ʻO kekahi o nā hoʻoholo mua āu e hana ai i kou hāpai ʻana, ʻo wai ka mea e hāʻawi i kāu mālama olakino? ʻO nā koho nui ʻelua he pale keiki a i ʻole he obstetrician. Hānau ka hapa nui o nā wahine me kahi obstetrician, akā ua kaulana nā pale keiki.
na Patricia Hughes
ʻO kekahi o nā hoʻoholo mua āu e hana ai i kou hāpai ʻana, ʻo wai ka mea e hāʻawi i kāu mālama olakino? ʻO nā koho nui ʻelua he pale keiki a i ʻole he obstetrician. Hānau ka hapa nui o nā wahine me kahi obstetrician, akā ua kaulana nā pale keiki. ʻO kou manaʻo o ka hānau ʻana a me ke ʻano o ka ʻike āu e makemake ai no kou hānau ʻana e kōkua i ke alakaʻi ʻana i kāu hoʻoholo.
Hanau me ka Midwife
Pono ka pale keiki e hānai i nā pēpē. He kahu hānai paha ʻo ia a ua aʻo ʻia ma ke ʻano he pale keiki. Hāʻawi nā palekeiki i nā koho hou aku i kahi āu e hānau ai i kāu pēpē. Hana lākou i loko o nā haukapila, nā kikowaena hānau a i loko o kou home ponoʻī no ka hānau ʻana ma ka home. E ʻike ʻoe i nā mea pilikino, mālama hoʻokahi me ka pale keiki, ʻoiai e ʻike ʻo ia iā ʻoe no kāu mau koho prenatal a hele i kou hānau ʻana. ʻO nā wāhine makemake i ka hānau maoli, koho pinepine lākou i nā palekeiki.
Hāʻawi nā pale keiki i ke kākoʻo mau i ka wā hana. ʻAʻole pinepine nā kauka i loko o ka lumi a hiki i ka wā ma mua o ka manawa e pahu ai. Aia ka [tag-tec] palekeiki [/tag-tec] me ʻoe i ka wā o ka hana a me ka hānau ʻana. I ka wā o ka hānau ʻana, liʻiliʻi paha kāu mau hana me kahi pale keiki. Eia hou, e loaʻa iā ʻoe nā koho ʻē aʻe no nā kūlana hānau ma mua o ka ʻae ʻana o ka hapa nui o nā kauka, e like me ka squatting, kahi noho [tag-ice]birth[/tag-ice] a i ʻole ma nā ʻehā āpau. Inā kū mai ka pilikia a i ʻole ka pilikia, ʻo ka hapa nui o nā palekeiki e hana pū me ke kauka no ke kākoʻo.
Ke ano o na palekeiki
He kahu hānai i kākau inoa ʻia ʻo Certified Nurse Midwife (CNM) a me ke kula puka kula midwifery. Ua hōʻoia ʻia kēia ʻano pale keiki ma o ke Kulanui o nā kahu hānai ʻAmelika. Ua laikini ʻia lākou e ka mokuʻāina. Hana kekahi ma ka hana pilikino a ʻo kekahi ma ka hoʻomaʻamaʻa me nā obstetricians. Hāʻawi ka hapa nui o nā CNM i nā haukapila a i ʻole nā hale hānau.
Ua puka 'o 'Acertified Professional Midwife (CPM) mai ke kula midwifery, akā 'a'ole ia he kahu kahu. Ua loaʻa iā ia ke kula a me ka ʻike lapaʻau. Hoʻopaʻa ʻia kahi CPM ma o ka North American Registry of Midwives. Loaʻa i kekahi mau mokuʻāina nā papahana laikini no kēia ʻano pale keiki a ʻaʻole kekahi. Hana ka hapa nui ma nā kikowaena hānau a hāʻawi paha i nā hānau hānau home.
Loaʻa paha i ka Midwife Direct Entry Midwife (DEM) nā ʻano hoʻonaʻauao a me nā ʻike hoʻomaʻamaʻa. ʻO ka mea maʻamau, ua hana kēia ʻano palekeiki i kahi haʻawina nui me kahi pale keiki akamai. E nīnau e pili ana i kāna hoʻonaʻauao, hoʻomaʻamaʻa ʻana a me kāna ʻike, ʻoiai ʻokoʻa lākou. ʻAʻole ʻae kekahi mau mokuʻāina i ka laikini a i ʻole ka hōʻoia ʻana o DEM. Hele ka hapa nui o kēia mau palekeiki i ka hānau ʻana ma ka home.
Hanau me ke Kauka
ʻIke ka hapa nui o nā wahine i kahi obstetrician no [tag-self] mālama prenatal [/tag-self]. ʻO ka OB GYN ka mea maʻamau e hānai wale i loko o kahi haukapila. I nā manawa he nui, aia kekahi mau kauka e hana pū ana. I loko o ka hāpai ʻana, e ʻike ʻoe i nā kauka āpau i ka hana. Ke hele ʻoe i ka hānau keiki, e kiʻi ʻoe i ke kauka e hoʻopuka i kāu pēpē. ʻO kēia ka hopena i ka liʻiliʻi o ka mālama pilikino ma mua o ka pale keiki, no ka mea ke ʻike nei ʻoe i nā mea lawelawe like ʻole. I ka wā hana, e hāʻawi nā kahu hānai i ka hapa nui o kāu mālama. E komo mai ke kauka ma mua o ka manawa e pahu ai.
Loaʻa nā pono a me nā pōʻino i ka hele ʻana o ke kauka i kou hānau ʻana. E mālama ʻia kāu [tag-cat] hāpai [/tag-cat] a me kou hānau ʻana me ke kauka. Loaʻa paha iā ʻoe nā hana hou aʻe, e like me IVs, Pitocin, ka nānā ʻana i ka fetal mau a me nā ʻāpana c me ke kauka. ʻO ka pōmaikaʻi nui loa o ke kauka, ʻo ia ka ʻike inā loaʻa iā ʻoe kahi pilikia i ka wā hāpai a i ʻole ka hānau ʻana. Inā pilikia nui ʻoe, pono paha ʻoe e ʻike i kahi obstetrician. ʻO nā wahine makemake i ka hoʻomaha ʻeha a i ʻole ka epidural e koho pinepine i kahi OB GYN no ka mālama.
Nā nīnau e nīnau i ke kauka a i ʻole ka pale keiki
- Ma hea i loaʻa ai kāu hoʻonaʻauao a aʻo ʻana paha?
- Ma hea ʻoe e hānai ai i nā pēpē?
- He aha ka ho'āʻo prenatal āu e hāʻawi mau ai?
- E hoʻokomo anei ʻoe iaʻu i nā hoʻoholo e pili ana i kaʻu mālama?
- Makemake paha ke kanaka e nānā, kūkākūkā a mahalo i kāu papahana hānau?
- He aha ka pakeneka o nā maʻi i pau i ka pauku c?
- Pehea kou manaʻo e pili ana i ka hānai?
- E lawe ʻia paha ke pēpē no ka loiloi a mālama ʻia paha i loko o ka lumi me aʻu?
- He aha nā hana i hoʻohana mau ʻia i ka wā hana a me ka hānau ʻana?
- Pehea kou manaʻo e pili ana i nā poʻe maʻi e hōʻole i kekahi hoʻokolohua prenatal?
- Hana mau ʻoe i nā episiotomy?
- He aha ke ʻano o nā papa hānau āu e paipai ai?
- Hiki i ka papa ke ʻoki i ke kaula ma hope o ka hānau ʻana?
- He aha ka protocol no ka hoʻoulu ʻana i ka hana?
- He aha kāu manaʻo no ka hānau keiki?
Kawaihae
He mea kākau kūʻokoʻa ʻo Patricia Hughes a he makuahine o ʻehā. Loaʻa iā Patricia kahi kēkelē laepua ma ke kula haʻahaʻa mai Florida Atlantic University. Ua kākau nui ʻo ia e pili ana i ka hāpai ʻana, ka hānau ʻana, ka hānai ʻana a me ka hānai ʻana. Eia kekahi, ua kākau ʻo ia e pili ana i ka hoʻonaninani home a me ka huakaʻi.
ʻAʻole hiki ke kope a paʻi hou ʻia kekahi ʻāpana o kēia ʻatikala ma kekahi ʻano me ka ʻae ʻole o More4Kids Inc © 2006 All Rights Reserved
Hoʻohui Comment