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A, ki te mau tō pakihiwi i te wā e whānau ana koe? Me kōrero tātou mō te McRoberts Maneuver!

MBBS

Medically reviewed by MBBS — Updated on Jul 15, 2026 · 9 min read

A, ki te mau tō pakihiwi i te wā e whānau ana koe? Me kōrero tātou mō te McRoberts Maneuver!
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Mō te whaea e hapu ana, he wā tino nui te tumanako me te mataku. Ko te tumanako a te katoa ka pai ngā mea katoa, ā, ka taea e rātou te pupuri i tētahi pēpi hauora i roto i ō rātou ringa. I te nuinga o te wā, ka rite ngā mea katoa ki te mahere, engari i ētahi wā ka puta he āhuatanga ohorere iti. Kaua e manukanuka, kua whakangungua, kua rite hoki ngā tākuta me ngā nēhi e tiaki ana i a koe me tō pēpi mō ēnei mea katoa. I tēnei rā, ka kōrero tātou mō tētahi tikanga motuhake e whakamahia ana i roto i tēnei āhuatanga.

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He aha rawa te mahi a McRoberts Maneuver?

He whakarāpopototanga noa iho, ko te McRoberts Maneuver he tikanga motuhake e whakamahia ana i te wā whānautanga hei wetewete i te pakihiwi o te pēpi, i ngā pakihiwi e rua rānei ina mau ki roto i te hope o te whaea. Whakaarohia ahakoa te putanga mai o te upoko o te pēpi i te tara, ka whakaroahia te toenga o te tinana. Nā te mea kua mau te pakihiwi o te pēpi.

I tēnei wā, ka pikohia ō waewae e te tākuta, e te kaiwhakawhanau rānei, ki ngā turi, ka pēhi mārire atu ki tō puku. Mā tēnei nekehanga ka nekehia te tūranga o tō wheua hope, kia māmā ake ai te puta mai o te pēpi i te tūranga e mau ana. Ahakoa he mahi māmā noa iho tēnei mai i waho, ka āwhina i te pēpi kia puta mai i roto.

He aha te tikanga o te 'pakari o te pakihiwi'? Ko te tikanga o tēnā ko te ngoikore o te pakihiwi?

Āe, he tika tēnā. I roto i ngā kupu hauora, ka kiia tēnei ko te Dystocia Pakihiwi . I roto i te whānautanga noa, i muri i te putanga mai o te upoko o te pēpi, ka ngāwari te puta mai o ngā pakihiwi. Engari i ētahi wā ka mau tetahi, e rua rānei ngā pakihiwi ki muri i te symphysis pubic , te wāhi e tūtaki ai ngā wheua o mua e rua o te hope o te whaea.

He āhuatanga kino tēnei. Nā te mea kua roa te putanga mai o te tinana o te pēpi, tera pea ka ngaro te hāora o te pēpi. Engari ko te mea nui , i te nuinga o te wā, ka taea te whakaora i te pēpi me te kore he whara nā te tere o te mahi a ngā tākuta. Ko te tikanga McRoberts te tikanga tuatahi me te huarahi angitu rawa atu e whakamahia ana i roto i tēnei āhuatanga.

Ka tātaritatia e te tākuta te mate pakihiwi ina:

  • Mena kua puta te māhunga o te pēpi i te tenetene, engari kāore anō kia puta te toenga o te tinana i muri i te meneti pea.
  • Ki te puta te māhunga o te pēpi ki waho, kātahi ka hoki whakamuri paku ki roto (e kiia ana tēnei ko te 'tohu honu').

Ko wai te mea nui ake te mōrearea mō tēnei?

Ahakoa he uaua ki te tautuhi i te tino pūtake o te Pokanga o te Pakihiwi, he nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate. Heoi, kia maumahara ka pā pea tēnei mate ki te hunga kāore i te whai i ēnei āhuatanga mōrearea. Ā, ehara i te mea ko te hunga katoa e pāngia ana e ēnei āhuatanga mōrearea ka pāngia e tēnei mate.

Tauwehenga Mōrearea He whakamārama māmā
Peke iti Mena he iti te papa hope o te whaea, kāore pea i te nui te wāhi hei putanga mai o te pēpi.
Macrosomia Fetal (Taumaha Pēpi Nui) Ko te tikanga, ki te mea kei te hapu koe i tētahi pēpi e neke atu ana i te 4 kirokaramu te taumaha, he nui ake te tūponotanga ka mau tōna pēpi nā te nui o ōna pakihiwi.
He nui te taumaha o te pēpi i te whānautanga o mua Mena kua roa te wā e whānau ana tētahi pēpi he taumaha rawa, tera pea ka puta anō taua āhua.
Te pikinga nui o te taumaha i te wā e hapu ana Ka pā anō hoki te taumaha o te pēpi ki te taumaha o te whaea kāore i te whakahaeretia.
Mate huka He nui ake te tūponotanga ka whānau he pēpi taumaha rawa ngā whaea e mate huka ana i te wā e hapu ana.

He pēhea te angitu o te Mānuka a McRoberts?

He tino angitu tēnei tikanga. Ina mahia takitahitia te mahi a McRoberts, e 42% te ōrau angitu .

Engari he tikanga anō tēnei e whakamahia ana hei tautoko i tēnei. Ko te Pēhanga Suprapubic te ingoa. Ko te tikanga tēnei ka pēhia e te tākuta, e te nēhi rānei ki te nikau o tōna ringa, i raro noa i tō puku, i runga noa iho i tō wheua hope. Ka whakamahia tēnei pēhanga hei pana i te pakihiwi o te pēpi kua mau, hei whakawātea i a ia.

Ko te mea nui, ina whakamahia ngātahitia te McRoberts Maneuver me te Suprapubic Pressure,E 90% te ōrau angitu! E whakaatu ana tēnei i te whai huatanga o tēnei tikanga.

Ka aha koe ina mahi koe i tēnei?

1. Tātaritanga: Tuatahi, ka whakaū te tākuta he āhuatanga tēnei e kiia nei ko te Dystocia o te Pakihiwi.

2. Te Whakatikatika i te Tūnga: I te nuinga o te wā ka pikohia ō waewae e ngā tākuta, e ngā nēhi) i ngā turi, ka pēhi kia tata ki tō puku. Tērā pea ka ahua kore whakamarie koe i tēnei wā, engari ka mahia tēnei hei whakaora i te pēpi, nō reira kia manawanui.

3. Te pēhi (mēnā e tika ana): I taua wā anō, ka pēhi tetahi atu i te puku mai i runga.

4. Te whānautanga o te pēpi: Mā tēnei tukanga ka nui ake te wāhi i roto i te hope, ka wetekina te pakihiwi kua mau, ā, ka taea te puta mai i te toenga o te tinana o te pēpi mā te tara.

He aha ngā painga o tēnei tikanga?

He maha ngā painga matua o te McRoberts Maneuver:

  • Te āheinga ki te whānau noa: Mā tēnei ka whakaitihia te hiahia mō te pokanga tākuta ohorere.
  • Te whakaiti i te kino ka pā ki te pēpi: Mā te whara o te pakihiwi ka tino whakaiti i te tūponotanga o ngā raruraru nui pērā i te whati wheua i te ringa o te pēpi, te kino o ngā io , te korenga o te hāora (asphyxia) .
  • Ka whakaitihia te kino ki te whaea: Ka whakaitihia te mōrearea o te hiahia kia tapahia te tara me te nono ( episiotomy ).
  • Māmā, tere hoki: He tikanga tino māmā tēnei ka taea te mahi wawe, me te kore he taputapu.

Ka taea e tēnei te whakararuraru?

Ki te tika te mahi i tēnei tikanga, he tino onge ngā raruraru. Ko te ture nui rawa atu ko te kaua rawa e kukume i te māhunga o te pēpi. Mā te mahi pēnei ka kino pea te kaki, te tuaiwi rānei o te pēpi. E mōhio pai ana te tīma hauora mohio ki tēnei.

He tino onge te pānga o te aukati i te wāhi e tūtaki ai ngā wheua hope, te neuropathy rangitahi rānei i ngā waewae. Heoi, he tino onge ēnei.

I muri i te angitu o te mahi a McRoberts Maneuver, ka whānau mai tō pēpi i roto i te tinana hauora, ā, he pai hoki. Kātahi ka tirotirohia e te tākuta te pēpi kia kore ai he whara ki te pakihiwi, ki te ringa rānei. I te nuinga o te wā, ka pai ngā mea katoa.

Karere Tangohia ki te Kāinga

  • He tikanga māmā, haumaru, ā, tino whai hua te Maneuver a McRoberts hei tuku i te pakihiwi o te pēpi i te wā e whānau ana (Shoulder Dystocia).
  • Ko te tikanga o tēnei ko te pēhi i ngā waewae o te whaea ki tōna puku, te whakanui ake i te ātea i roto i te hope, me te whakawātea i te ara mō te pēpi kia puta mai.
  • Ina whakamahia ngātahitia me te tikanga Pēhanga Suprapubic, ka piki tōna angitu ki te 90%.
  • Ahakoa he āhuatanga ohorere tēnei, kaua e mataku nā te mea kua tino whakangungua tō tīma hauora mō ēnei āhuatanga.
  • Ahakoa he āhuatanga mōrearea kei te pā mai o te Pokanga Pakihiwi, he maha ngā mea ka taea te whakahaere mā te kōrero ki tō tākuta i mua i te wā, me te whai i ngā tohutohu e tika ana.
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FAQ

Evidence-based clinical answers to common patient questions

Ka aha koe ina mahi koe i tēnei?

1. Tātaritanga: Tuatahi, ka whakaū te tākuta he āhuatanga tēnei e kiia nei ko te Dystocia o te Pakihiwi.

2. Te Whakatikatika i te Tūnga: I te nuinga o te wā ka pikohia ō waewae e ngā tākuta, e ngā nēhi) i ngā turi, ka pēhi kia tata ki tō puku. Tērā pea ka ahua kore whakamarie koe i tēnei wā, engari ka mahia tēnei hei whakaora i te pēpi, nō reira kia manawanui.

3. Te pēhi (mēnā e tika ana): I taua wā anō, ka pēhi tetahi atu i te puku mai i runga.

4. Te whānautanga o te pēpi: Mā tēnei tukanga ka nui ake te wāhi i roto i te hope, ka wetekina te pakihiwi kua mau, ā, ka taea te puta mai i te toenga o te tinana o te pēpi mā te tara.

Ka taea e tēnei te whakararuraru?

Ki te tika te mahi i tēnei tikanga, he tino onge ngā raruraru. Ko te ture nui rawa atu ko te kaua rawa e kukume i te māhunga o te pēpi. Mā te mahi pēnei ka kino pea te kaki, te tuaiwi rānei o te pēpi. E mōhio pai ana te tīma hauora mohio ki tēnei.

He tino onge te pānga o te aukati i te wāhi e tūtaki ai ngā wheua hope, te neuropathy rangitahi rānei i ngā waewae. Heoi, he tino onge ēnei.

I muri i te angitu o te mahi a McRoberts Maneuver, ka whānau mai tō pēpi i roto i te tinana hauora, ā, he pai hoki. Kātahi ka tirotirohia e te tākuta te pēpi kia kore ai he whara ki te pakihiwi, ki te ringa rānei. I te nuinga o te wā, ka pai ngā mea katoa.

🔍 Search Keywords: mcroberts maneuver • mcroberts maneuver symptoms • mcroberts maneuver causes and treatment • mcroberts maneuver sri lanka • A, ki te mau tō pakihiwi i te wā e whānau ana koe? Me kōrero tātou mō te McRoberts Maneuver!

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