ʻO ka hānau hānau ma hope o C-ʻāpana

Inā loaʻa iā ʻoe kahi hānau cesarean (C-ʻāpana) ma mua, ʻaʻole ia he manaʻo e hāʻawi hou ʻoe i ke ala like. Hiki i nā wahine he nui ke hāʻawi i nā moku ma hope o ka loaʻa ʻana o kahi ʻāpana C i ka wā i hala. Kapa ʻia kēia hānau hānau ma hope o ka cesarean (VBAC).

ʻO ka hapanui o nā wahine e hoʻāʻo iā VBAC hiki ke hoʻopakele. Nui nā kumu kūpono e hoʻāʻo ai i kahi VBAC ma mua o ka loaʻa ʻana o kahi ʻāpana C. ʻO kekahi:

• Noho pōkole i ka haukapila
• Hoʻoiho hou aku
• ʻAʻohe ʻoki
• ʻO ka pilikia haʻahaʻa no nā maʻi
• ʻO ka liʻiliʻi o ka manawa e pono ai ʻoe i kahi kōpili
• Hiki paha iā ʻoe ke pale i nā paukū C e hiki mai ana - kahi mea maikaʻi no nā wahine e makemake ana e hoʻonui i kā lākou keiki

ʻO ka makaʻu koʻikoʻi loa me VBAC kahi haki (haki) o ka kōpū. ʻO ke kahe o ke koko mai ka haki ʻana hiki ke lilo i mea makaʻu no ka makuahine a hiki ke hōʻeha i ka pēpē.

ʻO nā wahine e hoʻāʻo iā VBAC a kūleʻa ʻole e ʻoi aku paha ka makemake i kahi kōpili. Aia kekahi mea ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi i loko o ka kōpū.

ʻO ka manawa o ka haki e pili ana i ka nui o nā ʻāpana C a me ke ʻano āu i loaʻa ai ma mua. Hiki paha iā ʻoe ke loaʻa kahi VBAC inā loaʻa iā ʻoe hoʻokahi wale nō ʻāpana C i ka wā i hala.

• ʻO keʻokiʻoki i kou kōpū mai kahi ʻāpana C i hala aku nei i kapa ʻia ʻo low-transverse. E noi paha kāu mea mālama ola no ka hōʻike mai kāu ʻāpana C i hala.
• ʻAʻohe ou mōʻaukala i hala o nā haki o kou kōpū a i ʻole nā ​​scars mai nā ʻoki ʻē aʻe.

Makemake kāu mea e hōʻoia i ka nui o kāu pelvis no ka hānau ʻana o ka ʻōpua a e nānā iā ʻoe e ʻike inā he pēpē nui kāu. ʻAʻole palekana paha kāu pēpē e hele ma waena o kou pelvis.

Ma muli o ka hiki koke o nā pilikia, kahi āu e hoʻolālā ai i kāu lawe ʻana kahi kumu pū kekahi.

• Pono ʻoe ma kahi e hiki ai ke nānā ʻia ma o kāu hana holoʻokoʻa.
• Pono kokoke kahi hui olakino e like me ka anesthesia, nā mea hoʻokalakiko a me nā limahana lumi e hana i kahi ʻāpana C pilikia inā ʻaʻole holo nā mea e like me ka hoʻolālā.
• ʻAʻohe paha he kime kūpono nā haukapila liʻiliʻi. Pono paha ʻoe e hele i kahi haukapila ʻoi aku ka nui e hāʻawi.

E hoʻoholo ʻoe a me kāu mea hāʻawi inā kūpono kahi VBAC iā ʻoe. E kamaʻilio me kāu mea hoʻolako e pili ana i nā pilikia a me nā pōmaikaʻi nou a me kāu pēpē.

ʻOkoʻa ka makaʻu o kēlā wahine kēia wahine, no laila e nīnau i nā mea e pili ana iā ʻoe. ʻO ka nui o kou ʻike e pili ana iā VBAC, ʻoi aku ka maʻalahi o ka hoʻoholo inā kūpono iā ʻoe.

Inā ʻōlelo kāu mea hāʻawi hiki iā ʻoe ke loaʻa kahi VBAC, maikaʻi nā manawa hiki iā ʻoe ke loaʻa hoʻokahi me ka kūleʻa. ʻO ka hapanui o nā wahine e hoʻāʻo iā VBAC hiki ke hoʻopakele.

E hoʻomanaʻo, hiki iā ʻoe ke hoʻāʻo no kahi VBAC, akā pono paha ʻoe i kahi ʻāpana C.

VBAC; Hāpai - VBAC; Hana - VBAC; Ka lawe ʻana - VBAC

ʻO Chestnut DH. ʻO ka hoʻāʻo o ka hana a me ka hānau ʻana ma hope o ka hānau ʻana o cesarean. I: Chestnut DH, Wong CA, Tsen LC, et al, eds. ʻO Chestnut's Obstetric Anesthesia: Nā Manaʻo a me ka Hoʻomeheu. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 19.

Landon MB, Grobman WA. ʻO ka hānau hānau ʻana ma hope o ka hānau ʻana o cesarean. 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 20.

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.

• Pauku Cesarean
• Hānau keiki