Ke koho nei i ka mea mālama ola kūpono no ka hāpai ʻana a me ka hānau hānau

Nui kāu mau hoʻoholo e hoʻoholo ai ke kali ʻoe i kahi pēpē. ʻO kekahi o nā mea mua e hoʻoholo i ke ʻano o ka lawelawe mālama ola āu e makemake ai no kāu mālama hapai a me ka hānau ʻana o kāu pēpē. Hiki iā ʻoe ke koho i:

• Mea Hoʻokiʻiliʻi
• Kauka hoʻomaʻamaʻa ʻohana
• Kahu kahu wahine i hōʻoia ʻia

Hōʻike ʻia kēia mau mea lawelawe i lalo. He ʻano hoʻomaʻamaʻa ʻokoʻa kēlā me kēia, mākau, a me nā hiʻohiʻona e pili ana i ka hāpai keiki a me ka hānau hānau. E pili kāu koho i kou olakino a me ke ʻano o ka hānau hānau āu e makemake ai.

Eia kekahi mau mea e pono ai ʻoe e noʻonoʻo ke hoʻoholo ʻoe i ke ʻano o ka mea hāʻawi āu e makemake ai.

• Hiki paha iā ʻoe ke loaʻa nā pilikia i nā pilikia i ka wā hāpai a hānau hānau
• Ma hea ʻoe e makemake ai e hānau i kāu pēpē
• ʻO kou mau manaʻoʻiʻo a me kou mau makemake e pili ana i ka hānau hānau maoli

He kauka lāʻau lapaʻau (OB) he kauka i hoʻomaʻamaʻa kūikawā i ka olakino a me ka hāpai ʻana o nā wahine.

Hoʻomaʻamaʻa nā kauka OB i ka mālama ʻana i nā wahine i ka wā hāpai a me ka hana, a me ka hānau ʻana i kā lākou pēpē.

Ua hoʻomaʻamaʻa holomua kekahi mau OB i ka mālama ʻana i nā hāpai hānau kiʻekiʻe. Kāhea ʻia lākou he loea lapaʻau makuahine, a i ʻole perinatologists. Kūkā ʻia paha nā wahine e ʻike i kahi loea OB inā lākou:

• Ua hāpai mua i kahi hāpai
• Ke kakali nei mākou i nā māhoe, nā pākolu, a me nā mea hou aʻe
• Loaʻa i kahi kūlana olakino preexisting
• Pono e loaʻa kahi cesarean delivery (C-section), a i ʻole i hoʻokahi i ka wā i hala

ʻO ke kauka ʻohana (FP) he kauka nāna i aʻo i ka lāʻau hoʻomaʻamaʻa ʻohana. Hiki i kēia kauka ke mālama i nā maʻi a me nā ʻano he nui, a mālama i nā kāne a me nā wahine o nā makahiki āpau.

Mālama pū kekahi mau kauka ʻohana i nā wahine hāpai.

• Nui nā mea e mālama iā ʻoe i kou wā hāpai a ke hānau ʻoe i kāu pēpē.
• Hāʻawi ka poʻe ʻē aʻe i ka mālama prenatal wale nō a loaʻa iā OB a mālama palekeiki paha iā ʻoe i ka wā hānau o kāu pēpē.

Hoʻomaʻamaʻa pū ʻia nā kauka ʻohana e mālama i kāu keiki hānau hou ma hope o ka hānau ʻana.

Hoʻomaʻamaʻa ʻia nā kahu hānai i hōʻoia ʻia (CNM) i ka hanai waiu a me ka pale keiki. ʻO ka hapa nui o CNM:

• Loaʻa kahi kekelē laepua i ka hānai
• Loaʻa kahi kekelē laeoʻo ma ka pale keiki
• Ua hōʻoia ʻia e ke Kulanui ʻAmelika o Nurse-Midwives

Mālama nā palekeiki kahu no nā wahine i ka wā hāpai, hana, a hānau.

ʻO nā wahine makemake i ka hānau hānau kūlohelohe i hiki ke koho iā CNM. ʻIke nā palekeiki i ka hāpai ʻana a me ka hānau ʻana ma ke ʻano he kaʻina maʻamau, a kōkua lākou i nā wahine e hoʻopakele me ka ʻole o ka mālama ʻana a hōʻemi paha i kā lākou hoʻohana. Hiki i nā mālama ke hoʻopili:

• Nā lāʻau ʻeha
• Holo a ikaika ikaika paha
• Nā paukū C

Hana ka hapa nui o nā palekeiki hānai me OBs. Inā hoʻomohala nā pilikia a i ʻole nā ​​kūlana olakino i ka wā hāpai, e hāʻawi ʻia ka wahine i kahi OB no kahi kūkākūkā a i ʻole lawe i kāna mālama.

Mālama hānau - mālama mālama ola; Mālama hāpai hāpai - mea mālama ola

Ke Kulanui ʻAmelika o nā Obstetricians a me ka pūnaewele Gynecologists. ʻO ka ʻōlelo hoʻohui o ka pilina hana ma waena o nā kaukānā hānau-hānau a me nā kahu hānai i hōʻoia ʻia. www.acog.org/clinical-information/policy-and-position-statements/statements-of-policy/2018/joint-statement-of-practice-relations-bet Antar-ob-gyns-and-cnms. Hoʻohou ʻia ʻApelila 2018. Loaʻa iā Malaki 24, 2020.

ʻO Gregory KD, Ramos DE, Jauniaux ERM. Mālama mua ʻana a me ka mālama mua ʻana. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 6.

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

• Hānau keiki
• Ke koho ʻana i kauka a i ʻole lawelawe mālama ola
• Hapai keiki