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Hānau hānau: ka hālāwai me ke pēpē
ʻO ka manawa kēia e ʻike ai i kēia mea liʻiliʻi a mākou i lawe ai no 9 mahina. Kau ka palekeiki ma ko makou opu. E hana ʻo pēpē i ka loulou ma waena o kāna mea i manaʻo ai i loko o ka ʻōpū a me kāna manaʻo i kēia manawa. Ma ke kūʻē iā mākou, hiki iā ia ke ʻike i ko mākou ʻala, lohe i ko mākou puʻuwai a me ko mākou leo.
Ma kahi o 5 a 10 mau minuke ma hope o ka hānau ʻana o kā mākou pēpē, ʻo ia ka manawa e ʻoki i ke kaula ʻōpū ka mea e pili ana i ka placenta. He hōʻailona loa kēia ʻano, ʻaʻohe ʻeha no ka makuahine e like me ke keiki, hoʻi maʻamau i ka makua kāne. Akā inā ʻaʻole makemake ʻo ia, na ka hui lapaʻau e mālama.
I ka hānau ʻana, hāʻawi ka pale keiki i ka pēpē Hoao Apgar. ʻAʻole mākou e ʻike iā ia, paʻa loa i ka mahalo! He ʻike wikiwiki wale nō ia, e hoʻomaʻamaʻa ʻia ana ʻo ia ma ko mākou ʻōpū. Nānā ka palekeiki e ʻike inā he ʻulaʻula ʻo ia, inā e paʻi maikaʻi ana kona puʻuwai…
Kipaku ʻana i ka placenta
ʻO ka hoʻopakele ʻana ka lawe ʻana i ka placenta ma hope o ka hānau ʻana. Pono e hana i loko o ka hapalua hola ma hope o ka hānau ʻana, inā ʻaʻole hiki ke kahe koko. Pehea e holo nei ? Paʻi ka pale keiki i ko mākou ʻōpū ma ka lawe ʻana i ka waihona ʻōpū. I ka wā i hemo ai ka placenta, noi mai ʻo ia iā mākou e pahu i waho. E ʻike mākou i ke kahe koko, akā mai hopohopo, he mea maʻamau, ʻaʻole ʻeha. I loko o kēia māhele, ʻaʻole haʻalele kā mākou pēpē iā mākou, hoʻomau ʻo ia e ʻike iā mākou, aia i loko o ka lua o ko mākou umauma a i ko mākou ʻāʻī. A laila nānā pono ʻia ka placenta. Inā nalo nā ʻāpana, e nānā pono ke kauka a i ʻole ka pale keiki i ka nele o ka ʻōpū. Pono kēia i kahi anesthesia pōkole. Hāʻawi ʻia ke pēpē i kona makuakāne a waiho ʻia paha i loko o kāna moena.
Ma hope o ka episiotomy: humuhumu a ua pau!
Ke kipaku ʻia ka placenta, ʻimi ka pale keiki i nā ʻeha, he waimaka. Akā, he episiotomy paha kāu? … I kēia hihia, pono ʻoe e humuhumu. Inā ua loaʻa iā ʻoe kahi huʻi akā i ka emi ʻana o kona hopena, hoʻohui mākou i kahi huahana anesthetic liʻiliʻi. A i ʻole, e loaʻa iā ʻoe kahi anesthesia kūloko. Hiki ke paʻakikī ke kaʻina hana, no ka mea, pono e humuhumu kaʻawale i nā ʻāpana āpau o ka mucosa a me ka ʻiʻo. No laila hiki ke lōʻihi ma waena o 30 a 45 mau minuke. No ka mea ʻaʻole ʻoluʻolu loa, ʻo ia paha ka manawa kūpono e hāʻawi aku i ke pēpē i kona makuakāne, a i ʻole i kahi kōkua mālama keiki no ke kōkua mua.
ʻO ka hānai mua
ʻOiai ma mua o ka hānau ʻana o ka placenta a i ʻole ka hoʻoponopono ʻana i ka episiotomy pēpē hānai waiū. ʻO ka maʻamau, hele maoli ia i ka umauma a hoʻomaka e omo. Akā, pono paha ʻo ia i kōkua liʻiliʻi no ka lawe ʻana i ka nipple. I kēia hihia, e kōkua ka pale keiki a i ʻole ke kahu hānai iā ia. Inā ʻaʻole makemake mākou e hānai i ka umauma, hiki iā mākou ʻOmole-hānai iā ia i mau hola ma hope o ka hānau ʻana, i ko makou hoi ana i ko makou lumi. ʻAʻole pōloli ka pēpē i kona puka ʻana mai loko mai o ko mākou ʻōpū.
Ke nānā ʻana i ka pēpē
kiʻekiʻe kaumaha… nānā ʻia ka pēpē mai kēlā me kēia kihi na ka palekeiki ma mua o ko maua hoʻi ʻana i ka lumi, ʻo kāua ʻelua. ʻO ia ka manawa e hoʻokomo ʻia ai nā puʻupuʻu umbilical, e hāʻawi ʻia iā lākou ka nui o ka huaora K (no ka coagulation maikaʻi) a ua ʻaʻahu ʻia lākou.
'Ōlelo Aʻo: ʻAʻole hana ʻia kēia kōkua mua ma hope koke o ka hānau ʻana. Inā olakino ka pēpē, ʻo ia ka mea nui ʻili i ka ʻili me mākou, e hoʻoikaika i kona maikaʻi a me ka hoʻomaka ʻana o ka hānai ʻana (inā ʻo ia kā mākou koho).
E hoʻi i ko mākou lumi
Pono mākou kali ma kahi o ʻelua hola ma mua o ke komo ʻana i ko mākou lumi. Pono ka nānā ʻana i nā lāʻau lapaʻau. Ke haʻalele mākou i ke keʻena hānai, hoʻoneʻe ʻia ka catheter epidural a me ka infusion mai o mākou aku. Me kā mākou keiki, hiki iā mākou ke hoʻi i ko mākou lumi, me ka hele mau ʻana, ma luna o kahi kauā a i ʻole ka noho huila. Me ke kahe ʻana o ke koko, ka hana hānau ʻana… hiki iā ʻoe ke loaʻa ka ʻehaʻeha. ʻO ka maʻamau, ʻōlelo ka World Health Organization (WHO) i ka wahine, ʻoiai i ka wā hana, hiki ke ʻai a inu. Eia kekahi, ma hope o ka hānau ʻana, ʻaʻohe hopohopo e pili ana i ka hoʻihoʻi ʻana. Makemake mākou e hoʻi ka makuahine i kona lumi ma mua o ka hāʻawi ʻana iā ia i mea ʻai. A laila e waiho i kahi mālie kūpono. Pono mākouhoʻomaha nui e ola hou. Inā liʻiliʻi kou ʻūlū i kou ala ʻana, he mea maʻamau. Hiki iā ʻoe ke noi i kōkua e kū i luna a hele. Pēlā nō, pono mākou i ke kōkua e holoi iā mākou iho.