Impilo noma Ukufa: Indima kaDoulas Ekuthuthukiseni Impilo Yomama Omnyama

-Delile

• Iqiniso elibhekene nomama abamnyama
• Ukunakekelwa kukaDoula kunikeza isisombululo
• Zilungiselele

Abesifazane abamnyama basengozini enkulu yezinkinga ngesikhathi sokukhulelwa nokubeletha. Umuntu osekelayo angasiza.

Ngivame ukuzizwa ngicindezelwa amaqiniso azungeze impilo yomama abamnyama. Izinto ezinjengobandlululo, ubulili, ukungalingani kwemali engenayo, kanye nokuntuleka kokufinyelela ezinsizakalweni ngokungangabazeki kuthonya umuzwa wokuzalwa komama. Leli qiniso lilodwa lithumela umfutho wegazi wami ophahleni.

Ngikhathele ukucabanga izindlela zokwenza ngcono imiphumela yokuzalwa emphakathini wami. Ukukhuluma nabameli bezempilo bomama nabangaphambi kokubeletha mayelana nendlela engcono yokuxazulula lezi zinkinga kuvame ukuholela phansi emgodini onogwaja ongapheli wokuthi ungaqala kuphi.

Ububanzi bezibalo buyamangaza. Kepha akukho lutho - futhi angisho lutho - kungenza ngifune ukukhuthaza ushintsho ngaphezu kokuhlangenwe nakho kwami.

Iqiniso elibhekene nomama abamnyama

Njengomama wezingane ezintathu, sengithole ukubeletha kathathu esibhedlela. Ukukhulelwa ngakunye nokulethwa okwalandela kwakwehlukile njengasebusuku nasemini, kodwa isihloko esisodwa esivamile kwaba ukungabi nokuphepha kwami.

Cishe amasonto ayi-7 ngikhulelwe okokuqala, ngaya kohlolwa esikhungweni sezempilo sangakithi, ngikhathazekile ngesifo. Ngaphandle kokuhlolwa noma ukuthintwa okungokoqobo, udokotela wabhala incwadi kadokotela wangithumela ekhaya.

Ezinsukwini ezimbalwa kamuva ngangisocingweni nomama, ongudokotela, owabuza ukuthi ukuvakasha kwami ​​kuhambe kanjani. Ngenkathi ngihlanganyela igama lomuthi enganginikezwe wona washeshe wangimisa ukuze ngibheke. Njengoba esola, bekungafanele ngabe kunqunyelwe.

Ukube bengithathe umuthi, bekungadala isisu esizenzekelayo ku-trimester yami yokuqala. Awekho amagama okuchaza indlela engangibonga ngayo ngokuthi ngalinda ukuthi ngigcwaliswe lelo oda. Futhi awekho amagama okuchaza ukwesaba okwakugcwele enhliziyweni yami lapho ngicabanga ngalokho okwakungase kwenzeke.

Phambilini, benginenhlonipho enempilo “kochwepheshe” futhi benginaso isizathu esiningi sokuzizwa ngenye indlela. Angikhumbuli ngingazethembi izibhedlela noma odokotela ngaphambi kwalolo lwazi. Ngokudabukisayo, ukungabi bikho kokunakekelwa nokunganakwa engihlangabezane nakho kwavela nasekukhulelweni kwami ​​kamuva.

Ngesikhathi ngikhulelwe okwesibili, lapho ngifika esibhedlela ngikhathazekile ngobuhlungu besisu, ngaphindiselwa ekhaya. Abasebenzi babonakala bekholwa ukuthi ngangisebenza ngokweqile, ngakho-ke u-OB wami wangibizela isibhedlela wangimela ukuthi bazongivuma.

Ngemuva kokungeniswa, bathola ukuthi ngangiphelelwe ngamanzi emzimbeni futhi ngiqala ukusebenza kanzima ngaphambi kwesikhathi. Ngaphandle kokungenelela, ngabe ngibelethe ngaphambi kwesikhathi. Lokho kuvakasha kwaholela ezinyangeni ezi-3 zokuphumula kombhede.

Okokugcina, kodwa nakanjani okungenani, ulwazi lwami lwesithathu lokuzalwa nalo luphathwe kabi. Ngenkathi ngijabulela ukukhulelwa okuhle kakhulu, okunamandla amakhulu, ukubeletha nokubeletha kwakungolunye udaba. Kwangimangaza ukunakekelwa kwami.

Phakathi kokuhlolwa komlomo wesibeletho okunamandla nodokotela wokubulala izinzwa owangitshela ukuthi anganginikeza i-epidural ngicishe izibani (futhi empeleni ngazama), ngesaba ukuphepha kwami ​​futhi. Naphezu kokubukeka okwethusayo ebusweni babo bonke abasesigumbini, anginakwa. Ngakhunjuzwa ngendlela enganginakwa ngayo esikhathini esedlule.

Ngokusho kweCenters for Disease Control and Prevention (CDC), abesifazane abamnyama bayafa cishe ngezinga labesifazane abamhlophe ekufeni okuhlobene nokuzalwa. Lezo zibalo ziba nzima ngokwengeziwe ngeminyaka. Abesifazane abamnyama abaneminyaka engaphezu kwengama-30, basemathubeni amaningi okufa bebeletha kunabesifazane abamhlophe.

Kungenzeka futhi ukuthi sibhekane nezinkinga eziningi phakathi nesikhathi sokukhulelwa kwethu futhi mancane amathuba okuthi sithole ukunakekelwa okufanele ngesikhathi sethu sokubeletha. I-Preeclampsia, i-fibroids, ukudla okungalingani, nokunakekelwa kwekhwalithi ephansi kukhungethe imiphakathi yethu.

Kuyavunywa, izinto eziningi ezithinta lezo zibalo ziyavikeleka. Ngeshwa, emashumini eminyaka edlule, ngaphandle kwentuthuko yezokwelapha nedatha ekhombisa ukungafani okukhulu, akukho okuningi okushintshile.

Ngokuya ngocwaningo olwenziwe yiCentre for American Progress, izindawo ezinabantu abaningi abamnyama zisacindezelwa kanzima ukuthola izitolo ezidayisa ukudla ezisezingeni eliphakeme, izikhungo zezempilo ezixhaswa kahle nezibhedlela, nokutholakala kwezempilo ngokungaguquguquki.

Abaningi bangacabanga ukuthi ukwehluka esibhekene nakho ngokuyinhloko kuyinkinga yezomnotho. Lokho akulona iqiniso. Ngokwe-CDC, omama abamnyama abaneziqu zasekolishi basemathubeni amaningi okufa bebeletha kunabalingani babo abamhlophe.

Ukuntuleka kokuphepha ekuzalweni kuthinta wonke umama omnyama, kusuka kumpetha wama-Olimpiki uSerena Williams kuya kowesifazane osemusha ofunde esikoleni esiphakeme obelethayo njengamanje.

Abesifazane abamnyama bazo zonke izizinda zenhlalo yomnotho babhekene nezinselelo zokuphila noma zokufa. Ubumnyama bubonakala njengokuwukuphela kokujwayelekile okunciphisa amathuba omuntu obelethayo ekukhulelweni nasekubelethweni okunempilo. Uma emnyama futhi ezala, angahle abe sempini yempilo yakhe.

Ukunakekelwa kukaDoula kunikeza isisombululo

Njalo lapho ngibeletha, bengiqinisekisa ukuthi umama wami ukhona. Yize abanye besifazane bangenza leso sinqumo ngokuzikhethela, ngithathe leso sinqumo ngenxa yesidingo. Iqiniso ngukuthi, ngikholelwa ukuthi ngaphandle komuntu lapho ozongimela ngabe ngilimazekile noma ngabe ngibhekane nokufa.Ukuba nomuntu onolwazi egumbini onentshisekelo yami enhliziyweni kwenza umehluko omkhulu.

Eminyakeni eyalandela, ngathembisa ukuba ngumuntu oxhasa umngane wami ngesikhathi ekhulelwe, ngazi ukuthi kungisize kangakanani. Ngemuva kokubona zonke izindlela enziwa ukuthi angabonakali ngazo ngesikhathi sohambo lwakhe lokuzalwa, imibuzo efana nokuthi "Yini engingayenza?" nokuthi “Ngingakugwema kanjani ukuthi lokhu kungenzeki futhi” kuzungeze ikhanda lami.

Nginqume khona lapho ukuthi umndeni wami, abangani, nomphakathi uzohlala unomuntu lapho ozobasekela futhi abakhulumele ngesikhathi sokukhulelwa kwabo. Nginqume ukuba yi-doula.

Lokho kwenzeka eminyakeni engu-17 edlule. Uhambo lwami lwe-doula lingiholele emakamelweni amaningi ezibhedlela, ezikhungweni zokuzalwa nasemakamelweni okuhlala ukuxhasa umzuzu ongcwele wokuzalwa. Ngihambile nemindeni ohambweni lwabo lokukhulelwa futhi ngafunda ebuhlungwini, othandweni, ekuhlukumezeni, nasezinkingeni.

Uma ngicabanga konke okuhlangenwe nakho umphakathi wami omnyama obekezelele kona - ama-nuances amasiko, izingqinamba zokwethembana, ukuhlukumezeka okungabhekiwe, kanye nengcindezi esihlangabezana nayo empilweni yethu - kunzima ukuphakamisa noma yisiphi isixazululo esisodwa. Umehluko ekunakekelweni kwezempilo kungumphumela wezinkinga ezinkulu zenhlalo. Kodwa kunento eyodwa eholela emiphumeleni engcono kulo lonke ibhodi.

Ukwenza ukunakekelwa kwe-doula kutholakale kalula kungasiza ekuthuthukiseni impilo yomama omnyama ekukhulelweni nasekubelethweni.

Abesifazane abamnyama banamathuba angamaphesenti angama-36 okuba nesigaba sika-C kunabesifazane banoma yiluphi olunye uhlanga, kubika omunye. Ukunakekelwa kwe-doula ngaphambi kokubeletha kunika abesifazane ukwesekwa okwengeziwe kokubeletha, kunikeze nommeli wegumbi lokulethwa, futhi, ngokusho kokubuyekezwa kwezifundo okwenziwe ngo-2016, kukhonjisiwe ukuthi kunciphisa amazinga we-C-section.

ICentre for American Progress ibike ngocwaningo lwakamuva lwenhlangano engenzi nzuzo eWashington D.C onhloso yalo ukuxhasa omama bebala. Bathola ukuthi lapho abesifazane abahola kancane nabambalwa benikezwa ukunakekelwa okugxile emndenini kusuka kumbelethisi, u-doula, kanye nochwepheshe we-lactation, babenokushona kwezinsana nomama, kanti amaphesenti angama-89 akwazi ukuqala ukuncelisa.

Kuyacaca ukuthi ukuhlinzeka abesifazane abamnyama ngosizo ekukhulelweni nasemva kokubeletha kwandisa amathuba abo okuzala okunempilo komama nengane.

Zilungiselele

Iqiniso ukuthi awukwazi ukulawula ukuthi omunye umuntu uzokwenzani noma azame ini, kepha ungazilungiselela. Ukwaziswa ngesiko lendawo okhetha ukuzalwa kuyo kubalulekile. Ukuqonda izinqubomgomo nezinqubo kukwenza isiguli esinolwazi. Ukwazi umlando wakho wezokwelapha nanoma yikuphi ukuphikisana kunganikeza ukuthula okukhulu kwengqondo.

Ukuqinisa nokuqinisa amasistimu akho okusekela kunikeza umuzwa wokubekwa phansi. Noma ngabe uqasha i-doula noma umbelethisi noma uletha ilungu lomndeni noma umngani ekulethweni, qiniseka ukuthi wena nohlelo lwakho lokusekela nisekhasini elilodwa. Ukuhlola phakathi nesikhathi sokukhulelwa kwenza umehluko!

Okokugcina, khululeka ukuzikhulumela. Akekho ongakukhulumela ngendlela ongakwenza ngayo. Kwesinye isikhathi sikushiya kwabanye ukuthi basifundise ngokwenzeka eduze kwethu. Kepha kufanele sibuze imibuzo futhi sibambe imingcele enempilo uma kukhulunywa ngemizimba yethu kanye nokuhlangenwe nakho kokuzalwa.

Impilo emnyama yomama neyokubeletha iyathinteka ezintweni eziningi. Ukuba neqembu eliqinile lokusekelwa lokutshala imali elitshalwe emiphumeleni emihle yomndeni wakho kubalulekile. Ukubhekana nokuchema okuhlelekile nokungahleleki kwamasiko kufanele. Ukuqinisekisa ukuthi omama bazo zonke izizinda bathola ukunakekelwa okucabangayo, okuphelele kumele kube yinto ephambili.

Ngifisa sengathi indaba yami ibiyivelakancane, ukuthi abesifazane ababukeka njengami babephathwa ngenhlonipho, ngesithunzi nangokunakekelwa lapho bebeletha. Kepha asikho. Kithina, ukuzalwa kuyindaba yokuphila noma yokufa.

UJacquelyn Clemmons uyi-doula yokuzalwa enolwazi, i-postpartum doula yendabuko, umbhali, umculi nomsingathi we-podcast. Uyazifela ngokuxhasa ngokuphelele imindeni ngenkampani yakhe eseMaryland iDe La Luz Wellness.