I ka hopena o ka hāpai ʻana, he mea maʻamau ia no ka makuahine e manaʻo nei e ʻike i nā ʻano hou:

• kahi manaʻo kaumaha i ka pelvis a me ka ʻeha (ke hoʻohālikelike ʻia i kekahi manawa i nā ʻūlū liʻiliʻi) i ka pubis a me nā ʻōpū, kahi hōʻailona e hoʻomaka ana ke pēpē e iho i loko o ka pelvis;
• kahi manaʻo o ka paʻa i loko o ka ʻōpū o lalo ma muli o ka hoʻomaha o nā hono o ke pelvis, ma lalo o ka hopena o nā hormones, hoʻomaka e neʻe no ka hele o ka pēpē;
• ka luhi nui a me ka nausea ma muli o ke aniau hormonal i ka hopena o ka hāpai ʻana, a ʻoi aku ka kikoʻī i ka prostaglandin me kahi hopena laxative iki;
• ka nalowale ʻana o ka plug mucous, kēlā nuipa o ka huhū cervix e hoʻopaʻa pono ana i ka cervix. Ma lalo o ka hopena o ka hoʻoliʻiliʻi ma ka hopena o ka hāpai ʻana e oʻo ai ka cervix, hiki i ka plug mucous ke neʻe i ke ʻano o ka sticky, translucent a brownish hoʻokuʻu paha, i kekahi manawa me nā kaha liʻiliʻi o ke koko;
• kahi huhū o ka hoʻomaʻemaʻe a me ka hoʻomaʻemaʻe ʻana, e like me ka ʻōlelo a kekahi loea, kahi hana maʻamau i nā māmela āpau. ʻLelo pū kekahi mākou no "insting Nesting" (1).

Hōʻike kēia mau hōʻailona āpau i ka hoʻomākaukau o ke kino no ka hānau keiki, akā ʻaʻole ia he hōʻailona maoli no ka hoʻomaka ʻana o ka hana e koi ana i kahi huakaʻi i ka hale hānau.

ʻO ka uterus kahi mākala i hana ʻia me nā ʻano olonā like ʻole e ʻaelike e ʻae i ka cervix e loli a iho i lalo ke pēpē i ka pelvis. I ka hopena o ka hāpai ʻana, he mea maʻamau ka manaʻo ʻana i nā ʻōpala "pre-labor" e hāpai i ka ulu ʻana o ka cervix no ka lā D. ʻAʻole ʻeha a ʻeha iki kēia mau kuʻikahi, i nalo ma hope o 3 a 4 mau hoʻi. hoʻokaʻawale ʻia he 5-10 mau minuke ke kaʻawale.

ʻAʻole like me kēia mau hana hoʻomākaukau hoʻomākaukau, ʻaʻole kū nā hana hana, loaʻa ka ikaika a lōʻihi a lōʻihi a pili pū kekahi. ʻO ke alapine a me ka maʻamau o kēia mau contraction e hōʻike i ka hoʻomaka ʻana o ka hana. Kaukaʻi ʻia i ka wahine a me ka parity, hoʻonohonoho ʻia nā kuʻikahi hana e like me nā lauana like ʻole, akā paipai mākou iā ʻoe e hele i ka hale hānau.

• ma hope o 2 mau hola o ka hoʻoliʻiliʻi i kēlā me kēia 5 a 10 mau minuke inā he pēpē mua ia;
• ma hope o 1h30 o ka hoʻoliʻiliʻi i kēlā me kēia 10 mau minuke no multiparas.

Pono nō hoʻi ka makuahine e noʻonoʻo i kona ʻae ʻana i nā kuʻikahi a hoʻolohe i kāna mau manaʻo. Inā ʻaʻole maʻamau nā kuʻikahi akā ikaika loa lākou e pale ai i ka ʻōlelo ʻana, inā ʻaʻole hiki ke kū hoʻokahi me lākou a i ʻole inā ʻoiaʻiʻo ka ʻeha, pono e hele i ka haukapila makuahine ma ka liʻiliʻi. e hōʻoluʻolu hou aku. E hoʻokipa maikaʻi ʻia ka makuahine e hiki mai ana ma laila e ka hui o nā palekeiki i maʻa i kēia ʻano kūlana.

ʻAʻole ʻike maoli kekahi mau wahine i ka hoʻoliʻiliʻi akā koi pinepine e loaʻa i ka ʻōpū a i ʻole ka mimi. Eia nō naʻe kekahi e ʻike i nā mea hōʻemi ma ka piko o ka ʻōpū, ma lalo o nā iwi ʻaoʻao, ʻoiai e ʻike kekahi mau makuahine iā lākou i ka hope haʻahaʻa. Inā kānalua, pono e hele i ka hale hānau.

ʻO ka mea hope loa, e hoʻomaopopo i ka ʻike ʻana i ka hana hoʻopunipuni, ʻo ia ka ʻōlelo ʻana ʻaʻohe hopena o ka cervix, ʻōlelo ʻia nā makuahine e hiki mai ana e ʻauʻau a me kahi antispasmodic. Inā kū mau nā kuʻikahi, ʻoi aku ka nui o nā kuʻikahi "maoli".

Ma loko o ka hāpai ʻana, ulu ka pēpē i ka lua amniotic, kahi ʻeke i hana ʻia i ʻelua mau membrane (ka amnion a me ka chorion) a hoʻopiha ʻia me ka wai amniotic. Ke holoi ʻia ka cervix a hoʻoneʻe ʻia ka plug mucous, pale wale ʻia ka pēpē e kēia mau membrane a i ʻole "ʻeke wai" (pou lalo o ka ʻeke amniotic). ʻO ka maʻamau, hū wale nā ​​membrane i ka wā o ka hana hoʻopihapiha piha ʻana, akā i kekahi manawa hana ʻia kēia haki i ka wā hana a i ʻole ma mua. ʻO ia ka "pohō wai" kaulana a i ʻole i ka ʻōlelo hākōkō, "haki ma mua ma mua o ka hana" e pili ana i 8% o nā hāpai keiki (2). ʻO ka wai amniotic - kahi aniani, ʻaʻohe ona a me ka wai mehana - a laila e kahe ma waena o ka lua i nā kahawai liʻiliʻi inā he māwae i loko o ka ʻeke a ʻoi maoli paha i ka hanana o ka haki. Inā loaʻa kahi kānalua iki, keu hoʻi i ke alo o kahi hoʻokuʻu liʻiliʻi i hiki ke kuhihewa ʻia no nā huna wahine, pono e hele i ka hale hānau kahi e lawe ʻia ai kahi hōʻike e hōʻoia inā he wai amniotic maoli ia.

Hiki i ka nalo o ka wai ke hana ma mua o ka hoʻomaka ʻana o ka hana a me ka hoʻoliʻiliʻi akā pono ia i ka hale hānau no ka mea i ka wā e haki ai ka ʻeke, ʻaʻole pale ʻia ka pēpē hou mai nā maʻi. Aia kekahi pilikia o ka prolaps o ke kaula: huki ʻia i lalo a me nā pilikia e kaomi ʻia ana i ka wā hānau. Ma hope o ka haki ma mua ma mua o ka hana, hānau ka hapalua o nā makuahine e hiki mai ana ma waena o 5 mau hola a me 95% i loko o 28 mau hola (3). Inā ʻaʻole hoʻomaka ka hana ma hope o 6 a 12 paha hola, e hoʻokomo ʻia ia ma muli o ka makaʻu o ka maʻi (4).