He haerenga nui, he haerenga ataahua te noho hei whaea. Ko te whānautanga o te tamaiti tētahi o ngā wheako tino kore e warewaretia, tino kare ā-roto hoki o taua haerenga. I tēnei haerenga, ina tata te whānautanga o tō pēpi ki tēnei ao, tera pea ka tīmata te puta o te māhunga o te pēpi. Ko tēnei wā, e wehingia ana e te tini o ngā whaea, engari he mea tino nui, koia te mea e kiia nei e tātou ko te 'Karaunatanga'. I tēnei rā, ka kōrerohia e tātou ngā mea katoa i roto i te huarahi tino māmā, i roto i te huarahi e mārama ai koe.
He aha rawa te 'Crowning'?
Ki te kī māmā noa, ko te 'Karaunatanga' ko te tīmatanga o te puta mai o te tihi o te māhunga o tō pēpi mā roto i tō tara i te wā e whānau ana. Whakaarohia he rite ki tō pēpi, kua roa nei e noho ana i roto i tō kōpū, e patuki ana i te tatau kia puta mai ki te ao.
Ka puta tēnei i te wāhanga tuarua o te whānautanga. Koinei te wā e pēhi ai koe i te pēpi kia puta mai. Kia puta te pane o te pēpi pēnei, ka puta te tinana katoa o te pēpi i roto i ngā pēhitanga e whai ake nei.
I tēnei wā, ka kī atu tō tākuta, tō kaiwhakawhanau rānei kia ata pēhi koe, kia āta whakahaeretia hoki. Kei te mōhio koe? E hiahia ana rātou kia whai wā ngā kiko e karapoti ana i tō tara ki te totoro. Ki te pēhi kaha rawa, ka haehae pea ngā kiko. Nō reira, he mea nui kia whai i ā rātou tohutohu.
Me pēhea te āwhina a te tākuta
I ētahi wā, ki te nui te pēpi, ki te hiahia rānei kia nui ake te wāhi o ngā kiko, ka tapahia pea e te tākuta he wahi iti hei whakanui ake i te tenetene. Ka kiia tēnei he 'Episiotomy' . Kaua e manukanuka, i te nuinga o te wā kāore e tika ana tēnei. Waihoki, me whakamahi pea koe i tētahi taputapu e rite ana ki ngā pūnu nui e rua ( 'Forceps' ) hei āwhina i a koe ki te tango āta i te pēpi ki waho, me whakamahi rānei koe i tētahi 'Waihanga Korehau' hei kukume i te pēpi ki waho. He mea mahi katoa tēnei mō tō haumaru me tō pēpi.
He aha te āhua o tēnei wā 'Karaunatanga'?
He mea tēnei e hiahia ana te tini o ngā whaea ki te mōhio, ā, he mea anō hoki e mataku ana rātou. He maha ngā mea ka pā ki a koe i tēnei wā.
I te tīmatanga, ka rongo koe i te nui o te pēhanga i roto i tō pūkahukahu, me te mea kei te neke koe i te puku . He mea noa tēnei, nā te mea ina heke te pane o te pēpi , ka panaia e ia ngā mea katoa e karapoti ana i a ia.
Ko te wheako "mowhiti ahi" e kōrerohia ana e te tini tāngata. I te putanga mai o te upoko o te pēpi, ka totoro ngā io me ngā kiko o roto i tō tara ki ō rātou rohe. Ka puta he ahua wera, he ngau, he werowero rānei . Ka karangahia hoki tēnei mamae e ētahi whaea ko te "mowhiti ahi".
Ko te tikanga o tēnei kare wera kei te totoro pai ō kiko. Kei te whakarite i te ara mō te putanga mai o te pēpi. Kia maumahara, he torutoru meneti noa iho te roa o tēnei mamae nui. Kia puta mai te upoko o te pēpi, ka tino memeha haere te mamae.
Heoi, ki te mea kei te tango koe i ngā rongoā whakamamae , tērā pea kāore koe e tino mamae.
| Mamae me te kore whakamarie | Ngā huarahi hei whakahaere i te mamae |
|---|---|
| 'Mōwhiti Ahi' - He mumura nui me te werawera huri noa i te tenetene. | Ki te kore koe e tango ana i ngā rongoā whakamamae mamae, he mea nui kia mārire te manawa, kia whakahaere hoki i tō pēhi. Whaia ngā tohutohu a tō tākuta. |
| Te pēhanga - he kare ā-roto e hiahia ana kia tūtae. | He mea noa tēnei. He tohu tēnei kei te heke te pane o te pēpi. Mā tō rōpū hauora koe e whakamōhio atu. |
| Me ngā rongoā whakamamae | Ki te mea he aukati epidural tāu, ka paku kaha te pana, ā, he iti noa te wera, te mamae rānei. Ka taea hoki e te aukati io pudendal te whakaiti i te mamae i tēnei wāhi. |
| Whakaora kore-hauora | Ka taea e tō hoa rangatira, e tētahi atu rānei e tata ana te whakatakoto i tētahi kōpeke wera ki tō tuara, i tētahi tauera matao rānei ki tō rae. Ka āwhina tēnei ki te whakaiti i te mamae. |
Me pēhea e taea ai e koe te whakarite mō tēnei i mua i te wā?
He mea noa te māharahara me te manukanuka mō te whānautanga. He mea noa tēnei ki ngā whaea katoa. Heoi, mā te mōhio ki tēnei i mua i te wā, me te whakarite hoki, ka nui te kaha e homai ki a koe. Kia mahara, he rerekē te wheako o ia whaea.
Anei ētahi mea hei āwhina i a koe:
- Haere ki ngā akomanga whakamōhio: Ka whakahaerehia e ngā kaiwhakawhanau i roto i ā mātou hōhipera me ngā wāhi hauora ngā akomanga whakamōhio mō ngā whaea e hapu ana. Haere ki ēnei akomanga, kia mōhio ai koe ki ngā mea e pā ana ki te whānautanga, me pēhea te manawa, me ngā huarahi hei whakatau i te mamae.
- Whakaharatauhia ngā mahi manawa: Whakaharatauhia te manawa tika me te hohonu. Mā te whakahaere i tō manawa i a koe e mamae ana ka āwhina i a koe ki te aro atu ki te mamae. Ka taea hoki e te whakaaroaro te āwhina i a koe ki te whakamarie i tō hinengaro.
- Pātai atu, kaua e huna i ō mataku: Kōrero ki tō tākuta, ki tō kaiwhakawhanau rānei mō ngā pātai, ngā āwangawanga rānei kei a koe i mua. Pātai atu ki ngā pātai pēnei i te "He aha te karaunatanga?" me te "Ka taea e au te tiki epidural?" ā, ka nui ake tō marino.
- Whakamōhio atu ki tō kaitautoko: Me whakamōhio tonu ō hoa tata, pērā i tō tāne, tō whaea, tō tuahine rānei, mō ēnei mea. Kātahi ka māmā ake te tautoko i a koe i taua wā uaua.
He rite te karaunatanga ki te arai whakamutunga ki te wā tino kore e warewaretia o tō ao. Ahakoa he uaua pea, he mea utu nui te mea ka riro i a koe i muri mai. Ko tāu pēpi aroha. Nō reira, kia maia, whakawhirinaki ki tō tīma hauora, ā, anga atu ki tēnei haerenga.
Karere Tangohia ki te Kāinga
- He wā noa, he wā nui hoki te 'whakakarauna' i te wā whānau, ina tīmata te puta o te māhunga o te pēpi mā te tenetene.
- He mea noa te rongo i te wera nui e kiia nei ko te 'mowhiti ahi'. He wā poto noa iho, ā, tera pea ka memeha haere ina puta te upoko o te pēpi.
- E rua ngā tikanga hauora (epidural, pudendal block) me ētahi atu tikanga kore-hauora (manawa, paninga wera/mātao) hei whakahaere i te mamae.
- Kōrerotia ō wehi me ō āwangawanga ki tō tākuta i te tīmatanga. Mā te mōhio ki ngā mea katoa ka nui ake tō whakapono ki a koe anō.
- Whakawhirinaki ki tō tinana me te tīma hauora e tautoko ana i a koe. He kaha koe mō tēnei.
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