Nā papa hana nui o ka hana

Anter

• ʻOihana 1st - Hoʻonui
• ʻAha 2 - Kipaku ʻia
• Papa 3 - Ka lawe ʻana: Ka lawe ʻana i ka placenta

Hana ʻia nā ʻāpana o ka hana maʻamau i kahi ʻano mau a, i ka laulā, komo pū me ka dilation o ka cervix, ka wā kipaku a me ka puka o ka placenta. ʻO ka maʻamau, hoʻomaka ka hana ma waena o 37 a 40 mau hebedoma o ka hānau ʻana, a aia he mau hōʻailona e hōʻike ana e hele ana ka wahine hāpai i loko o ka hana, e like me ka kipaku ʻia ʻana o ka plug mucous, ʻo ia ka puka o kahi wai gelatinous., Pink a brownish ma o ka ʻōnaehana a me ka haki ʻana o ka ʻeke wai, ʻo ia ka manawa e puka ai ka wai anniotic aniani moakaka.

Hoʻohui ʻia, hoʻomaka ka wahine hāpai i ka loaʻa ʻana o nā kaohi kūlike ʻole, e hoʻonui ai ia, a lilo lākou i mea maʻamau a me nā wā o 10 i 10 mau minuke. E aʻo pehea e ʻike ai i nā mea hōʻemi.

No laila, ke loaʻa kēia mau ʻōuli i ka wahine hāpai e hele i ka haukapila a i ʻole ka makuahine, no ka mea kokoke ka hānau ʻana o ka pēpē.

ʻOihana 1st - Hoʻonui

ʻO ka pae mua o ka hānau hānau ʻana ke ʻano ʻia e ke alo o nā kuʻina a me ke kaʻina o ka dilation o ka cervix a me ka puka hānau a hiki i 10 cm.

Māhele ʻia kēia pae i loko latent, kahi ma lalo o ka 5 cm ka ākea o ka ʻōpū a hoʻohālikelike ʻia e ka piʻi mālie o ka hana uterine, ke kū ʻana o nā kuʻina uterine kū ʻole a me ka hoʻonui ʻana o nā huna ʻōpū, me ka nalo ʻana o ka plug mucous, a ʻeleu, kahi i ʻoi ai ka nui ma mua o 5 cm a hoʻomaka ka wahine e hōʻike i nā kuʻina maʻamau a ʻeha hoʻi.

ʻO ka lōʻihi o ka mahele mua o ka hana e ʻokoʻa paha mai ka wahine i ka wahine, akā aia ka awelika o 8 a 14 mau hola. I loko o kēia wā, maʻamau ka ʻike ʻana o ka wahine i ka ʻeha ma muli o ka hoʻoliʻiliʻi, a lilo i mea maʻamau a me ka wā pōkole ma waena o kekahi me ka hoʻonui ʻia ʻana o ka cervix a me ka aʻa puʻupaʻa.

He aha e hana ai i kēia manawa: I kēia manawa, pono ka wahine hāpai i ka hale hānau a i ʻole ka haukapila e loaʻa ai ke kōkua mai nā ʻoihana olakino. I mea e hōʻemi ai i ka ʻeha, pono e hānai mālie ka wahine hāpai i ka wā o kēlā me kēia contraction, me he mea lā e honi ana i kahi pua a hemo me he mea lā ke puhi nei i ke ihoiho.

Eia hou, hiki iā ʻoe ke hele lohi a piʻi i ke alapiʻi, no ka mea e kōkua ia i ka ʻōpū e hoʻonoho iā ia iho e puka i waho a, inā e moe ana ka wahine, hiki iā ia ke huli i ka ʻaoʻao hema, e kōkua ai i ka oxygenation maikaʻi o ka pēpē a hoʻemi i ka ʻeha. . E ʻike i nā ala kūlohelohe e hoʻoulu ai i ka hana.

Ma ka haukapila, i ka wā mua o ka hana, hana ʻia ka paʻi paʻi i kēlā me kēia 4 mau hola e hele pū me ka dilation a paipai i nā neʻe i ke kū pololei. Eia hou, i ka hihia o nā wahine i ka makaʻu haʻahaʻa i ke koi ʻana i ka anesthesia laulā, ʻae ʻia ka wai a me ka ʻai.

ʻAha 2 - Kipaku ʻia

ʻO ka pae hana o ka hana e ukali ʻia e ka wā kipaku, kahi a ka cervix i hiki ai i kāna maximum dilation a hoʻomaka ka wā o ka expulsive period, hiki ke hala ma waena o 2 a me 3 mau hola.

Kapa ʻia ka hoʻomaka o ka wā kipaku i ke au hoʻololi, kahi pōkole a ʻeha loa ia a loaʻa ka cervix i kahi dilation ma waena o 8 a 10 cm i ka hopena o ka manawa. Ke hōʻoia ʻia kahi dilation kūpono, pono ka wahine e hoʻomaka e noi i ka ikaika no ka iho ʻana o ka hōʻike fetal. Hoʻohui ʻia, hiki ke koho ʻia i ke kūlana no ka lawe ʻana e ka wahine hāpai, ʻoiai ke ʻoluʻolu a makemake i ka pae lua o ka hana.

He aha e hana ai i kēia manawa: I kēia wā, pono ka wahine e hāhai i nā ʻōkuhi i hāʻawi ʻia iā ia i mea e kōkua ai i ka hānau keiki. No laila, koi ʻia i ka wahine e hana i ka neʻe ʻana ma hope o kāna pahu iho, me ka mālama ʻana i ka hanu ʻana.

I kēia wā, hiki ke hana ʻia kekahi mau ʻano hana e hōʻemi i ka trauma i ka perineum, e like me ka massage perineal, nā compresses wela a i ʻole ka pale ʻana i ka perineal me nā lima. ʻAʻole koi ʻia kaomi lima ma ka cervix a i ʻole episiotomy, i kūlike i ka hana ʻana i kahi ʻoki liʻiliʻi. i ka perineum e kōkua i ka hānau ʻana.

ʻOiai he hana hou hou ka episiotomy, ʻaʻole koi ʻia kāna hana i nā wahine i ʻole hōʻike, ʻo kēia no ka mea he contradictory nā pono o kēia ʻano hana a ʻaʻole lawa nā hōʻike ʻepekema, me ka hoʻohui o ka mea i ʻike ʻia i ka hana o ʻaʻole hoʻolaha kēia hana i ka pale i ka papahele pelvic a kūlike i ke kumu nui o ka ʻeha, ke kahe ʻana o ke koko a me nā pilikia i ka wā a ma hope o ka hānau ʻana.

Papa 3 - Ka lawe ʻana: Ka lawe ʻana i ka placenta

ʻO ke kaʻina o ka lawe ʻana he pae 3 o ka hana a kū ma hope o ka hānau ʻana o ka pēpē, ke ʻano ʻia e ka puka o ka placenta, hiki ke haʻalele kūlohelohe a wehe ʻia paha e ke kauka. I kēia wā, lawelawe pinepine ʻia ka oxytocin, kahi hōmona e makemake i ka hana a me ka hānau ʻana o ka pēpē.

He aha e hana ai i kēia manawa: I kēia manawa, ma hope o ka hānau ʻia ʻana o ka pēpē, e loiloi nui nā mea hoʻokalakupua a me nā hui kahu hānai i ka wahine, a ʻoi aku ka hana ʻana i ke kaohi o ka umbilical cord.

Ma hope o ka hānau ʻana a me ka loaʻa ʻole o nā hōʻailona o ka pilikia ma ka makuahine a pēpē paha, kau ʻia ka hānau hou me ka makuahine i hiki ai i ka hānai mua ʻana.