Ka ʻoki ʻana o ka ʻōpū

Hānau ʻana ma ke ʻoki kino (C-section) kahi hana e hānau ai i ke keiki ma o nā ʻoki kino ma ka ʻōpū a me ka ʻōpū. Pono paha ke hoʻolālā no kahi C-section inā he mau pilikia o ka hāpai keiki. ʻO nā wāhine i loaʻa iā lākou kahi C-section, hiki iā lākou ke loaʻa hou i kahi C-section. Akā, pinepine, ʻaʻole maopopo ka pono o ka C-section mua a hiki i ka hoʻomaka ʻana o ka hānau ʻana.

Hiki i nā mea lawelawe ola ke'ōlelo aku i kahi C-section inā: ʻAʻole holomua maʻamau ka hānau keiki. ʻO ka hānau ʻana ʻaʻole holomua (labor dystocia) kekahi o nā kumu maʻamau loa no kahi C-section. ʻO nā pilikia me ka holomua o ka hānau ʻana, ʻo ia hoʻi ka lōʻihi o ke kahua mua (lōʻihi ka dilation a i ʻole ka wehe ʻana o ka cervix) a i ʻole ka lōʻihi o ke kahua ʻelua (lōʻihi ka manawa o ke kiʻi ʻana ma hope o ka hoʻopiha piha ʻana o ka cervix). Ke pilikia nei ke pēpē. Hiki i ka hopohopo e pili ana i nā loli i ka puʻuwai o ke pēpē ke lilo i koho palekana loa ka C-section. Aia ke pēpē a i ʻole nā ​​pēpē i kahi kūlana maʻamau ʻole. ʻO ka C-section ke ala palekana loa e hānau ai i nā pēpē i komo mua nā wāwae a i ʻole nā ​​pūpū i loko o ke ala hānau (breech) a i ʻole nā ​​pēpē i hele mua nā ʻaoʻao a i ʻole nā ​​poʻohiwi (transverse). Ke hāpai nei ʻoe i nā keiki ʻoi aku ma mua o hoʻokahi. Hiki paha ke pono i kahi C-section no nā wāhine e hāpai ana i nā māhoe, nā triplets a i ʻole nā ​​keiki ʻoi aku. ʻO kēia ke kūpono loa inā hoʻomaka koke ka hānau ʻana a i ʻole ʻaʻole i lalo ke poʻo o nā pēpē. Aia kahi pilikia me ka placenta. Inā uhi ka placenta i ka wehe ʻana o ka cervix (placenta previa), ua'ōlelo ʻia kahi C-section no ka hānau ʻana. Prolapsed umbilical cord. Hiki paha ke'ōlelo ʻia kahi C-section inā komo kahi loop o ka umbilical cord i loko o ka cervix i mua o ke pēpē. Aia kahi pilikia olakino. Hiki paha ke'ōlelo ʻia kahi C-section no nā wāhine me kekahi mau pilikia olakino, e like me ka maʻi naʻau a i ʻole ka lolo. Aia kahi pale. Hiki i kahi fibroid nui e pale ana i ke ala hānau, kahi haki pelvic a i ʻole kahi pēpē i loaʻa kahi kūlana e hiki ai ke lilo ke poʻo i nui loa (severe hydrocephalus) ke lilo i mau kumu no kahi C-section. Ua loaʻa iā ʻoe kahi C-section ma mua a i ʻole kahi hana ʻē aʻe ma ka uterus. ʻOiai pinepine hiki ke loaʻa kahi hānau vaginal ma hope o kahi C-section, hiki i kahi mea lawelawe ola ke'ōlelo aku i kahi C-section hou. Ke noi nei kekahi mau wāhine i nā C-section me kā lākou mau pēpē mua. Makemake paha lākou e pale aku i ka hānau ʻana a i ʻole nā ​​pilikia o ka hānau vaginal. A i ʻole makemake paha lākou e hoʻolālā i ka manawa hānau. Eia naʻe, e like me ka American College of Obstetricians and Gynecologists, ʻaʻole paha kēia he koho maikaʻi no nā wāhine e hoʻolālā ana e loaʻa nā keiki he nui. ʻO ka nui o nā C-sections i loaʻa i kahi wahine, ʻo ka nui o ka pilikia o nā pilikia me nā hāpai ʻana i ka wā e hiki mai ana.

E like me nā ʻano ʻoki kino nui ʻē aʻe, aia nō nā pilikia o ka ʻoki ʻana o ka ʻōpū. ʻO nā pilikia i nā pēpē, ʻo ia hoʻi: Nā pilikia hanu. ʻOi aku ka nui o ka ulu ʻana o ka pilikia hanu i nā pēpē i hānau ʻia ma o ka ʻoki ʻana o ka ʻōpū i hoʻonohonoho ʻia, kahi e hanu wikiwiki ai lākou no kekahi mau lā ma hope o ka hānau ʻana (transient tachypnea). Hōʻeha ʻoki kino. ʻOiai he mea maʻamau ʻole, hiki ke ʻoki hewa ʻia ka ʻili o ke keiki i ka wā o ka ʻoki kino. ʻO nā pilikia i nā makuahine, ʻo ia hoʻi: Ka maʻi. Ma hope o ka ʻoki ʻana o ka ʻōpū, hiki ke loaʻa ka pilikia o ka loaʻa ʻana o ka maʻi o ka papa o ka ʻōpū (endometritis), i loko o ke ala mimi a i ʻole ma ka wahi o ka ʻoki ʻana. Ka nalowale o ke koko. Hiki i ka ʻoki ʻana o ka ʻōpū ke hoʻopuka i ke kahe nui o ke koko i ka wā o ka hānau ʻana a ma hope. Nā pane i ka lāʻau hoʻonāwaliwali. Hiki nā pane i kekahi ʻano o ka lāʻau hoʻonāwaliwali. Nā ʻōpala koko. Hiki i ka ʻoki ʻana o ka ʻōpū ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka ʻōpala koko i loko o kahi vein hohonu, ʻoi aku hoʻi i nā wāwae a i ʻole ka pelvis (deep vein thrombosis). Inā hele ka ʻōpala koko i nā māmā a kāohi i ke kahe koko (pulmonary embolism), hiki i ka pōʻino ke hoʻoweliweli i ke ola. Hōʻeha ʻoki kino. ʻOiai he mea maʻamau ʻole, hiki ke loaʻa nā hōʻeha ʻoki kino i ka ʻōpū a i ʻole ka ʻōpū i ka wā o ka ʻoki ʻana o ka ʻōpū. Nā pilikia nui aʻe i nā hāpai ʻana i ka wā e hiki mai ana. ʻO ka loaʻa ʻana o ka ʻoki ʻana o ka ʻōpū e hoʻonui i ka pilikia o nā pilikia i ka hāpai ʻana ma hope a i nā ʻoki kino ʻē aʻe. ʻOi aku ka nui o nā ʻoki ʻana o ka ʻōpū, ʻoi aku ka nui o nā pilikia o ka placenta previa a me ke kūlana i hoʻopili ʻia ai ka placenta i ka paia o ka ʻōpū (placenta accreta). Hoʻonui pū ka ʻoki ʻana o ka ʻōpū i ka pilikia o ka haehae ʻana o ka ʻōpū ma ka laina ʻoki (uterine rupture) no nā wahine e ho'āʻo ana i ka hānau ʻana ma ke ala vaginal i ka hāpai ʻana ma hope.