Te whakawhiwhi awhina-a-kore

I te wa e tukuna ana te waatea o te tara, ka whakamahia e te taakuta, te kaiwhakawhanau ranei te miihini (e kiia ana he miihini tango) hei awhina i te peepi ki roto i te waa whanau.

Ka whakamahia e te miihini te kapu kirihou ngohengohe e piri ana ki te mahunga o te peepi me te ngote. Ka whakamahia e te taakuta, te kaiwhakawhanau ranei te kakau ki te kapu kia neke te peepi i roto i te waa whanau.

Ahakoa i muri i te kapi o te kopu o to kopu (he tuwhera) a, kei te pana koe, akene he awhina pea kia puta mai te peepi. Ko nga take ka hiahia pea koe ki te awhina:

• Whai muri i te pana mo etahi haora, kaore pea te peepi e neke haere ki roto i te waa whanau.
• Kua hohaa pea koe ki te pana roa.
• Akene kei te whakaatu mai te peepi i te mauiui me te hiahia kia puta tere mai i a koe ka taea e koe anake te pana.
• Na te raru hauora ka tupono koe ki te pana.

I mua i te whakamahinga o te korehau, me tino heke rawa to peepi ki raro i te waa whanau. Ka tirotirohia koe e to taakuta kia mohio kei te pai koe ki te whakamahi i te miihini. He pai noa iho tenei taputapu ki te whakamahi ina tata te whanautanga o te peepi. Mena he teitei rawa te upoko, ka taunakitia te whanau whanau (C-waahanga).

Ko te nuinga o nga waahine kaore e hiahiatia te waatea hei awhina i a raatau ki te tuku. Akene he ngenge koe ka whakamatautauria koe ki te tono awhina. Engari ki te kore he tino hiahia mo te tuku awhina-kore, he pai ake maau me to peepi e kawe maau ake.

Ka hoatu he rongoa ki a koe hei aukati i te mamae. Akene he poraka epidural tenei, he rongoa mate ranei kua tuu ki te tara.

Ka tuu te kapu kirihou ki runga ki te mahunga o te peepi. Ana, i te waa e werohia ana, ka tono koe kia peehi ano koe. I te wa ano, ka kume marie te taakuta, te kaiwhakawhanau ranei ki te whakaora i to peepi.

Whai muri i te taakuta, te kaiwhakawhanau ranei te tuku i te upoko o te peepi, ka peia e koe te peepi i te toenga o te ara ki waho. Whai muri i te wa o te whanautanga, ka taea e koe te pupuri i to peepi i runga i to kopu mena kei te pai haere ratou.

Mena kaore te korokoro e awhina i te neke o to peepi, akene me whai waahanga-C koe.

He raru ano pea mo te tuku awhina-kore, engari he iti noa nga raru ka pa ana ka tika ana te whakamahi.

Mo te whaea, ko nga roimata i roto i te tenetene, i runga ranei i te perineum, ka tupono pea ka whanau mai he awhina mokowhiti ki te whanau whanau kore e whakamahi i te waatea.

Mo te peepi, ko nga raru e pa ana ki te toto:

• Akene he toto kei raro i te tumuaki o te peepi. Ka haere ke atu ka kore e raru nui. Akene he peariki ta to peepi (titiro iti kowhai), ka taea te whakamaimoa ma te haumanu mama.
• Ko tetahi atu momo toto ka heke i raro o te taupoki o te wheua angaanga. Ka haere ke atu ka kore e raru nui.
• Ko te whakaheke toto i roto i te angaanga he tino kino, engari he onge.
• Akene he "potae" poto te peepi ki te tua o tona mahunga i muri o te whanautanga na te kapu ngote e whakamahia ana hei whakaora i te peepi. Ehara tenei i te mate toto ka whakatauhia i etahi ra iti nei.

Te hapu - punaha koretake; Reipa - ka awhina te miihini

Foglia LM, Nielsen PE, Deering SH, Galan HL. Te tuku punaha mahi. I roto i: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Nga Maamaa me nga Whakanuia Raru. 8th ed. Philadelphia, PA: Elsevier; 2021: chap 13.

Smith RP. Te tuku-aukati i te awhina. I roto i: Smith RP, ed. Netter's Obstetrics and Gynecology. Ed 3. Philadelphia, PA: Elsevier; 2018: chap 282.

Thorp JM, Grantz KL. Nga ahuatanga haumanu o te mahi noa me nga mahi rereke. I roto i: Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy me te Resnik's Maternal-Fetal Medicine: Nga Tikanga me nga Mahi. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 43.

• Whanau whanau
• Nga Raru o te Whanau