Nā ʻanuʻu e lawe ai ma mua o kou hāpai ʻana

ʻO ka hapa nui o nā wahine ʻike pono lākou e ʻike i ke kauka a i ʻole ka palekeiki a hoʻololi i ka nohona ke hāpai. Akā, he mea nui ia e hoʻomaka i nā hoʻololi ʻana ma mua o kou hāpai ʻana. E kōkua kēia mau kaʻina iā ʻoe e hoʻomākaukau iā ʻoe iho a me kou kino no ka hāpai ʻana a hāʻawi iā ʻoe i kahi manawa kūpono o ka loaʻa ʻana o kahi pēpē olakino.

E ʻike i kāu kauka a i ʻole hoʻopōpō ma mua o kou hāpai ʻana. ʻOiai inā ʻoe he olakino a mākaukau ʻoe no kahi hāpai keiki, hiki i kāu kauka a i ʻole ka palekeiki ke hana i ka mea nui ma mua o ka manawa e kōkua iā ʻoe e hoʻomākaukau.

• E kūkākūkā kāu kauka a i ʻole ka palekeiki i kāu olakino o kēia manawa, kāu mōʻaukala olakino, a me ka mōʻaukala olakino o kou ʻohana. Hiki ke hoʻoili ʻia kekahi mau pilikia olakino i kou ʻohana i kāu poʻe keiki. E kuhikuhi paha kāu kauka iā ʻoe i kahi kākāʻōlelo aʻoaʻo.
• Pono paha ʻoe i nā hoʻokolohua koko, a i ʻole loaʻa paha ʻoe i nā lāʻau lapaʻau ma mua o kou hāpai ʻana.
• E kamaʻilio pū kāu kauka a palakiiki paha iā ʻoe e pili ana i nā lāʻau, nā mea kanu, a me nā mea hoʻopiha āu e lawe ai. Hiki iā lākou ke hoʻopili i kahi pēpē i hānau ʻole ʻia. Hiki i kāu kauka olakino ke koi i nā loli i mua o kou hāpai ʻana.
• ʻO nā pilikia olakino lōʻihi, e like me ka hānō a i ʻole ka maʻi kō, e kūpaʻa ma mua o kou hāpai ʻana.
• Inā nui ʻoe i ka momona, e paipai kāu mea hāʻawi i ka lilo o ka paona ma mua o ka hāpai ʻana. ʻO ka hana ʻana pēlā e hōʻemi ai i kou pilikia i nā pilikia ma ka hāpai ʻana

Inā puhi ʻoe, inu inu ʻona, a hoʻohana i nā lāʻau, pono ʻoe e kū ma mua o kou hāpai ʻana. Hiki iā lākou:

• E hoʻonui iā ʻoe i ka hāpai ʻana
• Hoʻonui i ka manawa o ka hāpai keiki ʻana (lilo ka pēpē ma mua o kona hānau ʻia ʻana)

Inā makemake ʻoe i kōkua e haʻalele i ka puhipaka, ʻalekohola, a i ʻole nā ​​lāʻau, e kamaʻilio me kāu kauka a i ʻole ka palekeiki.

Hiki i ka waiʻona ke hoʻopōʻino i kahi fetus e ulu nei (pēpē hānau ʻole), ʻoiai i nā liʻiliʻi. ʻO ka inu ʻana i ka wai ʻona ʻoiai ʻoe e hāpai ana ke kumu o nā pilikia lōʻihi no kāu pēpē, e like me ke kīnā ʻole o ka ʻike, nā pilikia pili i ke ʻano, ke kīnā o ke aʻo ʻana, a me nā hemahema o ka maka a me ka puʻuwai.

Maikaʻi ʻole ka puhipaka no nā pēpē i hānau ʻole ʻia a waiho i kāu keiki i kahi makaʻu nui i nā pilikia olakino ma hope o ke ola.

• ʻO nā wahine puhipaka i ka wā o ka hāpai keiki e loaʻa paha kahi pēpē me ke kaona hānau haʻahaʻa.
• ʻO ka puhihihi kekahi mea paʻakikī iā ʻoe e ola mai kou hāpai ʻana.

ʻO nā lāʻau i kauoha ʻole ʻia e ke kauka (me nā lāʻau lapaʻau o ke alanui) hiki ke weliweli iā ʻoe e lawe i kēlā me kēia manawa o kou ola.

E ʻoki pū ʻoe i ka caffeine ke hoʻāʻo ʻoe e hāpai. ʻO nā wahine e ʻai i kēlā me kēia lā ma mua o 2 mau kīʻaha (500 mL) o ke kofe a i ʻole 5 kēpau (2 L) o ka soda i loaʻa ka caffeine i ʻoi aku ka paʻakikī i ka hāpai ʻana a me ka manawa nui o ka hāpai keiki ʻole.

Palena i nā lāʻau kūpono ʻole a i ʻole nā ​​mea hoʻopili. Kūkākūkā me kāu mea hoʻolako e pili ana i nā lāʻau i kuhikuhi ʻia a me nā lāʻau lapaʻau a me nā mea hoʻopihapiha āu e lawe ai ma mua o kou hoʻāʻo ʻana e hāpai. ʻO ka hapa nui o nā lāʻau i kekahi mau pilikia, akā he nui nā mea ʻike ʻole ʻia a ʻaʻole i aʻo ʻia me ka maikaʻi no ka palekana. Inā ʻaʻole pono loa nā lāʻau a i ʻole nā ​​mea hoʻopili, mai lawe iā lākou.

Mālama a paio paha i kahi kaumaha o ke kino olakino.

ʻO ka papaʻai kaulike maikaʻi mau nāu. E hāhai i ka papaʻai olakino ma mua o kou hāpai ʻana. ʻO kekahi mau alakaʻi maʻalahi:

• E hoʻemi i nā calorie nele, nā mea ʻono hana, a me ka caffeine.
• ʻAi i nā meaʻai i kiʻekiʻe i ka protein.
• Nā huaʻai, nā lau, nā hua, a me nā huahana waiū e hōʻola ai iā ʻoe ma mua o kou hāpai ʻana.

ʻO kahi lawaiʻa lawaiʻa ʻana o ka iʻa e kōkua iā ʻoe a me kāu pēpē i ke olakino. Ua ʻōlelo ʻo ka FDA he "ʻāpana kahi iʻa o ka papaʻai olakino maikaʻi." Loaʻa i kekahi ʻano iʻa iʻa ke mercury a ʻaʻole pono e ʻai ʻia i ka nui. Pono nā wahine hāpai:

• E ʻai a i 3 mau lawelawe iʻa i ka pule o 4 auneke (ʻoz) i kēlā me kēia.
• Hōʻalo i nā iʻa kai nui, e like me ka manō a me ke tilefish.
• E kaupalena i ka lawe ʻana o ke tuna i 1 kē kēa (85 g) o nā ʻāpala keʻokeʻo a i ʻole 1 kēpau tuna i kēlā me kēia pule, a i ʻole 2 kini (170 g) o nā tuna māmā i kēlā me kēia pule.

Inā he underweight a momona paha ʻoe, ʻoi aku ka maikaʻi e hoʻāʻo e hōʻea i kāu kaupaona maikaʻi ma mua o kou hāpai ʻana.

• ʻO ka keu kaupaona i ka wā o ka hāpai ʻana e hoʻonui i kou mau manawa o nā pilikia, e like me ke kiʻekiʻe o ke koko, diabetes, hānau ʻole, hānau hānau, nā kīnā hānau, a me kahi hemahema cesarean (C-section).
• ʻAʻole ia he manaʻo maikaʻi e hoʻāʻo e lilo i ka kaumaha i ka wā hāpai. Akā he mea maikaʻi loa e kiʻi i kahi kaumaha o ke kino hāpai hāpai ma mua o ka hāpai ʻana.

E lawe i kahi huaora a me ka mea minamina e hoʻopili ana ma kahi o 0.4 milligrams (400 micrograms) o ka folic acid.

• Hoʻoemi ka Folic acid i ka makaʻu o ka hānau hānau, keu hoʻi nā pilikia me ke kuamoʻo o ka pēpē.
• E hoʻomaka i ka lawe ʻana i kahi wikamina me ka waikawa folic ma mua o kou makemake e hāpai.
• Hōʻalo i nā kiʻekiʻena o nā wikamina, keu hoʻi nā huaora A, D, E, a me K. Hiki i kēia mau wikamina ke hana i nā kīnā hānau inā ʻoe e lawe i nā mea i koi ʻia i kēlā me kēia lā. ʻO nā wanaʻao prenatal hāpai maʻamau ʻaʻohe o nā koina kiʻekiʻe loa o nā wikamina.

ʻO ka hoʻoikaika ʻana ma mua o kou hāpai ʻana e kōkua paha i kou kino e hana me nā loli āpau āu e hele ai i ka wā o ka hāpai ʻana a me ka hana.

ʻO ka hapa nui o nā wahine e hoʻomaʻamaʻa hou hiki ke mālama pono i kā lākou papahana hoʻoikaika o kēia manawa ma loko o kā lākou hapai nui.

A ʻo ka hapa nui o nā wahine, ʻoiai ʻaʻole lākou e hoʻomaʻamaʻa i kēia manawa, pono e hoʻomaka ma kahi papahana hoʻoikaika o 30 mau minuke o ka hoʻoikaika wikiwiki i 5 mau lā i kēlā me kēia pule, ma mua o ka hāpai ʻana a me ka wā hāpai.

ʻO ka nui o ka hoʻoikaika hiki iā ʻoe ke hana i ka wā o ka hāpai ʻana e kau ʻia ma luna o kou olakino holoʻokoʻa a pehea kāu hana ma mua o kou hāpai ʻana. E kamaʻilio me kāu kauka a i ʻole ka palekeiki e pili ana i ke ʻano o ka hoʻoikaika kino, a pehea ka nui, maikaʻi nou.

ʻOiai ʻoe e hoʻāʻo nei e hāpai, e hoʻāʻo e hoʻomaha a hoʻēmi i ke koʻikoʻi i ka hiki. E noi i kāu kauka a i ʻole ka palekeiki e pili ana i nā hana e hōʻemi ai i ke kaumaha. E hoʻomaha nui a hoʻomaha. E maʻalahi paha kēia iā ʻoe e hāpai.

ʻO Cline M, mālama ʻo Young N. Antepartum mālama. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier 2020: e.1-e 8.

ʻO Gregory KD, Ramos DE, Jauniaux ERM. Mālama mua ʻana a me ka mālama mua 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 5.

ʻO Hobel CJ, ʻo Williams J. Antepartum mālama: mālama mua a me ka mālama prenatal, loiloi genetics a me teratology, a me ka loiloi fetal antenatal. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 7.

• Mālama Preconception