ʻO ke alakaʻi waiwai nui loa e pono e mālama i nā mākua hou i kā lākou ʻeke kua

Anter

• Nā pilikia kūpilikiʻi
• Kākoʻo ākea a me ke alakaʻi
• Nā nīnau nīnau: hiki iaʻu ke lawe i kēia?
• Ola olakino
• ʻO ka hānai hānai a me ka lactation
• ʻO ke olakino papahele pelvic
• Lā hānau hope
• Nā lawelawe hou aʻe

E mālama i kēia mau pūnaewele a me nā helu ma ke kelepona wikiwiki no ka wā e pono nui ai ʻoe i ke kākoʻo.

Inā ʻoe e manaʻo ana i kahi hou hou i ka ʻohana, ua loaʻa paha iā ʻoe nā mea nani no kāu pēpē. Akā e hāʻawi wau iā ʻoe i kekahi mea ʻē aʻe: ka makana o ka ʻike.

Maopopo iaʻu, maopopo iaʻu. ʻAʻole kokoke ia i ka leʻaleʻa e like me nā kapa moe a me nā mōlina o nā paʻi kiʻi. Akā hilinaʻi iaʻu. Ma hope o ka hōʻea ʻana o ka pēpē, sh * t loaʻa maoli. ʻAʻole ʻoe i ʻike - ʻo kāu mua a ʻehā paha - he aha nā kūpina āu e kū ai a i ʻole ke ʻano o ke kākoʻo āu e pono ai.

Ma laila e hiki mai ai kēia alakaʻi mākaukau o nā mea nui. Aia kekahi mau kumuwaiwai i helu ʻia e lana koʻu manaʻo e hoʻohana ai kēlā me kēia. Aia kekahi mau kumuwaiwai i helu ʻia i manaʻo wau ʻaʻole pono e hoʻohana kekahi. Ma kēlā a me kēia ala, ua hoʻopili ʻia a pau ma aneʻi, ʻaʻohe hoʻokolokolo.

Ma ke ʻano he doula postpartum, ʻo kaʻu hana ia a me ka kuleana e kākoʻo i nā mākua hou ke hiki lākou i ko lākou nāwaliwali loa. ʻO ka hāʻawi ʻana i nā kumuwaiwai kahi ʻāpana nui o kēlā. (Ka liʻiliʻi o ka manawa numbing noʻonoʻo e hoʻopili ana i ka hohonu o ka pūnaewele, ʻoi aku ka manawa me kou ʻohana: ʻAe!) Lana koʻu manaʻo e hiki nō iaʻu ke hana like me ʻoe.

Ma hope o nā mea āpau, lilo ia i kauhale. A i kēia mau lā, he mea hoʻopili ʻole kēlā kauhale i nā ola maoli a me nā kumuwaiwai pūnaewele.

Nā pilikia kūpilikiʻi

ʻO nā mea mua ma mua: E hoʻohui i ka helu kelepona o kāu pediatrician i kāu mau punahele kelepona inā ʻaʻole ʻoe e hopohopo e pili ana i ka pēpē. E ʻike ma hea kahi haukapila kokoke a i ʻole 24 mau hola lawelawe wikiwiki.

Pēlā nō me ʻoe. Mai kānalua i ke kāhea ʻana i kāu mea hāʻawi, inā paha ʻoe e ʻike i ka postpartum aʻe: Inā hele ʻoe i kahi ʻōpū i ʻoi aku ka nui ma mua o ka plum, e hoʻopulu ma mua o hoʻokahi pale i kēlā me kēia hola, a i ʻole he kuni, ʻalalā, nausea, a i ʻole kuʻi wikiwiki Hiki i kekahi o kēia mau hōʻailona ke hōʻailona o ka hemorrhage postpartum.

Inā loaʻa nā loli i ka hihiʻo, dizziness, a i ʻole ʻeha poʻo nui, e kelepona koke i kāu mea hāʻawi. Hiki i kēia mau hōʻailona ke hōʻailona o ka preeclampsia postpartum.

Kākoʻo ākea a me ke alakaʻi

Nui wau i ka pā ʻana iā Facebook e ʻike i nā hui makua hou kūloko e nā kaiāulu, a me nā hui lāhui / kūwaho e ka hoihoi. E hoʻohana iā lākou no ke kākoʻo, ʻōlelo aʻoaʻo, ka puka ʻana, a i ʻole nā ​​hālāwai kino, a he mea maikaʻi loa ia ke noho wale ʻoe ma ka home i kēlā mau pule mua a i ʻole mau mahina. E hāʻawi paha kāu haukapila i kahi hui makua hou.

• Hānai umauma. ʻO La Leche League ka pūʻulu kākoʻo lactation ʻoi loa. (Nui aʻe ma ka lactation ma lalo.) He mau mokuna kona ma nā kūlanakauhale a me nā kūlanakauhale āpau, a he kumuwaiwai manuahi ʻole ia - no ka ʻike, a me nā hoa aloha paha.
• Nā hāʻawi Cesarean. He mau hui kūloko ka International Cesarean Awcious Network (ICAN) a me kahi pūʻulu Facebook paʻa no ka poʻe e ʻimi nei i ke kākoʻo, inā he ʻāpana C i hoʻonohonoho ʻia, ʻāpana C pilikia, a ʻo VBAC paha.
• Ka hopohopo postpartum a me ke kaumaha. Hāʻawi ka Postpartum Support International (PSI) i kahi nui o nā kumuwaiwai olakino noʻonoʻo (ʻoi aku ma luna o lalo), akā mahalo nui wau i nā hālāwai pūnaewele o kēlā me kēia pule e paʻa nei no nā hopohopo a me nā mea mālama pūʻali koa.
• ʻO Surrogacy. Inā ʻoe e hoʻohana nei (a i hoʻohana paha) i kahi mea pani a ke nānā nei ʻoe e hoʻohui me nā mākua pani, makemake paha ʻoe e nānā i ka hui Facebook ʻo Surrogates a me nā Makua i manaʻo ʻia, kahi e kaena ai ma kahi o 16,000 mau lālā.
• Hoʻohui. Hāʻawi ka ʻĀkau o ʻAmelika Hui Pū ʻIa e pili ana i nā Keiki Adoptable (NACAC) i kahi papa kuhikuhi o nā hui makua makua hānai e ka mokuʻāina. He mea kūpono ia e hoʻomaopopo he kaumaha maoli ke kaumaha ma hope o ka hānai ʻana, a he paʻakikī kekahi e kūkākūkā ākea. Inā ʻoe e hakakā nei, ʻike paha ʻoe i kēia mau kolamu maikaʻi e like me kēia ʻike mai ka U.S. Department of Health and Human Services.

Nā nīnau nīnau: hiki iaʻu ke lawe i kēia?

Ua kākau wau e pili ana i nā mea hoʻopiha postpartum a me nā mea kanu lactation kaulana ma aneʻi ma Healthline, akā inā ʻoe e noʻonoʻo mau ana, "Hiki iaʻu ke lawe i kēia?" hoʻohana i kēia mau kumuwaiwai ʻelua no ka scoop lapaʻau:

• LactMed. ʻO kēia ka National Institute of Health's nā lāʻau lapaʻau a me ka waihona lactation database. (Aia kekahi polokalamu!)
• ʻO MotherToBaby. Inā he nīnau kāu e pili ana i ka lāʻau lapaʻau a i ʻole nā ​​mea ʻē aʻe i ka wā perinatal, hiki i kēia mea kōkua ʻole ke kōkua. E heluhelu i nā pepa ʻoiaʻiʻo ma ka pūnaewele a kāhea pololei iā lākou ma o ke kāhea ʻana, ka leka uila, ka leka uila a i ʻole ke kamaʻilio ola ʻana e kamaʻilio ai me kahi loea no ka manuahi.

Ola olakino

Aia kekahi nui o "ʻAʻole wau e like iaʻu iho" ʻo ia ka postpartum maʻamau. Akā pehea ʻoe e ʻike ai inā he mea maʻamau ka mea āu e manaʻo ai, a i ʻole kekahi mea e hopohopo ai? ʻOi aku ke hiki i nā blues postpartum, kaumaha, hopohopo, a me psychosis ke hōʻike ʻokoʻa loa no kēlā me kēia kanaka.

Ua koho ʻia a hiki i ka 15 pākēneka o nā wahine hāpai a postpartum wahine ʻike i ke kaumaha. Inā ʻaʻohe ʻoe kānalua, hiki iā ʻoe ke hoʻomaka me ka lawe ʻana i kēia quiz wikiwiki. He nīnau nīnau maʻamau ia he nui nā doula e hoʻohana ai no nā kipa hāpai a me nā hānau hope.

• Inā ʻoe hopohopo e pili ana i kāu mau pane, a i ʻole nā ​​manaʻo a ka quiz e hoʻopuka ai, e ʻoluʻolu e kikoʻi i kāu mea hāʻawi, he loea noʻonoʻo i hilinaʻi ʻia, a i ʻole kelepona i ka National Postpartum Depression Hotline ma 1-800-PPD-MOMS (773-6667) .
• Hāʻawi pū ʻo PSI i ka nui o nā kumuwaiwai. Manaʻo wau ʻo lākou ka mea maikaʻi loa no nā nīnau olakino noʻonoʻo. Hiki iā ʻoe ke kelepona i ke kōkua kōkua ma 1-800-944-4773 a i ʻole loaʻa ke kākoʻo kokoke ma o kā lākou papa kuhikuhi mokuʻāina.
• Inā manaʻo ʻoe aia ʻoe i kahi weliweli koke, e kāhea iā 911, i kāu mau lawelawe kūloko kūloko, a i ʻole ka National Suicide Prevent Lifeline ma 1-800-273-8255.

ʻO ka hānai hānai a me ka lactation

No nā mākuahine i koho e hānai i ka hānai, kākoʻo ka lactation i ka pōkole a me ka noho pōkole i ka haukapila, a ʻaʻohe ukali lactation kūlana ke hoʻi ʻoe i ka home.

e hoʻōki i ka hānai ʻana ma mua o ka mea i manaʻo ʻia ma muli o nā pilikia hānai. A ʻo 25 wale nō ka pākēneka o nā pēpē e hānai wale ʻia ma o 6 mau mahina.

He hana nui ka hānai ʻana i ka waiū, a he mea pono ka hoʻomaʻamaʻa ʻana a me ka hoʻomau ʻana. Ke hana nei paha ʻoe i nā pilikia nipple (pālahalaha, hulihuli ʻia, a i ʻole haʻi ʻia hiki ke maʻalahi ʻia), a i ʻole nā ​​pilikia latch, a i ʻole kahi lako haʻahaʻa - inā paha he pilikia kou, kahi hānau hānau, a i ʻole nā ​​pilikia me ka hoʻi mua. e hana.

• Hāʻawi ka American Academy of Pediatrics i kahi Q&A ākea e pili ana i nā hopohopo hānai maʻamau.
• He hōʻiliʻili liʻiliʻi a ikaika ʻo Stanford Medicine o nā wikiō e hānai ana i nā waiū e pono e nānā ke hāpai ʻoe a i ʻole postpartum hou a e hoʻāʻo nei e kau i nā mea.
• Inā ʻoi aku ka wikiwiki o ke kākoʻo o loko, ʻo La Leche League, e like me ka mea i ʻōlelo ʻia ma luna, ua laha - a manuahi ia!

Manaʻo wau me ka naʻau āpau e pono e hoʻopuka kēlā me kēia kanaka postpartum i kahi kākāʻōlelo lactation inā a) hiki ke loaʻa kālā, a / a i ʻole b) kau ʻia kou puʻuwai e ka waiū hānai. Kūpono lākou i ko lākou kaumaha i ke gula (wai).

Paipai mau wau i ka loiloi me kāu kaukuna no nā loea kūloko a hilinaʻi hoʻi. Ma ke ʻano he fallback, hiki iā ʻoe ke nānā i kahi kūkā kūkā lactation IBC kūloko. Loaʻa i nā IBCLC ka pae kiʻekiʻe o ke aʻo hiki.

ʻLelo ʻia, aia kekahi mau pae ʻē aʻe o ka hōʻoia a, i hui pū ʻia me (ʻike maoli) i ka ʻike lima, ʻaʻohe kumu e hiki ʻole ai ke kōkua like iā ʻoe. Eia kahi wikiwiki o ka sopake pīʻāpā o nā inoa lactation āu e ʻike ai:

• CLE: Hoʻonohonoho Lactation Educator
• CLS: Hoʻolālā Lactation i hōʻoia ʻia
• CLC: Kākau aʻoaʻo lactation i hōʻoia ʻia

Hōʻike kēlā me kēia inoa i luna ma ka liʻiliʻi he 45 mau hola o ka hoʻonaʻauao lactation, a ukali ʻia e kahi hōʻike.

• IBCLC: ʻO International Board Certified Lactation Consultant

Kuhi kēia pae ma kahi o 90 mau hola o ka hoʻonaʻauao lactation, me kahi hōʻike laulā.

ʻO ke olakino papahele pelvic

E like me kaʻu i kākau ai i kahi kolamu mua ma hope o ke olakino pelvic postpartum, ʻo ka hānau ʻana ʻaʻole ʻoe e hoʻokau ʻia i kahi ola āpau o nā ulia pōpilikia ke heʻe ʻoe, ʻakaʻaka, a ʻū paha.

Ke pale nei i nā kūlana extenuating, ʻaʻole pono ʻoe e loaʻa i nā pilikia leak ma hope o 6 mau pule no ka lawe ʻana i kahi paʻakikī ʻole, a ma hope paha o 3 mau mahina inā loaʻa iā ʻoe kahi haehae nui e pili ana i ka haehae a hānau ʻana paha. Inā ʻoe e hana, hiki i ka manawa e ʻimi ai i kahi pelvic papa hana kino.

• ʻElua mau papa kuhikuhi i hiki iā ʻoe ke hoʻohana e loaʻa ai kahi loea kokoke iā ʻoe: ʻO ka mua, ʻo ka American Physical Therapy Association (APTA). Kānana no ka "olakino wahine" a nānā i kekahi me DPT a me WCS e ko lākou inoa.
• A laila, aia ka papa kuhikuhi Herman & Wallace Pelvic Rehabilitation Institute. He hoʻomaʻamaʻa kupaianaha kēia mau mea lawelawe. E ʻike nō hoʻi ʻoe i kahi inoa hou aʻe o PRPC no Pelvic Rehabilitation Practitioner Certification, ka mea kikoʻī iā Herman & Wallace.

ʻOiai he mau kaukani aʻo a me nā hoʻomaʻamaʻa pono ma o YouTube a me Instagram influencers, he mau kaukani.

Pono ʻoe e ʻike i ka mea e hana kikoʻī nei kāu kino ma mua o ka hoʻāʻo ʻana i kekahi neʻe. (ʻO kahi laʻana, ʻaʻole maikaʻi nā kegels no nā mea āpau!) E ʻimi mua i ka ʻike loea, a laila e ʻimi e like me ka mea e pono ai.

Lā hānau hope

ʻIke nō, ma ke ʻano he doula postpartum iaʻu iho, kolohe au ke ʻōlelo wau i ka mea aʻe, akā manaʻoʻiʻo wau he 100 pākēneka maoli ia: Hiki i kēlā me kēia ʻohana ke pōmaikaʻi i ka loaʻa ʻana o kahi doula postpartum.

Ua hōʻike ʻia nā noiʻi e hiki i ke kākoʻo doula ke kōkua i ka hoʻemi ʻana i ka helu o nā maʻi o ka naʻau postpartum,, a hiki ke loaʻa nā hopena maikaʻi nui no ka ʻohana holoʻokoʻa.

No ka loaʻa ʻana o kahi doula postpartum i hōʻoia ʻia i kou wahi, e nānā i nā papa inoa o ka mokuʻāina ʻo DONA International. Hōʻike piha: Ua hōʻoia wau ma o, a he lālā o, DONA International. Nui a hewahewa nā hui like postpartum doula ʻē aʻe. ʻO kēlā me kēia hui a me nā mea āu e koho ai, makemake wau iā ʻoe e koho no kekahi i hōʻoia ʻia a nīnau e pili ana i kā lākou aʻo ʻana, me ka noi ʻana i nā kuhikuhi.

A me kahi manawa hoʻolauleʻa ponoʻī: Holo wau i kahi nūpepa pule e hāʻawi i ka ʻike pili i ka hōʻike a me ke alakaʻi no ka trimester ʻehā. He pōkole, snappy, a hoʻokomo i nā heluhelu hoihoi mai ka pule. Hiki iā ʻoe ke aʻo hou aʻe e pili ana i aneʻi.

Nā lawelawe hou aʻe

• Nā waiwai o ka hale a me ka palekana o ka nohona. Inā ʻoe e hopohopo e pili ana i ka mālama ʻana i ka ʻili a me nā huahana o ka home āu e hoʻohana ai i ka wā hāpai a me ka postpartum, loaʻa i ka Pūʻulu Hana Pūnaewele ke kōkua nui o nā huahana i helu ʻia. E hoʻokele i ka papa kuhikuhi iho iho ma ka ʻaoʻao ʻo Babies & Moms. E ʻike ʻoe i nā lotiona, nā kopa, nā shampo, a me nā kāmele diaper i makemake nui ʻia no ka ʻino.
• Meaʻai kūpono. ʻAʻole kōkua ka Polokalamu Hoʻohui Kūkulu Mea Hou no nā Wahine, Nā Pēpē a me nā Keiki (WIC) me ka meaʻai olakino no nā makuahine a me nā pēpē, akā hāʻawi pū kekahi ia i nā kumuwaiwai i nā mākua hou e like me ka loiloi olakino a me nā ʻōlelo aʻoaʻo hānai waiū. E aʻo hou aʻe ma aneʻi.
• ʻO ka maʻi maʻi Opioid. ʻO ka hoʻohana ʻana o ka Opioid i ka wā o ka hāpai ʻana ua pāhāhā, a ʻo ka hōʻino ʻana i ka lāʻau ke kumu o ka make perinatal. Inā makemake ʻoe i kōkua - ke ʻimi nei i kahi keʻena lapaʻau, hui kākoʻo, hui kaiāulu, a i ʻole nā ​​kumuwaiwai ʻē aʻe - e kāhea aku i ka Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ma 1-800-662-HELP (4357). He hūnā ia, manuahi, a loaʻa 24/7.

He makuahine ʻo Mandy Major, ua hōʻoia ʻia ʻo PCD postpartum doula (DONA), a ʻo ia ka mea hoʻokumu pū o Major Care, kahi hoʻomaka telehealth e hāʻawi ana i kahi mālama doula mamao no nā mākua hou. E hāhai ma hope o @majorcaredoulas.