He aha te Whakaoho Mahi? Te Whāinga, te Hātepe & Te aha e tūmanakohia ana

Ko te whakaoho mahi he hātepe rongoā e āwhina ana tō rōpū hauora ki te tīmata i ngā kōpā mahi i mua i te tīmatanga o te mahi i te ara māori. Whakaarohia me te mea e hoatu ana e koe tō tinana he tūpātai ngawari ki te tīmata i te hātepe whānau i te wā e kore ai te tatari roa te kōwhiringa haumaru mō koe, mō tō pēpi rānei.

He tino noa tēnei hātepe, e āwhina ana i te 1 i roto i te 4 ngā wahine hapū i te United States. Ka tūtohu anake tō tākuta i te whakaoho i te wā e nui ake ana ngā painga i ngā tūponotanga, ā, ka whakamārama rātou i ia wāhanga o te hātepe ki a koe.

He aha te whakaoho mahi?

Ko te whakaoho mahi te whakamahi i ngā tikanga rongoā ki te tīmata i ngā kōpā me te āwhina i tō kaki kōpū kia tuwhera i te wā kāore anō te mahi i tīmata i tōna ake. He ara māori tō tō tinana ki te tīmata i te mahi, engari i ētahi wā ka hiahiatia he āwhina rongoā kia haumaru ai te neke o ngā mea.

I te wā o te whakaoho, ka whakamahi tō rōpū hauora i ngā momo tikanga hei whai i ngā mahi a tō tinana i te ara māori. Ko ēnei pea ko ngā rongoā, ngā tikanga tinana, he huinga rānei o ngā mea e rua. Ko te whāinga he āwhina i tō kaki kōpū kia ngawari, kia angiangi, kia tuwhera i te wā e whakatairanga ana i ngā kōpā auau.

Ka roa pea te hātepe i te torutoru haora ki te rua rā, i runga i te rite o tō tinana mō te mahi. Ka aroturuki tō rōpū rongoā i a koe me tō pēpi i te wā katoa o te hātepe kia mōhio ai kei te haere haumaru ngā mea katoa.

He aha te take e mahia ana te whakaoho mahi?

Ka tūtohu tō tākuta i te whakaoho mahi i te wā e nui ake ana ngā tūponotanga o te haere tonu o te hapū i ngā painga mō koe, mō tō pēpi rānei. Ka whakatauhia te whakatau i ngā wā katoa i runga i te arotake rongoā tōtika o tō āhuatanga motuhake.

Ko ēnei ngā take rongoā matua ka ārahi ki te whakaoho:

• Kua roa ake i te 42 wiki tō hapūtanga (hapūtanga i muri i te wā)
• Kua pakaru tō wai, engari kāore anō ngā kōpū i tīmata i roto i te 24 hāora
• He toto tiketike tō te hapūtanga, he preeclampsia rānei tō
• He mate huka tō te hapūtanga kāore i te pai te whakahaere
• Kāore tō pēpi e tipu tika ana i roto i te kōpū
• He iti rawa te wai amniotic e karapoti ana i tō pēpi
• He mate hauora tō, pēnei i te mate ngākau, i te raruraru tākihi rānei
• He āwangawanga mō te hauora o tō pēpi i runga i te aroturuki

I ētahi wā ka whakaaro ngā tākuta ki te whakaoho i te whānautanga mō ngā take whaihua, pēnei i te noho tāwāhi i te hōhipera, i te hītori rānei o te whānautanga tere. Heoi, ka āta arotakehia ēnei āhuatanga kia mōhio ai he tino tika te whakaoho.

He aha te tikanga mō te whakaoho i te whānautanga?

He rerekē te tikanga whakaoho i runga i te rite o tō kōpū mō te whānautanga, me te tikanga e whiriwhiria ana e tō tākuta. Ka whakamāramahia e tō rōpū hauora te mea e tūmanakohia ana i runga i tō āhuatanga takitahi.

I mua i te tīmatanga o tētahi tikanga whakaoho, ka tirohia e tō tākuta tō kōpū kia kite i te ngawari, te angiangi, me te tuwhera. Mā tēnei ka āwhina i a rātou ki te whiriwhiri i te huarahi pai mōu. Ka aroturukihia hoki te tere o te ngākau o tō pēpi me ō kōpū i te wā katoa o te tukanga.

Ko ēnei ngā tikanga e whakamahia ana mō te whakaoho i te whānautanga:

1. Ngā Prostaglandins: Ko ēnei rongoā rite-hāora e āwhina ana ki te whakamāro me te whakatuwhera i tō kōpū. Ka taea te hoatu hei hēra, suppository, pūihi rānei ka whakatakotoria ki te taha o tō kōpū.
2. Te tango i ngā kiriuhi: Ka ata wehea e tō tākuta te pūpū wai mai i tō kōpū i te wā o te whakamātau ā-roto, ka taea e tēnei te whakaoho i ngā hāora mahi whānau tūturu.
3. Te pakaru ā-whiti o ngā kiriuhi: Ki te rite tō kōpū, ka pakaru pea e tō tākuta tō wai mā te whakamahi i tētahi taputapu iti rite-māka.
4. Pitocin (oxytocin waihanga): Ka hoatu tēnei rongoā mā te IV hei tīmata, hei whakakaha rānei i ngā kōpū.
5. Pōtae whakawātea kōpū: Ka whakatakotoria tētahi pōtae iti ki tō kōpū, ka pupuhihia hei āwhina i te whakatuwhera haere.

Ka whakamahi pea tō tākuta i tētahi tikanga, ka whakakotahi rānei i ētahi huarahi i runga i te urupare o tō tinana. He haere haere te tukanga, ā, ka mātakitakihia kia mōhio ai kei te haumaru koe me te oranga o tō pēpi.

Me pēhea te whakarite mō tō whakaoho mahi whānau?

Ko te whakarite mō te whakaoho mahi whānau e whai pānga ana ki te whakamahere whaihua me te whakarite hinengaro. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe, engari koinei te mea e tika ana kia tūmanako koe i mua.

Tuatahi, me tae koe ki te hōhipera, ki te whare whānau rānei i te ata, ahakoa ka rerekē te wā. Me mōhio kua kai koe i tētahi kai māmā i mua i tō haerenga mai, nā te mea kāore pea koe e kaha ki te kai nui i te tīmatanga o te tukanga.

Koinei te mea me whakarite e koe i mua i tō whakaoho:

Whakakīa tō pēke hōhipera ki ngā kākahu pai, ngā taputapu horoi, me ngā mea mō tō pēpi
• Whakaritea te tiaki tamariki mō ō tamariki kē atu mēnā e hiahiatia ana
• Whakaritea kia noho tō hoa, tō tangata tautoko rānei ki a koe
• Kawea mai ngā whakangahau pēnei i ngā pukapuka, waiata, papa rānei mō ngā wā tatari roa pea
• Whakaritea i te hinengaro ka roa pea te whakaurunga, ā, kāore pea e whai i te hōtaka e kitea ana
• Pātai atu ki tō tākuta mō ngā rongoā e tango ana koe, me te mea me haere tonu rānei

Kia mahara he puhoi ake te whakaurunga mahi i te mahi tūturu, nō reira he mea nui te manawanui. Ka whakamōhio tō rōpū hauora ki a koe mō te ahunga whakamua me ngā huringa ki te mahere.

Me pēhea te mārama ki te ahunga whakamua o tō whakaurunga mahi?

Mā te mārama ki te ahunga whakamua o tō whakaurunga ka āwhina koe ki te pōti ake i te mana whakahaere, me te iti ake o te āwangawanga i te wā o te tukanga. Ka arotake, ka whakahōu tō rōpū hauora i ngā mea e haere ana.

Ka inea tō ahunga whakamua e ētahi mea e mahi ngātahi ana. Me ngawari tō kōpū, kia angiangi (efface), me te tuwhera (dilate) mai i te 0 ki te 10 henimita. Me neke anō tō pēpi ki raro ki te ara whānau, me te whai kirimoko auau, kaha hoki.

Koinei te mea e aroturukihia ana e tō rōpū hauora i te wā o te whakaurunga:

• Te whānuitanga o te kōpū: E hia henimita te tuwhera o tō kōpū
• Te effacement o te kōpū: E hia te angiangi o tō kōpū (ka inea hei ōrau)
• Te tūnga o te pēpi: E hia te tawhiti o te nekehanga o tō pēpi ki raro i te ara whānau
• Te kaha me te auau o te kirimoko: E hia ngā wā me te kaha o ō kirimoko
• Te pōturi o te ngākau o tō pēpi: Te whakarite kia pai te whakahaere o tō pēpi i te tukanga

Ka puhoi, ka rerekē pea te ahunga whakamua, ina koa i ngā wā tuatahi. Ka kite ētahi wahine i ngā huringa i roto i ngā hāora, i ētahi atu pea ka roa te rā, neke atu rānei. Ka whakatika tō rōpū hauora i ngā tikanga whakaurunga i runga i te āhua o tō urupare.

He aha te mea ka tū i te kore e mahi te whakaurunga mahi?

I ētahi wā, kāore te whakaoho i te whānautanga e arahi ki te whānautanga i roto i te tara, ā, he pai tēnā. He mahere tā te rōpū hauora hei whakarite kia noho haumaru koe me tō pēpi i roto i te tukanga.

Mēnā kāore tō kaki kōpū e aro ki ngā tikanga whakaoho i muri i tētahi wā tika, ka tūtohu pea tō tākuta i te wāhanga cesarean. Ko te tikanga tēnei ka piri tonu tō kaki kōpū, ā, he mārō ahakoa te maha o ngā nganatanga ki te whakamāro, ki te mea rānei he āwangawanga mō te oranga o tō pēpi.

Kāore i te māmā te whakatau ki te neke ki te C-section. Ka whakaaro tō tākuta i ngā āhuatanga pēnei i te roa o tō noho i roto i te tukanga whakaoho, te āhua o tō pēpi, me tō hauora whānui. Ka kōrero rātou i ngā kōwhiringa katoa ki a koe, ā, ka whakamārama mārama i ā rātou tūtohutanga.

Kia mahara, ko te hiahia ki te C-section ehara i te mea kua “kāre i angitu” te whakaoho. I ētahi wā koinei anake te huarahi haumaru ki te manaaki i tō pēpi ki te ao.

He aha ngā āhuatanga tūpono mō te hiahia ki te whakaoho i te whānautanga?

Ko ētahi āhuatanga ka nui ake te tūpono ki te hiahia koe ki te whakaoho i te whānautanga i te wā o tō hapū. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakamahere i mua.

Ko ētahi āhuatanga tūpono e pā ana ki tō hītori hauora me tō hauora whānui, i te wā e whanake ana ētahi i te wā o tō hapū. Ko te whai i ēnei āhuatanga tūpono kāore e taurangi ka hiahia koe ki te whakaoho, engari ka piki ake te tūponotanga.

Koinei ngā āhuatanga tūpono matua ka arahi pea ki te whakaoho:

• Neke atu i te 35 tau te pakeke i te wā o te hapū
• Te whai mate huka i mua i te hapū, te whanake rānei i te mate huka hapū
• Te whai toto tiketike, te whanake rānei i te preeclampsia
• Te tino taumaha i mua i te hapū
• Te whai mate tākihi, ētahi atu āhuatanga hauora rānei
• Ngā raruraru hapū o mua pēnei i te whānautanga pēpi tūpāpā, i ngā raruraru rānei o te pūhihi
• Te hapū i ngā pēpi maha (māhanga, toru)
• Te hītori o ngā pēpi nui, i ngā whānautanga uaua rānei

I tua atu, ka puta pea ētahi raruraru i te wā e hapū ana, e hiahia ana kia whakaurua te whānautanga, pēnei i te kore e tipu tika ana tō pēpi, i ngā raruraru rānei ki te pūwāhi. Ka aroturukihia e tō tākuta ēnei āhuatanga i te wā e hapū ana koe.

He pai ake te whānautanga māori, te whakaurunga rānei?

Ko te whānautanga māori te mea pai ake i te nuinga o te wā, ina he haumaru mō koe me tō pēpi, engari ka pai ake te whakaurunga ina waiho ngā āhuatanga hauora kia mōrearea te tatari. Mā tō tākuta koe e āwhina ki te mārama ko tēhea kōwhiringa te mea haumaru mō tō āhuatanga motuhake.

He maha ngā wā ka haere pai ake te whānautanga māori, ā, he iti ake pea te kaha i te whānautanga i whakaurua. Ka whakaputa pōturi tō tinana i ngā homoni, ā, ka piki haere ngā kōpāpā. He nui ake hoki te ngāwari ki a koe mō te neke me ngā kōwhiringa whakahaere mamae.

Heoi anō, he mea tika te whakaurunga i ngā āhuatanga hauora. Ina tūtohu tō tākuta i te whakaurunga, ko te tikanga e whakapono ana rātou he nui ake ngā painga i ngā mōrearea. Ko te haumaru o koe me tō pēpi te mea nui i te wā e whakatau ana i tēnei whakatau.

Ka taea e te whānautanga māori me te whānautanga i whakaurua te hua i ngā whānautanga hauora. Ko te mea nui ko te whiwhi koe i te manaakitanga hauora tika, me te āwangawanga i te wā katoa o te tukanga.

He aha ngā raruraru ka puta i te whakaurunga whānautanga?

He haumaru te whakaurunga whānautanga i te nuinga o te wā, engari pērā i ētahi atu tikanga hauora, he mōrearea ētahi. Ka āta aroturukihia koe e tō rōpū hauora i te wā katoa o te tukanga kia kitea, kia whakatikahia ngā raruraru i te wā wawe.

Kāore te nuinga o ngā wāhine e whakaurua ana te whānautanga e pā ana ki ngā raruraru nui. Heoi anō, mā te mārama ki ngā mōrearea ka āwhina koe ki te whakatau i ngā whakatau mārama, me te mōhio ki ngā mea hei mātakitaki i te wā o te tukanga.

Anei ngā raruraru ka puta i te whakaurunga whānautanga:

• Ngā kōtuitui kaha ake: Ka kaha ake pea ngā kōtuitui i whakauruhia i ngā mea tūturu, ā, me nui ake pea te whakahaere mamae
• Te raruraru o te pēpi: Ka pā pea te tere o te ngākau, te tuku hāora rānei o tō pēpi i ngā kōtuitui kaha
• Te pakaru o te kōpū: He mea tino onge engari he mea nui te haehae o te kōpū, ina koa kua whai wāhanga C koe i mua
• Te mate: He paku pikinga o te tūponotanga mēnā ka pakaru tō wai i te wā wawe o te tukanga
• Te toto: Te nui rawa o te toto i muri i te whānautanga, ahakoa he mea onge tēnei
• Te hiahia mō te wāhanga C: He nui ake te tūponotanga i te whānautanga tūturu

Ka whai ngā tākuta i ngā mahi hei whakaiti i ēnei tūponotanga mā te aroturuki tupato me ngā wawaotanga rongoā tika. Ka whakamāramahia e rātou ngā tūponotanga motuhake i runga i tō āhuatanga hauora takitahi, ā, ka whakautu i ngā āwangawanga katoa kei a koe.

Āhea ahau tūpono ai ki te kite i te tākuta mō te whakaurunga mahi whānau?

Me kōrero koe mō te whakaurunga mahi whānau ki tō tākuta i ngā haerenga i mua i te whānautanga, ina koa ka tata koe ki tō rā whānau. Ka whakahuahia e tō rōpū hauora te kaupapa mēnā kei te whakaaro rātou he mea tika te whakaurunga mō tō āhuatanga.

Mēnā kei te āwangawanga koe mō te roa atu i tō rā whānau, he pātai rānei āu mō te whakaurunga, kaua e whakaroa ki te whakapuaki i tō whakaaro i ngā wā o ō hui. Ka taea e tō tākuta te whakamārama mēnā he mea tika te whakaurunga, me ngā āhuatanga e aroturukihia ana e rātou.

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā mai ētahi tohumate e pā ana ki a koe, ina koa i muri i te 37 wiki o te hapū. Ko ēnei pea ko te hekenga o te nekehanga o te pēpi, te mamae nui o te upoko, ngā huringa o te tirohanga, ngā tohu rānei kua pakaru tō wai.

Kia mahara kei te hiahia tō rōpū hauora i te mea pai mōu me tō pēpi. Ka whakauru rātou i a koe ki ngā whakatau katoa mō te whakaurunga mahi whānau, ā, ka mōhio koe ki ngā take i muri i ā rātou tohutohu.

Ngā pātai e pātai pinepine ana mō te whakaurunga mahi whānau

Q.1 He haumaru te whakaoho mahi mo taku pēpi?

Āe, he haumaru te whakaoho mahi mō tō pēpi i te nuinga o te wā, inā rā ka mahia e ngā tākuta hauora whai tohu. Ka aroturukihia tonutia e tō rōpū hauora te tere o te ngākau o tō pēpi me tōna oranga i te wā katoa o te tukanga kia mōhio ai kei te pai te whakahaere o te whakaoho.

Kua nui te rangahau i ngā rongoā me ngā tikanga e whakamahia ana mō te whakaoho, ā, e whakaarohia ana he haumaru ina whakamahia tika ana. Ka tūtohu tō tākuta i te whakaoho inā nui ake ngā painga mōu me tō pēpi i ngā tūponotanga.

Q.2 Ka nui ake te mamae o ngā kōpā i te whakaoho mahi?

Ka nui ake te kaha me te kaha o ngā kōpā i te whakaoho i ngā kōpā tūturu, ina koa ka whakamahia ngā rongoā pēnei i te Pitocin. Heoi, kei a koe ngā kōwhiringa whakahaere mamae kotahi, tae atu ki ngā epidurals, ngā tikanga manawa, me ētahi atu tikanga whakamarie.

Ka mahi tahi tō rōpū hauora me koe ki te whakahaere i te mamae i te wā katoa o te tukanga whakaoho. Kaua e whakaroa ki te tono i te rongoā mamae ina hiahia ana koe.

Q.3 Kia pehea te roa o te whakaoho mahi?

Ka roa te whakaoho mahi i te torutoru haora ki te maha rā, i runga i te rite o tō tinana mō te mahi me ngā tikanga e whakamahia ana. He roa ake te whakaoho i ngā whaea mō te wā tuatahi i ērā kua whānau kē.

Kei roto i te tukanga te manawanui, me whai wā tō tinana ki te whakautu ki ngā tikanga whakaoho. Ka whakamōhio tō rōpū hauora i a koe mō te ahunga whakamua me te whakatika i te huarahi e tika ana.

Q.4 Ka taea tonu e au te whānau tūturu i muri i te whakaoho?

Āe, he maha ngā wāhine e whakaoho ana i te mahi ka whānau i te ara tūturu. Kāore te whakaoho e kī ana me whai wāhanga C koe, ahakoa ka paku ake te tūponotanga i te mahi tūturu.

Ko tō āhei ki te whānau i roto i te ara tara e whakawhirinaki ana ki ngā āhuatanga pēnei i te urupare o tō tinana ki te whakaoho, te tūnga me te rahi o tō pēpi, me te āhua o te haere o te whānautanga. Ka tautoko tō rōpū hauora i ō hiahia whānautanga i te wā e whakanui ana i te haumaru.

Q.5 He aha taku kai i mua i te whakaoho whānautanga?

Kai i tētahi kai māmā, whai kiko i mua i te taenga atu ki te hōhipera mō tō whakaoho. Whiriwhiria ngā kai ngāwari ki te keri pēnei i te tōhi, te miraka pē, te ōtimere rānei. Kaua e kai i ngā kai taumaha, ngako, rānei, ngā kai raukikini rānei, ka pōhara pea tō puku.

Ka tīmata te whakaoho, ka hoatu e tō rōpū hauora ki a koe ngā aratohu motuhake mō te kai me te inu. E whakaae ana ētahi whare ki ngā paramanawa māmā me ngā wai mārama, engari ka aukati ētahi i te kai i runga i tō āhuatanga.