Ko wai te kaiwhakawhanau? Āwhina i a koe e hapu ana, e whānau ana hoki!

He whaea whānau koe? Kei te whakaaro rānei koe ki te whakatū whānau? Kua rongo pea koe i te kupu 'kaiwhakawhanau'. Tērā pea ētahi e mōhio ana ki a ia ko te "kaiwhakawhanau". Engari ko wai te kaiwhakawhanau? Me pēhea rātou e āwhina ai i a koe? Me kōrero tātou mō tēnei i tēnei rā, pērā i te kōrero ki tētahi hoa.

Ko wai rā te kaiwhakawhanau?

He kupu ngāwari noa iho, he kaimahi hauora te kaiwhakawhanau e tiaki ana i tō hauora i te wā e hapu ana, e whānau ana, e tiaki ana i ngā pēpi hou, ā, i muri i te whānautanga o te pēpi. Ka tiaki hoki ētahi kaiwhakawhanau i tō hauora whānau whānui, pērā i ngā whakamātautau hope me ngā whakamātautau Pap, ā, ka tohutohu i a koe mō ngā tikanga whakamahere whānau.

He maha ngā wā ka tautokohia e ngā kaiwhakawhanau te whānautanga ā-taiao me te roanga o te wā e hapu ana. Mena kei te hiahia koe kia whānau ā-taiao, kāore he rongoā, ki te hiahia rānei koe kia whānau i te kāinga, he tokomaha te hunga e whiriwhiri ana i te kaiwhakawhanau.

Engari kia maumahara, ehara ngā kaiwhakawhanau i te tākuta i te nuinga o te wā. Engari he maha ā rātou mahi tahi me ngā Tākuta Whānau me ngā Tākuta Whānau (Ob/Gyns), inā koa i ngā hōhipera. Ko te tikanga ka taea e koe te tiki tiaki motuhake i ngā wā katoa e hiahiatia ana. He pai ake te kaiwhakawhanau mēnā he iti te mōrearea o tō hāputanga, he iti noa rānei ngā raruraru.

He wheako whaiaro te hapūtanga me te whānautanga. Kei a koe te tika ki te whiriwhiri i te momo tiaki e hiahia ana koe. Koia te mea nui kia mōhio koe ki ngā rerekētanga i waenga i te kaiwhakawhanau me te tākuta whānau/tākuta wahine (Ob/Gyn).

He aha te mahi a te kaiwhakawhanau?

Ka rerekē pea ngā ratonga e tukuna ana e te kaiwhakawhanau i runga i ō rātou tohu mātauranga, tiwhikete, mātauranga, me te wāhi noho. Ka taea e ngā kaiwhakawhanau whai tiwhikete me ngā kaiwhakawhanau nēhi whai tiwhikete te whakarato i te nuinga o ngā ratonga. Ka taea e ngā kaiwhakawhanau kāore he tiwhikete te whakarato i ngā ratonga iti.

Anei ētahi o ngā ratonga hauora ka taea e koe te whiwhi mai i te kaiwhakawhanau:

• Me whai wāhi ki ngā wāhi whakangungu hapūtanga, me te aroturuki i a koe i ia wā puta noa i tō hapūtanga. Ko te tikanga o tēnā, me tirotiro i ngā mea pēnei i tō taumaha me te manawa o te pēpi.
• Te mahi i ngā mahi pēnei i te matawai ultrasound me ngā whakamātautau toto e tika ana i te wā e hapu ana.
• Te āwhina i te wā e whānau ana, me te whakarato i te tiaki taketake mō te pēpi hou.
• Te tiaki i muri i te whānautanga. Ko te tikanga o tēnei ko te tiaki i tō oranga i muri i te whānautanga o tō pēpi.
• Te whakaako i a koe mō te kai totika, te whāngai ū, te momonatanga, me ētahi atu take e pā ana ki te hauora uri.
• Te whakarato tohutohu mō ngā tikanga whakamahere whānau me te ārai whānau.
• Ngā mea pēnei i ngā whakamātautau Pap me ngā whakamātautau ū.
• Te tirotiro mō ngā mate urutā (STI) me ētahi atu mate me ngā mate o te tara.

Ka taea e te nēhi kaiwhakawhanau whai tiwhikete te mahi i roto i ngā hōhipera, i ngā whare hauora, i ngā pokapū whānau, i roto rānei i tō ake kāinga. Heoi, he iti noa ngā wāhi ka taea e ngā kaiwhakawhanau kāore i te whai tiwhikete te mahi. He pai ake te pātai atu mō ngā tohu mātauranga o te kaiwhakawhanau i mua i tō whiriwhiri i tētahi, kia mōhio ai hoki ki ngā ture me ngā whakaritenga mō te tiaki kaiwhakawhanau i te hōhipera, i te pokapū whānau rānei e whakamahere ana koe ki te whānau i tāu pēpi.

He rerekē ngā momo kaiwhakawhanau?

Ae, he maha ngā momo kaiwhakawhanau. Tērā pea he rerekē ngā whakarōpūtanga me ngā ingoa i ia whenua, engari ko te whakaaro matua ko tēnei:

• Ngā Kaiwhakawhanau Tapuhi Whaimana (CNM): Ko ēnei te hunga kua oti i a rātou te kura tapuhi, ā, kua whiwhi tohu paerua i roto i te mahi kaiwhakawhanau. Haunga te whakarato i te tiaki whānautanga me te whānau pēpi, ka taea e rātou te whakarato i te tiaki whānau whānui, te tohu rongoā, te tono whakamātautau taiwhanga, me te tautuhi mate. He tohunga rātou ki te mahi i roto i ngā hōhipera, i ngā kāinga, me ngā pokapū whānau. Hei tauira, i te United States, kua tohua rātou e te Poari Tiwhikete Kaiwhakawhanau Tapuhi o Amerika.

• Ngā Kaiwhakawhanau Whaimana (CM): Ko ēnei ngā kaiwhakawhanau kua whiwhi tohu paerua i roto i te mahi kaiwhakawhanau, engari kāore anō kia oti i a rātou te kura nēhi. Tērā pea ko tā rātou tohu matua kei roto i tētahi atu kaupapa ehara i te nēhi. Ka taea hoki e rātou te tohu rongoā. Kua whai tohu rātou nā te Poari Tiwhikete Kaiwhakawhanau o Amerika, engari he raihana anake tā rātou ki te mahi i roto i ētahi whenua/kāwanatanga.

• Ngā Kaiwhakawhanau Ngaio Whaimana (CPM): Ko te tikanga, ka mahi ēnei kaiwhakawhanau i ngā pokapū whānau, i ngā kāinga rānei. Kua oti i a rātou ngā whakangungu e tika ana, ā, kua whai mana rātou i tētahi whakahaere, pērā i te North American Registry of Midwives, i Amerika Te Raki. Kāore rātou i te whai raihana ki te mahi i ngā whenua/kāwanatanga katoa, ā, kāore e taea e rātou te tuku rongoā.

• Ngā kaiwhakawhanau kore raihana, ngā kaiwhakawhanau noa rānei: Kāore he tiwhikete, he raihana motuhake rānei ā ēnei kaiwhakawhanau hei mahi. Tērā pea i whiwhi rātou i tēnei mātauranga mā te ako takitahi, mā te mahi tauira rānei (mā te mahi pea hei akonga). Ko te nuinga o ngā kaiwhakawhanau kore raihana ka mahi i ngā kāinga.

He mea nui: Ahakoa te momo kaiwhakawhanau e whiriwhiria e koe, he mea tino nui kia tirohia kei a rātou ngā tohu mātauranga, ngā whakangungu me ngā raihana e tika ana, ā, kei te mahi rātou i runga anō i ngā ture o tō whenua/rohe.

He tākuta ngā kaiwhakawhanau?

Ehara te nuinga o ngā kaiwhakawhanau i te tākuta, engari ko ētahi pea he tohu tākuta i roto i te mahi nēhi. Heoi, kāore ā rātou tohu hauora mai i te kura hauora.

He aha te rerekētanga i waenga i te kaiwhakawhanau me te tākuta whānau me te tākuta wahine (Ob/Gyn)?

Ko te rerekētanga matua kei te huarahi e whakaratohia ana e rātou te mātauranga me te manaaki.

He tino tautoko ngā kaiwhakawhanau , ā, ko ngā tikanga taiao te mea nui ki a rātou hei āwhina i te hapūtanga me te whānautanga. E kite ana rātou i te hapūtanga me te whānautanga he tukanga taiao, ehara i te mate hauora hei whakahaere. He pai ake ki a rātou te whakamahi i ngā tikanga whānau rerekē. Ko te hunga e hiahia ana ki te whānautanga marino ake, iti ake te ahotea, ka nui ake te tūponotanga ka whiriwhiri i te kaiwhakawhanau.

Heoi, nā te mea kāore ngā kaiwhakawhanau i whakangungua ki te kura hauora, kāore e taea e rātou te whakarato i ngā ratonga katoa ka taea e te tākuta whānau me te tākuta wahine (Ob/Gyn). Kāore e taea e rātou te rongoā i ngā hāputanga mōrearea nui, i ngā raruraru rānei i te wā whānau. Ka taea e ngā tākuta whānau te mahi i ngā wawaotanga hauora, pokanga rānei e kore e taea e ngā kaiwhakawhanau mēnā ka puta he raruraru.

Ehara tēnei i te kī kāore ngā tākuta whānau e tautoko ana, e whaiaro ana, e tuwhera ana rānei ki ngā huarahi rerekē. Kāore rātou. Mena kei te uaua koe ki te whakatau, he pai ake te tūtaki ki te kaiwhakawhanau me te tākuta whānau kia whakatau ko wai te mea e pai ana ki a koe me ō tumanakohanga mō te haputanga me te whānautanga.

He pai ake te kaiwhakawhanau i te tākuta?

Ko te tikanga , kei te hiahia whaiaro. Ko ētahi e pai ake ana ki ngā kaiwhakawhanau, ko ētahi e pai ake ana ki ngā tohunga whānau. Ko te tikanga, ka tūtohutia he kaiwhakawhanau mō ngā hāputanga iti te mōrearea. Ko te nuinga o ngā hāputanga he iti te mōrearea.

Anei ētahi o ngā painga o te whiriwhiri i tētahi kaiwhakawhanau:

• He iti ake te tūponotanga o te whakawhānautanga tere, te whānautanga āwhina rānei.
• He iti ake te tūponotanga o te whānautanga cesarean.
• Te whakaiti i te whakamahinga o ngā epidurals, o ētahi atu rongoā mamae rānei.
• He iti ake te mōrearea o ngā haehae kino o te perineum (taumata 3 me te 4) i te wā e whānau ana.
• He nui ake te ngāwari ki te whānau i te pēpi ki te kāinga.
• He nui ake tō mana whakahaere i tō manaakitanga.

Heoi, kāore ngā kaiwhakawhanau i te whakangungua ki te mahi pokanga. Mena he uaua tō hāputanga, tō whānautanga rānei, he nui rānei tō tūponotanga, ka tukuna koe e ngā kaiwhakawhanau ki tētahi tākuta whānau me te tākuta wahine (Ob/Gyn).

Me whiriwhiri ahau i tētahi kaiwhakawhanau?

Mena he iti te mōrearea o tō hāputanga, he noa hoki, ā, e rapu ana koe i tētahi whanaungatanga whaiaro, tata hoki ki tō kaiwhakarato hauora , he kaiwhakawhanau pea te mea tika māu.

Heoi, ki te mea he mate hauora tōu ka pā mai he raruraru i te wā e hapu ana, e whānau ana rānei koe, he mea pai kia mahi tahi tō kaiwhakawhanau me te tākuta whānau. Ko ētahi o ngā mate hei tūpato māu ko:

• toto toto tiketike
• Mate huka
• Mena kua pāngia koe e ngā mate hopuhopu i mua (He hītori o ngā mate hopuhopu)
• Mena kua hapu koe i mua i te wā mōrearea nui
• Mena kei te tatari koe kia whānau māhanga, kia nui ake rānei ngā tamariki (Kei te tatari koe kia whānau mai ngā tamariki maha)

Ki te whakatau koe ki te whiriwhiri i tētahi kaiwhakawhanau, ka tūtohu mātou kia kimihia tētahi kua raihanahia, kua whai tiwhikete hoki hei mahi i tō whenua/rohe.

He tūponotanga kei te whiwhi ratonga mai i te kaiwhakawhanau?

Ka mahi tahi ngā kaiwhakawhanau me ngā tākuta whānau me ngā tākuta wahine (Ob/Gyns), ngā tohunga rongoā whaea-pēpi, me ētahi atu kaiwhakarato hauora hei whakaiti i ngā mōrearea o tō tiaki. Mena he āwangawanga āu mō te whānautanga, he mea pai kia mahi tahi koe me tētahi kaiwhakawhanau e mahi ana i te hōhipera. Mā tēnei ka āwhina i a koe kia noho haumaru ake mēnā ka puta he raruraru.

He aha te rerekētanga i waenga i te doula me te kaiwhakawhanau?

Ko te kupu 'Doula' he kupu Kariki mō te "kaiāwhina wahine." Ko te doula he tangata kua whakangungua ki te tautoko i te wā e whānau ana. Ka taea e rātou te āwhina i a koe ki te whakahaere i ngā mamae o te whānautanga, te kawe mai i ngā wai hei inu māu, te tūtohu i ngā tūranga hei whakamama i ngā mamae o te whānautanga, me te whakatenatena i a koe. Heoi, kāore rātou i whakangungua e te rata. Ko te tiaki e whakaratohia ana e rātou he tautoko kare ā-roto me te tautoko mōhiohio, ehara i te tiaki hauora. Ko te kaiwhakawhanau he tangata kua whakangungua e te rata e whakarato ana i te tiaki hauora.

Ka whakahaerehia e ngā kaiwhakawhanau ngā mahi pokanga tākihi (C-sections)?

Kāo, kāore e taea e ngā kaiwhakawhanau te mahi i te C-section. Engari ka taea e rātou te āwhina. Mena ka hiahia koe ki te C-section, ka karangatia he tākuta mahi tahi, ā, māna e tiaki.

Ka hoatu e ngā kaiwhakawhanau he epidural?

Ka taea e ētahi kaiwhakawhanau te tohu rongoā whakamamae pēnei i ngā rongoā epidural. Heoi, kāore e taea e ngā kaiwhakawhanau te tuku rongoā epidural.Ka matapakihia tēnei e rātou me tētahi tohunga whakamoe, me tētahi Kaiwhakamoe Tapuhi Rēhita Tiwhikete (CRNA) rānei. Ko ngā kaiwhakarato whakamoe kei roto noa i te hōhipera.

He aha ngā pātai me pātai atu koe i mua i te whiriwhiri i tētahi kaiwhakawhanau?

He tokomaha ngā tāngata e uiui ana i ngā kaiwhakawhanau pea i mua i te tīmatanga o tā rātou mahi kia kitea ai mēnā he pai rātou, ā, he pai hoki tō rātou noho. Anei ētahi pātai me whakaaroaro koe i mua i te whiriwhiri i tētahi kaiwhakawhanau:

• Kei hea ahau e whānau ai i taku pēpi? (Hōhipera, pokapū whānau, kāinga rānei?)
• He aha te momo whakangungu kei a koe? (Pātai atu mō ngā tiwhikete, raihana)
• Kia pēhea te roa o tō mahi hei kaiwhakawhanau?
• E hia ngā whānautanga kua tae atu koe?
• He aha ō whakaaro me ō uara mō te whānautanga?
• He aha ngā whakamātautau, ngā tirotiro rānei e mahia ana e koe i te wā e hapu ana koe?
• Ka utua e te inihua ngā utu?
• Kei te mahi koe me ngā tākuta whānau i tō rohe? (He tākuta kei reira hei tuku atu māu i roto i tētahi āhuatanga ohorere?)

Mā ēnei pātai koe e āwhina ki te whakatau pai.

Hei whakamutunga, kia maumahara tātou ki tēnei.

He mea nui te kaiwhakawhanau hei tāpiri atu ki tō tīma hauora uri, inā koa i te wā e hapu ana, e whānau ana rānei. He mea tino pai rātou mō ngā haputanga me ngā whānautanga iti te mōrearea, mēnā rānei kei te rapu koe i tētahi huarahi taiao ake.

Engari kia maumahara, ehara i te mea he rite katoa ngā kaiwhakawhanau. I te wā e rapu ana koe i tētahi kaiwhakawhanau, kia tino rangahau koe i ā rātou tiwhikete, i ngā wāhi e raihana ana rātou ki te mahi, me te mea he pai te whanaungatanga ki tētahi hoa tākuta.

Ahakoa he kaiwhakawhanau tāu e whiriwhiri ai, he tākuta whānau/tākuta wahine rānei (Ob/Gyn), he whakakotahitanga rānei o ngā mea e rua, ka mahi tahi ō kaiwhakarato hauora ki te āwhina i a koe kia whiwhi i te hua pai rawa atu. Kei te hiahia mātou kia hauora tō hāputanga me tō whānautanga haumaru!

Kaiwhakawhanau , whānau tamariki, hapūtanga, kaiwhakawhanau, kaimahi hauora whānau, tiaki whānau, whānautanga ā-taiao