Ma hope o ka lawe ʻana i ka ʻōpū - i ka haukapila

ʻO ka hapa nui o nā wahine e noho i ka haukapila no 24 mau hola ma hope o ka hānau ʻana. He manawa nui kēia na ʻoe e hoʻomaha, hoʻopaʻa me kāu pēpē hou a no ke kōkua ʻana me ka hānai ʻana a me ka hānai hānau hou.

Ma hope pono o ka hānau ʻana, e hoʻokau ʻia paha kāu pēpē ma kāu umauma ʻoiai e loiloi ana kahi kahu hānai i ka hoʻololi o kāu pēpē. ʻO ka transition ka manawa ma hope o ka hānau ʻana ke hoʻoponopono nei ke kino o kāu pēpē i waho o kāu ʻōpū. Pono paha kekahi mau pēpē i ka oxygen a i ʻole ka mālama hānai nui e hoʻololi. Pono e lawe i kahi helu liʻiliʻi i ka neonatal intensive care unit no keu keu mālama. Eia nō naʻe, noho ka hapa nui o nā pēpē hou i ka lumi me ko lākou makuahine.

I nā hola mua ma hope o ka hānau ʻana, hoʻopaʻa i kāu pēpē a hoʻāʻo i ka pili o ka ʻili i ka ʻili. Mālama kēia i ka hoʻopaʻa pono ʻana a me ka hoʻololi maʻalahi loa. Inā ʻoe e hoʻolālā ana i ka hānai ʻana i ka waiū, i koi nui ʻia, e hoʻāʻo paha kāu pēpē e hoʻopaʻa.

I kēia manawa, e noho ʻoe i ka lumi kahi āu i hānau ai i kāu pēpē. E kahu kahi kahu:

• Nānā i kou kaomi koko, ka helu o ka puʻuwai, a me ka nui o ke kahe o ka maʻi ʻōpū
• E hōʻoia e hōʻoia i kou kōpū e lilo i paʻa

Ke hāʻawi koke ʻoe, ua hala nā pāʻina kaumaha. Akā pono i kāu kōpū e hana i ka ʻaelike e hoʻi hou i kona nui maʻamau a pale i ke kahe nui. Kōkua pū ka hānai ʻana i ka ʻaelike uterus. He ʻehaʻeha paha kēia mau kuʻikahi akā nui lākou.

I ka lilo ʻana o kou ʻōpū i mea ʻoi aku ka liʻiliʻi a liʻiliʻi, ʻoi aku ka liʻiliʻi o ke kahe ʻana o ke kahe. E emi mālie ke kahe o ke koko i kāu lā mua. Hiki paha iā ʻoe ke ʻike i kekahi mau huʻihuʻi liʻiliʻi e hele ana i ka wā e kaomi ai kāu kahu i kāu kōpū e nānā iā ia.

No kekahi mau wahine, ʻaʻole e hoʻolōʻihi ke kahe ʻana a lilo paha i mea kaumaha. Hiki ke kumu ʻia kēia e kahi ʻāpana liʻiliʻi o ka placenta i koe i ka uhi o kāu kōpū. Kākaʻikahi ka ʻoki liʻiliʻi e pono ai e hemo.

ʻO ka wahi ma waena o kāu ʻōpala a me kou kiko ke kapa ʻia ka perineum. ʻOiai ʻaʻohe ou waimaka a i ʻole episiotomy, pehu paha ka wahi a palupalu paha.

E hoʻomaha ai i ka ʻeha a me ka hōʻoluʻolu ʻole:

• E noi i kāu poʻe kahu maʻi e hoʻopili i nā pūʻolo hau ma hope pono o kou hānau ʻana. ʻO ka hoʻohana ʻana i nā pūʻolo hau i nā hola he 24 ma hope o ka hānau ʻana e hōʻemi ai i ka pehu ʻana a kōkua pū me ka ʻeha.
• E ʻauʻau mehana, akā e kali a hiki i 24 mau hola ma hope o kou hānau ʻana. Eia kekahi, e hoʻohana i nā lilina maʻemaʻe a me nā kāwele a hōʻoia i ka maʻemaʻe o ka bath bath i kēlā me kēia manawa āu e hoʻohana ai.
• E lawe i ka lāʻau e like me ka ibuprofen e hoʻomaha ai i ka ʻeha.

Ke hopohopo nei kekahi mau wahine e pili ana i ka neʻe ʻana o ka ʻōpū ma hope o ka hānau ʻana. Loaʻa paha iā ʻoe nā mea palupalu o ka noho.

ʻEha paha ka hele ʻana o ka mimi i ka lā mua. ʻO ka hapanui pinepine e hele aku kēia pilikia i hoʻokahi lā a ʻoi paha.

Hoihoi ka mālama a mālama ʻana i kāu pēpē hou. Manaʻo ka hapa nui o nā wahine he mea ia no ka huakaʻi lōʻihi o ka hāpai ʻana a me ka ʻeha a me ka hōʻoluʻolu ʻole o ka hana. Loaʻa nā kahu lapaʻau a me nā loea hānai hānai e pane i nā nīnau a kōkua iā ʻoe.

ʻO ka mālama ʻana i kāu pēpē i loko o ka lumi me ʻoe e kōkua iā ʻoe e hoʻopaʻa me kāu lālā ʻohana hou. Inā pono ka pēpē e hele i ka nursery no nā kumu olakino, e hoʻohana i kēia manawa a hoʻomaha e like me ka hiki iā ʻoe. ʻO ka mālama ʻana i kahi hānau hou kahi hana manawa piha a hiki ke luhi.

ʻIke kekahi mau wahine i ke kaumaha a i ʻole ka letdown ʻano ma hope o ka hānau ʻana. Kūleʻa kēia mau manaʻo a ʻaʻohe mea e hilahila ai. E kamaʻilio me kāu kahu mālama, nā kahu maʻi, a me kāu hoa.

Ma hope o ka hānau hānau ʻana; Hāpai - ma hope o ka lawe ʻana o ka ʻōpū; Mālama postpartum - ma hope o ka lawe ʻana o ka ʻōpū

• Hānau Vaginal - moʻo

ʻO Isley MM, Katz VL. Mālama ʻo Postpartum a me nā noʻonoʻo olakino lōʻihi. 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 23.

ʻO Norwitz ER, Mahendroo M, Lye SJ. Physiology o ka parturition. I: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, nā mea i hana ʻia. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier Saunders; 2019: chap 6.

• Mālama ʻo Postpartum