Hāpai a me ka hānau hānau ʻana ma hope o ka ʻāpana cesarean. He palekana paha, e hiki ana iaʻu ke lawe i kahi hānau?

I nā manawa he nui i ka keʻena pale keiki a hānau hānau paha, nīnau mai nā makuahine e hiki mai ana iā mākou e pili ana i ka maikaʻi o ka lawe ma luna o kahi ʻāpana cesarean. ʻLelo mau mākou i ka mea like: ʻoi aku ka maikaʻi o ka lawe ʻana, E hoʻohana wale ʻia ka ʻāpana ʻo Caesarean inā he mea nui ia.

Eia nō naʻe, aia kekahi manaʻo he "ʻeha" ka makuahine a me ka pēpē i ka wā e hānau ai, ʻoiai ma ka ʻāpana caesarean ua hoʻonohonoho ʻia nā mea āpau a ʻoi aku ka maikaʻi no nā mea ʻelua, ʻoi aku ka liʻiliʻi o ke kaumaha a ʻeha ʻole kekahi o lāua.

Hānau keiki

He mea maʻamau ka noʻonoʻo ʻana, eia hou, ʻaʻole hiki i ka lawe ʻana ma hope o ka ʻāpana cesarean, akā ʻaʻole kēia ka hihia.

I ka wā o ka hāpai ʻana, ua hoʻololi nā kino o ka makuahine i nā loli he nui, pili lākou āpau i ka hiki ke hoʻopaʻa i kahi pēpē i loko o ka ʻōpū a ʻae iā ia e hana a ulu pono, a me ke kahawai hānau e hoʻomākaukau iā ia iho e ʻae i ka pēpē e puka. .

ʻO ka hānau keiki kahi hanana physiological no ke kino o ka wahineNo laila, ʻoi aku ka wikiwiki o ka hoʻōla ma hope o ka lawe ʻana o ka ʻōpū ma mua o ka mahele o ka cesarean.

Ke pau ka lawe ʻana i ka ʻōhū, hoʻokau ʻia nā ʻano hana pono no laila ʻaelike ka uterus a he liʻiliʻi iki ke kahe ʻana o ke kō.

ʻO nā ʻelike, ka dilation, a me ke ala o ka pēpē ma o kēlā auwai hānau hoʻonāukiuki i nā ʻano hana e pono ai ka loli hormonal a ʻo nā hormones o ka hāpai hāpai e hāpai i nā mea o ka lactation, i hiki i ka "piʻi i ka waiū" ma mua, e laʻa me ...

Inā mākou e noʻonoʻo e pili ana i ka pēpē, ʻo ke ala i loko o ke kahawai hānau ka mea maikaʻi loa pū kekahi. I ka wā o ka dilation hoʻomākaukau ka pēpē e hele i ke kahawai hānau a me kēlā ʻanuʻu Mālama ʻoi aku ka maikaʻi o ka pēpē i ka loli e hānau ʻia ana.

No kēia mau mea a pau, ua hoʻāʻo mau ʻia nā hānau hānau o nā makuahine, e waiho nei i ka ʻāpana caesare ma ke ʻano he komo pilikia a i ʻole no nā hihia kahi hiki ʻole i ka lawe ʻana i ka ʻōpū.

Eia kekahi, ke loaʻa nei kahi cesarean i ka lawe mua ʻana nā kūlana i ke ala e alo ai i ka mea aʻe a hiki iā ia ke palena i ko mākou manawa o ka nui a ʻoi aku paha o nā keiki.

He aha ka ʻāpana cesarean?

ʻO kahi ʻāpana cesarean kahi hana ʻoki. ʻAʻole ia, no laila, he kūlana physiological.

Pono ʻoe i ka anesthesia, kahi lumi hana a me kahi hui o nā loea me he mea lā nā hana ʻoki ʻē aʻe i komo.

ʻO ka maʻamau he pono noho i kekahi mau hola ma hope i loko o kahi lumi hoʻōla, kahi lumi kahi e ʻoi aku ai ka mākaʻikaʻi o ka makuahine, i ka mea maʻamau, ʻaʻole hiki i nā pēpē ke, No laila kēlā mau hola mua o ka pili o ka ʻili i ka ʻili kumu no ka pēpē, pono ʻo ia e hala iā lākou mai kona makuahine.

I kahi ʻāpana caesar aia ma laila hoʻonui i ka makaʻu o ke kahe ʻana a i ʻole ka maʻi a me nā pilikia ʻano like o nā ʻoki lāʻau lapaʻau. A ʻo ia nō, ka lōʻihi o ka noho ʻana i ka haukapila a me ka manawa hoʻōla ma hope o ka ʻāpana cesarean ʻoi aku ia ma mua o ka hānau hānau.

ʻO ka loaʻa ʻana o kahi ʻāpana cesarean e pili ana i ka wehe ʻana o ka kōpū e ʻae i ka pēpē e puka mai ma waho o ka ʻoki i loko o ka ʻōpū o kona makuahine, e waiho ana i kahi ʻeha. ʻO kēlā ʻili kahi ʻāpana o ka nāwaliwali o ka paia o ka uterus.

Hāpai ma hope o ka ʻāpana cesarean

Ma ka laulā, nā mea loea a pau e paipai iā ʻoe kali i kahi manawa kūpono ma hope o ka ʻāpana cesarean a hāpai hou ʻoe. 'Mostlelo ka hapa nui o nā loea ma ka liʻiliʻi i hoʻokahi makahiki.

No ka mea? ʻO ka hoʻōla ʻana o ka ʻeha, nā paia o ka ʻōpū a me ka kōpū hoʻopau ʻia e like me ka hiki. ʻO ka hoʻōla ʻana o ka ʻeha kōpū ka mea pono e hoʻohui hou ʻia ka manawa hou aku.

Inā hāpai koke mākou, ʻaʻole paha i pau ke kaʻina hoʻōla. A i ka wā e hemo hou ai ka ʻōpū hiki i ka cesarean scar ke haki.

Ke hala kēlā manawa kūpono, he mea nui e kūkākūkā me ka loea, nāna e hōʻoia e hiki iā mākou ke nānā i kahi hāpai hou.

He mea maʻamau ka ulu ʻana o ka uterus hiki iā mākou ke loaʻa kekahi discomfort ma ka wahi o ka ʻili. Ke hoʻomaka ka pēpē e lilo i kaupaona, hiki iā lākou ke hoʻonui. E kūkākūkā me ka obstetrician e pili ana i ka pilikia, ke hana ʻoe i nā ultrasound hiki iā lākou ke ʻike i ka ʻili a loiloi i kona ʻano.

ʻAʻole lākou e ikaika loa i kahi nuisance. Inā ʻoe e ʻike i ka ʻeha ikaika, kikokiko i "ka hou ʻana" i ka ʻaoʻao o ka ʻōpū o lalo me ka ʻoluʻolu ʻole, e hoʻonui nei, he mea nui ia. e hele i ka keʻena pilikia o ka makuahine i koho ʻia, i mea e waiwai ai lākou i ka hiki ke haki ka ʻili.

Hāʻawi ka lāʻau lapaʻau ma hope o ka ʻāpana cesarean (VBAC)

ʻO ka ʻoiaʻiʻo o ka lawe mua ʻana e pau i ka ʻāpana cesarean ʻaʻole ia he manaʻo no ka lawe ʻana aʻe e ukali i ke ala like. ʻOiai e hoʻoholo ana i ke ala o ke kū ʻana i kahi lawe aʻe i kahi manawa iki.

Nā hui ʻepekema āpau ʻōlelo aʻoaʻo e hoʻāʻo nei i ka lawe ʻana o ka ʻōpū i ka hāpai keiki e hiki mai ana. Lawe ka lawe ʻana i ka iwi i ka nui o ka makaʻu i ka loaʻa ʻana o ka hysterectomy, ke kuni, nā maʻi, nā pilikia, a me ka thromboembolism.

ʻO ka hapa nui o nā mea kākau o nā noi ʻokoʻa i kēia pili e hoʻoholo i ka hoʻāʻo ʻana i ka lawe ʻōpū ma hope o ka ʻāpana cesarean palekana ia a pono e paipai ʻia I ka hapanui o nā hihia.

Pehea ke ʻano o kaʻu VBAC?

He ʻeha ko ka uterus ma kona paia, ʻo ia hoʻi, ʻaʻole paʻa pono kēlā pā. aia kahi o ka nāwaliwali. ʻO ia ke kumu e mālama pono ai ʻoe iā ia i ka wā hānau, pēlā heʻuʻuku ka makaʻu o ka haki.

Kuhi kēia i ka lawe ʻana e pono ʻo ka mea kūlohelohe a me ka palena iki hiki ke hana e nā ʻoihana ola kino. Mai ka hōʻalo ʻana i nā mea hoʻokomo e hōʻalo ai i ka lawelawe ʻana i ka oxytocin drips i ka wā hana a i ʻole ke hana ʻana i kahi ʻenehana a i ʻole maneuver e hoʻonui i ka ikaika a i ʻole ke alapine o nā pāʻina.

He mea nui nō hoʻi e nānā e like me ka nui e like me ka hoʻohaʻahaʻa ʻana, ka helu o ka puʻuwai o ka pēpē a me ke ʻano o nā hōʻailona hōʻailona hiki iā ia ke haʻi iā mākou ke haki ka ʻili mai ka ʻāpana cesarean mua.

Ehia mau ʻāpana caesar kahi palekana?

Maʻalahi ka pane; ka liʻiliʻi hiki. En 'O kēia loulou Ke waiho nei au iā ʻoe i ka hoʻohālikelike ma waena o ka hānau a i ʻole ka ʻāpana cesarean.

ʻOiai aia kekahi mau hoʻopiʻi ma kēia ʻano, e like me ka Spanish Society of Gynecology and Obstetrics (SEGO) ʻaʻole ia e koi ʻia e hana ma mua o ʻekolu mau ʻāpana cesarean. Ma hope o ka ʻāpana cesarean mua, koi ʻia e hoʻāʻo i kahi lawe ʻōpū, akā inā ʻelua mau ʻāpana cesarean i loaʻa, ʻo ka ʻōlelo aʻoaʻo e hana i hoʻokahi ʻekolu ʻāpana cesarean a ʻaʻole hāpai hou.

Eia naʻe, aia kekahi mau leo ​​koʻikoʻi me kēia ana. Hōʻoia kekahi mau noiʻi i ka makaʻu o ka haki ʻana o ka uterine inā ʻelua a ʻoi paha mau ʻāpana caesarean ʻaʻole ʻoi aku ke kiʻekiʻe ma mua o nā ʻāpana caesarean hoʻokahi, akā ke hana nei i nā ʻāpana cesarean ʻōnaehana i nā pilikia nui no ka makuahine a me ka pēpē.

ʻO wai e hoʻoholo inā e loaʻa iaʻu kahi ʻāpana cesarean?

I kēia hihia he consensual ka hoʻoholo.

I ka hopena o ka hāpai ʻana, inā pololei nā kūlana, E wehewehe ana kāu kauka lāʻau i nā mea maikaʻi a me nā mea maikaʻi ʻole o nā hiki ʻelua.

Inā hoʻoholo ʻoe e hoʻāʻo i ka lawe ʻana i ka ʻōpū, e noi ʻia ʻoe e kau inoa he palapala ʻae hoʻomaopopo a inā hoʻoholo ʻoe ʻaʻole e hoʻāʻo, e hoʻolālā lākou i ka lā e hana ai ʻoe i ka ʻāpana cesarean.