Ke kiaʻi ʻana i kāu pēpē ma mua o ka hana

ʻOiai ʻoe e hāpai ana, hiki i kāu mea mālama ola ke hana i nā hoʻokolohua e nānā i ke olakino o kāu pēpē. E hana ʻia paha nā hoʻokolohua i kēlā me kēia manawa ke hāpai ʻoe.

Pono paha nā hoʻāʻo no nā wahine i:

• Loaʻa i kahi hāpai hāpai kiʻekiʻe
• Loaʻa i ke ʻano olakino, e like me ka maʻi kō
• Ua loaʻa nā pilikia i kahi hāpai mua
• Loaʻa i kahi hāpai hāpai e ʻoi aku ka lōʻihi ma mua o 40 mau pule (hala hope)

E hana ʻia paha nā hoʻokolohua ma mua o hoʻokahi manawa i hiki i ka mea hāʻawi ke nānā i ka holomua o ka pēpē i ka holo ʻana o ka manawa. E kōkua lākou i ka mea hāʻawi i nā pilikia a i ʻole nā ​​mea maʻamau ʻole (ʻokoʻa). E kamaʻilio i kāu mea hāʻawi e pili ana i kāu mau hoʻāʻo a me nā hopena.

E piʻi ana ka puʻuwai o ke pēpē olakino i kēlā me kēia manawa. I ka wā o ka hoʻokolohua koʻikoʻi ʻole (NST), e nānā kāu mea nāna e ʻike inā ʻoi aku ka wikiwiki o ka naʻau o ka pēpē i ka wā hoʻomaha a neʻe paha. ʻAʻole ʻoe e loaʻa nā lāʻau i kēia hoʻāʻo.

Inā ʻaʻole piʻi ka puʻuwai o ka pēpē iā ia iho, noi ʻia ʻoe e ʻānai i kou lima ma luna o kou ʻōpū. E ala paha kēia i kahi pēpē hiamoe. Hiki ke hoʻohana ʻia i kahi hāmeʻa e hoʻouna i kahi walaʻau i loko o kou ʻōpū. ʻAʻole ia e hōʻeha i kekahi ʻeha.

E hoʻopili ʻia ʻoe i kahi monitor fetal, kahi mea nānā naʻau no kāu pēpē. Inā piʻi ka puʻuwai o ka pēpē i kēlā me kēia manawa, e maʻamau paha nā hopena hōʻike. ʻO nā hopena NST e hana hou ke ʻano o ka piʻi ʻana o ka puʻuwai o ka pēpē i ka maʻamau.

ʻO nā hopena non-reactive ʻaʻole i lawa ka piʻi o ka puʻuwai o ka pēpē. Inā ʻaʻole lawa ka nui o ka naʻau, pono ʻoe i nā hoʻokolohua hou aku.

ʻO kekahi huaʻōlelo āu e lohe ai no kēia hopena hoʻāʻo ʻana he mahele ʻana o 1, 2, a i ʻole 3.

• Mahele 1 ʻo ia ka hopena maʻamau.
• Mahele 2 ʻo ia ka mea e pono ai ka nānā hou ʻana a i ʻole ka hoʻāʻo ʻana.
• ʻO ka mahele 3 maʻamau ka manaʻo o kāu kauka e hāʻawi koke aku.

Inā ʻaʻole maʻamau nā hopena NST, pono ʻoe iā CST. E kōkua kēia hōʻoia i ka mea hāʻawi e ʻike i ka maikaʻi o ka hana a ka pēpē i ka wā o ka hana.

Hoʻoikaika ka hana no ka pēpē. ʻO kēlā me kēia kuʻina ke kumu e loaʻa ai ka liʻiliʻi o ke koko a me ka oxygen no ka manawa pōkole. No ka hapanui o nā pēpē ʻaʻole pilikia kēia. Akā paʻakikī kekahi mau pēpē. Hōʻike kahi CST pehea ka hopena o ka puʻuwai o ka pēpē i ke koʻikoʻi o ka hoʻoliʻiliʻi.

E hoʻohana ʻia kahi mea nānā fetal. Hāʻawi ʻia ʻoe i ka oxytocin (Pitocin), kahi hōmona e hana i ka ʻaelike uterus. E like nā kuʻikahi me nā mea āu e loaʻa ai i ka wā o ka hana, ʻoi aku ka māmā. Inā lohi ka puʻuwai o ka pēpē ma mua o ka wikiwiki ma hope o ka hōʻemi ʻana, loaʻa paha i nā pēpē nā pilikia i ka wā o ka hana.

I kekahi mau keʻena, ʻoiai e kiaʻi ʻia ana ka pēpē, e ʻōlelo ʻia paha ʻoe e hāʻawi i ka stimulus nipple mālie. Alakaʻi pinepine kēia hoʻonāukiuki i kou kino e hoʻokuʻu i nā liʻiliʻi o ka oxytocin e hana ai i ka ʻaelike uterus. Nānā ʻia ka nui o ka naʻau o ka pēpē i ka wā o nā pāʻina hopena.

ʻIke ka hapa nui o nā wahine i ka hōʻoluʻolu haʻahaʻa i kēia hōʻike, akā ʻaʻole ʻeha.

Inā kūleʻa nā hopena, e ʻae paha kāu kauka iā ʻoe i ka haukapila e lawe i ka pēpē i ka wanaʻao.

ʻO kahi BPP kahi NST me kahi ultrasound. Inā ʻaʻole hana hou nā hopena NST, hana ʻia kahi BPP.

Nānā ka BPP i ka neʻe ʻana o ka pēpē, ke kani o ke kino, ka hanu ʻana, a me nā hopena o ka NST. Nānā pū ka BPP i ka wai amniotic, ʻo ia ka wai e hoʻopuni i ka pēpē i ka pūpū.

Hiki i nā hopena hōʻike BPP ke maʻamau, maʻamau, a maopopo ʻole paha. Inā maopopo ʻole nā ​​hopena, pono paha ʻoe e hana hou i ka hōʻike. ʻO nā hopena maʻamau a maopopo ʻole paha e pono e hānau pēpē i ka wanaʻao.

ʻO kahi MBPP kahi NST me kahi ultrasound. Ke nānā wale nei ka ultrasound i ka nui o ka wai amniotic. ʻOi aku ka manawa o ka hōʻike MBPP ma mua o kahi BPP. Manaʻo paha kāu kauka ua lawa ka hōʻike MBPP e nānā i ke olakino o ka pēpē, me ka hana ʻole ʻana i kahi BPP piha.

I kahi hāpai olakino, ʻaʻole paha e hana ʻia kēia mau hoʻāʻo. Akā pono paha ʻoe i kekahi o kēia mau hoʻāʻo inā:

• He pilikia olakino kou
• Loaʻa iā ʻoe ka hiki no nā pilikia hāpai (hāpai keiki kiʻekiʻe)
• Ua hala ʻoe i hoʻokahi pule a ʻoi paha i hala kāu lā palena pau

E kamaʻilio i kāu mea hāʻawi e pili ana i nā hoʻokolohua a me nā manaʻo o nā hopena iā ʻoe a me kāu pēpē.

Mālama hānau - nānā; Mālama hāpai keiki - ka nānā ʻana; Hōʻike hoʻohaʻahaʻa ʻole - ka nānā ʻana; NST- ka nānā ʻana; Hōʻike hoʻohaʻahaʻa hoʻohaʻahaʻa - nānā; CST- ka nānā ʻana; Kaha Biophysical - nānā; BPP - nānā

Greenberg MB, Druzin ML. ʻO ka loiloi fetal Antepartum. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 27.

Kaimal AJ. Ka loiloi i ke olakino fetal. I: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 34.

• Hōʻikeʻike Prenatal