Hāpai - Midwife a ʻAʻole paha?

ʻO ka mea mua, he aha ka pale keiki? No nā keneturi, ʻo ka hānau ʻana he mea paʻa loa ia ma waena o ka wahine hāpai a me ka pale keiki. ʻAʻole naʻe i nā manawa a pau, kōkua pinepine ka waena wahine i ka hana hānau. Ua hana pinepine ʻia ka hana e kekahi wahine ʻelemakule i ʻike mua iā ia iho i ka hānau ʻana. Hāʻawi ʻo ia i ka hōʻoluʻolu, ka ʻike olakino e pili ana i ka ʻike maoli a me ka lua o nā lima i ka manawa koʻikoʻi.

Me ka piʻi ʻana o nā obstetrics i ke kenekulia 19, ua lilo ka midwifery i mea maʻamau, aneane nalowale mai ka hana hānau ʻana ma US, koe wale nō i nā kūlana o ka ʻilihune hohonu a i ʻole ka noho kaʻawale ʻāina. I nā makahiki i hala iho nei, ua piʻi hou ma kahi ʻano hou kahi i hāʻawi pinepine ʻia nā pale keiki i nā kahu hānai me ka ʻike lapaʻau kuʻuna.

ʻOiai ua hana mua ʻia ka pale keiki ma ka home, ua hoʻokō ka poʻe loea hou i kā lākou hana ma nā halemai kokoke i kēia lā. Nui nā wāhine i makemake e loaʻa nā lawelawe o ka pale keiki, akā e hoʻohana mau ana iā lākou iho i nā pono o ka lāʻau lapaʻau hou i loko o ka halemai kahiko.

I ka hapa nui o ka hānau ʻana, pono ka pale keiki e hana liʻiliʻi i ka hana. Hāʻawi ʻo ia i ka hōʻoiaʻiʻo, ka lima e paʻa a me ka 'inikua' ma ke ʻano o ka hōʻike ʻana i ka wahine, inā e kū mai ka pono, ua kokoke mai kahi loea. Akā ʻoi aku ko lākou hele ʻana a me kā lākou hana ma mua o ka hana.

Loaʻa nā pale keiki no nā kipa ma mua o ka hānau ʻana, a hāʻawi lākou i nā ʻōlelo aʻo hoʻokahi-a-hoʻokahi, e like me ka hana ʻana o ka obstetrician - ʻoiai pinepine i nā uku haʻahaʻa. Aia lākou ma laila no ka nui o ka manawa i ka wā o ke kaʻina holoʻokoʻa, pū kekahi, ke hoʻomaka ka hana. ʻOi aku ka nui o nā poʻe maʻi obstetrician ma mua o ka hiki ke mālama ʻia e kekahi kanaka hoʻokahi, ʻoiai e hana ana i nā hola 14 a ʻoi aku paha nā lā (e like me ka nui o lākou). Hiki i ka pale keiki ke hāʻawi wale i ka manaʻo i ka wahine i ka wā hana.

Aia lākou ma laila i ka hoʻomaka ʻana o ke kaʻina hana hānau, hoʻomau a hiki i ka pau ʻana o ka hānau ʻana. ʻO ka loaʻa ʻana o kahi loea lapaʻau hilinaʻi a ʻike ma ka ʻaoʻao moe no ka manawa holoʻokoʻa he mea hōʻoluʻolu nui ia i nā mea he nui. He ʻoiaʻiʻo loa ia no nā makuahine mua, no lākou ka ʻike makaʻu maoli.

Loaʻa i nā palekeiki ka ʻike lapaʻau a me ka ʻenehana i loaʻa e mālama i kekahi kūlana. ʻO ka hānau hānau ʻana, preclampsia a me nā pilikia ʻē aʻe ʻaʻole ia he mea hou i ka pale keiki maikaʻi. Hiki iā lākou ke hana i nā hoʻokolohua e pono ai - no ka pae hao, ke koko a me nā mea like. A hiki iā lākou ke ʻimi i ke kōkua hou aku, e hana ana ma ke ʻano he kamaʻilio loea i ka wā e loaʻa ai i ka wahine nā mea ʻē aʻe i kona manaʻo. Loaʻa i nā pale keiki a pau ka pilina hana me ke kahu hānai.

Hiki ke loaʻa nā pale keiki ma o nā ʻōlelo aʻoaʻo mai nā hoaaloha a i ʻole hiki iā ʻoe ke ʻimi i kekahi ma ke kelepona ʻana i ka American College of Nurse Midwives ma Wakinekona, DC. He wahi maikaʻi ka pūnaewele ACNM (http://www.acnm.org/) e hoʻomaka ai i kāu hulina.