Ma ka hana anei wau?

Inā ʻaʻole ʻoe i hānau ma mua, manaʻo paha ʻoe e ʻike wale ana ʻoe ke hiki mai ka manawa. I ka ʻoiaʻiʻo, ʻaʻole maʻalahi ka ʻike i ka wā e hana ana ʻoe. Hiki i nā ʻanuʻu ke alakaʻi i ka hana ke kauō no nā lā.

E hoʻomanaʻo i kou lā palena pau he manaʻo maʻamau wale ia o ka hoʻomaka ʻana o kāu hana. Hiki ke hoʻomaka ka hana maʻamau i kēlā me kēia manawa ma waena o 3 mau pule ma mua a me 2 mau pule ma hope o kēia lā.

ʻO ka hapa nui o nā wahine hāpai e ʻike i nā huikau haʻahaʻa ma mua o ka hoʻomaka ʻana o ka hana maoli. Kapa ʻia kēia mau mea ʻo Braxton Hicks ʻaelike, ka mea:

• Pōkole paha
• ʻAʻole ʻeha
• Mai hele mai i nā manawa mau
• ʻAʻole hele pū me ke kahe ʻana o ke kahe, kahe ʻana o ka wai, a i ʻole ka hoʻemi ʻana i ka neʻe fetal

Kapa ʻia kēia pae he "prodromal" a i ʻole "hana latent" hana.

Uila. Hana ʻia kēia ke "kulu" ke poʻo o kāu pēpē i kāu pelvis.

• E nānā ana kou ʻōpū i lalo. E maʻalahi ʻoi aku iā ʻoe i ka hanu ʻana no ka mea ʻaʻole kaomi ka pēpē i kou mau māmā.
• Pono paha ʻoe e mimi pinepine aʻe no ka mea ke kaomi nei ka pēpē i kāu ʻōpū.
• No nā makuahine mua, hana pinepine ka uila i kekahi mau pule ma mua o ka hānau ʻana. No nā wahine i hānau pēpē ma mua, ʻaʻole hiki ke hana ʻia a hoʻomaka ka hana.

Hōʻike koko. Inā loaʻa iā ʻoe ke koko a me ka brownish hoʻokuʻu mai kāu ʻōpala, ʻo ia paha ka hoʻomaka ʻana o kou cervix e hoʻonui. ʻIke ʻia ke plug mū nāna i hoʻopaʻa i kou ʻōpū no 9 mau mahina i hala. He hōʻailona maikaʻi kēia. Akā he mau lā ka lōʻihi ka hana hana.

Neʻe iki kāu pēpē. Inā ʻoluʻolu iki kou neʻe ʻana, kāhea aku i kāu kahu mālama ola, no ka mea ʻo kekahi manawa ua hoʻemi ʻia ka neʻe ʻana hiki i ke ʻano pilikia o ka pēpē.

Haki kou wai. Ke haki ka ʻeke amniotic (ʻeke wai a puni ka pēpē), ʻike ʻoe i ka liu o ka wai mai kāu ʻōpala. E puka paha i loko o kahi trickle a gush paha.

• No ka hapanui o nā wahine, hele mai nā mea hōʻemi i loko o 24 mau hola ma hope o ka haki ʻana o ka ʻeke o ka wai.
• ʻOiai ʻaʻole hoʻomaka ka hoʻohaʻahaʻa, e hoʻomaopopo koke i kāu mea hāʻawi i kou wā i manaʻo ai ua haki kāu wai.

Pohā. Nui ka makemake o kekahi mau wahine e hele i ka lua i ka lua i ka wā e hoʻopau ai ka ʻōpū. Inā kū kēia a ʻoi aku ka loiloi o kāu mau noho ma mua o ka maʻamau, e hele ana paha ʻoe i ka hana.

Pūnana ʻAʻohe ʻepekema ma hope o ke kumumanaʻo, akā nui ka manaʻo o nā wahine i ka makemake nui e "pūnana" ma mua pono o ka hoʻomaka ʻana o ka hana. Inā ʻoe e ʻike i ka pono e hoʻoneʻe i ka hale holoʻokoʻa ma ka hola 3, a i ʻole hoʻopau i kāu hana ma ka hānai pēpē, e hoʻomākaukau ana paha ʻoe no ka hana.

I ka hana maoli,

• E hele mau a kokoke pū
• ʻO ka hope loa mai 30 a 70 kekona, a e lōʻihi hou aku
• ʻAʻole kū, ʻaʻohe mea āu e hana ai
• Hōʻaho (hiki) i kou kua i lalo a me luna o kou ʻōpū
• E hele a ikaika a ikaika paha i ka hala ʻana o ka manawa
• Hana hiki ʻole iā ʻoe ke kamaʻilio me nā poʻe ʻē aʻe a ʻakaʻaka paha i kahi ʻōlelo hoʻomākeʻaka

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Ke kahe amniotic wai
• Hoemi i ka neʻe fetal
• ʻO nā kahe koko ʻē aʻe ma mua o ka ʻike ʻana o ka mālamalama
• ʻO nā kuʻina maʻamau, ʻehaʻeha i kēlā me kēia 5 a 10 mau minuke no 60 mau minuke

Kāhea aku no nā kumu ʻē aʻe inā ʻaʻole ʻoe e maopopo pono i ka mea e hana ai.

Hana hoʻopunipuni; Pākuʻi ʻo Braxton Hicks; Ka hana Prodromal; Hana luhi; Hāpai keiki - hana

Kilatrick S, Garrison E, Fairbrother E. Ka hana maʻamau a me ka lawe ʻana. 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 11.

ʻO Thorp JM, Grantz KL. ʻO nā ʻaoʻao Clinical o ka hana maʻamau a maʻamau. I: Resnik R, Iams JD, 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 43.

• Hānau keiki