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Inā hiki ʻole ke hānau ʻia ma ka wahine, ʻo ka pauku cesarean wale nō ka hopena. Mahalo i nā ʻenehana hōʻoki hou, ua liʻiliʻi mākou i ka pilikia, wikiwiki mākou e ola a hauʻoli hoʻi mākou i kā mākou pēpē.
ʻO ka pauku Cesarean: pehea, pehea?
I kēia lā, ʻoi aku ma mua o hoʻokahi o ʻelima mau hānau ʻana ma ka ʻāpana cesarean. I kekahi manawa i ka pilikia, akā ʻo ka hapanui pinepine ua hoʻonohonoho ʻia ka hana no nā kumu olakino. ʻO ka pahuhopu: e kakali i mea e hōʻemi ai i nā pilikia o kahi hānau hānau pilikia. I ka wā o ka hāpai ʻana, hiki i nā hoʻokolohua ke hōʻike i kahi pelvis haiki loa a i ʻole kahi placenta e kau ana ma ka ʻōpū e pale ai i ka puka ʻana o ka pēpē i waho. E like me kekahi mau kūlana āna i hāpai ai i loko o ka ʻōpū, ma ka transverse a i ʻole ka noho piha. ʻO ke kūlana palupalu o ke olakino o ka makuahine e manaʻo nei a i ʻole ka pēpē hiki ke alakaʻi i ka hoʻoholo e hana i ka cesarean. ʻO ka mea hope loa, inā nui ka hānau ʻana, makemake pinepine nā kauka i ke "ala kiʻekiʻe" no ka palekana. Hoʻonohonoho ʻia lākou he ʻumi a ʻumikūmālima mau lā ma mua o ka pau ʻana o ke kau. ʻO nā mākua, i ʻike pono ʻia, no laila e loaʻa ka manawa e hoʻomākaukau ai. ʻO kaʻoiaʻiʻo, ʻaʻole he mea koʻikoʻi ka hana ʻoki a ma ke ʻano he hānau ʻana hiki ke moeʻuhane i ka maikaʻi. Akā, ua ʻoi aku ka ʻoluʻolu o ka poʻe obstetrician-gynecologists i kēia manawa no nā makuahine hāpai. ʻO ka mea i kapa ʻia ʻo Cohen, ka mea i hoʻohana nui ʻia, hiki ke hoʻemi i ka nui o nā incision. ʻO ka hopena no ka makuahine, emi ka ʻeha ma hope o ka hana. ʻO kekahi kumu maikaʻi, Ke hoʻonui nei nā hale hānai hānai i kēia hānau keiki hypermedicalized, paʻakikī ke noho pū me kekahi mau mākua. Inā maikaʻi nā mea a pau, e noho lōʻihi ke keiki hānau hou "ʻili i ka ʻili" me kona makuahine. ʻO ka makuakāne, i kekahi manawa kono ʻia i ka lumi hana, a laila lawe ʻo ia.
Ke poʻo i ka pōhaku!
8 hola 12 Loaʻa ka pale keiki o ka hale maʻi hānai iā Emeline lāua ʻo Guillaume i hiki mai nei. Ke ana o ke koko, ke ana wela, ka mimi, ka nana ana… Hāʻawi ka pale keiki i ke kukui ʻōmaʻomaʻo no ka ʻāpana cesarean.
9 hola 51 Ma ke ala i ka OR! ʻO Emeline, nā ʻakaʻaka āpau, hōʻoluʻolu iā Guillaume ʻaʻole makemake e hele i ka hana.
10 hola 23 Hoʻopili ʻia kahi disinfectant ikaika i ka ʻōpū o Emeline.
10 hola 14 Mahalo i kahi anesthesia liʻiliʻi liʻiliʻi, ʻaʻole ʻike ka makuahine e hiki mai ana i ka nila o ka anesthesia spinal. ʻOi aku ka lahilahi ma mua o ka mea i hoʻohana ʻia no ka epidural. Hoʻokomo ke kauka ma waena o ka vertebrae lumbar 3 a me 4 manaʻo numbing cocktail pololei i loko o ka wai cerebrospinal. ʻAʻole liʻuliʻu, ʻaʻohe o ka catheter i waiho ʻia ma kahi. He ʻelua hola kēia locoregional anesthesia.
Kuhi ʻo Marla i ka piko o kona ihu
10 hola 33 Ma hope o ka catheterization mimi, hoʻokomo ʻia ka wahine ʻōpio ma ka papa hana. Hoʻonohonoho nā kahu hānai i nā kula.
10 hola 46 Ua mākaukau ʻo Emeline. Lawe kahi kahu hānai i kona lima, akā ʻoluʻolu ka makuahine: “Ua ʻike wau i ka mea e hiki mai ana. ʻAʻole wau makaʻu i ka mea i ʻike ʻole ʻia, a ma luna o nā mea āpau, ʻaʻole hiki iaʻu ke kali e ʻike i kaʻu pēpē. ”
10 hola 52 Aia ʻo Kauka Pachy i ka hana. Hoʻomaka mua ʻo ia i ka ʻili ma luna o ka pubis, ma ke ākea, ma kahi o ʻumi kenimika. A laila, hohola ʻo ia i nā ʻāpana like ʻole o nā ʻiʻo, nā ʻiʻo a me nā ʻāpana me kona mau manamana lima e hoʻopaʻa i kona ala i ka peritoneum āna e ʻoki ai, ma mua o ka hiki ʻana i ka ʻōpū. Hoʻokahi hahau hope o ka scalpel, ka manaʻo o ka wai amniotic a ...
11:03 am… Kuhikuhi ʻo Marla i ka piko o kona ihu!
11 06 ahiahi Ua ʻoki ʻia ke kaula ʻōpū a ʻo Marla, ua ʻōwili koke ʻia i ka lole, holoi koke ʻia a maloʻo ma mua o ka hoʻolauna ʻia ʻana i kona makuahine.
ʻO ka hālāwai mua
11 hola 08 Hui mua. ʻAʻohe huaʻōlelo, nānā wale. ʻinoʻino. No ka pale ʻana i ke anuanu o ka pēpē, ua hoʻopili nā pale keiki iā Marla i kahi pūnana liʻiliʻi. Hoʻopili ʻia i loko o ka lima o kahi ʻaʻahu o ka haukapila i hoʻopili ʻia me kahi mea hoʻomehana kōkua liʻiliʻi, ke ʻimi nei ke keiki hānau hou i ka umauma o kona makuahine. Ua hoʻomaka ʻo Kauka Pachy e humuhumu i ka ʻōpū.
11 hola 37 ʻOiai ʻo Emeline i loko o ke keʻena hoʻolaʻa, ʻike ʻo Guillaume i ka "ʻanuʻu mua" o kāna pēpē me ka weliweli.
11 hola 44 He 3,930 kg ke kaumaha o Marla! Haʻaheo loa a ma luna o nā mea a pau loa, ʻike ka makuakāne ʻōpio i kāna kaikamahine i kahi ʻili palupalu i ka ʻili. He manawa kupua ma mua o ka hālāwai ʻana me ka makuahine i loko o kona lumi.