Ka hana a me ka lawe ʻana: nā ʻano o nā palekeiki

Anter

• Nā ʻano o nā palekeiki
• Nā palekeiki hānai hōʻoia (CNM)
• Nā palekeiki hōʻoia (CM)
• Nā palekeiki ʻoihana hōʻoia (CPM)
• Nā paleke komo pololei (DEMs)
• E moe i na palekeiki
• ʻO Doulas
• Outlook

Hōʻike Overview

Hoʻomaʻamaʻa ʻia nā palekeiki i mea kōkua i nā wahine i ka wā hāpai a me ka hānau hānau. Hiki iā lākou ke kōkua i loko o nā pule ʻeono ma hope o ka hānau ʻana, kahi i ʻike ʻia ʻo ka wā hānau. Hiki paha i nā pale keiki ke kōkua pū me ka mālama ʻana o ka hānau hou.

Ke hana nei nā poʻe i ka pale keiki no nā makahiki he mau kaukani. Hāʻawi lākou i ka mālama pilikino i nā makuahine hou i ka home, ka haukapila, ke keʻena maʻi, a i ʻole ke kikowaena hānau. ʻO nā kuleana o ka palekeiki:

• ke kiaʻi ʻana i ke olakino, psychological, a me ka nohona kaiāulu o ka makuahine i ka wā hāpai, hānau keiki, a me ka wā hānau
• hoʻolako i hoʻokahi-ma-hoʻokahi aʻo, aʻoaʻo, mālama prenatal, a me nā kōkua lima
• hoʻoliʻiliʻi i nā hana lapaʻau
• ʻike a kuhikuhi ʻana i nā wahine e koi ana i ka maka o ke kauka

ʻO kekahi o nā pono o ka loaʻa ʻana o ka palekeiki me:

• nā helu haʻahaʻa o ka hana hoʻokomo a me ka anesthesia
• haʻahaʻa pilikia o ka hānau mua a me ka hānau cesarean
• nā helu maʻi maʻi haʻahaʻa a me nā helu make o nā pēpē
• emi nā pilikia āpau

Ma kahi o 9 pākēneka wale nō o nā hānau ma ʻAmelika Hui Pū ʻIa e pili ana i kahi palekeiki. Eia nō naʻe, hoʻomaikaʻi ka midwifery i ke olakino olakino o ka makuahine a me pēpē a he koho maikaʻi ia no nā wahine hāpai.

Nā ʻano o nā palekeiki

Aia kekahi mau ʻano like ʻole o nā palekeiki i loaʻa nā pae ʻokoʻa o ka hoʻomaʻamaʻa a me ka hōʻoia. Ma ʻAmelika Hui Pū ʻIa, hāʻule nā ​​palekeiki ma lalo o ʻelua papa nui:

• Nā kahu hānau wahine i aʻo ʻia i ka hanai waiu a me ka pale keiki
• ʻO nā pale keiki komo pololei i hoʻomaʻamaʻa ʻia i ka pale keiki wale nō

Nā palekeiki hānai hōʻoia (CNM)

ʻO kahi kahu hānai wahine hōʻoia (CNM) kahi kahu hānai i hoʻopaʻa inoa ʻia i loaʻa i ka hoʻomaʻamaʻa hou aʻe no ka hāpai ʻana a me ka hānau keiki ʻana a loaʻa kahi kekelē laeoʻo ma ka pale kahu wahine.

Manaʻo ʻia ʻo CNM he ʻāpana o ka hoʻokumu olakino nui a hōʻoia ʻia e ka American Certification Board.

Hoʻomaʻamaʻa ka CNMs i ka anatomy, physiology, a me nā obstetrics. Hiki iā lākou ke hana i nā hoʻoholo olakino e pili ana i nā kūlana o ka mālama kaiāulu. Pili ka hapa nui o nā CNM me nā lawe i nā haukapila a pili pū me nā keʻena ʻoihana hānau.

I ka hapanui o nā hihia, noho ʻo CNM me ʻoe i ka manawa o ka hana ma mua o ke kauka. E paipai a aʻo aku ʻo CNM iā ʻoe ma ke ala. ʻO kēia pā pilikino kekahi o nā kumu e hilinaʻi ai nā wahine he nui i CNM.

Eia nō naʻe, ʻaʻole hiki i nā CNM ke hana i nā hāʻawi cesarean a ma ka hapanui o nā hihia ʻaʻole hiki ke hana i ka hakahaka a i ʻole ka hāʻawi ʻana i ka forceps. Mālama nui lākou i nā wahine haʻahaʻa haʻahaʻa e makemake ʻole i kēia ʻano hana.

I kekahi mau hanana hiki i nā CNM ke kōkua iā OB-GYN a i ʻole nā ​​perinatologists me ka mālama ʻana o nā wahine kiʻekiʻe loa.

Inā ʻoe e noʻonoʻo e pili ana i ka loaʻa ʻana o ka mālama mai kahi CNM, pono ʻoe e nīnau e pili ana i nā kauka e hana pū nei ka pale keiki. ʻOiai ʻo nā wahine haʻahaʻa haʻahaʻa e hoʻomohala koke i nā pilikia e koi ai i ka loea a me ka hoʻomaʻamaʻa kūikawā a ke kauka.

Nā palekeiki hōʻoia (CM)

ʻO ka paleke wahine hōʻoia (CM) like ia me ka paleke kahu hānai i hōʻoia ʻia. ʻO ka ʻokoʻa wale nō ʻaʻole kahi kekelē CMs i ka hānai.

Nā palekeiki ʻoihana hōʻoia (CPM)

Hana kūʻokoʻa kahi paleke wahine ʻoiaʻiʻo (CPM) me nā wahine e lawe ana ma ka home a i ʻole nā ​​kikowaena hānau. Hele nā ​​CPM i nā hānau hānau a hāʻawi maʻamau i ka mālama prenatal.

Pono nā CPM e kau i kahi hōʻike mākaukau e ka North American Registry of Midwives (NARM).

Nā paleke komo pololei (DEMs)

Hoʻomaʻamaʻa kūwaho kahi komo wahine pololei (DEM) a ua aʻo ʻo ia i ka palekeiki ma o ke kula midwifery, haumana, a i ʻole papahana koleke ma ka pale keiki. Hāʻawi nā DEM i ka mālama prenatal piha a hele i nā hānau home a i ʻole nā ​​hānau i nā kikowaena hānau.

E moe i na palekeiki

ʻAʻole ʻo ka paleke moe i kauka. Hoʻololi paha ka hoʻomaʻamaʻa ʻana, ka hōʻoia ʻana, a me ka hiki i nā palekeiki moe ʻole ma muli o ka hapa nui o nā mokuʻāina ʻaʻohe mea hoʻokahi, hoʻokumu ʻia ka papa kuhikuhi, hoʻomaʻamaʻa, a me nā kaʻina hana hōʻoia.

ʻAʻole nānā ʻia nā palekeiki moe ma ke ʻano he ʻāpana o ke kaiāulu lapaʻau mainstream a hana pinepine me nā poʻe e hoʻomaʻamaʻa i nā lāʻau ʻē aʻe.

Me nā hoʻokoe ʻokoʻa, ʻaʻole hāʻawi nā pale keiki moe i nā pēpē i nā haukapila. Kōkua pinepine lākou i ka lawe ʻana ma ka home a i ʻole nā ​​kikowaena hānau.

ʻOiai ʻo ka hapanui o nā wahine e hiki ke hāʻawi palekana i ka home ma lalo o ka mālama a ka paleke moe, hoʻomohala kekahi mau wahine i nā pilikia koʻikoʻi ma hope o ka hoʻomaka ʻana o ka hana. Ma muli o ka hoʻokau ʻole ʻia o ka hoʻomaʻamaʻa ʻana i nā palekeiki moe, ʻokoʻa ka hiki ke ʻike i nā pilikia.

Lawe koke nā pilikia obstetric he nui a hiki i ka lāʻau lapaʻau wikiwiki ke hana ʻole me ka hoʻohana ʻole ʻia o ka ʻenehana. Ma muli o kēia, ʻāpono kekahi mau kauka i nā lāʻau lapaʻau ʻAmelika nui i ka hānau home ʻana a hānau ʻia paha e nā palekeiki moe.

ʻO Doulas

Kōkua nui kahi doula i ka makuahine ma mua pono o ka hānau ʻana a i ka wā o ka hana a me ka hānau ʻana. Hāʻawi lākou i ke kākoʻo naʻau a me ke kino i ka makuahine a hiki nō hoʻi ke kōkua i ke aʻo ʻana iā lākou. Eia naʻe, ʻaʻole lākou e hāʻawi i ka mālama olakino.

Loaʻa nā Doulas i ka makuahine ma mua o ka hānau ʻana e kōkua i ka hoʻolālā hānau ʻana a pane i nā nīnau a ka makuahine.

I ka wā hānau hānau, e hāʻawi ka doula i ka hōʻoluʻolu i ka makuahine ma ke kōkua ʻana me ka hanu a me ka hoʻomaha. Hāʻawi lākou i ka lomilomi a kōkua me nā kūlana hana. Ma hope o ka hānau ʻana, e kōkua ka doula i ka makuahine me ka hānai ʻana i ka waiū a kōkua paha i ka wā o ka hānau ʻana.

Ma laila ka doula no ka makuahine a kōkua iā ia i kahi hānau palekana a maikaʻi hoʻi, ʻoiai inā pili i ka lāʻau a i ʻole ke ʻoki kino.

Outlook

Ke hilinaʻi nei inā makemake ʻoe e lawe i kahi haukapila, ma ka home, a i ʻole kahi kikowaena hānau, ʻoi aku ka maikaʻi e ʻike i ke ʻano o nā hōʻoia a kākoʻo paha āu e makemake ai mai kāu palekeiki. E kōkua kēia ʻike iā ʻoe e hoʻoholo i ke ʻano o ka pale keiki āu e makemake ai e hana pū.

ʻO ka maʻamau, ʻo ka loaʻa ʻana i ka palekeiki e hāʻawi iā ʻoe i ke kākoʻo naʻau a me ke kākoʻo kino a kōkua i ke kaʻina hanau e hele mālie. E kōkua pū kekahi pale keiki i mea e hōʻoia i kou olakino a me ke olakino o kāu pēpē.