Ponoʻia kekahi pēpē he keikiʻoi aku ka nui o 4 kg a he lōʻihi ka lōʻihi o 54 knm. Nā kumu o ka hānauʻana o kahi pēpē nui:
- nā mākua - nui nā keiki i hānau i nā mākua nui;
- ka nui o ke kaumaha o ka'ōpū i ka wā o ka hāpaiʻana,ʻoiai kekahi o nā pilikia nui o ka maʻi maʻi a me nā maʻi'ē aʻe o ka pūnaewele endocrine o ka makuahine;
- ʻO kekahi kumu kumu'ē aʻe o kahi'ōpū nui ke hāpaiʻana i ka'ōpū ;
- ʻO ka pēpē "Puffy" kahi hopena o ka nui o kaʻaiʻana o ka makuahine i ka wā o ka hāpaiʻana, aia ma ka manawa e loaʻa ana ka momona.
Akā, aia kekahi ma ke aupuni - inā he olakino ka makuahine, akā, ua hānauʻia kahi keiki ma mua o 4 kilokani, a laila, he mea pilikia kēia a iʻole hiki ke hūnāʻia ka maʻi diabetes. Pono e hoʻomaopopoʻia i ka hana maʻamau i ka loaʻaʻana o ka maʻi maʻi i kekahi o kaʻohana, aʻo ka makuahine a me ke keiki i ka wā e hiki mai ana ka palena kūpono i kaʻaiʻana i ke kō a me nā'ōpelu āpau no ka hopena o ka hanaʻana i ka maʻi maʻisā.
Nā hōʻailona o kahi'ōpiopio nui
ʻO ka mea mua, hiki iāʻoe ke hoʻomaopopo i kahi'ōpiopio nui ma mua o ka hānauʻiaʻana e ke kikowaena. No ka lōʻihi o ka nui o ka hānai i loko o nā mahinaʻelua i hala o ka'ōpūʻana, a laila ma kēia manawa me nā hua nui ka hapa nui o ka hānai e hoʻomaka i mua o nā nui e pili ana i ka wā o ka hāpaiʻana a kekahi manawa no nā pule 1 i 2.
Me kahi'ōpiopio piha i nā hebedoma 40,ʻaʻole iʻoi aku nāʻaoʻao nui ma mua o:
- ʻO ka nui o ka BDP (nui o ka poʻo) iʻoi aku ka 93.9 mm;
- LTE (mua o ka liʻiliʻi o ke poʻo) uaʻoi aku ka nui o 120 mm;
- DB (ka'ūhā wāwae) 75.8 mm;
- ʻO ka CDG (mean diameter o ka pahu)ʻoi aku ma mua o 99.9 mm;
- ʻO ka anawaena o ka'ōpū ka nui o ka 108.2 mm.
Inā nui aku ka pēpē i kēia mauʻano, a laila ponoʻoe e kali i ka hānauʻana o kahi keiki hānai nui.
Hiki hiki ke laweʻia ka hānauʻana o kahi pēpē nui e like me ka nui o ka'ōpū (ka liʻiliʻi o ka'ōpū a me ke kiʻekiʻe o ka kūʻana o ke kōpū o ke kōpū), akā me kaʻole o ke kaniʻana, hiki i ka paleʻana i nā polyhydramnios a me nā keiki nui. I ke kumu o polyhydramnios, e like paha ka nui o ka pēpē i ka manawa hoʻopunipuni a iʻole ka emi liʻiliʻi e pili ana i kēia manawa, akāʻo ka polyhydramnios nui ka nui o ka'ōpū.