He aha kāu e ʻike ai inā Breech kāu pēpē

Anter

• He aha ke kumu o ka hāpai hāpai breech?
• Pehea wau e ʻike ai inā he breech kaʻu pēpē?
• He aha nā pilikia e hiki ai i kahi hāpai hāpai?
• Hiki iā ʻoe ke hoʻohuli i kahi hāpai hāpai?
• Mana kūwaho (EV)
• ʻAilika nui
• Hoohuli
• I ka manawa e kamaʻilio ai i kāu kauka

Hōʻike Overview

About e hopena i ka pēpē breech. Hiki ke hāpai i ka hānai breech ke hoʻonohonoho ʻia ka pēpē (a pēpē paha!) I ke poʻo o ka wahine i loko o ka ʻōpū o ka wahine, no laila ke kuhikuhi nei nā wāwae i ka puka hānau.

I loko o kahi hāpai "maʻamau", huli ke pēpē i loko o ka ʻōpū i kahi kūlana poʻo i lalo e hoʻomākaukau ai no ka hānau ʻana, no laila ke hōʻike nei kahi hāpai hāpai breech i kekahi mau pilikia like ʻole no ka makuahine a me ka pēpē.

He aha ke kumu o ka hāpai hāpai breech?

Aia he ʻekolu mau ʻano o ka hāpai keiki hānai: frank, complete, a me ka wāwae wāwae, kaukaʻi ʻia i ke ʻano o ka noho ʻana o ka pēpē i ka pūpū. Me nā ʻano o ka hāpai ʻana o ka breech, hoʻonohonoho ʻia ka pēpē me kona lalo i ke aʻa hānau ma kahi o ke poʻo.

ʻAʻole hiki i nā kauka ke ʻōlelo pololei no ke aha e hāpai ai nā hāpai keiki, akā e like me ka American Pregnancy Association, nui nā kumu like ʻole e hoʻokau ai ka pēpē iā ia iho i ke ala "hewa" i loko o ka ʻōpū, e like me:

• inā he wahine hāpai keiki kekahi
• i nā hāpai keiki me nā lehulehu
• inā i hānau mua ka wahine i ka wā ma mua
• inā he nui a ʻemi paha ka wai o ka uterus, ʻo ia hoʻi he lumi keu ka pēpē e neʻe ai a i ʻole lawa ʻole ka wai e neʻe ai i loko.
• inā loaʻa ka wahine i kahi kōpū ʻano ʻē a i ʻole nā ​​pilikia ʻē aʻe, e like me fibroids i ka kōpū
• inā he placenta previa ka wahine

Pehea wau e ʻike ai inā he breech kaʻu pēpē?

ʻAʻole manaʻo ʻia kahi pēpē breech a puni 35 a 36 mau pule. I nā hāpai hāpai maʻamau, huli ka pēpē i poʻo i lalo e hele i ke kūlana i ka hoʻomākaukau no ka hānau ʻana.ʻO ka maʻamau no nā pēpē ke poʻo i lalo a i ʻole ka ʻaoʻao ma mua o 35 mau pule. Ma hope o kēlā, akā, i ka nui ʻana o ka pēpē a holo i waho o ka lumi, paʻakikī ka huli ʻana o ka pēpē a komo i ke kūlana kūpono.

E hiki i kāu kauka ke haʻi inā he breech kāu pēpē e ka manaʻo ʻana i ke kūlana o kāu pēpē ma o kou ʻōpū. E hōʻoia paha lākou i ka breech o ka pēpē me ka hoʻohana ʻana i kahi ultrasound ma ke keʻena a ma ka haukapila ma mua o kou hānau ʻana.

He aha nā pilikia e hiki ai i kahi hāpai hāpai?

Ma ka laulaha, ʻaʻole weliweli nā hāpai hānai a hiki i ka manawa e hānau ai ka pēpē. Me nā hānau breech, ʻoi aku ka nui o ka makaʻu no ka pēpē e paʻa ai i ke kahawai hānau a no ka hāʻawi ʻana o ka pēpē oxygen ma o ka umbilical cord e ʻoki ʻia.

ʻO ka nīnau nui loa me kēia kūlana he aha ke ala palekana no kahi wahine e hānau ai i kahi pēpē breech? ʻO ka mōʻaukala, ma mua o ka maʻa mau o ka hānau cesarean, ua aʻo ʻia nā kauka, a me nā pale keiki hou aku, pehea e mālama pono ai i nā hānau breech. Eia nō naʻe, loaʻa i nā lā hānau breech ka makaʻu o ka nui o nā pilikia ma mua o ka lawe ʻana i ka ʻōpū.

Ua nānā ʻoi aku ma mua o 2000 mau wahine ma o 26 mau ʻāina i ʻike ʻoi aku ka palekana o nā cesareans āpau no nā pēpē ma mua o ka hānau hānau ʻana i ka wā hāpai hānau. ʻO nā helu o ka make ʻana o nā pēpē a me nā pilikia i haʻahaʻa loa me nā cesareans i hoʻolālā ʻia no nā pēpē breech. Eia nō naʻe, ua like ka helu o nā pilikia no nā makuahine ma nā cesarean a me nā hui hānau pūpū. ʻO kahi cesarean kahi ʻoki nui, i hiki ke helu i ka helu o nā pilikia no nā makuahine.

Ua nānā pū ka British Journal of Obstetrics and Gynecology i ka like like a ua hoʻoholo ʻia inā makemake ka wahine e hana i kahi pēpē i hoʻolālā ʻia me kahi hāpai hāpai breech, loaʻa paha iā ia kahi manawa e loaʻa ai kahi palekana me kahi mea lawelawe i hoʻomaʻamaʻa ʻia. Ma ke ʻano holoʻokoʻa, makemake ka hapanui o nā mea hoʻolako i ke ala ʻoi aku ka palekana loa, no laila ke manaʻo ʻia kahi cesarean ke ʻano hana i makemake ʻia no ka lawe ʻana no nā wahine me nā hāpai hānau.

Hiki iā ʻoe ke hoʻohuli i kahi hāpai hāpai?

No laila he aha kāu e hana ai inā he hāpai hāpai kou? ʻOiai ʻoe e kamaʻilio pū me kāu kauka e pili ana i ka hoʻonohonoho ʻana i kahi cesarean, aia kekahi mau ala e hiki ai iā ʻoe ke hoʻāʻo e hoʻohuli i kāu pēpē. ʻO nā helu kūleʻa no ka hoʻohuli ʻana i kahi hāpai hāpai ma muli o ke kumu o ka breech o kāu pēpē, akā inā ʻoe e hoʻāʻo i kahi ala palekana, ʻaʻohe mea ʻino.

Mana kūwaho (EV)

ʻO kahi EV kahi kaʻina e ho'āʻo ai kāu kauka e huli lima i kāu pēpē i ke kūlana kūpono e ka manipulate ʻana i ka pēpē me ko lākou mau lima ma o kou ʻōpū.

Wahi a ka American College of Obstetricians and Gynecologists, ʻo ka hapa nui o nā kauka e ʻōlelo i kahi EV ma waena o 36 a 38 mau pule o ka hāpai ʻana. Hana ʻia nā hana ma ka haukapila. Pono ia i ʻelua mau kānaka e hana a e nānā ʻia ka pēpē i ka manawa holoʻokoʻa no nā pilikia e pono ai ka hānau ʻana i ka pēpē. Hoʻomaopopo ka ACOG i ka holomua o nā EV ma kahi o ka hapalua o ka manawa.

ʻAilika nui

Ua ʻōlelo kekahi mau makuahine ua kūleʻa i ka hoʻohana ʻana i kahi aila pono, e like me ka peppermint, ma ko lākou ʻōpū e hoʻoulu ai i ka pēpē e huli iā ia iho. E like me ka mau, akā, e nānā me kāu kauka ma mua o ka hoʻohana ʻana i nā aila pono, no ka mea, ʻaʻole palekana kekahi no nā wahine hāpai.

Hoohuli

ʻO kekahi ʻano hana ʻē aʻe no nā wahine me nā pēpē breech ke hoʻohuli nei i ko lākou mau kino e paipai i ka pēpē e lele. Hoʻohana nā wahine i nā ʻano hana like ʻole, e like me ke kū ʻana ma ko lākou mau lima i ka wai ʻauʻau, ke kīwī nei i ko lākou pūhaka me nā uluna, a i ʻole ke hoʻohana ʻana i nā ʻanuʻu e kōkua ai i ka hoʻokiʻekiʻe ʻana i ko lākou pelvis.

I ka manawa e kamaʻilio ai i kāu kauka

ʻO kāu kauka paha e haʻi iā ʻoe inā he breech kāu pēpē. Pono ʻoe e kamaʻilio pū me lākou e pili ana i kāu hopohopo no ka hānau hānau o kāu pēpē, me nā pilikia a me nā pōmaikaʻi o ke koho ʻana i kahi cesarean, ka mea e kali ai mai ke ʻoki ʻana, a pehea e hoʻomākaukau ai.