Kei te tatari koe kia whānau mai anō tētahi atu pēpi? Mēnā i whānau mai tō pēpi tuatahi mā te pokanga tāke ( C-section ), tera pea koe e whakaaro ana, "Ka taea e au te whānau māori i tēnei wā?" He pātai nui tēnei mā te tini o ngā whaea. Ko te whānautanga ā-tinana i muri i te pokanga tāke e mōhiotia ana i roto i te rongoā ko te VBAC (Vaginal Birth After C-section). Nō reira, ahakoa ka taea tēnei mā te tini o ngā whaea, he iti noa ngā mea hei kōrero mā tātou i mua i te whakatau mēnā he tika mōu, ā, he haumaru hoki.
Ko te mea nui ko te haumaru o koe me tō pēpi. Ehara te VBAC i te kōwhiringa haumaru mō te katoa.
I ētahi wā, ki te ngana tetahi tangata e tino mōrearea ana ki ngā raruraru ki te whānau noa, ka puta he raruraru nui, tae atu ki te mate, mōu me tō pēpi. Koia te mea nui kia kōrerohia ngā mōrearea ki tō tākuta i mua i te whakatau.
Kei te pēhea tō hauora me tō hauora hoki o tāu pēpi?
Hei whakatau mēnā ka taea e koe te whakamātau i te VBAC, he mea nui kia tino mōhio koe kei te hauora kōrua ko tō pēpi. Ki te hauora koe, ka taea pea e koe te whakamātau i te VBAC ahakoa he māhanga tāu . Engari me whiwhi whakaaetanga a tō tākuta.
Heoi, i ētahi wā, ka kī pea tō tākuta he tino mōrearea te whakamātau i te VBAC. Kei raro nei ētahi āhuatanga mōrearea ka ārai i a koe ki te whānautanga tara angitu.
| Tauwehenga Mōrearea | He whakamārama māmā |
|---|---|
| Momonatanga | Mena he 30, neke atu rānei tō Taupū Papatipu Tinana (BMI). |
| Te preeclampsia | Te toto toto tiketike i te wā e hapu ana. |
| Tau | I te nuinga o te wā, neke atu i te 35 tau te pakeke o te whaea. |
| Te wā i waenga i ngā pokanga o mua | Mena kua 19 marama neke atu rānei mai i tō pokanga whakawhānau o mua. |
| Rahi pēpi | Mena he nui rawa atu te taumaha o te pēpi i roto i te kōpū i tōna rahi (he nui te kukune). |
Me ako tātou mō ngā koha o te pokanga c-section o mua .
Ko tētahi o ngā mea tino nui me kōrero tahi kōrua ko tō tākuta ko te āhua o te koha o tō kōpū . He mea tino nui tēnei. He tokomaha e whakaaro ana he rite tonu te koha i waho o tō puku me te koha i roto o tō kōpū. Heoi, ka rerekē pea ngā taha o ngā tapahi. E rua ngā huarahi matua e mahia ai ngā tapahi i roto i tō puku me tō kōpū i te wā e pokaia ana:
- Tapahi poutū: He tapahi mai i runga ki raro.
- Tapahi whakararo: He tapahi i mahia mai i tetahi taha ki tetahi taha (puta noa).
| Te momo tapahi kōpū | Pānga ki te VBAC |
|---|---|
| Tapahi poutū | Kāore e taea te whakamātau i te VBAC . He tino nui te mōrearea o te pakaru o tēnei koha i te wā e whānau ana. He tino morearea tēnei mō te whaea me te pēpi. Me mahi anō koe i tētahi atu pokanga tākihi. |
| Tapahi whakarara iti | Tērā pea ka taea e koe te whakamātau i te VBAC . Koinei te momo c-section tino noa, tino haumaru hoki. Mena he iti ngā āhuatanga mōrearea kē atu, he nui ake te tūponotanga ka whakaaetia e tō tākuta te VBAC. |
Nō reira, ka kite koe i te hiranga o te mōhio ki te momo koha o tō kōpū.
He mea nui anō hoki te hōhipera i whiriwhiria e koe!
He mea anō tēnei me rangahau e koe i mua. Pātai atu ki tō tākuta mēnā ka whakaaetia e te hōhipera e whakaaro ana koe kia whānau tāu pēpi te VBAC, ā, mēnā kei a rātou ngā ratonga e tika ana. Kāore e whakaaetia ana tēnei e ngā hōhipera katoa.
Ko te take, ahakoa he iti te mōrearea o te pakaru o te koha tawhito i te wā e ngana ana ki te VBAC, ki te puta, he āhuatanga ohorere . Me rite te hōhipera ki te whakatau i tēnei āhuatanga ohorere. Ko te tikanga o tēnei, me rite ngā mea katoa e hiahiatia ana mō te pokanga ohorere, pērā i ngā rūma pokanga, ngā tohunga whakamoe, me ngā whare pēke toto, i ngā wā katoa. Tērā pea kāore i ētahi hōhipera ngā ratonga hei whakatau i tēnei āhuatanga ohorere. Nō reira, he mea tino nui hoki te whiriwhiri i te hōhipera.
Ki te iti te mōrearea, ko te tikanga kāore he mōrearea?
Kāo. He iti noa te mōrearea o te pakaru o te kōpū mō tētahi whaea hauora he iti te koha whakawhiti e whakamātau ana i te VBAC. Kāore e taea e ngā tākuta te kī me te tino mohio 100% mēnā ka pā tēnei ki a koe, kāore rānei.
Ahakoa ka pakaru te kōpū i roto i te iti iho i te 1% o ngā wāhine e whakamātau ana i te VBAC, ka tino morearea pea mēnā ka puta, nō reira kāore ētahi o ngā whaea e pai ki te tango i taua mōrearea iti.
Nō reira, he mea pai kia ata whakaaroarohia ō kōwhiringa, kia kōrero ki tō tākuta , ā, kia mārama ki ngā painga me ngā huakore o te whakatau.
He aha ngā painga o te angitu o te VBAC?
Āe, kua kōrerohia ngā ngoikoretanga, me titiro tātou ki ngā painga o te VBAC angitu. Mena ka taea e koe te utu i te VBAC, ā, e hiahia ana koe ki te whānau ā-tinana, he maha ngā take pai hei whakamātau. Ā, he nui ngā tūponotanga ka angitu. Tata ki te 70% o ngā whaea e whakamātau ana i te VBAC ka whānau angitu ā rātou pēpi mā te ā-tinana. Mō ētahi atu, ko ngā raruraru i te wā e whānau ana me mahi anō i te pokanga tāne.
Ki te angitu tō VBAC, ka whiwhi koe i ēnei painga:
- Kāore koe e hiahiatia kia pokanga nui.
- He iti noa te toto .
- Ka taea e koe te ora tere ake i muri i te pokanga.
- He iti te mōrearea o te pangia.
- He iti noa te tūponotanga ka pakaru tō pūkahukahu, tō whekau rānei.
- Ki te mea kei te hapu koe i tētahi atu tamaiti a muri ake nei, ka whakaitihia ngā raruraru ka pā mai i te wā e whānau ana.
Karere Tangohia ki te Kāinga
- Ahakoa e taea ana te whānau ā-tinana i muri i te pokanga tākihi (VBAC) e te tini o te tangata, kāore i te tika mō te katoa.
- Ko te mea tino nui hei whakatau mēnā ka taea te whai VBAC ko te momo koha i te kōpū mai i te pokanga o mua (ahakoa he poutū, he whakapae rānei).
- I mua i te whakamātau i te VBAC, kia tino kōrerohia, kia mārama hoki ki tō tākuta ngā painga, ngā huakore, me ngā mōrearea katoa.
- Me whakarite kei te hōhipera i whiriwhiria e koe mō tō whānautanga ngā ratonga katoa e tika ana (ETU, rūma pokanga) hei whakahaere i te pokanga ohorere.
- Hei whakamutunga, ko te mea nui ko te whiriwhiri i te tikanga haumaru mōu me tō pēpi. Mā tō tākuta koe e āwhina ki te whakatau i tēnā.
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