a ma ko mākou ʻāina, he luna lawelawe olakino ʻohana (Midwife). Akā ua lohe anei ʻoe i kekahi i kapa ʻia he "Nurse-Midwife"? He manaʻo ʻokoʻa iki kēia. I kēia lā, e kamaʻilio kākou e pili ana i kēia kahu maʻi-kahu maʻi, a me ke ʻano o ka lawelawe āu e loaʻa ai mai iā ia.
ʻO wai kēia Kahu Hānai?
I ka ʻōlelo maʻalahi, he kahu hānai wahine kekahi kanaka i kūpono ma ke ʻano he Kahu Hoʻopaʻa Inoa (RN) a laila ua alualu i ke kēkelē kūikawā ma ka hānau keiki ʻana, ka hāpai ʻana, a me ke olakino wahine. ʻO ke ʻano kēia he ʻike ko lākou i ka hānai ʻana a me ka ʻike loea i ka hana hānai wahine.
He ʻokoʻa loa kēia mai ka manaʻo o ke 'kahu wahine' ma ko mākou mau kauhale. Eia kekahi, hāʻawi kēia poʻe i kahi lawelawe ākea e ʻoi aku ma mua o ke kuleana o kā mākou mau Luna Ola Ola ʻOhana (PHM) i koho ʻia e ke aupuni.
ʻO kā lākou pahuhopu nui ka hāʻawi ʻana i ke kākoʻo kino a me ka noʻonoʻo nui loa i nā wahine i ka wā o ke kaʻina hana hānau maoli, me ka ʻole o nā hana ʻenehana pono ʻole. Manaʻo lākou ʻaʻole he maʻi ka hānau ʻana, akā he hanana nani a kūlohelohe hoʻi i ke ola. No laila, alakaʻi lākou iā lākou e kū i ke kūlohelohe a me ka ʻoluʻolu e like me ka hiki.
He aha nā lawelawe e hāʻawi ʻia ana e kahi kahu hānai?
Ma waho aʻe o ke kōkua ʻana i ka hānau keiki ʻana, hāʻawi kahi kahu hānai i nā ʻano lawelawe like ʻole ma nā pae like ʻole o ke ola o ka wahine.
- Mālama hāpai keiki: Ke nānā mau ʻia nei ke olakino o ka makuahine a me ke keiki i loko o ka ʻōpū. Hāʻawi ʻia ʻoe i nā ʻōlelo aʻoaʻo kikoʻī. Kōkua ʻia ʻoe e hoʻolālā i ka hānau ʻana e like me kou makemake.
- Kākoʻo hānau keiki: Hoʻoikaika iā ʻoe i ka wā hānau keiki a kōkua iā ʻoe e hoʻokele i ka ʻeha ma o nā hana kūlohelohe.
- Mālama ma hope o ka hānau ʻana: Hāʻawi lākou i ka mālama e pono ai no ka makuahine a me ka pēpē ma hope o ka hānau ʻana o ke pēpē. Hiki iā lākou ke hāʻawi i ka mālama keiki hānau hou, ʻoiai hoʻi i ka mahina mua o ke ola o ka pēpē.
- Mālama wahine maʻamau: Hāʻawi i ka ʻōlelo aʻoaʻo a me ka mālama ʻana no nā lawelawe olakino e pono ai ka wahine, ʻaʻole wale i ka wā hāpai, no ka laʻana i nā wā e like me ka menopause .
- Nā kūkākūkā olakino: Hana lākou i nā hoʻokolohua kino, ʻike a kuhikuhi i nā lāʻau lapaʻau no kekahi mau kūlana olakino. Ma kekahi mau ʻāina, ua ʻae ʻia lākou e kākau i nā lāʻau lapaʻau no kekahi mau kūlana.
- Ka lāʻau lapaʻau no nā maʻi i laha ma ke moekolohe (STDs):ʻO ka mea kupanaha, ua hoʻomaʻamaʻa ʻia kekahi mau kahu hānai e mālama i ka hoa kāne o ka wahine inā loaʻa iā ia kahi maʻi STD.
E noʻonoʻo i ka maʻalahi o ka loaʻa ʻana o ia lawelawe piha mai kahi hoʻokahi a mai hoʻokahi kanaka.
ʻO ka mea nui loa, ʻoiai lākou e pale pinepine i nā hana loea pono ʻole, ua hoʻomaʻamaʻa kūikawā ʻia lākou e ʻike i ka wā e ʻimi ai i ke kōkua o kahi kauka hānau keiki i kahi pilikia, e like me ka ʻoki ʻana o C-section .
| Ka manawa lawelawe | Ka wehewehe ʻana o nā lawelawe i loaʻa |
|---|---|
| Ma mua o ka hāpai ʻana (Ma mua o ka hāpai ʻana) | Ke hāʻawi nei i nā ʻōlelo aʻoaʻo no ka hoʻomākaukau ʻana i ke kino no ka hāpai ʻana, ka meaʻai, a me ke ʻano o ka nohona. |
| I ka wā hāpai | Nā nānā kino mau, ka nānā ʻana i ke olakino o ka makuahine a me ke keiki, ke aʻo pilikino, a me ka hoʻomākaukau noʻonoʻo a me ke kino no ka hānau keiki ʻana. |
| I ka wā hānau | Ke aʻo ʻana i nā ʻano hana hoʻopau ʻeha kūlohelohe, e hāʻawi ana i ke kākoʻo kino, a me ke alakaʻi ʻana iā ʻoe e hānau palekana i kāu pēpē. |
| Ma hope o ka hānau ʻana | Ke nānā ʻana i ke olakino o ka makuahine, ke kākoʻo ʻana i ka waiū umauma, a me ka mālama ola kino o ka pēpē hānau hou (nā lā 28 mua). |
He aha nā kūpono e lilo ai i kēia ʻano kanaka?
ʻAʻole he huakaʻi maʻalahi ka lilo ʻana i Certified Nurse-Midwife (CNM). Pono ia i nā palapala hoʻonaʻauao kiʻekiʻe a me ka hoʻomaʻamaʻa hana. ʻO ke ala maʻamau penei:
1. Kekelē Laepua ma ke Kula Hānai: ʻO ka mea mua, pono ʻoe e loaʻa i ke Kēkelē Laepua ma ke Kula Hānai mai kahi kulanui i ʻike ʻia.
2. Ke lilo ʻana i Kahu Maʻi i hoʻopaʻa inoa ʻia: ʻO ka mea aʻe, pono ʻoe e hala i ka hoʻokolohua mokuʻāina e pono ai e lilo i Kahu Maʻi i hoʻopaʻa inoa ʻia (RN) (e.g., ka hoʻokolohua NCLEX-RN ma ʻAmelika Hui Pū ʻIa).
3. ʻIke hana: He mea koi pinepine ka loaʻa ʻana o hoʻokahi makahiki o ka ʻike hana ma ke ʻano he kahu maʻi ma kahi haukapila a keʻena lapaʻau paha.
4. Ke kēkelē laepua: ʻO ka mea aʻe, pono ʻoe e alualu i ke kēkelē laeoʻo a i ʻole ke kēkelē kauka ma ke kahu hānai a me ka hānai keiki. Hiki i kēia ke hala i ʻelua mau makahiki a ʻoi aku paha.
5. Hoʻokolohua Palapala Hōʻoia: ʻO ka mea hope loa, pono ʻoe e hala i ka hoʻokolohua i mālama ʻia e ka papa hōʻoia kahu hānai o ka ʻāina pili (e.g., American Midwifery Certification Board ) a hōʻoia ʻia ma ke ʻano he Certified Nurse Midwife (CNM).
Mai kēia huakaʻi mai, hiki iā ʻoe ke ʻike i ka ʻike a me ke aʻo ʻana o kēia poʻe, ʻeā?
He aha nā kumu e ʻimi ai i ke kōkua o kahi kahu hānai?
No ke aha e ʻimi nei ka nui o nā wahine i ke kōkua o kahi kahu maʻi ma kahi o ke kauka a i ʻole ma waho aʻe o ke kauka? Aia kekahi mau kumu nui no kēia.
1. Mālama Holistic
ʻO kēia ke kumu nui. ʻAʻole lākou e nānā wale i nā hōʻailona. Mālama lākou i kou kino, noʻonoʻo, a me nā manaʻo . Ua kapa ʻia kā lākou lawelawe ʻo "low-tech, high-touch." ʻO ia hoʻi, hoʻēmi lākou i ka hoʻohana ʻana i ka ʻenehana pono ʻole a hāʻawi i ka mālama me ke kanaka, ka pā, a me ka nānā pilikino. Hoʻomaopopo lākou i kāu mau pono a hāʻawi i kahi lawelawe i hana kūikawā ʻia nou.
2. Kumukūʻai Haʻahaʻa
Ma muli o ke kau mua ʻana o nā kahu hānai i ka hānau maoli ʻana, ua emi nā hana loea pono ʻole. Hiki i kēia ke hōʻemi i ke kumukūʻai holoʻokoʻa o ka hoʻokipa ʻana i ka haukapila. ʻOi loa aku inā hānau ʻia ka pēpē ma ka home a i ʻole ma nā kikowaena hānau kūikawā, ʻoi aku ka liʻiliʻi o ke kumukūʻai ma mua o ka haukapila.
3. Mālama Kiʻekiʻe a me nā Hopena Maikaʻi
Ua hōʻike ʻia e ka noiʻi ua like nā hopena o nā hānau ʻana i kōkua ʻia e nā kahu hānai me nā hānau ʻana ma ka haukapila i alakaʻi ʻia e nā kauka.
Ua hōʻike hou ʻia mai ka noiʻi ʻana he emi ka nui o nā ʻoki C a me nā hoʻokomo hānau ʻana i waena o nā makuahine e loaʻa ana nā lawelawe a nā kahu hānai.He haʻahaʻa ka likelika o ia mau mea e hana ʻia. Eia kekahi, ua ʻike ʻia he kiʻekiʻe aʻe ka nui o ka hānai waiū ma waena o nā makuahine i loaʻa kā lākou kākoʻo.
No laila, hiki i kēia ke lilo i koho maikaʻi loa a palekana hoʻi no ka wahine me ka hāpai haʻahaʻa ka pilikia.
Leka Lawe-Home
- He kanaka akamai loa ka Nurse-Midwife me ke aʻo kūikawā ma ka hana hānai a me ka hana hānai keiki.
- ʻO kā lākou ala e hāʻawi ai i ke kākoʻo pilikino me ka hoʻēmi ʻana i nā hana ʻenehana pono ʻole i ke kaʻina hana kūlohelohe o ka hānau keiki ʻana.
- ʻAʻole i kaupalena ʻia kā lākou lawelawe i ka hānau keiki ʻana, akā, ua hoʻonui ʻia i ka mālama ola kino e pono ai i ke ola holoʻokoʻa o ka wahine.
- Wahi a ka noiʻi, hoʻemi kā lākou mau lawelawe i ka helu o nā ʻoki cesarean a hopena i nā hopena hānau palekana a maikaʻi.
- Eia nō naʻe, he mea naʻauao ke kūkākūkā i kāu mau koho me kāu kauka lapaʻau-gynecologist (OG) e hoʻoholo ai i ka mea maikaʻi loa no kou kūlana olakino.
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