Hānau i loko o kahi lumi kūlohelohe

Ma nā hale hānai hānai a pau, hānau nā wāhine ma nā lumi hānau. I kekahi manawa, loaʻa pū kekahi mau keʻena i lako ʻokoʻa: ʻaʻohe wahi moe hoʻouna, akā ʻo kahi pahu e hoʻomaha ai i ka wā o ka dilation, nā baluna, a me kahi moena maʻamau, me ka ʻole o nā stirrups. Kāhea mākou iā lākou lumi kūlohelohe a i ʻole nā ​​wahi hānau physiological. ʻO ka hope, aia kekahi mau lawelawe i kahi "hale hānau": ʻoiaʻiʻo he papahele i mālama ʻia no ka nānā ʻana i ka hāpai ʻana a me ka hānau ʻana me nā lumi he nui i lako e like me nā lumi kūlohelohe.

Aia nā lumi kūlohelohe ma nā wahi a pau?

ʻAʻole. ʻIke mākou i kēia mau wahi i kekahi manawa i nā halemai nui o ke kulanui a i ʻole nā ​​​​hale hānai hānai nui i lawa ka lumi e loaʻa ai ia wahi a makemake hoʻi e hoʻokō i ka koi o nā wahine i ka ʻimi ʻana i ka lāʻau lapaʻau kūpono. Eia naʻe, pono e hoʻomanaʻo i kahi hānau hānau maoli - hiki ke hana i nā wahi āpau. ʻO ka mea ʻokoʻa ka makemake o ka makuahine e pili ana i ka hānau ʻana o kāna pēpē a me ka loaʻa ʻana o nā pale keiki.

Pehea ka hānau ʻana i loko o kahi lumi kūlohelohe?

Ke hiki mai ka wahine e hānau, hiki iā ia ke hele mai ka hoʻomaka ʻana o ka hānau ʻana a i ka lumi kūlohelohe. Ma laila, hiki iā ia ke lawe i ka ʻauʻau wela: hoʻomaʻamaʻa ka wela i ka ʻeha o nā ʻōpū a hoʻolōʻihi pinepine i ka ka hoʻomāhuahua ʻana o ka pūpū. ʻO ka mea maʻamau, i ka holomua ʻana o ka hana a me ka wikiwiki o nā ʻokiʻoki, puka nā wahine i waho o ka ʻauʻau (ʻaʻole hiki ke hānau ʻia ke keiki i loko o ka wai, ʻoiai ke hana ʻia kēia i kekahi manawa ke holo maikaʻi nā mea āpau) a noho ma luna o kahi moena. Hiki iā lākou ke neʻe e like me ko lākou makemake a loaʻa ke kūlana kūpono iā lākou e hānau ai. No ke kipaku ʻana i ka pēpē, ʻoi aku ka maikaʻi o ka hele ʻana ma nā ʻehā a i ʻole ka hoʻomaha. Ua hōʻike ʻia kahi haʻawina e ka Collective interassociative around birth (CIANE), i paʻi ʻia ma 2013. haʻahaʻa loa ka hoʻohana ʻana i ka episiotomy ma nā wahi physiological a i ʻole nā ​​lumi kūlohelohe. ʻIke ʻia aia nō hoemi mea hoemi i kēia mau wahi hānau.

Hiki iā mākou ke pōmaikaʻi mai kahi epidural i loko o nā lumi kūlohelohe?

I loko o nā lumi kūlohelohe, hānau mākou "ma ke kūlohelohe": no laila ʻaʻohe epidural ʻo ia ka maʻi anesthesia e koi ana i ka nānā ʻana i nā lāʻau lapaʻau kūikawā (ka nānā mau ʻana ma o ka nānā ʻana, perfusion, wahaheʻe a i ʻole kahi noho semi-seated a me ke alo o ka anesthesiologist). Akā,ʻoiaʻiʻo, hiki iā mākou ke hoʻomaka i nā hola mua o ka hānauʻana i loko o ka lumi, a laila inā e ikaika loa nā contractions, hiki mau ke hele i kahi lumi hana maʻamau a pōmaikaʻi mai ka epidural. Nui nō hoʻi nā ala ʻē aʻe i ka epidural e hoʻomaha ai i ka ʻeha hana.

Ua mālama ʻia ka palekana ma nā lumi kūlohelohe?

ʻO ka hānau ʻana he hanana e hele maikaʻi ana ka priori. Eia nō naʻe, pono ke ʻano o ka nānā ʻana i ka lāʻau lapaʻau i mea e pale ai i nā pilikia. ʻO ka pale keiki, nāna e hōʻoiaʻiʻo i ka hele ʻana o nā kāne i loko o nā lumi kūlohelohe, pēlā makaʻala i nā hōʻailona pilikia a pau (no ka laʻana he dilation which stagnates). Hoʻopaʻa mau ʻo ia i ka puʻuwai o ka pēpē me kahi ʻōnaehana nānā no kahi kanakolu mau minuke. Inā manaʻo ʻo ia ʻaʻole maʻamau ke kūlana, ʻo ia ka mea i hoʻoholo e hele i kahi keʻena maʻamau a i ʻole, i ʻaelike me ka obstetrician, pololei i ka lumi hana no ka ʻāpana cesarean. No laila ke koʻikoʻi o ka noho ʻana ma ka puʻuwai o ka haukapila hānai.

Pehea ka mālama ʻana i ka pēpē i loko o kahi lumi kūlohelohe?

I ka wā i kapa ʻia he hānau maoli, hana ʻia nā mea a pau e hōʻoia i ka loaʻa ʻana o ka pēpē i nā kūlana maikaʻi. Akā ʻo kēia ka mea maʻamau i nā lumi hānau hānau maʻamau. Ma waho aʻe o nā pathology, ʻaʻole pono e hoʻokaʻawale i ke keiki mai kona makuahine. Hoʻokomo ʻia ke keiki hānau hou me kona makuahine no ka lōʻihi o kona makemake. ʻO kēia, e paipai i ka hoʻokumu ʻana i ka pilina makuahine-keiki a me ka meaʻai mua. Hoʻokō ʻia ke kōkua mua o ka pēpē i loko o ka lumi kūlohelohe, i kahi noho mālie a mehana. I mea e hoʻopilikia ʻole ai i ka pēpē, ua emi ka nui o kēia mau lāʻau lapaʻau i kēia mau lā. No ka laʻana, ʻaʻole mākou e hoʻomaʻamaʻa hou i ka ʻōpū o ka ʻōpū. Hana ʻia ke koena o nā hoʻokolohua e ka pediatrician i ka lā aʻe.

Hāʻawi ka Angers maternity hospital i kona wahi physiological

ʻO kekahi o nā hale hānai hānai lehulehu ma Farani, ʻo ka Angers University Hospital, ua wehe i kahi kikowaena hānau physiological ma 2011. Loaʻa nā lumi kūlohelohe ʻelua no nā makuahine e makemake ana e hānau maʻamau. ʻO kā lākou mālama ʻana he lāʻau lapaʻau liʻiliʻi i ka hāʻawi ʻana i kahi wahi palekana. ʻO ka nānā ʻole ʻole, nā ʻauʻau ʻauʻau, nā papa lawe physiological, nā lianas e kau ʻia mai ke kaupaku e hoʻomaʻamaʻa i ka hana, ʻo ia mau mea a pau e hiki ai ke hoʻokipa maikaʻi ʻia ke pēpē i ka lokahi nui.