Ua paʻi ʻia ma ka lā 8 o Dekemaba, 2023, ma The Lancet Global Health, ua hōʻike ʻia kahi noiʻi hoʻomaka ʻana ma luna o 1 i 3 wahine ma ka honua holoʻokoʻa, e like me 40 miliona mau wahine i kēlā me kēia makahiki, e hakakā nei me nā pilikia olakino ma hope o ka hānau ʻana. Hōʻike kēia noiʻi piha i ka nui o nā pilikia e kū nei i nā wahine, e pili ana i ke olakino kino a me ka noʻonoʻo, e hōʻike ana i ka pono o kahi kumu hoʻohālike o ka mālama hope hānau ʻana.
Ka hoʻomaopopo ʻana i nā pilikia olakino postpartum:
Hōʻike ka haʻawina i ka nui o nā pilikia olakino mau loa i ʻike ʻia e nā wahine ma hope o ka hānau ʻana, me ka ʻaʻole i kaupalena ʻia i:
1. ʻEha i ka wā moe (35%)
2. ʻEha hope haʻahaʻa (32%)
3. ʻAi ʻole ka mimi (8% a 31%)
4. Ka hopohopo (9% a 24%)
5. ʻAʻole i hoʻopaʻa ʻia ka anal (19%)
6. Ke kaumaha (11% a 17%)
7. Makaʻu i ka hānau keiki (6% a 15%)
8. ʻEha perineal (11%)
9. Ka lua ole (11%)
Hoʻohui ʻia, hōʻike ka haʻawina i nā pilikia liʻiliʻi loa e like me ka pelvic organ prolapse, posttraumatic stress disorder, thyroid dysfunction, mastitis, HIV seroconversion, nerve injury, and psychosis.
ʻAha mālama postpartum:
ʻOiai ka nui o nā wahine e kipa i ke kauka 6 a 12 mau pule ma hope o ka hānau ʻana, hōʻike ka haʻawina i ka makemake ʻole o nā wahine e kūkākūkā i kēia mau pilikia olakino me nā limahana mālama ola. Eia kekahi, ʻike ʻia nā pilikia he ʻeono a ʻoi aku paha ma hope o ka hānau ʻana, e hōʻike ana i kahi āpau koʻikoʻi i ka hoʻohālike mālama postpartum o kēia manawa.
Nā Manaʻo no ka mālama piha ʻana ma hope o ka hānau keiki:
Ke kākoʻo nei ke aʻo ʻana i kahi ʻoi aku ka piha o ka mālama postpartum, e hoʻokūkū ana i ka manawa maʻamau 6-wiki. Hāʻawi nā mea kākau i nā hiʻohiʻona multidisciplinary o ka mālama ʻana ma mua o ka manawa postpartum mua. ʻO ia ʻano hana e manaʻo e ʻike koke a hoʻoponopono i kēia mau kūlana olakino i nānā ʻole ʻia.
Nā ʻokoʻa honua i ka ʻikepili:
ʻOiai ʻo ka hapa nui o nā ʻikepili e hele mai ana mai nā ʻāina kiʻekiʻe, ʻike ka haʻawina i ka liʻiliʻi o ka ʻike mai nā ʻāina haʻahaʻa a me waena, koe wale nō ke kaumaha postpartum, hopohopo, a me psychosis. Ke hāpai nei kēia i nā nīnau e pili ana i ka ʻike honua a me ka ʻike ʻana i nā pilikia olakino postpartum ma waena o nā pōʻaiapili socioeconomic like ʻole.
ʻO Pascale Allotey, MD, ka luna hoʻomalu o ka Sexual and Reproductive Health and Research ma WHO, e hoʻokūpaʻa ana i ke koʻikoʻi o ka hoʻomaopopo ʻana a me ka hoʻoponopono ʻana i kēia mau ʻano, me ka ʻōlelo ʻana, 'He nui nā maʻi postpartum e hōʻeha nui i nā wahine i kēlā me kēia lā ma hope o ka hānau ʻana, ma ke kino a me ke kino, akā ʻaʻole mahalo nui ʻia, ʻaʻole i ʻike ʻia.'
Kākoʻo ka haʻawina no ka hoʻololi ʻana o ka paradigm i ka mālama postpartum, e koi ana i nā mea mālama olakino e hoʻohana i kahi ala ʻoi aku ka nānā a me ka lōʻihi. Ma ka ʻike ʻana i ka hopena mau loa o ka hānau ʻana i ke olakino o nā wahine, hiki i ke kaiāulu ke hana i ka hōʻoia ʻana ʻaʻole e ola wale nā wāhine i ka hānau ʻana akā e hauʻoli pū kekahi i ka maikaʻi mau a me ka maikaʻi o ke ola i ko lākou mau ola.
