Mālama Prenatal i kāu ʻekolu trimester

ʻO Trimester he 3 mau mahina. ʻO kahi hāpai maʻamau ma kahi o 10 mau mahina a he 3 trimesters.

Hiki i kāu mea mālama olakino ke kamaʻilio e pili ana i kou hāpai ʻana i nā pule, ma mua o nā mahina a i ʻole nā ​​trimesters. Hele ke kolu o ka trimester mai ka pule 28 a i ka pule 40.

Lana ka hoʻonui i ka luhi i kēia manawa. Kuhi ʻia ka nui o ka ikehu o kou kino i ke kākoʻo ʻana i kahi fetus e ulu wikiwiki nei. He mea maʻamau ka manaʻo e pono e hōʻemi i kāu mau hana a me kāu ukana hana, a e hoʻomaha iki i ka lā.

ʻO ka puʻuwai puʻuwai a me ka ʻehaʻeha hoʻi nā hoʻopiʻi maʻamau i kēia manawa i ka hāpai ʻana. Ke hāpai ʻoe, lohi kāu ʻōnaehana digestive. Hiki i kēia ke kumu i ka puʻuwai puʻuwai a me ka constipation. Eia kekahi, ʻo ke kaupaona keu āu e hāpai nei e kau i ke koʻikoʻi ma kou mau mākala a me nā hono.

He mea nui e hoʻomau ʻoe i:

• ʻAi maikaʻi - e hoʻopili pinepine i nā meaʻai momona a me nā mea kanu
• Hoʻomaha e like me ka mea e pono ai
• E kiʻi i ka hoʻoikaika kino a hele wāwae paha i nā lā he nui

I kāu ʻekolu trimester, e kipa prenatal ʻoe i kēlā me kēia 2 mau pule a hiki i ka pule 36. Ma hope o kēlā, ʻike ʻoe i kāu mea hoʻolako i kēlā me kēia pule.

Wikiwiki paha nā kipa, akā nui nō naʻe. Maikaʻi ke lawe pū mai me kāu hoa hana a kaʻi hana paha.

I kāu mau kipa ʻana, e hāʻawi ka mea hāʻawi:

• Kaupaona iā ʻoe
• E ana i kou ʻōpū e ʻike inā e ulu ana kāu pēpē e like me ka mea i manaʻo ʻia
• E hōʻoia i kou kaomi koko
• Lawe i kahi mimi e hoʻāʻo ai no ka protein i loko o kou mimi, inā loaʻa ke kiʻekiʻe o ke koko

Hāʻawi paha kāu mea hāʻawi iā ʻoe i kahi hoʻokolohua pelvic e ʻike ai inā e ulu ana kāu cervix.

I ka pau ʻana o kēlā me kēia kipa, e haʻi aku kāu kauka a i ʻole kau paleke iā ʻoe i nā mea e hoʻololi ai e manaʻo ai ma mua o kāu kipa hou ʻana. E haʻi i kāu mea lawelawe inā he pilikia paha kāu. He maikaʻi ke kamaʻilio e pili ana iā lākou inā ʻaʻole ʻoe e manaʻo he mea nui a pili paha i kou hāpai ʻana.

I kekahi mau pule ma mua o kou lā palena pau, e hoʻokō kāu mea lawelawe i ka hoʻokolohua e nānā ana i ka maʻi ʻo strep group B ma ka perineum. ʻAʻohe hōʻike hoʻokolohua maʻamau a i ʻole ultrasounds no kēlā me kēia wahine hāpai i ke kolu o ka trimester. Hiki ke hana ʻia kekahi mau hoʻokolohua lab a me nā hoʻokolohua e kiaʻi ai i ka pēpē no nā wahine:

• Loaʻa i kahi hāpai hāpai kiʻekiʻe, e like me ka ulu ʻole o ka pēpē
• He pilikia olakino, e like me ka maʻi kō a i ʻole ke kiʻekiʻe o ke koko
• Ua loaʻa nā pilikia i ka hāpai mua
• Kūpono ʻia (hāpai ma mua o 40 mau wiki)

Ma waena o kāu mau koho, pono ʻoe e nānā i ka nui o ka neʻe ʻana o kāu pēpē. Ke hoʻokokoke aku nei ʻoe i kāu lā kūpono, a nui aʻe kāu pēpē, pono ʻoe e ʻike i kahi ʻano neʻe ma mua o kou hāpai ʻana.

• E ʻike ʻoe i nā wā o ka hana a me nā wā o ka hana ʻole.
• E ʻolokaʻa nui ana nā wā hana a me ka ʻoniʻoni ʻana i nā neʻe, a me kekahi mau keʻehi ikaika a ikaika loa hoʻi.
• E ʻike ʻoe i ka neʻe pinepine o ka pēpē i ka lā.

E nānā i nā hiʻohiʻona i ka neʻe ʻana o kāu pēpē. Inā hele iki ka pēpē e neʻe iki, ʻai i kahi meaʻai māmā, a laila moe i lalo no kekahi mau minuke. Inā ʻaʻole ʻoe e noʻonoʻo i ka neʻe nui, e kāhea i kāu kauka a i ʻole ka palekeiki.

Kāhea i kāu mea hoʻolako i kēlā me kēia manawa inā he hopohopo a nīnau paha kāu. ʻOiai inā manaʻo ʻoe e hopohopo ana ʻoe i ka ʻole, ʻoi aku ka maikaʻi ma ka ʻaoʻao palekana a kāhea aku.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe kekahi hōʻailona a hōʻailona paha ʻaʻole maʻamau.
• Ke manaʻo nei ʻoe i ka lawe ʻana i nā lāʻau hou, nā wikamina, a me nā mea kanu.
• He kahe kou.
• Ua hoʻonui ʻoe i ka hoʻokuʻu hemo me ka pilau.
• He kuni ʻoe, haʻalulu, a ʻeha paha ke hele ʻoe i ka mimi.
• He ʻeha poʻo poʻo kou.
• Loaʻa iā ʻoe nā loli a i ʻole nā ​​makapō makapō i kou maka.
• Haki kou wai.
• Hoʻomaka ʻoe i ka hana maʻamau a me ka ʻehaʻehaʻeha.
• ʻIke ʻoe i ka emi ʻana o ka neʻe ʻana o ka fetal.
• He nui kou pehu ʻana a me ka loaʻa ʻana o ke kaupaona.
• He ʻeha kou umauma a paʻakikī i ka hanu ʻana.

ʻO ka hāpai ʻekolu o ka hāpai ʻana

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. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 5.

ʻO Hobel CJ, ʻo Williams J. Antepartum mālama. I: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 7.

ʻO Smith RP. Mālama i ka prenatal maʻamau: ke kolu o ka trimester. I: Smith RP, hoʻoponopono. ʻO Netter's Obstetrics a me Gynecology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 200.

ʻO Williams DE, Pridjian G. Obstetrics. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 20.

• Mālama Pilikino