Aia ma aneʻi ʻO ka pule 33 o ka hāpai ʻana, ʻo ia hoʻi ka mahina 8. ʻO ke kaumaha o ka pēpē ma 35 mau pule ma kahi o 2.1 kg a ʻo kona kiʻekiʻe he 42 knm. 

ʻAʻohe ona lumi e neʻe ai i loko o ka ʻōpū o kona makuahine, no laila ua emi loa kāna neʻe ʻana.

ʻO ka ʻōpū ma 33 mau pule ale nui i ka wai amniotic a mimi e like me ia.

I loko o kona ʻōpū, hōʻiliʻili ka meconium. ʻO kēia ʻōmaʻomaʻo ʻeleʻele a ʻeleʻele paha ka 72-80% o ka wai, nā huna o ka ʻōpū, ka desquamation cellular, nā puaʻa bile, nā protein inflammatory a me ke koko (1). ʻO kēia ka pahu mua o ka pēpē, hoʻopuka ʻia 24 a 48 mau hola ma hope o ka hānau ʻana.

He 33 mau pule o ka pēpē adrenal – aia ma luna o nā puʻupaʻa e like me kā lākou inoa e hōʻike nei – ua nui loa i ko lākou kino liʻiliʻi. A no ke kumu maikaʻi: hana lākou me ka wikiwiki holoʻokoʻa e hūnā i ka hormone dehydroepiandrosterone (DHEA) i ka nui. Hele kēia ma ke akepaʻa a hoʻololi ʻia i loko o ka estrogen e ka placenta. Hoʻohana ʻia kēia mau estrogens no ka hana ʻana i ka colostrum, ka waiu momona mua loa i hana ʻia e ka makuahine ma mua o ke kahe ʻana o ka waiū.

ʻO nā kino like ʻole o ka 35 makahiki pēpē he hana, akā, ʻo kāna ʻōnaehana digestive a me ka pulmonary e koi mau i kekahi mau pule e oʻo ai. I ka pau ana o ka malama 8 o ka hapai ana, e lawa ana na akemāmā no ka hanu ana o ke keiki me ka hanu ole. ʻO ka puʻuwai kona ʻano hope loa, akā aia kekahi mau kamaʻilio ma waena o ka ʻaoʻao ʻākau a me ka ʻaoʻao hema ʻaʻole e pani a hiki i ka hānau ʻana.

ʻEhiku mahina hāpai, ʻo ka ʻōpū nui loa. ʻO ka hopena, ʻoi aku ka paʻakikī o nā neʻe a me nā neʻe a ʻike koke ʻia ka luhi.

A 35 pule a ma lalo o ka mana o nā hormones e hoʻomākaukau ai i ke kino no ka hānau ʻana, ʻoi aku ka maʻalahi o nā ligaments. ʻO kēia hoʻomaha hoʻomaha ligament, i hui pū ʻia me ke kaumaha o ka ʻōpū a me ka hoʻololi ʻana i ke koena o ke kino, hiki ke hōʻeha i ka ʻeha ma ka pubis, ka ʻōpū a i kekahi manawa ma lalo o nā iwi ʻaoʻao.

ʻO ka neʻe ʻana o ka pēpē, ka ʻeha haʻahaʻa o ke kua, nā wāwae kaumaha, ka reflux acid, akā ʻo ka manaʻo o ka hānau ʻana e emi iho ka maluhia a me ka hoʻomaha. Eia naʻe, ʻoi aku ka nui o ka makuahine e hiki mai ana e hoʻomaha a loaʻa ka ikaika.

ʻO ka 8 mahina o ka hāpai ʻana, komo pinepine ka makuahine i ka wā e hiki mai ana i kahi ʻano niu, e kau ana ma luna o ka pēpē a me kona hiki koke mai. ʻO kēia haʻalele ʻana iā ʻoe iho ua wehewehe ʻia e ka impregnation hormonal: hoʻomaka ke kino e hūnā i ka nui o ka oxytocin a me ka prolactin, nā hormones e hoʻomākaukau kino ai i ka makuahine no ka hānau ʻana a me ka makuahine. 'Ōlelo pū mākou no ka "nesting instinct". Wahi a kahi haʻawina (2), hoʻomaka kēia ʻano quasi-animal instinct Hapaha 3 a ua ʻike ʻia e ka pono e "hoʻomākaukau i ka pūnana" - ma ka hoʻomākaukau ʻana i ke keʻena o ke pēpē, hana i nā lole, hoʻomaʻemaʻe i ka hale mai luna a lalo - a koho i nā poʻe e launa pū me ia. E kōkua ana kēia kaʻina hana kūlohelohe i ka hoʻopaʻa ʻana ma waena o ka makuahine a me ka pēpē.

Mood swings a me nā ʻano like ʻole o ka libido ka hopena o kēia ʻano homoni ma 33 mau pule o ka hāpai keiki.

ʻEhiku mahina hāpai, pono e hoʻomau ka makuahine e ʻai i ka meaʻai olakino. No ka hoʻokō ʻana i nā pono meaʻai o ka pēpē, ʻo kāna mau meaʻai he omega 3 a me 6 (iʻa, ʻaila), hao (ʻiʻo, legumes), nā huaora (hua), fiber (mea kanu) a me ka calcium (kehi, nā huahana waiu). ). Manaʻo ʻia e inu i ka liʻiliʻi o 1,5 L o ka wai i kēlā me kēia lā. ʻO ka maʻemaʻe o ka meaʻai e hiki ai iā ʻoe ke hoʻomalu i kou kaumaha a pale i nā pilikia i ka wā o ka hānau ʻana (inā he nui ke kaumaha e alakaʻi ana i ka maʻi diabetes a i ʻole hypertension). Eia kekahi, kōkua ia e hōʻemi i ka ʻeha o ka ʻōpū a me ka ʻōpū. Hoʻopili ʻia nā ʻāpana o ka ʻōpū o ka ʻōpū Hapaha 3.

ʻO ka manawa kēia no ka makuahine, ma ka 8 malama o ka hāpai ʻana, e noʻonoʻo e pili ana i kona makemake e hānai i kāna pēpē, umauma a ʻōmole paha. He nui nā pono o ka hānai ʻana. He kūpono kona haku no ka hānau hou a hoʻololi ʻia e like me kona ulu ʻana. ʻO ka hāʻawi ʻana i ka umauma he mea kūlohelohe ia, akā ʻaʻole ia i loko o nā wahine a pau. ʻAʻole makemake kekahi e hānai i ka umauma no nā kumu like ʻole. No nā mea ʻē aʻe ʻaʻole hiki ke hiki (no nā kumu o ke olakino a i ʻole ka waiū). ʻAʻole pono mākou e manaʻo hewa. Ua noa kēlā me kēia e koho a hana ʻia e like me kona hiki. He kūlana kiʻekiʻe ka waiū pēpē a hāʻawi i ka pēpē i nā mea pono. I ka 33 pule hāpai, pono e aʻo e pili ana i ke kumuhana o ka hānaiʻana, ināʻo ia ka makemake o ka makuahine: pehea e hele ai? Pehea ka lōʻihi o kou hānai ʻana? Pehea e hānai ai? Hāʻawi ʻia nā pane i kēia mau nīnau he nui e ka heluhelu, nā kauka lapaʻau, nā makuahine ʻē aʻe i hānai i ka umauma a i ʻole ma o nā papa hoʻomākaukau hānau. Inā makemake ʻo ia e hāʻawi i ka waiū umauma, hiki i nā wahine hāpai ke ʻike e pili ana i nā mea pono no ka hānai ʻana, e like me nā pale umauma, nā nipples silicone a i ʻole nā ​​ipu mālama waiu. 

• Hoʻokuʻu i ka kipa ʻana i ʻO 8th mahina, 6 o ke kūkākūkā prenatal koi. Na ke kauka a palekeiki paha e hoʻokō i nā hoʻokolohua maʻamau: ke ana ʻana o ke koko, ke ana kiʻekiʻe o ka ʻōpū e nānā i ka ulu ʻana o ka fetal maikaʻi, ka loaʻa ʻana o ke kaumaha. ʻAʻole systematic ka nānā ʻana i ka vaginal. Makemake kekahi obstetricians a palekeiki paha e hana ia mea i keia kau wale no i ka manawa o ka uterine contractions, ka manao o ka nalowale ana o ka wai amniotic, i ole e hana i ka eha a me ka contractions. I loko o kēia kūkākūkāʻana, e noʻonoʻo ka mea hoʻomaʻamaʻa i ka ʻikepili ultrasound o ka 32 AS a me ka hoʻokolohua lapaʻau i mea e hana ai i kahi wānana i nā kūlana o ka lawe ʻana. I ka hapanui o nā hihia, hiki ke hānau ʻia ma ka waha. I kekahi mau kūlana, akā naʻe (ka liʻiliʻi o ke pelvis, ka fibroma a i ʻole ka placenta previa he mea keakea no ka ʻōpū, hōʻike ʻole ʻia o ka pēpē, mōʻaukala o ka pauku cesarean), pono e hoʻonohonoho ʻia kahi ʻāpana cesarean, ma kahi o 39 mau pule. Inā kānalua ma muli o ka hōʻike ʻana o ka pēpē a i ʻole ke pelvis o ka makuahine, e kuhikuhi ke kauka i ka radiopelvimetry. ʻO kēia hoʻokolohua (radiography a i ʻole scanner) hiki ke ana i nā ana o ke pelvis o ka makuahine a hoʻohālikelike iā lākou me nā ana o ke poʻo o ka pēpē i lawe ʻia ma ka ultrasound o ka 32 WA;
• i keia kukakuka ana o ʻO 8th mahina, e nānā i ka papa hana hānau;
• E lawe i ka laʻana o ka wahine e hoʻāʻo ai no ka streptococcus B, he hua bacteria i loaʻa i 30% o nā wahine a hiki ke hōʻike i kahi pōʻino i ka wā o ka hānau ʻana no ka pēpē. Inā maikaʻi ka laʻana, e mālama ʻia ka lāʻau antibiotic (penicillin) i ka wā e haki ai ka ʻeke wai i mea e pale ai i ka pilikia o ka maʻi neonatal.

ʻO ka pēpē i 33 pule liʻiliʻi ka lumi e neʻe ai, akā ʻo kāna mau neʻe ʻana, ʻoiaʻiʻo ʻaʻole lawa, ʻike ʻia. Inā ʻaʻole ʻoe e manaʻo e neʻe ʻo ia no ka lā holoʻokoʻa, mai hoʻokaʻulua e hele i ke keʻena pilikia maternity e nānā ua maikaʻi nā mea a pau. I ka wā o ka Hapaha 3, ʻaʻohe kipa he mea ʻole, inā wale nō e hōʻoluʻolu iā ʻoe. Ua maʻa nā hui i kēia ʻano kūlana.

Ke hoʻomau nei mākou i ka hoʻomaʻamaʻa ʻana a me ka hoʻomaha ʻana o ka perineum a me ka hili ʻana o ke pelvis.

He kipa i ka osteopath i ka wā o ka 8 malama o ka hāpai ʻana e hoʻomākaukau i ke kino no ka hānau ʻana. Ma ka hana ʻana i ka pelvis i mea e hoʻihoʻi hou ai i kona neʻe ʻana, hiki i ka hana a ka osteopath ke kōkua i ka hele ʻana o ka pēpē ma o ka māhele genito-pelvic.