Ukuzalwa Kubhubhane: Ungabhekana Kanjani Nemikhawulo futhi Uthole Ukusekelwa

-Delile

• Iziguli ezikhulelwe zidinga ukwesekwa
• Izinto ziyashintsha, kodwa awunamandla
• Cabanga ngezinye izindlela zokuthola ukwesekwa
• Yiba nokulindela okuguquguqukayo
• Xhumana nabahlinzeki
• Yenza ukuxhumana nabahlengikazi
• Yilungele ukuzikhulumela
• Khumbula ukuthi lezi zinqubomgomo zigcina wena nengane niphephile
• Ungesabi ukucela usizo

Njengoba ukuqubuka kwe-COVID-19 kuqhubeka, izibhedlela zase-U.S. Zibeka ukulinganiselwa kwezivakashi emawodini okubelethisa. Abesifazane abakhulelwe yonke indawo baziqinisa.

Izinhlelo zezokunakekelwa kwempilo zizama ukunqanda ukudluliswa kwe-coronavirus entsha ngokuvimbela izivakashi ezingabalulekile, yize abantu besekela kubaluleke kakhulu empilweni nasenhlalakahle yowesifazane ngesikhathi nangokubeletha ngokushesha.

Izibhedlela zaseNewYork-Presbyterian zimiswe isikhashana konke izivakashi, okuholela ekutheni abanye besifazane bakhathazeke ngokuthi ukwenqabela ukwesekwa kwabantu ngesikhathi sokubeletha kuzoba umkhuba osabalele.

Ngenhlanhla ngomhlaka-28 Mashi, uMbusi waseNew York u-Andrew Cuomo usayine umyalelo ophethe odinga ukuthi izibhedlela zikazwelonke zivumele owesifazane ukuba abe nomlingani wakhe egumbini labasebenzi nababelethayo.

Yize lokhu kuqinisekisa ukuthi abesifazane baseNew York banalo lelo lungelo okwamanje, ezinye izifundazwe azikenzi isiqinisekiso esifanayo. Kwabesifazane abanozakwethu, i-doula, nabanye abahlela ukumeseka, kungadingeka ukuthi kuthathwe izinqumo ezinzima.

Iziguli ezikhulelwe zidinga ukwesekwa

Ngesikhathi sokubeletha kokuqala nokubeletha, ngancengwa ngenxa yepreeclampsia, inkinga engaba yingozi yokukhulelwa ebulawa ngumfutho wegazi ophakeme.

Ngenxa yokuthi nganginesifo esiyi-preeclampsia esibi, odokotela banginikeza umuthi obizwa ngokuthi i-magnesium sulfate ngesikhathi ngibeletha nangamahora angama-24 indodakazi yami izelwe. Lesi sidakamizwa sangishiya ngizizwa ngidideke kakhulu futhi nginamahloni.

Ngizizwa ngigula vele, ngichithe isikhathi eside impela ngicindezela indodakazi yami emhlabeni futhi bengingekho esimweni sengqondo sokuzenzela noma yiluphi uhlobo lwesinqumo. Ngenhlanhla, umyeni wami wayekhona futhi engumhlengikazi onenhliziyo enhle ngokweqile.

Ukuxhumana engikwenzile nalo mongikazi kwaba ngumusa wami osindisayo. Ubuyile ezongivakashela ngosuku lwakhe lokuphumula ngenkathi udokotela engingakaze ngihlangane naye elungiselela ukungikhipha, yize bengisazizwa ngigula kakhulu.

Umhlengikazi wangibuka kanye wathi, "Hhayi, s'thandwa, awuyi ekhaya namuhla." Ngokushesha wazingela udokotela wabatshela ukuthi bangigcine esibhedlela.

Kungakapheli nehora lokhu kwenzeke, ngaquleka ngenkathi ngizama ukusebenzisa indlu yangasese. Ukuhlola okubalulekile kukhombisile ukuthi umfutho wami wegazi ubusuphinde wenyuka futhi, kwaphinde kwavela omunye umjikelezo we-magnesium sulfate. Ngincoma lowo mhlengikazi ongimele ngokungisindisa kokunye okubi kakhulu.

Ukulethwa kwami ​​kwesibili kwakuhilela esinye isimo sezimo ezimbi kakhulu. Ngangikhulelwe amawele e-monochorionic / diamniotic (mono / di), uhlobo lwamawele afanayo abelana nge-placenta kepha hhayi isaka le-amniotic.

E-ultrasound yami yamaviki angama-32, sathola ukuthi uBaby A wayesedlulile emhlabeni futhi uBaby B wayesengozini yezinkinga ezihlobene nokufa kwewele lakhe. Lapho ngiqala ukubeletha emavikini angama-32 nezinsuku ezinhlanu, ngahambisa nge-C-section ephuthumayo. Odokotela bavele bangikhombisa indodana yami ngaphambi kokuba ihanjiswe egumbini labagula kakhulu.

Ngenkathi ngihlangana nodokotela okhaliphile nendodana yami, kwakucaca ukuthi wayentula uzwelo ngezimo zethu ezinzima. Ubegxile emcabangweni othile wokunakekelwa kwezingane: yenza okungcono kakhulu enganeni noma ngabe kunamiphi imibono nezidingo zomunye umuntu emndenini. Lokho wakwenza kwacaca impela lapho simtshela ukuthi sihlela ukondla indodana yethu ngefomula.

Kwakungenandaba nodokotela ukuthi ngidinga ukuqala ukuthatha umuthi odingekayo wesimo sezinso esiphikisiwe ekunceliseni ibele, noma ukuthi angikaze ngenze ubisi ngemuva kokuzalwa kwendodakazi yami. Isazi sezinsana sahlala egumbini lami lasesibhedlela ngenkathi ngisaphuma ku-anesthesia futhi sangithethisa, singitshela ukuthi indodana yami esele yayisengozini enkulu uma singayondla ngobisi olungumgogodla.

Ubelokhu eqhubeka yize bengikhala obala futhi ngimcela kaningi ukuthi ame. Yize bengimcela isikhathi sokucabanga nokuthi ahambe, ubengeke. Umyeni wami bekumele angenelele amcele ukuthi ahambe. Kungaleso sikhathi kuphela lapho ashiya khona ikamelo lami ngokuxakaniseka.

Yize ngikuqonda ukukhathazeka kukadokotela kokuthi ubisi lwebele lunikeza izakhi zomzimba ezidingekayo kanye nokuvikelwa kwabantwana be-preemie, ukuncelisa ibele nakho bekuzobambezela ikhono lami lokuphatha inkinga yami yezinso. Asikwazi ukuhlinzekela izingane ngenkathi singamnaki umama - zombili iziguli zifanelwe ukunakekelwa nokucatshangelwa.

Ukube umyeni wami ubengekho, ngiba nomuzwa wokuthi udokotela ubezohlala yize bengibhikisha.Ukube wayehleli, angifuni nokucabanga ngemiphumela ayengaba nayo empilweni yami yengqondo nengokwenyama.

Ukuhlukumeza kwakhe ngamazwi kwangibamba ngaya emaphethelweni ekukhuleni kwengcindezi yangemva kokubeletha nokukhathazeka. Ukube wangikholisa ukuthi ngizame ukuncelisa, ngabe ngangiyeka imishanguzo edingekayo yokulawula isifo sezinso isikhathi eside, esingahle sibe nemiphumela kimi.

Izindaba zami azikho ngaphandle; abesifazane abaningi bahlangabezana nezimo ezinzima zokuzalwa. Ukuba nomlingani, ilungu lomndeni, noma i-doula ngesikhathi sokubeletha ukunikeza induduzo kanye nokukhuthaza impilo nenhlalakahle kamama kungavimbela ukuhlukumezeka okungadingekile futhi kwenze ukuba umsebenzi usebenze kahle.

Ngeshwa, inkinga yamanje yezempilo yomphakathi ebangelwe yi-COVID-19 ingenza lokhu kungeke kwenzeke kwabanye. Noma kunjalo, kunezindlela zokwenza isiqiniseko sokuthi omama banokwesekwa abakudingayo lapho besebenza.

Izinto ziyashintsha, kodwa awunamandla

Ngikhulume nomama abalindelekile kanye nengcweti yempilo yengqondo ebeletha ukuthola ukuthi ungazilungiselela kanjani ukuhlala esibhedlela okungabukeka kwehluke kakhulu kunalokho obukade ukulindele. Lezi zeluleko zingakusiza ukuthi ulungiselele:

Cabanga ngezinye izindlela zokuthola ukwesekwa

Ngenkathi ungahle uhlele ukuba nomyeni wakho nomama wakho noma umngani wakho omkhulu nawe ngenkathi usebenza, yazi ukuthi izibhedlela ezweni lonke zishintshile izinqubomgomo zazo futhi zikhawulela izivakashi.

Njengoba umama okhulelwe uJennie Rice esho, “Manje sesivunyelwe kuphela umuntu oyedwa osekamelweni. Isibhedlela sivumela ezinhlanu ngokujwayelekile. Ezinye izingane, umndeni nabangane abavunyelwe esibhedlela. Ngikhathazekile ngokuthi isibhedlela sizophinda sishintshe imikhawulo futhi ngeke ngisavunyelwa lowo muntu oyedwa, umyeni wami, egumbini labasebenzi nami. ”

UCara Koslow, MS, umeluleki onelayisense oqeqeshiwe ovela eScranton, ePennsylvania, oqinisekisiwe empilweni yengqondo yokubeletha uthi, “Ngikhuthaza abesifazane ukuthi bacabangele ezinye izindlela zokweseka ezabasebenzi kanye nokubeletha. Ukusekelwa okubonakalayo kanye nengqungquthela yevidiyo kungaba ezinye izindlela ezinhle. Ukuba namalungu omndeni abhale izincwadi noma ukukunikeza izikhumbuzo okufanele uzihambise esibhedlela nakho kungaba yindlela yokukusiza uzizwe usondelene nabo ngesikhathi sokubeletha nangemva kokubeletha. ”

Yiba nokulindela okuguquguqukayo

UKoslow uthi uma ulwa nokukhathazeka ngokubeletha ngenxa ye-COVID-19 nemikhawulo eguqukayo, kungasiza ukucabanga ngezimo ezimbalwa zabasebenzi ngaphambi kokuzalwa. Ukucabanga ngezindlela ezimbalwa ezehlukene isipiliyoni sakho sokuzalwa esingakusiza kungakusiza ukuthi usethe okulindelwe okungokoqobo kosuku olukhulu.

Njengoba konke kuguquka kakhulu manje, uKoslow uthi, "Ungagxili kakhulu kokuthi, 'Yile ndlela kanye engifuna ihambe ngayo,' kepha gxila kakhulu kokuthi, 'Yilokhu engikudingayo.'”

Ukuvumela ezinye izinto ngaphambi kokuzalwa kungasiza ekulindeni okulindelekile. Lokhu kusho ukuthi kungadingeka ulahle umbono wokuba nomlingani wakho, umthwebuli wezithombe zokuzalwa, nomngani wakho njengengxenye yokulethwa kwakho. Kodwa-ke, ungabeka kuqala umlingani wakho ekuboneni ukuzalwa mathupha futhi uxhume abanye ngekholi yevidiyo.

Xhumana nabahlinzeki

Ingxenye yokulungela ukuhlala unolwazi ngezinqubomgomo zamanje zomhlinzeki wakho. Umama okhulelwe uJennie Rice ubelokhu eshayela ucingo usuku nosuku esibhedlela sakhe ukuze ahlale esesikhathini nganoma yiziphi izinguquko ezenziwa ophikweni lwabakhulelwe. Esimweni sokunakekelwa kwezempilo esikhula ngokushesha, amahhovisi nezibhedlela eziningi bezilokhu zishintsha izinqubo ngokushesha. Ukuxhumana nehhovisi likadokotela wakho kanye nesibhedlela sakho kungasiza okulindelwe ukuthi kuhlale kungokwamanje.

Ngokwengeziwe, ukuba nengxoxo evulekile nethembekile nodokotela wakho kungasiza. Ngenkathi udokotela wakho engazitholi zonke izimpendulo ngalesi sikhathi esingakaze sibonwe, ukuveza noma yikuphi ukukhathazeka ongase ube nakho mayelana nezinguquko ezingaba khona ngaphambi kokuba uhlelo lwakho lukunikeze isikhathi sokuxhumana ngaphambi kokubeletha.

Yenza ukuxhumana nabahlengikazi

UKoslow uthi ukufuna ukuxhumana nomhlengikazi wakho wokubeletha nokubeletha kubaluleke kakhulu kwabesifazane abazobe bebeletha ngesikhathi se-COVID-19. UKoslow uthi, "Abahlengikazi basohlwini lwangempela egumbini lokubeletha futhi bangasiza ukukhulumela umama osebenzayo."

Isipiliyoni sami siyasisekela isitatimende sikaKoslow. Ukuxhumana nomhlengikazi wami wokubeletha nowokubeletha kungivimbele ukuba ngiwele emifantwini yohlelo lwami lwesibhedlela.

Ukwenza ukuxhumana okuhle, umhlengikazi wezemisebenzi nokubeletha uJillian S. uphakamisa ukuthi umama osebenzayo angasiza ukukhulisa ukuxhumana ngokubeka ithemba lakhe kumhlengikazi wakhe. “Vumela umhlengikazi [mina] akusize. Vulela engikushoyo. Lalela engikushoyo. Yenza lokhu engikucela kuwe. ”

Yilungele ukuzikhulumela

UKoslow futhi uphakamisa omama ukuthi bazitholele ngokukhululeka ngokwabo. Njengoba kunabantu abambalwa abazokweseka umama omusha, kufanele ube ukulungele futhi ukwazi ukuzwakalisa ukukhathazeka kwakho.

Ngokusho kukaKoslow, “Abesifazane abaningi bazizwa sengathi abakwazi ukuba ngummeli wabo. Odokotela nabahlengikazi basesimweni samandla kakhulu kwezabasebenzi nasekubelethweni njengoba bebona ukuzalwa nsuku zonke. Abesifazane abazi ukuthi yini abangayilindela futhi abaqapheli ukuthi banelungelo lokukhuluma, kodwa bayakwazi. Noma ungazizwa sengathi uyezwakala, qhubeka ukhulume futhi uveze okudingayo uze uzwakale. Isondo elixegayo lithola uwoyela. ”

Khumbula ukuthi lezi zinqubomgomo zigcina wena nengane niphephile

Abanye omama abakhulelwe empeleni bathola ukukhululeka kuzinguquko ezintsha zenqubomgomo. Njengoba umama olindelekile uMichele M. esho, “Ngiyajabula ukuthi ngeke bavumele wonke umuntu angene ezibhedlela uma kunikezwe ukuthi akuwona wonke umuntu olandela imihlahlandlela yokwehlukanisa umphakathi kahle. Kungenza ngizizwe ngiphephe kakhudlwana uma ngihanjiswa. ”

Ukuzwa sengathi usebenzela ukuvikela impilo yakho neyengane yakho ngokugcina izinqubomgomo kungakusiza uzizwe ulawula kakhulu kulesi sikhathi esingaqinisekile.

Ungesabi ukucela usizo

Uma uzithola ukhathazeka ngokwengeziwe noma ngokungalawuleki noma wesaba ngaphambi kokuzalwa ngenxa ye-COVID-19, kulungile ukucela usizo. UKoslow uncoma ukukhuluma nomeluleki akusize ulawule ukukhathazeka kwakho. Usikisela ngokukhethekile ukufuna umelaphi oqinisekisiwe ngempilo yengqondo yokubeletha.

Abesifazane abakhulelwe abafuna ukwesekwa okwengeziwe bangaphendukela ku-Postpartum Support International ukuthola uhlu lwabelaphi abanolwazi ekunakekelweni kwezempilo kwengqondo kanye nezinye izinsiza.

Lesi yisimo esiguquka ngokushesha. UKoslow uthi, “Njengamanje, kufanele sithathe izinto usuku nosuku. Kumele sikhumbule esinamandla okuphatha njengamanje bese sigxila kulokho. ”

UJenna Fletcher ungumbhali ozimele nomakhi wokuqukethwe. Ubhala kakhulu ngempilo nenhlalakahle, ukuba ngumzali nezindlela zokuphila. Empilweni edlule, uJenna wasebenza njengomqeqeshi oqinisekisiwe womuntu siqu, uPilates kanye nomqeqeshi wokuqina komzimba, kanye nothisha wokudansa. Uneziqu zeBachelor azithola eMuhlenberg College.