Pehea o ka hoʻokomo o ka hana

'Aʻole mau nahunahu ia lŘlŘ maoli ai. I kekahi manawa, hōmona pae i ole e lawa. Ma keia hihia, he mea i loko o ka papa o ka hoʻokomo o ka hana.

hiki ka pilikia

Ke stimulation o nā wāhine 'aelike' ole loa oluolu. Ke kumu no keia mea i ka makaʻu no kona kamaiki. ʻOiai i pai mai ai, ma ka hapanui o na hihia, ma ka mea ku ole, e pale aku i ka hiki hoʻoweliweli 'ana i ka makuahine a me ke keiki ola. Akā, loaʻa nō i ka nui o ka pilikia.

- loa ka eha, ka wā hoʻohana 'ana i hoomakaukau ana (maoli oxytocic e like me ka drawback i ole), epidural anesthesia a me medicaments no kona nanea a me ka pela, na ka pilikia pili me kā lākou lawe;

- prolapsed kaula puka lou;

- i ka pilikia o placental abruption ;

- ina lawe mai i ka hana ma ka opu a me ka mua pololei o ka haawi ua cesarean pauku, i ke stimulation hiki e weliweli a lawa;

- pomaikai ole oe stimulation hiki i fetal hypoxia;

- he protracted kaʻina hana o ka nahunahu hanau maoli ka likelihood o rupture o ka amniotic Oe.

Contraindications

Ke stimulation UaʻAʻole e waiho i loko o ke kēia hihia.

- ka mea, ua lilo o ka piko;

- wai wawahi: ka pilikia o intrauterine maʻiʻaʻai ua triggered ka wā i ruptured pā hōkū e paka me ka amniotic eke a puni i ke keiki;

- emi i ka mana o ka fetus ma ka piko pono perenashivanie hāpai keiki;

- ke keiki ua diagnosed haiahū kūmau o ka naau;

- ka fetus mea i loko o ke kīloi paʻewa (transverse) wahi;

- kiʻekiʻe pilikia o ka paleʻana i ka airway iloko o inhalation keiki meconium (gut Contents) i e komo i loko o ka amniotic loli ;

- diagnosed placenta previa: ia hapa 'ia' ole loa uhi ka cervical Canal;

- hoʻokumu i ke alo o ka infectious maʻi;

- I ua i aku la i ka pono ka lā o ka hanau ana o ke keiki;

- kiʻekiʻe ke koko, i hapai me na wahine;

- hoomaka uterine kahe ana ke koko;

- mimikō.

Hoʻokomo o ka hana: no ka hoʻokumu aoao

- Amniotomy - keia hoouka membranes aie i ka hana ana i nā lua ma amniotic eke me ka ea kuikele. Ma hope iho o kēia kaua e hoʻomaka i loko o nā lā, a me maoli i ka pilikia o ka maʻiʻaʻai.

- Stimulation o cervical oo ana me ka hoʻohana 'tuko pīlali (suppositories), vaginally lawelawe' ana i kūpono i loaʻa ka prostaglandins, e hoʻohana i counterparts o hormones e emi i ka uterus.

- 'ō a noho haumāna kahi contractions aie intravenousʻimi hoʻopunipuni ae pani oxytocin - ai' "Pitocin" ke kiʻekiʻe e māhuahua mahele lāʻau.

'Oihana hoʻokomo o ka hana

Me mamua cervicalʻike, a me ka hooholo i ka kulana o ke keiki i kekahi 'ākeʻakeʻa ole i ke Akua. No ka hoouka kaua ana o ka hana i ka fetus e noho i ka pololei wahi, a me ka cervical Canal, e lilo lakou i poe maalea, a hamama. I ka hoʻohana 'ana ai' pinepine pono ka hoohiki ana antispasmodics, analgesics a me ka hoʻohana 'ana o epidural anesthesia, mai ka stimulation o ka hana kokoke loa kaʻeha hiki i. Inā a pau koe ka ia ma ka kūpono wā o ka manawa, i ka pauku Caesarean ua hāʻawi.