Makahiki Gestational

ʻO Gestation ka manawa o ka manawa ma waena o ka hapai ʻana a me ka hānau ʻana. I kēia manawa, ulu a ulu ka pēpē i loko o ka ʻōpū o ka makuahine.

ʻO ka makahiki Gestational ka manawa maʻamau i hoʻohana ʻia i ka wā hāpai e wehewehe i ka lōʻihi o ka hāpai ʻana. Ana ʻia ia i loko o nā pule, mai ka lā mua o ka pōʻai mua hope o ka wahine a i kēia lā. Hiki ke hāpai i kahi hāpai maʻamau mai 38 a 42 mau pule.

ʻO nā pēpē i hānau ʻia ma mua o 37 mau pule e manaʻo ʻia he premature. ʻO nā pēpē i hānau ma hope o 42 mau pule e manaʻo ʻia he postmature.

Hiki ke hoʻoholo ʻia nā makahiki ʻoihana ma mua a ma hope paha o ka hānau ʻana.

• Ma mua o ka hānau ʻana, e hoʻohana kāu mea mālama ola i ka ultrasound e ana i ka nui o ke poʻo o ka pēpē, ka ʻōpū, a me ka iwi o ka ʻūhā. Hāʻawi kēia i kahi ʻike i ke ʻano o ka ulu ʻana o ka pēpē i loko o ka ʻōpū.
• Ma hope o ka hānau ʻana, hiki ke ana ʻia i ka makahiki hānau ma ke nānā ʻana i ke kaupaona o ka pēpē, ka lōʻihi, ke poʻo o ke poʻo, nā hōʻailona koʻikoʻi, nā reflexes, ke ʻano o nā mākala, ke kūlana, a me ke ʻano o ka ʻili a me ka lauoho.

Inā loaʻa nā makahiki hānau ʻōpū o ka pēpē ma hope o ka hānau ʻana kūlike i ka makahiki o ke kalena, ua ʻōlelo ʻia he kūpono ka pēpē no nā makahiki hānau (AGA). ʻOi aku ka nui o nā pilikia a me nā make o nā pēpē AGA ma mua o nā pēpē liʻiliʻi a nui paha no kā lākou mau makahiki hānau.

ʻO ke kaupaona no nā pēpē wā piha i hānau ʻia ʻo AGA ma waena o 2,500 mau gram (ma kahi o 5.5 lbs a i ʻole 2.5 kg) a me 4,000 gram (ma kahi o 8.75 lbs a i ʻole 4 kg).

• ʻO nā pēpē kaupaona liʻiliʻi e noʻonoʻo ʻia he liʻiliʻi no ka makahiki hānau (SGA).
• ʻO nā pēpē kaupaona nui aʻe i manaʻo ʻia he nui no nā makahiki hānau (LGA).

Fetal makahiki - makahiki hānau; ʻO Gestation; Makahiki hānau hānau neonatal; ʻO ka makahiki hānau hānau hānau hou

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ʻO Walker VP. Loiloi hānau hou. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 25.