Kua whānau mai he pēpi māu i te pokanga tākihi i mua? Me ako tātou mō te VBAC (Whānautanga ā-Wae i muri i te Pokanga Tākihi)!

I whānau pēpi koe i mua mā te pokanga tāne? I taua wā, ina tata koe ki te whānau anō i tētahi pēpi, me pātai nui kei roto i tō hinengaro, "Ka whānau noa rānei ahau i tēnei wā, arā, mā te tara (whanau tara)?" He pātai tēnei kei te nuinga o ngā whaea. Nō reira, i tēnei rā, me kōrero tātou mō te whānau noa i muri i te pokanga tāne, arā, VBAC (Whānau Tara i muri i te Pokanga Tāne).

He aha te VBAC (Whānautanga Tara i muri i te Cesarean)? He māmā noa iho...

Ki te kī māmā noa, ko te VBAC he wā kua oti i a koe te mahi pokanga (C-section) i mua, ā, ka whānau mai tō pēpi hou mā te tara, koinei te tikanga noa. E mōhio ana koe, ko te C-section he wā e tapahia ai e te tākuta tō puku me tō kōpū hei tango i te pēpi.

Ko te whāinga matua o te VBAC he hoatu i te whai wāhi ki tētahi kua whānau pēpi i mua i roto i te pokanga C kia whānau noa i roto i tana haputanga e whai ake nei. Heoi, i ētahi wā, mēnā kua whānau pēpi koe i mua i roto i tētahi, neke atu rānei, he iti noa te mōrearea o te whānautanga noa.

He maha ngā mea hei whakaaroaro māu ina whakatau ana koe me whakamātau koe i tētahi VBAC, kāore rānei. Hei tauira:

• Te momo tapahi i whakamahia e te taote pokanga i tō wā i tapahia ai tō pēpi me te maha o ngā tapahi kua mahia ki a koe.
• Tō hītori hauora .
• He mate hauora anō kei a koe i tēnei wā?
• Te tūranga o te pēpi me te mea he raruraru hauora tō te pēpi.

Ka arotakehia e tō tākuta ēnei mea katoa, ā, ka kī atu ki a koe mēnā he haumaru te whakamātau i te VBAC. Māna e whakamārama ki a koe ngā painga me ngā huakore. Kātahi, i runga i taua kōrero, ka taea e koe te whakatau mēnā ka whakamātau koe i te VBAC, ka whānau rānei i tētahi atu whānautanga.

Kua whakaatuhia e ngā rangahau tata ki te 75% o ngā wāhine kua whānau tahitia kotahi, ā, ka angitu te whānautanga ā-tara i roto i tā rātou haputanga e whai ake nei. Heoi, ki te mea kua rua, neke atu rānei ō whānautanga i mua, ka heke pea ō tuponotanga ki te angitu o te VBAC ki te 50% .

I ētahi wā ka kiia te VBAC e ngā tākuta he TOLAC (Te Whakamātautau Whakawhanau i Muri i te Tākuta) . Ko te TOLAC he ngana ki te whānau i muri i te tākuta. Mena ka angitu tēnei nganatanga (TOLAC), ko te hua he VBAC. Mena kāore i angitu, me mahi anō he tākuta.

He aha te tini o te tangata e tumanako ana kia mahia he VBAC i muri i te pokanga c-section?

He mea whaiaro tēnei i ētahi wā. E hiahia ana ētahi tāngata ki te whānau ā-tinana, engari mō ētahi take, kāore e taea e rātou. Tērā pea ka pai ake ki a rātou te whānau ā-tinana nā te mea he roa ake te ora i muri i te pokanga C-section.

Ahakoa he pai ake ki a koe te whānautanga tūturu, ka tūtohu tonu pea tō tākuta kia whānau C-section nā te mea he maha ngā tūponotanga o te VBAC. Tērā pea ka kī mai rātou he pai te whakamātau i te VBAC.

He aha ngā painga o te VBAC?

He maha ngā painga o te VBAC ki te whakaritea ki te c-section. Tirohia:

• Te tere ake o te whakaoranga me te whakaiti i te noho hōhipera: Whai muri i te pokanga C-section, he nui te okiokinga i runga i te moenga me te wā e ora ai te tapahi. He iti ake te kitea o ēnei āhuatanga me te VBAC.
• Kaua e pokanga puku: Ko te mea nui anake hei karo ko te pokanga nui.
• Te karo, te whakaiti rānei i ngā mōrearea o te pokanga c-section (pērā i te toto nui, te mate pāwera).
• Ngā Painga mō te Pēpi: I te wā whānautanga noa, ka tangohia te wai amniotic i roto i ngā pukahukahu o te pēpi i te wā e haere ana te pēpi i roto i te awa whānau. Mā tēnei ka whakarite te pēpi mō te hāora i muri i te whānautanga. Waihoki, ka whakaohokia te pūnaha ārai mate o te pēpi i a ia e haere ana i roto i te awa whānau.
• He iti te mōrearea o ngā raruraru (pērā i te hanganga o ngā kiko koha - te piri, te kino ki ngā whekau o roto) ka puta mai i ngā pokanga maha.
• Ngā manakohanga whaiaro: He nui te hiahia o ētahi tāngata kia whānau noa.

Whakaarohia, ki te mea kei te whakaaro koe kia nui ake āu tamariki, he nui ake te pai o te whai i tētahi VBAC angitu i te mahi tonu i te C-section. Nā te mea he mōrearea kei roto i ia C-section.

He aha ngā mōrearea o te whakamātau i te VBAC?

Ka waiho he koha i te kōpū i te wā e hapu ana (C-section). Nō reira, ka taea e te pēhanga mai i te whānautanga te haehae i te kōpū i te taha o te koha o te C-section (te pakaru o te kōpū) . Koinei te mōrearea matua o te VBAC. Heoi, kua whakaatuhia e ngā rangahau hou i te nuinga o ngā wā, ka taea te mahi haumaru i te VBAC i muri i te C-section.

He raruraru onge engari he raruraru kino te pakaru o te kōpū, ā, ka mōrearea pea ki te ora . Mena he nui te mōrearea o te pakaru o te kōpū, kāore tō tākuta e whakamātau i te VBAC.

Ko ētahi atu mōrearea ka puta ake i te wā e whakamātau ana i te VBAC ko:

• Te ngaronga o te toto
• Mate pāwera
• Wāhanga C-section ohorere: He mōrearea ake tēnei i te wāhanga C-section kua whakaritea.

He aha te mōrearea o te pakaru o te kōpū?

Ko te mōrearea o te pakaru o te kōpū mō te tangata kua oti kē te pokanga c- section i mua, i reira i tapahia he tapa iti whakararo , he tata ki te 0.9%, he iti iho i te kotahi i roto i te 100. Nō reira, ahakoa he tino iti tēnei mōrearea, he mea nui kia mōhio ki tēnei.

Ka pāngia te VBAC e te tapahi mai i te c-section o mua?

Āe, he pono. He maha ngā momo tapahi i mahia i te wā e hapu ana:

• Tapahi whakararo iti: He iti ake te tūponotanga o te pakaru o te kōpū i tēnei tapahi. Ka mahia tēnei tapahi puta noa i te wāhanga o raro, angiangi o te kōpū.
• Tapahi poutū iti: He nui ake te mōrearea o te pakaru o te kōpū i te tapahi whakararo. Ka mahia tēnei i te taha roa o raro, angiangi o te kōpū.
• He tapahi roa i te taha whakarunga o te kōpū ("Tapahi Matarohia"): Koinei te huarahi tino morearea ki te haehae i te kōpū. Me mahi pea tēnei momo tapahi e ngā taote pokanga ina whānau wawe te pēpi, ina rānei kei roto te pēpi i te tūranga uaua ki te whānau.

He mea tino nui tēnei, ko te wāhi me te ahunga o te koha e kitea ana mai i waho o tō puku, kāore e rite ki te wāhi me te ahunga o te tapahi i roto i tō kōpū. Hei tauira, ahakoa he tapawhā te koha o tō puku, tera pea he tapawhā roa te tapahi i roto i tō kōpū.

Me whakauru ki roto i ō pūkete hauora ngā taipitopito mō te wāhi me te ahunga o te tapahi i roto i tō kōpū. Ina kōrero koe ki tō tākuta mō te haumaru o te VBAC, kia tino arotakehia e ia ō pūkete hauora me ngā mahi C-section o mua.

Ko wai te mea nui ake te tūponotanga kia angitu tana VBAC?

Kōrero ki tō tākuta mō tō hītori hauora, tō hāputanga o nāianei, me ngā āhuatanga katoa i arahi ai koe ki tētahi wāhanga C-section o mua.

Tērā pea he nui ake tō tūponotanga ki te angitu o te VBAC mēnā:

• Mena kotahi, e rua rānei ō mahi C-socket i mua, i tapahia he tapahi iti ki te taha raro o te kōpū .
• Mena kua whānau tōu whānautanga ā-tara i mua.
• Mena kāore anō kia mahia ētahi atu pokanga kōpū ki a koe (hei tauira, te tango i te pūkahukahu ).
• Mena kāore he hītori o te pakaru o te kōpū i mua i a koe.
• Kāore he āhuatanga hauora āu e whakararu ai i te whānautanga noa (hei tauira, ngā fibroids uterine, ngā raruraru ki te taunga o te whenua).
• Ki te tīmata tō whānautanga i runga i te āhua ohorere, i mua i te rā whānau.

Mena kua angitu tāu VBAC i mua – kāore he raruraru pēnei i te pakaru o te kōpū – he nui ake te tūponotanga ka angitu tō whānautanga tara ā muri ake nei.

I roto i ēhea āhuatanga ka whakaitihia te tūponotanga ka angitu te VBAC?

I ētahi wā, ka whakaitihia pea te tūponotanga o te angitu o te VBAC mō ngā take pēnei i:

• I mahia te c-section o mua nā te mea kāore i ahu whakamua te whānautanga.Arā, mēnā kāore tō pūkahukahu i tuwhera (i whānui) i muku rānei i te tika i te wā e whānau noa ana.
• Mena kua neke atu i te 35 tau tō pakeke.
• Mena he momona koe, he taumaha rawa rānei.
• Mena kei te tatari koe i tētahi pēpi nui, kei te tatari rānei koe i ngā whānau maha.
• Mena kua hipa tō rā whānau.
• Ki te hapu anō koe i raro iho i te 18 marama i muri i te whānautanga o tō pēpi o mua (he wā poto i waenga i ngā haputanga) .
• Mena kei a koe te preeclampsia (he wā pea ka whakahaerehia e ngā tākuta he C-section).

He aha ngā mōrearea o te mahi c-section e hia tonutia ana?

Kāore he tau kua whakaritea mō te maha o ngā wā e hapu ana koe. Heoi, e whakaatu ana ētahi rangahau he nui ake ngā mōrearea o te hunga e hapu ana i te maha o ngā wā , pērā i:

• Te toto nui.
• Te whara o te pūkahukahu me te whekau.
• Te mate urutā.
• Ko ngā āhuatanga o te whenua i roto i te hāputanga o muri mai, hei tauira, te piri rerekē o te whenua ki te kōpū ( placenta previa , placenta accreta rānei).
• Te pakaru o te kōpū.
• Ngā piritanga (te piri o te kiko whara).

Ka rerekē pea ēnei mōrearea i ia tangata, i ia tangata. Ka whakawhirinaki nui ki tō hītori hauora, me ngā āhuatanga motuhake o ia hāputanga me ia whānautanga. Nō reira, ko tō tākuta te tangata pai hei kōrero atu mō ngā painga me ngā huakore o te mahi C-section, te whakamātau rānei i te VBAC.

He aha ngā pātai me pātai atu koe ki tō tākuta mō te VBAC me te mahi tākuta-section anō?

Pērā i te VBAC, he pai, he mōrearea hoki te C-section. Nō reira, he mea nui kia mārama koe ki ngā tikanga whānau e rua me ō rāua pānga ki a koe.

Kōrerohia ēnei take ki tō tākuta:

• Mō ō hāputanga me ō whānautanga o mua .
• He aha ngā āhuatanga i ārahi i a koe ki te mahi C-section ?
• He pēhea te haumaru o te VBAC me te C-section mōu me tō pēpi?
• He aha ngā take me whakaaro/kāore e whakaaro koe ki tētahi VBAC ?
• He aha ngā take me whakaaro anō koe, me kore rānei e whakaaro anō ki te mahi c-section ?
• He mahere hei whakaoho i te whānautanga (ahakoa he mahere kei te wātea, kāore rānei).
• Mēnā ka taea e te hōhipera e whānau ai koe i tāu pēpi te whakahaere i ngā āhuatanga ohorere .
• Mō ō mahere kia nui ake ā koutou tamariki .

Ahakoa i whānau koe i mua i te whānautanga C-section, ehara i te mea kāore e taea e koe te whai VBAC ā muri ake nei. Tērā pea kua rongo koe, kua pānui rānei koe ka raru pea ngā hapūtanga o muri i te whānautanga C-section. Heoi, he rerekē te āhua o te katoa.

Hei whakamutunga, ngā mea hei maumahara

I te tīmatanga o tō hapūtanga, kōrero ki tō tākuta mō ō hiahia me ō āwangawanga mō te VBAC. Ka taea e ia te whakamārama i ngā painga me ngā huakore ki a koe, me te āwhina i a koe ki te whakatau mēnā he haumaru te VBAC mōu. I a koe e hapū ana, he mea nui kia haere tonu te kōrero ki tō tākuta me te arotake i tō mahere whānau. Kia maumahara, he motuhake ia hapūtanga, nō reira mahi tahi me tō tākuta ki te whakatau i te whakatau pai mōu.

VBAC , pokanga tākihi, C-section, whānautanga noa, haputanga, pakaru o te kōpū, whānautanga