Nā hōʻailona o ka hana mua

na Patricia Hughes

ʻO ka hana mua a i ʻole ka hana mua e pili ana i ka 12 pakeneka o nā pēpē i hānau ʻia i kēlā me kēia makahiki ma ʻAmelika Hui Pū ʻIa, e like me nā helu mai ka Malaki o Dimes. Hoʻokaʻawale ʻia ka hana mua ma ke ʻano he hana e hoʻomaka ana ma mua a ma mua paha o ka 36^th pule o ka hapai. ʻO ka hapa nui o nā hānau hānau mua ma hope o 32 mau pule, akā 6% o nā hānau mua a pau e hana ʻia e ka 28.^th pule o ka hapai. He mea koʻikoʻi ka ʻike mua ʻana i nā kauka e hoʻōki i ka hana a i ʻole e hāʻawi i nā lāʻau lapaʻau e ola ai ke pēpē a me ka makuahine.

Aia kekahi hōʻailona hōʻailona o ka hana mua. ʻO kekahi mau mea e nānā ai:

Nā ʻelike aelike he ʻumi minuke ke kaʻawale ʻana he hōʻailona o ka hana mua ʻana a hiki ke maʻalahi i ka hoʻomaka ʻana e huikau me nā ʻokiʻoki Braxton Hicks, a i ʻole ka hana hoʻopunipuni. Hiki i kēia mau hoʻopaʻapaʻa ke loaʻa a ʻaʻole paha he mau manawa maʻamau, akā inā loaʻa iā ʻoe ma kahi o ʻehā a ʻelima paha i ka hola, e kelepona i kāu kauka a kahu hānai paha.

Pākī: Hiki ke ʻokoʻa ke ʻano o ka ʻeha a i ʻole ka ʻeha o ka ʻōpū, ma muli o ke kanaka. I nā manawa he nui, ua wehewehe ʻia kēia e like me ka cramping i ʻike ʻia i ka wā maʻamau.

hookuuia: Loaʻa ka hapa nui o nā wahine hāpai i ka hoʻokuʻu ʻana i ko lākou wā hāpai. ʻO nā hoʻololi o ka hoʻoheheʻe ʻana, ʻoi aku ka wai maʻemaʻe, ka ʻike a i ʻole ke kahe ʻana o ke koko, pono e hōʻike koke ʻia i kāu kauka a kahu hānai paha. Pono e hōʻike ʻia kekahi pohō wai i kāu mea mālama ola. Manaʻo hewa kekahi mau wahine e ʻike lākou i ke kahe ʻana o ka wai ke haki nā membrane, akā hiki ke kahe mālie, inā paʻa ke poʻo o ka pēpē.

Hoʻomaʻi: ʻO kekahi mau maʻi, ʻo ia hoʻi ka Beta strep, nā maʻi urinary tract a me nā maʻi i hoʻouna ʻia i ka moekolohe hiki ke hana i kahi hana i ka hānau mua ʻana. ʻO ke ala maikaʻi loa e hōʻemi ai i kēia pilikia, ʻo ia ka mālama ʻana i nā maʻi, e hōʻike i nā hōʻailona i ke kauka a me kāu mea mālama ola e nānā pono iā ʻoe no nā hōʻailona o ka hana mua.

ʻEha hope haʻahaʻa: ʻO ka ʻeha hope haʻahaʻa he hōʻailona mua ia o ka hana mua ʻana, a me ka hōʻoluʻolu o ka hāpai ʻana. Pono e hōʻike i kāu kauka i ka ʻeha hope haʻahaʻa, no ka mea he hōʻailona ia o ka hana mua. ʻO ka mea i kuhi hewa ʻia i kekahi manawa no ka ʻeha maʻamau hiki ke lilo i ka hana hope.

Kaomi: ʻO ka manaʻo paʻakikī i loko o ke pelvis a i ʻole ka ʻōpū he hōʻailona o ka hana mua. ʻO ka manaʻo ʻana i ke kaomi ʻana o ka pēpē i lalo a i ʻole ka manaʻo ʻana i ka hāʻule ʻana o ka pēpē i loko o ke pelvis ma mua o ka makahiki 36^th ʻO ka pule o ka hāpai ʻana he hōʻailona ia e hiki koke mai ana nā mea. E hōʻike i kēia mau hōʻailona i kāu kauka a kahu hānai paha.

Inā hoʻololi ka neʻe o ka pēpē i ke ʻano, ʻoi aku ka emi ʻana o ka neʻe ʻana, e hoʻomaopopo pū i kāu kauka. E hōʻike koke i kekahi o kēia mau hōʻailona i kāu mea mālama ola. Mai hopohopo ua hoʻohalahala ʻoe. ʻOi aku ka maikaʻi o ka hoʻomāhuahua ʻana ma mua o ka hana mua ʻana a ʻae ʻia e hoʻomau i ka mālama ʻole ʻia.

Nā mea pilikia o ka hana ma mua

ʻOiai ma kahi o 40 pakeneka o ka hānau mua ʻana ʻaʻohe wehewehe, aia kekahi mau mea pilikia e hoʻonui ai i ka hana mua. ʻO kekahi o kēia mau mea pili i ka pēpē a ʻo nā mea ʻē aʻe he mau kumu pilikia o ka makuahine. ʻO nā kūlana fetal e hoʻonui ai i ka pilikia o ka hānau mua ʻana, ʻo ia hoʻi ka loaʻa ʻana o ka nui o ka hāpai ʻana, nā mea ʻino ʻole o ka hānau ʻana i ka pēpē a me ka make ʻana o ka fetal e hopena pinepine i ka hana hānau mua. ʻO nā wahine me ka nui o ka hāpai ʻana, ka lawe ʻana i nā pēpē me nā maʻi ʻole o ka hānau ʻana, ʻo ka poʻe i loaʻa i ka mōʻaukala o ka hana mua a i ʻole nā ​​​​mea pilikia ʻē aʻe e ʻoi aku ka nānā ʻana i ka pēpē i ka wā hāpai.

Aia kekahi mau mea e hoʻonui ai i ka pilikia o ka makuahine i ka hānau mua. ʻO kekahi mau maʻi e hiki ke hoʻonui i ka pilikia o ka hana mua ʻana, ʻo ia nā mea ʻino o ka ʻōpū a i ʻole ka ʻōpū, nā membrane i haki ʻia, nā maʻi, nā mea ʻino o ka placenta, e like me ka placental abruption a i ʻole placenta previa. ʻO kekahi mau ʻano o ka nohona, e like me ka hoʻohana ʻana i ka lāʻau lapaʻau a me ka puhi paka ʻana o ka makuahine e hoʻonui i ka pilikia o ka hana mua. Kūkākūkā ākea i nā pilikia me kāu mea mālama ola, no laila hiki iā ʻoe ke nānā pono a loaʻa nā pilikia ma mua.

He aha?

Inā loaʻa iā ʻoe nā hōʻailona o ka hana hānau mua, e kelepona koke i kāu kauka a kahu hānai paha. E hoʻouna ʻia paha ʻoe i ke keʻena hana a me ka lawe ʻana o kāu haukapila no kahi loiloi piha. Hiki ke ʻokoʻa nā ʻanuʻu kūpono, e like me nā kūlana, akā ʻo kekahi mau mea loiloi maʻamau e pili ana i ka nānā ʻana i ka fetal electronic, ka nānā ʻana i ka pūpū, ka hoʻāʻo ʻana no ka hele ʻana o ka wai amniotic a me ka ultrasound.

Hāʻawi ka March of Dimes i kēia lima alakaʻi i nā hōʻailona o ka hana hānau mua, nā lāʻau lapaʻau a me nā mea e hana ai inā manaʻo ʻoe e loaʻa ana ʻoe i ka hana hānau mua.

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.