ʻO ka ʻoihana palekeiki he ʻoihana lapaʻau me nā mākau i wehewehe ʻia e ka Public Health Code (1). He loea i ka physiology, hiki i ka palekeiki ke nānā kūʻokoʻa i ka hāpai ʻana inā ʻaʻole ia e hōʻike i nā pilikia. No laila, hāʻawi ʻia ka mana e:

• hana i nā kūkākūkā prenatal koi ʻehiku;
• hai aku i ka hapai;
• e kuhikuhi i nā hoʻokolohua hāpai ʻokoʻa (nā hoʻāʻo koko, nā hoʻāʻo ʻana i ka mimi, ka nānā ʻana no ka maʻi Down, nā ultrasound hapai);
• hana i nā ultrasound obstetric;
• kau i ka lāʻau e pili ana i ka hāpai ʻana;
• hana i ka ninaninau prenatal no ka malama 4;
• hoʻolako i nā papa hoʻomākaukau hānau.
• i loko o ka maternity a i ʻole ke keʻena pilikino;
• ma ka hana pilikino (2);
• ma kahi kikowaena PMI.

I ka wā e loaʻa mai ai kahi maʻi maʻi (gestational diabetes, hoʻoweliweli i ka hānau hānau ʻana, ke koko kiʻekiʻe, etc.), lawe ke kauka. Hiki nō naʻe i ka pale keiki ke hana i ka mālama a kēia kauka.

Ma ka lā D, hiki i ka palekeiki ke hōʻoia i ka hānau ʻana inā lōʻihi ka physiological. Inā loaʻa nā pilikia, e kāhea ʻo ia i ke kauka, ʻo ia wale nō ka mea i ʻae ʻia e hana i kekahi mau hana e like me ka unuhi ʻana i nā mea kani (forceps, suction cup) a i ʻole ka pauku cesarean. Ma hope o ka hānau ʻana, hāʻawi ka pale keiki i ke kōkua mua no ka hānau hou a me ka makuahine, a laila ka hahai ʻana i ka hānau ʻana, ka nānā ʻana ma hope o ka hānau ʻana, ka ʻōlelo ʻana o ka contraception, ka hoʻoponopono ʻana i ka perineal.

Ma ke ʻano o ke kākoʻo holoʻokoʻa, hāʻawi ka pale keiki i ka hahai ʻana i ka hāpai ʻana a loaʻa iā ia kahi kahua ʻenehana i loko o ka hale hānai i mea e hoʻokō ai i ka hānau keiki. ʻO ka mea pōʻino, he kakaikahi nā palekeiki e hoʻomaʻamaʻa i kēia ʻano o ka hahai ʻana, pinepine no ka ʻae ʻole ʻana me nā haukapila hānai.

ʻAʻole like me ka pale keiki, hiki i ka obstetrician-gynecologist ke mālama i nā hāpai pathological: ka hāpai ʻana he nui, ka maʻi diabetes gestational, ke koko kiʻekiʻe, ka hoʻoweliweli o ka hānau mua, a me nā mea ʻē aʻe. kīʻaha, forceps) a me nā ʻāpana cesarean. Kāhea ʻia no nā pilikia ma hope o ka hānau ʻana, e like me ka hemorrhage hānau.

Hiki i ka obstetrician gynecologist ke hana:

• ma ka hana pilikino kahi e hōʻoiaʻiʻo ai ʻo ia i ka hahai ʻana o ka hāpai ʻana, a hana i nā hānau keiki ma ke keʻena pilikino a i ʻole ka halemai aupuni;
• i loko o ka haukapila, kahi e nānā ai ʻo ia i ka hāpai ʻana i ka nui;
• i loko o kahi keʻena pilikino, kahi e nānā ai ʻo ia i ka hāpai ʻana a me ka hānau ʻana.

Hiki i ke kauka lapaʻau ke hana i ka haʻi ʻana o ka hāpai ʻana, a inā ʻaʻole i hōʻike ʻia nā pilikia o ka hāpai ʻana, e kipa mua ʻia a hiki i ka mahina 8. I ka hoʻomaʻamaʻa naʻe, he kakaikahi nā makuahine e hiki mai ana e koho i kā lākou kauka lapaʻau e nānā i kā lākou hāpai ʻana. He kuleana ko ke kauka hele ke koho me ka wahine hāpai e mālama i nā maʻi liʻiliʻi o kēlā me kēia lā, ʻoiai ʻo ka pale ʻana i ka lāʻau lapaʻau ponoʻī i ka wā o ka hāpai ʻana a hiki i kekahi mau maʻi, ʻoluʻolu i nā manawa maʻamau. he hōʻailona hōʻailona i kēlā mau mahina ʻeiwa. ʻO ke kuni no ka laʻana, pono ke kumuhana o ke kūkākūkā. ʻO ke kauka lapaʻau maʻamau kahi pilina pili i ke koho.

ʻOiai inā ʻaʻole i hōʻike mua ʻia ka hāpai ʻana i nā pilikia, hiki ke hahai ʻia e kou kauka kaukani kūlanakauhale a hoʻopaʻa inoa ma ke keʻena pilikino kahi āna e hoʻomaʻamaʻa ai i hōʻoia ʻo ia i ka hānau ʻana. No kekahi mau makuahine i ka wā e hiki mai ana, he mea hōʻoluʻolu maoli ke hahai ʻia e kahi mea i ʻike ʻia. ʻO kekahi mea ʻē aʻe: e hahai ʻia e kāu kauka maʻi maʻi kūlanakauhale a hoʻopaʻa inoa ma ke keʻena hauʻoli a i ʻole ʻāpana makuahine āu e koho ai, no nā kumu like ʻole: kokoke, ʻano kālā (e pili ana i ka hui hoʻohui ʻana, ʻoi aku ka nui o nā uku hāʻawi o ka gynecologist i kahi keʻena pilikino. liʻiliʻi ke kākoʻo ʻia), ke kulekele hānau o ka hale, a pēlā aku. E hoʻokō ʻia nā kūkākūkā prenatal o ka trimester hope i loko o ka hale hoʻokumu, i loaʻa iā ia ka faila hapai mai ka gynecologist.

ʻO kekahi mau makuahine i ka wā e hiki mai ana ke koho koke i ka hahai ʻana e ka pale keiki liʻiliʻi, me ka hoʻoikaika ʻana i kā lākou ʻano lapaʻau liʻiliʻi, ka hoʻolohe nui ʻana, ʻoi aku hoʻi no nā maʻi liʻiliʻi a pau o ke ola o kēlā me kēia lā, a ʻoi aku ka loaʻa - akā ʻaʻole ia he nīnau ma laila nā manaʻo kumuhana. Hiki ke noʻonoʻo ʻia ka ʻaoʻao kālā: ʻo ka hapa nui o nā pale keiki i ʻaelike ʻia ma ka ʻāpana 1, a no laila ʻaʻole i ʻoi aku ma mua o nā uku.

E noʻonoʻo ʻia ke ʻano o ka hānau ʻana i ke koho ʻana i kahi kauka. No laila, ʻoi aku ka maʻalahi o nā makuahine e makemake ana i ka hānau keiki physiological i kahi pale keiki liʻiliʻi, a i ʻole ka hahai ʻana i kahi hāʻawi maternity unit, no ka laʻana, kahi kikowaena physiological.

Akā i ka hopena, ʻo ka mea nui loa ke koho ʻana i kahi kanaka āu e manaʻoʻiʻo ai, nāna ʻoe e ʻaʻa e nīnau i kekahi nīnau a hōʻike paha i kou hopohopo e pili ana i ka hāpai ʻana a me ka hānau ʻana. Pono e noʻonoʻo ʻia ka ʻaoʻao kūpono: pono e maʻalahi ke kauka no kahi hālāwai a i ʻole kelepona i ka wā e pilikia ai, a pono hiki ke hele maʻalahi i nā kūkākūkā, ʻoi aku ka maʻalahi o ka trimester hope i ka wā e paʻakikī ai. e hele. .