Pehea ka hana ʻana o ka episiotomy?

He ʻōnaehana ʻo ka episiotomy?

No nā makahiki, he mea maʻamau ka episiotomy, ʻoi aku ka nui ma ka hānau mua ʻana (ʻoi aku ma mua o hoʻokahi makuahine

ʻElua!). Ua hōʻike nā haʻawina i ka hoʻomaʻamaʻa ʻana i ka ʻōnaehana, ʻaʻole i loaʻa ka pōmaikaʻi i ka makuahine a me ka pēpē. Mai ka makahiki 2005 a me nā ʻōlelo aʻoaʻo a ka National College of French Gynecologists and Obstetricians, ua hoʻomaikaʻi nā hui i kā lākou mau hana a ua piʻi ka helu i 20%.

Ua manaʻo ʻia kēia hana e pale i ka pilikia o ka haehae ʻana a me ka pale ʻana i ka hoʻomau ʻole ʻana o ka mimi a i ʻole prolapse (ka iho o ke kino). Ua hōʻike ʻia kekahi mau haʻawina ma hope. ʻOi aku ka pilikia o ka episiotomy ma mua o ka waimaka o ka makuahine, no ka mea, ʻoi aku ka nui o ka ʻoki ʻana, pono e hoʻopaʻa ʻia, hoʻonui i ke koko a hoʻōla koke. I ka makahiki 2005, ua paʻi ʻia ke Koleke o French Gynecologists nā ʻōlelo paipai e kaupalena i kēia hana. Pono ka hui lapaʻau e hana i kahi episiotomy ke manaʻo lākou he pono. Ua lohe ʻia kēia mau ʻōlelo aʻoaʻo ma muli o ka noiʻi hou a Ciane, kahi hui o nā hui mea hoʻohana, ua emi ka nui o nā episiotomies ma 2013. Aia ma 30%.

He ʻeha ka episiotomy?

ʻO ka episiotomy, kahi ʻoki i hana ʻia i loko o ka perineum e hoʻomaʻamaʻa i ka puka ʻana o ka pēpē, makaʻu ʻia e nā makuahine he nui.

ʻO ka maʻamau, ʻaʻole ʻeha ka ʻoki ʻana. ʻO ka mea mua, ma lalo o ka epidural, hoʻemi ʻia ka ʻeha a pau. Eia kekahi, no ka mea, hoʻomaka pinepine ka mea hoʻomaʻamaʻa i ka wā o ka hoʻopaʻa ʻana, kahi e hopu ai i kou nānā piha. ʻOi aku ka ʻeha o ka humuhumu. Akā ʻo ia ke kumuhana o kahi anesthesia kūloko me ka xylocaine, a i ʻole locoregional, i hana ʻia i ka manawa like me ka epidural. ʻO ia i loko o nā lā mua, a i kekahi manawa nā pule mua, ʻoi aku ka pilikia o ka episiotomy.

Pono anei ka episiotomy no ka pēpē mua?

ʻAʻole pono. Wahi a ka 2016 perinatal survey, ʻO ka helu episiotomy he 34,9% no ka hānau mua, 9,8% no kēia mau mea. Hiki ke hana ʻia kahi episiotomy inā ʻoi aku ke kaumaha o ka pēpē ma mua o ka awelika a i ʻole ke poʻo nui loa, ke lohi nei ka puʻuwai o ka naʻau a pono e wikiwiki ka puka ʻana. Noʻonoʻo ʻia kēia hana inā ʻeha ka pēpē no ka laʻana a i ʻole he palupalu ka perineum o ka makuahine.

E ʻike ma ke wikiō: Pehea e pale aku ai i ka episiotomy?

Hiki iā mākou ke hōʻole i ka episiotomy?

'A'ole hiki ke hana 'ia kekahi hana lapa'au a lapa'au 'ole me ka 'ae 'ole o ke kanaka. Pela, hiki iā ʻoe ke hōʻole i ka loaʻa ʻana o kahi episiotomy. He mea nui e kūkākūkā ʻoe i kēia me kāu kaukōkō a i ʻole ka pale keiki. Hiki iā ʻoe ke haʻi i kou hōʻole ʻana i ka episiotomy ma kāu hoʻolālā hānau. Eia nō naʻe, i ka lā o ka lawe ʻana, inā hoʻoholo ka hui he mea nui ka episiotomy, ʻaʻole hiki iā ʻoe ke kūʻē iā ia.

Ua pili anei ka epidural i ka episiotomy?

ʻAʻole pili lāua. ʻAʻole pono e loaʻa ka episiotomy i ka wahine ma ka epidural. Eia nō naʻe, ʻike maopopo ʻia ʻo ka epidural, i ka wā e hoʻopau ai i ka ʻāpana perineal, hiki ke alakaʻi i nā ʻōkuhi kuhi hewa e hoʻolōʻihi i ka perineum. No laila, pono paha ka episiotomy.

Pehea e pale aku ai i ka episiotomy?

No ka hoʻomaʻamaʻa ʻana i ka perineum a hoʻolōʻihi iki i ka D-Day, "hiki iā ʻoe ke lomilomi iā ia i kekahi mau pule ma mua o ka hānau ʻana me ka ʻaila meaʻai no kahi ʻumi mau minuke. E hōʻemi iki ana kēia lomilomi pili i ka loaʻa ʻana o ka episiotomy *. Eia nō naʻe, pono kēia e ʻoluʻolu me kou kino, ʻaʻole i hāʻawi ʻia i nā makuahine hāpai a pau, "wahi a Professor Deruelle. (IH)

me Kumu. Philippe Deruelle, obstetrician, kakauolelo o ke Kulanui o Farani gynecologists a me obstetricians.

* 2016 kiʻi hoʻokolokolo perinatal