He aha kāu e ʻike ai e pili ana i kāu pēpē i hala

Anter

• He aha ka manaʻo o ka hāpai hāpai lōʻihi?
• Pehea e helu ai i nā lā kūpono?
• He aha ke kumu e hānau ai ka pēpē ma hope?
• He aha nā makaʻi o ka pēpē overdue?
• He aha e hana ai inā pau kāu pēpē?
• Lawe aku

Ke hiki ʻoe i ka hopena o kou hāpai ʻana, ke manaʻo nei paha ʻoe i kahi hui o nā manaʻo e pili ana i ka hana a me ka hānau ʻana. ʻOiai nā hopohopo e pili ana i ka mea e hiki mai ana, kokoke ʻoe mākaukau no ka pau ʻana o kou hāpai ʻana. Ma hope o kēia kali ʻana, makemake ʻoe e launa me kāu pēpē!

Ke hoʻokokoke nei kāu lā kūpono (a hala paha) inā ʻaʻole ʻoe i hele i ka hana, hopohopo paha ʻoe. Mahalo paha ʻoe inā olakino kāu pēpē, inā e hana pono ana kou kino, a i ʻole manaʻo e pau paha kāu hāpai ʻana.

He aha ka manaʻo o ka loaʻa ʻana o kahi pēpē overdue? Aia kekahi mau pilikia olakino e pili ana me ka koe ʻana o ka hāpai i hala o kāu lā kūpono. He aha kāu e manaʻo ai e hiki mai ana ma hope o ka hala ʻana o kou lā palena?

Mai hopohopo, ua uhi mākou iā ʻoe me nā pane āu e ʻimi nei!

He aha ka manaʻo o ka hāpai hāpai lōʻihi?

Me nā lā ʻokoʻa a me nā ʻōlelo āu e lohe ai i ka wā hāpai, paʻakikī paha e hoʻoholo inā hiki iā ʻoe ke manaʻo e hui me kāu pēpē. Ke hoʻohana nei ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists (ACOG) i kēia mau wehewehe ʻana:

• wā mua: 37 a 38 mau pule
• wā piha: 39 a 40 mau pule
• wā hopena: 41 a 42 mau pule
• wā kau: ma ʻō o 42 mau pule

ʻO nā pēpē i hānau ʻia ma mua o 37 mau pule, ua manaʻo ʻia he wā ma mua a ʻo nā mea i hānau ma hope o 42 mau pule, ua kapa ʻia lākou he postmature. (Hiki ke kapa ʻia kēia he hāpai hāpai lōʻihi a lōʻihi paha.)

Hānau e pili ana i nā wahine ma a ma mua paha o ko lākou lā palena. Ma kahi o 1 wale nō i nā pēpē he 10 i hala hope a hānau ʻia ma ʻō aku o 42 mau pule o ka hāpai ʻana.

Ma muli o kēia mau helu helu, e haʻohaʻo ana ʻoe pehea e helu ai i kāu lā kūpono a me nā mea e hāʻawi i kahi pēpē i hala.

Pehea e helu ai i nā lā kūpono?

ʻO ka lā maoli o ka hāpai ʻana no ka pēpē paʻakikī e ʻike, no laila ʻo ka makahiki hānau ka ala maʻamau e helu ai i ka lōʻihi o ka hāpai ʻana a wānana i kāu lā kūpono.

Ana ʻia ka makahiki ʻo Gestational i ka hoʻohana ʻana i ka lā mua o kāu manawa hope loa; 280 mau lā (a i ʻole 40 mau pule) mai kēia lā ka lōʻihi awelika no kahi hāpai keiki. ʻO kēia kou lā i koho ʻia, akā ʻo ka huaʻōlelo nui ke "manaʻo ʻia," ʻoiai he mea hiki ʻole ke wānana i ka wā e hānau maoli ai kahi pēpē.

ʻO nā pule e pili ana i kāu lā i koho ʻia ʻo ia ka puka aniani o kou lā, a e hānau ʻia paha i kēlā me kēia manawa i kēlā manawa.

Inā ʻaʻohe ou manaʻo i ka manawa o kou manawa hope loa, hāpai i ka wā e hoʻohana ana i nā mea pale oral, a i ʻole keu manawa maʻamau maʻamau, e noi paha kāu kauka i kahi ultrasound e hoʻoholo ai i ka hānau hānau o kāu pēpē. ʻAe ka ultrasound i kāu kauka e ana i ka lōʻihi o ka lei aliʻi (CRL) a i ʻole ka mamao mai kahi hopena o ke fetus a i kekahi.

I loko o kāu trimester mua hiki i kēia ana CRL ke hāʻawi i ka koho pono loa o nā makahiki o ke pēpē, no ka mea ulu nā pēpē āpau i ka wikiwiki like i kēlā manawa.

Eia nō naʻe, i ka lua a me ke kolu o ka trimesters ulu nā pēpē i nā wikiwiki like ʻole, no laila hiki i kēia hiki ke koho pono i ka makahiki ma muli o ka emi ʻana o ka nui o ka pēpē.

He aha ke kumu e hānau ai ka pēpē ma hope?

No ke aha e hoʻoholo nei kāu pēpē e lawe i kahi manawa hou e hānau ai? ʻO kekahi mau kumu maʻamau ka:

• ʻO kāu pēpē mua kēia.
• He moʻolelo ʻoe o ka hānau ʻana i nā pēpē kau hope.
• He moʻolelo ko kou ʻohana o ka hānau ʻana i nā pēpē kau hope.
• Loaʻa ʻoe i ka momona.
• He keikikāne kāu pēpē.
• Ua helu hewa ʻia kāu lā palena pau.

He aha nā makaʻi o ka pēpē overdue?

Ke hoʻonui ʻia kahi hana ma ʻō aku o 41 mau pule (wā hope) a ma ʻō aku o 42 mau pule (manawa kau) ua māhuahua nā makaʻi o kekahi mau pilikia olakino. ʻO kekahi o nā pilikia maʻamau e pili pū ana me kahi pēpē ma hope ʻo:

• He aha e hana ai inā pau kāu pēpē?

  Inā ua hele mai kou lā palena pau a hala, hiki iā ʻoe ke hilinaʻi e hoʻomau ʻoe i ka mālama olakino. I ka ʻoiaʻiʻo, e loaʻa paha kāu mau kipa hou aku i kēlā me kēia pule me kāu palekeiki a i ʻole OB-GYN ma mua o kāu i hana ai ma mua.

  I kēlā me kēia manawa āu i koho ai, hiki iā ʻoe ke manaʻo e nānā kāu kauka i ka nui o kāu pēpē, e nānā i ka nui o ka puʻuwai o kāu pēpē, e nānā i ke kūlana o pēpē, a nīnau e pili ana i ka neʻe ʻana o ka pēpē.

  E ʻōlelo paha kāu kauka i kekahi o ka nānā hou ʻana a me nā hoʻokolohua olakino e nānā pono i ke olakino o kāu pēpē. (E hoʻomaka nā kauka he nui e koi i kēia ma kahi o 40 a 41 mau pule.)

  E noi lākou iā ʻoe e makaʻala keu i ka hoʻokō ʻana i nā helu kika, nā moʻolelo o ka neʻe ʻana o kāu pēpē.

  Hiki ke hōʻike ʻia i hoʻokahi a ʻelua paha manawa o ka pule a hiki ke hoʻopili ʻia:

  • Lawe aku

    Hānau ʻia ka hapa nui o nā pēpē i loko o kekahi mau pule o ko lākou lā palena pau. Inā ʻike ʻoe iā ʻoe iho e kokoke ana i ka hopena o ka puka aniani o kou lā i manaʻo ʻia me ka ʻole o nā hōʻailona o ka hana, aia paha nā hana e hiki ai iā ʻoe ke hana e kōkua i ke kī ʻana i kāu pēpē i ka honua.

    Ma mua o ka hana ʻana pēlā, e kūkākūkā mau ʻoe me kāu kauka a i ʻole palekeiki. Hiki iā lākou ke kūkākūkā i nā pono a me nā pilikia o kāu kūlana olakino kikoʻī a hāʻawi i ke alakaʻi i nā ala palekana e kōkua ai i kāu keiki liʻiliʻi e hōʻea i kou mau lima.

    ʻOiai he paʻakikī ke kali, aia nā pōmaikaʻi i ka ʻae ʻana i kāu pēpē i ka manawa nui e hoʻomohala ma mua o ke komo ʻana i ka honua. Ke hiki mai ka manawa o ka makaʻu o ka mālama ʻana i kāu pēpē i loko o ʻoi aku o kēia mau pōmaikaʻi, ma laila kāu kauka a mea pale keiki paha e kākoʻo iā ʻoe i ka hoʻoholo ʻana i kahi hoʻolālā hānau hānau palekana.