Intshisekelo Ekuzalweni Kwezingane Iyakhula Ngesikhathi Sobhadane LWE-COVID-19

-Delile

• Ukukhulelwa okuyingozi kakhulu yilabo abazalelwa emakhaya
• Qonda ubungozi bakho futhi ube nohlelo lokusekelayo
• Okufanele ukwazi uma ukhathazekile ngezibhedlela njengamanje
• Khuluma nomhlinzeki wakho ngezinketho zakho

Ezweni lonke, i-COVID-19 inemindeni ekhulelwe ehlola kabusha izinhlelo zayo zokuzalwa futhi ibuza ukuthi ukuzalwa ekhaya kuyindlela ephephile yini.

Njengoba i-COVID-19 iqhubeka nokusabalala buthule nangokuhlukumezayo isuka kumuntu iye komunye umuntu, ukubeletha emakhaya sekuyindlela ephoqayo kubantu abaningi abakhulelwe abebehlele ukubelethela esibhedlela phambilini.

Njengoba kubikiwe ezitolo ezifana neThe New York Times neChicago Tribune, ababelethisi ezweni lonke babhekene nentshisekelo yokwanda kokubeletha emakhaya. Abesifazane abakhulelwe bacubungula kabusha izinhlelo zabo zokuzalwa, ikakhulukazi njengoba amacala endawo e-COVID-19 enyuka nezibhedlela zishaya izinqubomgomo ezintsha ezizungeze ukuzalwa nokunakekelwa kwezingane ezisanda kuzalwa.

Kwezinye izimo, izibhedlela zikhawulela ukusekelwa kwabantu abazalela izingane, zigunyaza ukuncishiswa kwabasebenzi noma izigaba ze-C, noma zehlukanise izingane komama okusolwa ukuthi bane-COVID-19.

Ezinye zalezi zinguquko zingaholela ekwandeni kwemiphumela emibi, kuphawula ukuhlaziywa kwe-2017 okukhombisa ukuthi ukukhawulelwa kokusekelwa kokuzalwa kungakhuphula amathuba okungenelela kwezokwelapha.

Ngokunjalo, ukuhlukanisa omama nezingane ngesikhathi sokuzalwa kungaba nomthelela omubi. Ukunakekelwa kwesikhumba kuya esikhunjeni nokuncelisa kunezinzuzo ezinkulu zezempilo, kwimpilo yesikhashana neyesikhathi eside yezingane.

Lezi zinzuzo zibaluleke kakhulu ngesikhathi sobhadane, njengoba zombili zithuthukisa ukusebenza komzimba womntwana. Abacebisi bancoma ngokusobala ukunakekelwa kwesikhumba kuya esikhunjeni nokuncelisa, noma ngabe umzali wokuzalwa uhlola ukuthi une-COVID-19.

Ngenxa yezinqubomgomo ezinjengalezi, imindeni icubungula izinketho zayo. UCassandra Shuck, i-doula eCharlotte, eNorth Carolina, uthi ubonile ukukhuphuka kwesasasa ekubelethweni kwasekhaya emphakathini wakhe. Usuku ngalunye, abesifazane abasha abakhulelwe bazama ukubuza ukuthi bangamthola kanjani uchwepheshe wokuzalwa ekhaya phakathi nobhadane.

"Ukukhuluma ngokomzimba, nakho konke okwenzekayo, umama ozayo angazizwa ekhululekile endaweni lapho ephethe khona ukulawula okuningi," kusho uShuck.

Ngenxa yokwanda kwentshisekelo yokuzalwa kwasekhaya, i-American College of Obstetricians and Gynecologists (ACOG) kanye ne-American Academy of Pediatrics (AAP) basanda kukhipha izitatimende ezithi izibhedlela nezikhungo eziqinisekisiwe zokubeletha ziyindawo ephephe kunazo zonke yokuba nomntwana.

I-AAP iphinde yashicilela imihlahlandlela yezokuphepha kulabo abahlela ukubelethela ekhaya, kanye nokuthi ngubani othathwa njengomuntu olungele ukuzalwa ekhaya.

Nakhu okufanele ukwazi ngokuzalwa kwasekhaya uma ukubheka.

Ukukhulelwa okuyingozi kakhulu yilabo abazalelwa emakhaya

Ochwepheshe abaningi bezempilo bayavuma ukuthi abantu abafuna ukubelethela emakhaya kufanele babe nokukhulelwa okuyingozi kakhulu.

Ucwaningo luye lwabonisa ukuthi abesifazane abakhulelwe abanengozi encane abanamathuba amaningi okuba nezinkinga ekhaya kunasesibhedlela. Eqinisweni, ukuzalwa kwasekhaya kuvame ukuhlotshaniswa namazinga aphansi wokungenelela komama, njengokufakwa kwabasebenzi, izigaba zokuhlinzwa, kanye nezinyembezi ezinkulu zangasese.

Ngokusho kukaDkt Jessica Illuzzi, umphathi wesigaba sabasebenzi kanye nababelethisi eYale Medicine, cishe amaphesenti angama-80 kuye kwangama-90 abantwana abazalwa benengozi encane angenzeka ngaphandle kwezinkinga.

"Iningi labesifazane abasebenza isikhathi esigcwele, banengane eyodwa ekhanda engenazo ezinye izinkinga ezibalulekile zezokwelapha noma zokubelethisa," kusho u-Illuzzi.

Amanye amaphesenti ayi-10 kuye kwangama-20 wamacala, noma kunjalo, angaba nenkinga yokubelethisa futhi adinga ukuhanjiswa esibhedlela ukuze athole olunye usizo lwezokwelapha, waphawula.

I-AAP iphinde yancoma ukuthi abesifazane abakhulelwe abazalela ekhaya kufanele okungenani babe namasonto angama-37 bekhulelwe (ukukhulelwa okungaphansi kwamasonto angama-37 kubhekwa ngaphambi kwesikhathi), nokuthi owesifazane ngamunye unethimba lezokunakekelwa kwempilo okungenani labantu ababili - omunye wabo okufanele abe nesibopho ngempilo yengane esanda kuzalwa.

Ukwengeza, abesifazane ababhekwa njengabakhulelwe kakhulu - njengalabo abanesifo sikashukela, i-preeclampsia, isigaba sangaphambilini se-Cesarean, noma bephethe ama-fetus amaningi-kufanele bacabange ukubeletha endaweni yokunakekelwa kwezempilo, njengoba bengase babe nezinkinga ezisongela impilo.

"Kwabesifazane abakulesi sigaba esinobungozi obukhulu, ngincoma kakhulu ukuthi kubhekwe isibhedlela noma isikhungo sokuzalwa," kusho uShuck.

Qonda ubungozi bakho futhi ube nohlelo lokusekelayo

Uma ucabanga ngokuzalwa ekhaya, u-Illuzi uthi kubalulekile ukuqonda wonke amandla, ukulinganiselwa, ubungozi, kanye nezinzuzo zokubelethela ekhaya.

Khuluma nochwepheshe bakho bokuzalwa futhi uqonde ukuthi imiphi imishanguzo nemishini abazoba nayo, kanye nemvelaphi yabo namakhono abo.

Uma uthatha isinqumo sokuqhubekela phambili ngokuzalwa ekhaya, ongoti bezempilo bancoma ukuba nohlelo olubekiwe uma kwenzeka udinga ukuhanjiswa esibhedlela.

Iningi lokukhulelwa okuyingozi kakhulu lizoba nemiphumela emihle ekhaya, ngokusho kwalokhu okuhlaziye ukuzalwa okungaphezu kuka-800,000.

Lokho kusho ukuthi, abanye besifazane bangabhekana nezinkinga ezingalindelekile - njengokuphuma kwegazi langemva kokubeletha noma ukwehla okungazelelwe kokushaya kwenhliziyo kwengane noma amazinga e-oxygen - okungadinga ukuthuthwa uye esibhedlela.

Ngokusho kocwaningo lwango-2014 olushicilelwe yiThe Midwives Alliance yaseNyakatho Melika olwahlola imiphumela cishe yabantu abangu-17 000 abazalelwa emakhaya, cishe amaphesenti ayi-11 omama abasebenzayo badluliselwe esibhedlela. Iningi lalawa macala adluliselwe hhayi ngenxa yezimo eziphuthumayo, kepha ngenxa yokuthi abasebenzi bebengaqhubeki.

Ukubeletha emakhaya kuphephe kakhulu kulabo asebeke babeletha phambilini. Ngokusho kwe-ACOG, cishe amaphesenti ama-4 kuya kwayi-9 wabesifazane abakhulelwe asebeke babeletha phambilini bazodinga ukuthuthela esibhedlela. Le nombolo ukwehla kusuka kumaphesenti angama-23 kuya kwangama-37 omama bokuqala abadinga ukudluliselwa kwe-intrapartum esibhedlela.

Noma kunjalo, ezindaweni ze-coronavirus "hotspot", izinsizakalo zezimo eziphuthumayo zingabambezeleka. Futhi, i-AAP iphakamisa ukuthi ukubeletha eduze kwesibhedlela kuyisihluthulelo uma kwenzeka kuba nenkinga; ukuhamba imizuzu engaphezu kwengu-15 kuya kwengu-20 uye esikhungweni sezokwelapha kuhlotshaniswe nemiphumela emibi enganeni, kuhlanganise nokufa.

Okufanele ukwazi uma ukhathazekile ngezibhedlela njengamanje

Esinye sezizathu ezinkulu zokuthi abesifazane abakhulelwe bacabangele ukubeletha emakhaya kungenxa yokwesaba ukuthola i-COVID-19 esibhedlela.

U-Illuzzi ugcizelele ukuthi izibhedlela, njengalezo ezixhumene neYale Medicine, eNew Haven, eConnecticut, zisebenza ngokuzikhandla “ukudala izindawo eziphephile zabesifazane zokubeletha.” Izibhedlela zikhulise izindlela zokuphepha kwabesifazane abakhulelwe nezinsana ezisanda kuzalwa ukunciphisa amathuba okuvezwa.

"Izibhedlela eziningi zenze izindawo ezinomama abane-COVID nabasebenzi ababelwe ukusebenza nalaba mama abazinakekeli ezinye iziguli," kusho u-Illuzzi.

Ukwengeza, iningi labasebenzi lifaka izifihla-buso ze-N95, izivikelo zamehlo, imijiva, kanye namagilavu ​​uma kulindeleke nokuthi isiguli sithole i-coronavirus, kusho u-Illuzzi, enezela ukuthi indawo iyahlanzwa futhi ibulawe amagciwane njalo ukuvikela ukutheleleka.

Khuluma nomhlinzeki wakho ngezinketho zakho

Uma unentshisekelo yokubelethela ekhaya, khuluma nodokotela wakho noma umbelethisi bese wabelana ngemicabango yakho nokukhathazeka kwakho nabo.

Bazokwazi ukuhlola impilo yomama neyomntwana okhulelwe, futhi babone noma iziphi izingozi okufanele uziqaphele.

UShuck weluleka ngokuzalelwa ekhaya okungasiziwe. Uma ukhetha ukubelethela ekhaya, qiniseka ukuthi uneqembu eliqinisekisiwe lokubelethisa eceleni kwakho ngamathuluzi nemishini efanele.

Yenza ucwaningo lwakho, ulinganise izinzuzo nezingozi zakho, bese uzilungiselela.

"Lokhu kungukukhetha komuntu siqu futhi okufanele bakhulume ngakho nomlingani wabo kanye neqembu labo lokuzalwa," kusho uShuck.

UJulia Ries ngumbhali osuselwa ku-LA ohlanganisa ezempilo nokuphila kahle kweHuffPost, i-PBS, i-Girlboss, neFiladelphia Inquirer, phakathi kwabanye. Ungambona esebenza ku-webhusayithi yakhe ethi www.juliaries.com.