ʻO ke kolu o ka ʻekolu: ʻo ka hōʻike hea e hiki ai ke hoʻopakele i kāu pēpē?

Anter

• He aha ka mea e hana nei
• Ma kāu hōʻoia
• Nā Ultrasounds
• Pūnaewele B Streptococcus Screening
• Nā Hōʻaʻo STI
• Nā Hōʻikeʻike Ola Fetal
• ʻO Amniocentesis
• ʻO ka hōʻike Nonstress
• Hōʻike Hoʻohālikelike Contraction a i ʻole ʻo Oxytocin Challenge
• ʻO ka Stretch Home

He aha ka mea e hana nei

I nā mahina ʻekolu i hala iho nei o ka hāpai ʻana, ke ʻūlū nei kāu pēpē i nā paona, ke ulu nei nā manamana lima- a me nā manamana wāwae, a wehe a pani i ko lākou mau maka. Ke luhi nei paha ʻoe a ʻike paha ʻoe i ka hanu ʻole. He mea maʻamau kēia. Pono ʻoe e noʻonoʻo i ka neʻe hou aʻe mai ka pēpē.

Ma ka hebedoma 37, hiki i kāu pēpē ke hānau a noʻonoʻo ʻia i ka wā kau. ʻO ka lōʻihi o ko lākou waiho ʻana, ʻo ke olakino o ko lākou hānau ʻana.

Inā olakino a haʻahaʻa haʻahaʻa kou hāpai ʻana, pono ʻoe e hele i nā koho prenatal i kēlā me kēia ʻelua a ʻehā mau pule a hiki i 36 mau pule. A laila hiki i ka manawa no ka nānā ʻana i kēlā me kēia pule a hiki i kou lawe ʻana.

Ma kāu hōʻoia

I kāu mau koho, e kaupaona ke kauka iā ʻoe a nānā i kou kaʻe koko. E noi paha kāu kauka iā ʻoe e hāʻawi i kahi mimi, a lākou e hoʻohana ai e nānā no ka maʻi, protein, a kō paha. ʻO ke kū ʻana o ka protein i ka mimi i ke kolu o ka trimester hiki ke lilo i hōʻailona o preeclampsia. Hiki i ke kō i ka mimi ke hōʻike i ka maʻi kō.

E ana ana kāu kauka i kou ʻōpū e nānā i ka ulu ʻana o ka pēpē. E nānā paha lākou i kou cervix no ka hoʻoulu ʻana. Hāʻawi paha lākou iā ʻoe i kahi hōʻoia koko e nānā ai no ka anemia, keu hoʻi inā he anemia ʻoe ma mua o kou hāpai ʻana. ʻO kēia ʻano ʻaʻohe ou lawa i nā hunaola ʻulaʻula olakino.

Nā Ultrasounds

Hiki paha iā ʻoe ke loaʻa nā ultrasound, e like me kāu i nā pule i hala, e hōʻoia i ke kūlana o ka pēpē, ka ulu ʻana, a me ke olakino. ʻO nā loiloi o ka puʻuwai puʻuwai fetal uila e hōʻoia i ka pā pono ʻana o ka puʻuwai o ka pēpē. Ua loaʻa paha iā ʻoe kekahi o kēia mau hoʻāʻo i kēia manawa.

Pūnaewele B Streptococcus Screening

Hāpai ka hapanui o mākou i ka bacteria B strep bacteria i loko o ko mākou ʻōpū, ʻōpū, pūpū, pākī, a puʻu paha. ʻAʻole ia he kumu no ka pilikia o nā mākua, akā hiki ke kumu i nā maʻi ʻino a make paha i nā keiki hānau hou. E hoʻāʻo kāu kauka iā ʻoe no ka pūʻulu B strep i nā pule he 36 a hiki i ka 37 e hōʻoia i ka hōʻike ʻole ʻia o kāu pēpē.

E holoi lākou i kou wīwī a me kou kiko, a laila e nānā i nā swabs no ka bacteria. Inā maikaʻi ka hoʻāʻo no ka bacteria, hāʻawi lākou iā ʻoe i nā lāʻau ʻaloʻalo ma mua o ka hānau ʻana no laila ʻaʻole hōʻike ʻia kāu pēpē i ka pūʻulu B strep.

Nā Hōʻaʻo STI

I ke kolu o ka trimester, nānā paha kāu kauka no nā maʻi i lawe ʻia i ka moekolohe (STI). Kaukaʻi ʻia i kāu mau pilikia pilikia, hōʻoia paha kāu kauka no:

• chlamydia
• HIV
• syphilis
• gonorrhea

Hiki i kēia mau mea ke hoʻopili i kāu pēpē i ka wā hānau.

Nā Hōʻikeʻike Ola Fetal

Hana paha kāu kauka i nā hoʻokolohua ʻē aʻe inā manaʻo lākou ua makaʻu kāu pēpē no kekahi mau ʻano a i ʻole ke hoʻomohala e like me ka mea i manaʻo ʻia.

ʻO Amniocentesis

Hiki paha iā ʻoe ke loaʻa kahi amniocentesis inā manaʻo kāu kauka he maʻi maʻi bacteria paha kāu pēpē i kapa ʻia ʻo chorioamnionitis. Hoʻohana paha lākou i ka hoʻokolohua inā hopohopo lākou e pili ana i ka fetemia anemia. Hana pinepine ʻia kēia hōʻike i ka trimester ʻelua e ʻike i nā pilikia chromosomal e like me Down Syndrome. Hoʻohana ʻia nō ia e hoʻāʻo no ka hana o ka māmā fetal.

I ka amniocentesis, e hoʻokomo kāu kauka i kahi nila lōʻihi lōʻihi lahilahi ma o kou ʻōpū i loko o kou kōpū. E huki lākou i kahi hāpana o ka wai amniotic. E nīnau lākou i kahi ultrasound e hoʻoholo i ka wahi kikoʻī o kāu pēpē i ʻole e hoʻopā ka nila iā lākou.

ʻO kahi pilikia liʻiliʻi o ka hānau ʻole a lawe ʻana paha i ka manawa mua e pili pū me ka amniocentesis. Hiki paha i kāu kauka ke paipai i ka hoʻoulu ʻana i ka lawe inā ʻike lākou i kahi maʻi i ka wā o ke kaʻina hana. E kōkua kēia i ka mālama ʻana i ka maʻi i ka wā hiki loa.

ʻO ka hōʻike Nonstress

Ke ana ka nonstress test (NST) i ka helu o ka puʻuwai o kāu pēpē i ko lākou neʻe ʻana. Kauoha ʻia paha inā ʻaʻole neʻe maʻamau kāu pēpē a inā ua hala ʻoe i kāu lā palena. Hiki iā ia ke kuhi inā he olakino ka placenta.

ʻAʻole like me nā hoʻokolohua koʻikoʻi no nā mākua, ka mea e koʻikoʻi i ka puʻuwai e nānā i kāna hana, pili wale ka NST i ke kau ʻana i kahi monitor fetal ma luna o kāu pēpē pēpē no 20 a 30 mau minuke.Hiki paha i kāu kauka ke hana i ka NST i kēlā me kēia pule inā he hāpai nui kou i ka wā kiʻekiʻe, a i ʻole me kēlā me kēia manawa e hoʻomaka ana ma kahi o ka pule 30th.

I kekahi manawa lohi ka puʻuwai o ka puʻuwai no ka mea ke makeʻe kāu pēpē. I kēia hihia, e hoʻāʻo paha kāu kauka e hoʻāla mālie iā lākou. Inā kū mālie ka helu o ka puʻuwai, hiki i kāu kauka ke kauoha i kahi ʻano biophysical. Hoʻohui kēia i ka ʻike NST me kahi hōʻike ultrasound e loaʻa ai ka ʻike ʻoi aku ka maikaʻi o ke kūlana o ka pēpē.

Hōʻike Hoʻohālikelike Contraction a i ʻole ʻo Oxytocin Challenge

ʻO ka hoʻāʻo ʻana o ka stress contraction ke ana i ka helu o ka puʻuwai fetal, akā i kēia manawa - ua kuhi ʻoe - me kekahi koʻikoʻi. ʻAʻole naʻe koʻikoʻi. E lawa ka hoʻonāukiuki ʻana o kāu nipples a i ʻole ka nui wale oxytocin (Pitocin) e hoʻoulu ai i nā huikau haʻahaʻa. ʻO ka pahuhopu e ʻike pehea e pane ai ka puʻuwai o ka pēpē i nā mea hōʻemi.

Inā maʻamau nā mea āpau, e kūpaʻa ka helu o ka puʻuwai ʻoiai ke kaohi nā kaohi ʻana i ke kahe o ke koko i ka placenta. Inā kūpaʻa ʻole ka puʻuwai puʻuwai, e loaʻa i kāu kauka kahi manaʻo maikaʻi loa e pili ana i ka hopena o ka pēpē ke hoʻomaka ka hānau. E kōkua kēia iā lākou e hana i nā ana kūpono i kēlā manawa, e like me ka wikiwiki ʻana i ka lawe ʻana a i ʻole ka hana ʻana i kahi cesarean.

ʻO ka Stretch Home

E hopohopo paha ʻoe e pili ana i ke olakino o kāu pēpē ke hoʻokokoke aku nei kāu lā palena. He mea maʻamau kēlā. Mai kānalua i ka launa ʻana i kāu kauka me nā nīnau a hopohopo paha. Hoʻopili kou hopohopo i ka pēpē, no laila ʻoi aku ka maikaʻi o ka hoʻoluʻolu iā ʻoe iho.