Lo Mbelethisi Unikele Umsebenzi Wakhe Wokusiza Abesifazane Ezingwadule Zokunakekelwa Komama

-Delile

• Ngiqale Kanjani Ukusebenzela Imiphakathi Engafanele
• Ukubona Ububanzi Benkinga
• Amayunithi Wokunakekelwa Kwezempilo Kwamaselula Asiza Kanjani Abesifazane E-DC
• Kungani Ukungafani Kokunakekelwa Kwezempilo Komama Kubakhona, nokuthi Kufanele Wenzeni Ngabo
• Buyekeza kwe-

Umbelethisi ugijimela egazini lami. Bobabili ugogo nokhokho kakhokho babengababelethisi emuva ngesikhathi abantu abaMnyama bengamukelekile ezibhedlela zabamhlophe. Akugcinanga lapho, kodwa nezindleko ezinkulu zokubeletha bezingaphezu kwemali imindeni eminingi ebingakwazi ukuyithenga, yingakho abantu bebeludinga kakhulu usizo lwabo.

Sekudlule amashumi eminyaka, nokho ukwehluka ngokobuhlanga ekunakekelweni kwezempilo komama kuyaqhubeka - futhi ngiyahlonishwa ukulandela ezinyathelweni zokhokho bami futhi ngenze ingxenye yami ekuvaleni lelo gebe lize liqhubeke.

Ngiqale Kanjani Ukusebenzela Imiphakathi Engafanele

Ngaqala umsebenzi wami kwezempilo yabesifazane njengomhlengikazi onakekela umama ngigxile ekusimeni nasekubeletheni. Ngakwenza lokho iminyaka eminingi ngaphambi kokuba ngibe umsizi kadokotela kwezokubelethisa nezabesifazane. Kodwa-ke kwaze kwaba ngo-2002 lapho enganquma khona ukuba umbelethisi. Umgomo wami wawuhlala njalo ukusebenzela abesifazane abaswele, futhi ukubelethisa kwaba yindlela enamandla kakhulu eya kulokho. (I-ICYDK, umbelethisi ungumnikezeli wezempilo onelayisensi futhi oqeqeshiwe onobuchwepheshe namakhono okusiza abesifazane ukuba bakhulelwe okunempilo, ukubeletha okuphelele, kanye nokululama okuphumelelayo kwangemva kokubeletha ezibhedlela, ezikhungweni zokunakekelwa kwezempilo, kanye nasemakhaya abantu.)

Ngemuva kokuthola isitifiketi sami, ngaqala ukufuna imisebenzi. Ngo-2001, ngathola ithuba lokusebenza njengombelethisi eMason General Hospital eShelton, idolobha elisemaphandleni kakhulu eMason County esifundazweni saseWashington. Isibalo sabantu bendawo ngaleso sikhathi sasibalelwa ku-8,500. Uma ngithatha lo msebenzi, bengizobe ngisebenza sonke isifunda, kanye nomunye ob-gyn oyedwa.

Njengoba ngizinze kulo msebenzi omusha, Ngasheshe ngabona ukuthi bangaki abesifazane ababeswele kakhulu ukunakekelwa - noma ngabe lokho kwakukufunda ukuphatha izimo ezazikhona, imfundo eyisisekelo yokubeletha nokuncelisa, nokusekelwa kwezempilo yengqondo. Kuwo wonke ama-aphoyintimenti, ngangikwenza iphuzu ukuhlinzeka omama abalindele izinsiza eziningi ngangokunokwenzeka. Awusoze waqiniseka ukuthi iziguli bezizohambisana nokuhlolwa kwazo ngaphambi kokubeletha ngenxa nje yokungena esibhedlela. Bekufanele ngenze izinto zokubeletha, eziqukethe okokulethwa okuphephile nokuhlanzeka (i.e.ama-gauze pads, i-mesh undies, i-clamp for the umbilical cord, njll.) uma kwenzeka omama abalindele ukuthi baphoqeleke ukuletha ekhaya ngenxa, yithi, ibanga elide ukuya esibhedlela noma ukungabikho komshwalense. Ngikhumbula ngesinye isikhathi, kwakukhona i-avalanche eyabangela ukuthi omama abaningi ababezoba khona bakhithike lapho sekuyisikhathi sokubeletha - futhi lezo zixhobo zokubeletha zazifika kahle. (Okuhlobene: Izinsizakusebenza Zempilo Yengqondo Ezitholakalayo Nezesekayo zeBlack Womxn)

Imvamisa, igumbi lokuhlinzwa lalibambezeleka kakhulu. Ngakho-ke, uma iziguli zidinga usizo oluphuthumayo, bebevame ukuphoqeleka ukuthi balinde isikhathi eside, okubeka izimpilo zabo engcupheni - futhi uma ubukhulu besimo esiphuthumayo bebungaphezu kwamandla okunakekelwa kweziguli esibhedlela, bekufanele sicele indiza enophephela emhlane kokukhulu izibhedlela ezikude kakhulu. Uma sicabangela indawo yethu, ngokuvamile kwakudingeka silinde isikhathi esingaphezu kwesigamu sehora ukuze sithole usizo, ngezinye izikhathi okwakugcina sekwephuze kakhulu.

Nakuba ngezinye izikhathi kubuhlungu, umsebenzi wami wawungivumela ukuba ngizazi ngempela iziguli zami kanye nezithiyo ezivimbela ikhono lazo lokuthola usizo lwezempilo oluludingayo futhi olulufanele. Ngangazi ukuthi kulapho okufanele ngibe khona. Phakathi neminyaka eyisithupha ngiseShelton, ngaba nomlilo wokuba ngumuntu ongcono kakhulu engingaba nawo kulo msebenzi ngethemba lokusiza abesifazane abaningi ngangokunokwenzeka.

Ukubona Ububanzi Benkinga

Ngemuva kwesikhathi sami eShelton, ngabhampa ezweni lonke ngihlinzeka ngezinsizakalo zokubelethisa emiphakathini enganakiwe kakhulu. Ku-2015, ngabuyela endaweni yedolobha i-D.C., lapho ngivela khona ekuqaleni. Ngaqala omunye umsebenzi wokubelethisa, futhi ngaphansi kweminyaka emibili esikhundleni, u-D.C. waqala ukubhekana nezinguquko eziphawulekayo ekufinyeleleni ukunakekelwa kwezempilo komama, ikakhulukazi kuWadi 7 no-8, okunezakhamuzi ezihlangene eziyi-161,186, ngokusho kwe-D.C. Health Matters.

Isizinda esincane: I-DC ibilokhu yaziwa njengenye yezindawo eziyingozi kakhulu kwabesifazane abaMnyama ukuba bazalele e-US Empeleni, kuze kube "kubalwa njengokubi kakhulu, noma eduze kakhulu, ngokufa komama uma kuqhathaniswa nezinye izifundazwe, " ngokombiko kaJanuwari 2018 weKomidi Lezobulungiswa Nokuphepha Komphakathi. Ngonyaka olandelayo, imininingwane evela ku-United Health Foundation iphinde yaveza leli qiniso: Ngo-2019, izinga lokushona komama e-D.C lalinokufa kwabantu abangama-36.5 kwabangu-100,000 abazalwa bukhoma (uma kuqhathaniswa nezinga likazwelonke lama-29.6). Futhi la mazinga ayephakeme kakhulu kwabesifazane abaMnyama ngokushona okungama-71 kwabangu-100,000 abazalwa bukhoma enhlokodolobha (vs. 63.8 kuzwelonke). (Kuhlobene: Indodakazi KaCarol Isanda Kwethula Isinyathelo Esinamandla Sokweseka Impilo Yomama Abamnyama)

Lezi zinombolo kunzima ukugaya, kepha ukuzibona zidlala, empeleni, bekuyinselele enkulu. Isimo sokunakekelwa kwezempilo komama enhlokodolobha yezwe lethu sashintsha saba sibi kakhulu ngo-2017 lapho i-United Medical Center, esinye sezibhedlela ezinkulu endaweni, ivala iwadi yayo yokubelethisa. Sekungamashumi eminyaka lesi sibhedlela sihlinzeka ngosizo lwezempilo komama emiphakathini empofu kakhulu futhi enganakiwe yaseWadi 7 no-8. Ngemva kwalokho, isibhedlela iProvidence, esinye isibhedlela esikhulu endaweni, naso savala iwadi yaso yababeletha ukuze konge imali, okwenza le ndawo. ye-DC ihlane lokunakekelwa komama. Izinkulungwane zomama abakhulelwe emakhoneni ampofu kakhulu edolobha zishiywe ngaphandle kokuthola usizo lwezempilo ngokushesha.

Ngobusuku obubodwa, laba mama abalindelwe baphoqeleka ukuthi bahambe amabanga amade (isigamu sehora noma ngaphezulu) - okungaba impilo noma ukufa esimweni esiphuthumayo - ukuthola ukunakekelwa okuyisisekelo kokubeletha, ukubeletha kanye nokubeletha. Njengoba abantu kulo mphakathi bevamise ukuba nezinkinga zezezimali, ukuhamba kuba yisithiyo esikhulu kulaba besifazane. Abaningi abakwazi ukuba nokunakekelwa kwezingane kutholakale kalula kunoma yiziphi izingane abangase babe nazo kakade, okuqhubeka nokuvimbela amandla abo okuvakashela udokotela. Laba besifazane futhi bathambekele ekubeni nezinhlelo eziqinile (ngenxa yokuthi, bathi, ukusebenza imisebenzi eminingana) eyenza ukudweba amahora ambalwa ukuze kuboniswe isikhathi esinzima kakhulu. Ngakho-ke kwehla ukuthi kungabe ukweqa zonke lezi zithiyo zokuhlolwa kokubeletha okuyisisekelo kuwufanele ngempela - futhi kaningi kunalokho, ukuvumelana akukho. Laba besifazane babedinga usizo, kodwa ukuze sifinyelele lokho kubo, kwakudingeka sibe nobuciko.

Phakathi nalesi sikhathi, ngaqala ukusebenza njengomqondisi weMidwifery Services e-University of Maryland. Lapho, sacelwa ukuthi i-Better Starts for All, uhlelo lwezempilo lomama oluhambayo olukhona njengamanje olunezinsizakalo okuhloswe ngazo ukuletha ukwesekwa, imfundo, kanye nokunakekelwa komama nomama abazoba khona. Ukuhlangana nabo kwakungelula neze.

Amayunithi Wokunakekelwa Kwezempilo Kwamaselula Asiza Kanjani Abesifazane E-DC

Uma kukhulunywa ngabesifazane abasemiphakathini enganakiwe njengakuWadi 7 no-8, kunalo mqondo wokuthi “uma ngingephukile asikho isidingo sokuthi ngilungiswe,” noma “uma ngisindile kusho ukuthi anginankinga. ngidinga ukuyobheka usizo. " Lezi zinqubo zokucabanga zisula umqondo wokubeka phambili ukunakekelwa kwezempilo okuvimbelayo, okungaholela ekubulaweni kwezinkinga zempilo zesikhathi eside. Lokhu kuyiqiniso ikakhulukazi ekukhulelweni. Iningi lalaba besifazane alikubheki ukukhulelwa njengesimo sempilo. Bacabanga ukuthi "kungani ngingadinga ukubona udokotela ngaphandle uma kukhona okungahambi kahle?" Ngakho-ke, ukunakekelwa okufanele kwezempilo ngaphambi kokubeletha kufakwa kusishisi sangemuva. (Okuhlobene: Kunjani Ukukhulelwa Esiwombeni Esiwumshayabhuqe)

Yebo, abanye balaba besifazane bangahle baye kohlolwa ngaphambi kokubeletha kanye ukuqinisekisa ukukhulelwa nokubona ukushaya kwenhliziyo. Kepha uma sebenengane, futhi izinto zihambe kahle, kungenzeka bangasiboni isidingo sokuvakashela udokotela wabo okwesibili nxazonke. Bese-ke, laba besifazane baphindela emiphakathini yabo futhi batshele abanye besifazane ukuthi ukukhulelwa kwabo bekuhamba kahle ngaphandle kokuhlolwa okujwayelekile, okuphazamisa abesifazane abaningi ekutholeni ukunakekelwa abakudingayo. (Okuhlobene: Izindlela eziyi-11 Abesifazane Abamnyama Abangavikela Ngazo Impilo Yabo Yengqondo Ngesikhathi Sokukhulelwa Nangemva Kokubeletha)

Yilapho amayunithi okunakekelwa kwempilo yamaselula angenza umehluko omkhulu. Ibhasi lethu, ngokwesibonelo, lingena ngqo kule miphakathi futhi liletha ukunakekelwa komama osezingeni elidingeka kakhulu ezigulini. Sihlonyiswe ngababelethisi ababili, okuhlanganisa nami, amagumbi ezivivinyo lapho sinikeza khona izivivinyo kanye nemfundo ngaphambi kokubeletha, ukuhlolwa kokukhulelwa, imfundo yokunakekelwa kokukhulelwa, isibhamu somkhuhlane, ukubonisana nokulawula inzalo, ukuhlolwa kwamabele, ukunakekelwa kwezinsana, imfundo yezempilo kamama nengane, kanye nezinsizakalo zosizo lwezenhlalakahle. . Sivame ukupaka ngaphandle kwamasonto nezikhungo zomphakathi isonto lonke futhi sisize noma ngubani okucelayo.

Ngenkathi samukela umshuwalense, uhlelo lwethu futhi luxhaswe ngemali yesibonelelo, okusho ukuthi abesifazane bangafanelekela ukuthola izinsizakalo nokunakekelwa kwamahhala noma okwehlisiwe. Uma kunezinsizakalo esingeke sikwazi ukuzihlinzeka, siphinde sinikeze ukuhlanganiswa kokunakekelwa. Isibonelo, singathumela iziguli zethu kubahlinzeki abangakwazi ukufaka i-IUD noma ukufakelwa kokulawulwa kokuzalwa ngentengo ephansi. Okufanayo kuya ekuhlolweni kwebele okujulile (cabanga: ama-mammograms). Uma sithola okuthile okungajwayelekile ezivivinyweni zethu zomzimba, sisiza iziguli ukuhlela uhlelo lwe-mammogram ngemali ephansi kungabizi izindleko ngokuya ngeziqu zazo kanye nomshuwalense wazo, noma ukuntuleka kwakho. Siphinde sisize abesifazane abanezifo ezikhona ezifana nomfutho wegazi ophezulu kanye nesifo sikashukela ukuthi baxhumane nabahlinzeki bezempilo abangabasiza bakwazi ukulawula impilo yabo. (Okuhlobene: Nansi Indlela Yokuthola Ukulawulwa Kokubeletha Kulethwe Khona Emnyango Wakho)

Isici esibaluleke kakhulu, nokho, ukuthi ibhasi linikela ngesimo esisondelene lapho sikwazi ukuxhumana khona neziguli zethu. Akukhona nje ukubanikeza ukuhlolwa kwabo bese ubathumela endleleni. Singase sibabuze ukuthi bayaludinga yini usizo lokufaka isicelo somshuwalense, ukuthi banokudla yini, noma bazizwa belondekile yini ekhaya. Siba yingxenye yomphakathi futhi sikwazi ukusungula ubudlelwano obakhelwe ekwethembaneni. Lokho kuthembana kudlala indima enkulu ekwakheni ubudlelwano neziguli futhi kuzinikeze ukunakekelwa okusimeme, okuseqophelweni eliphezulu. (Okuhlobene: Kungani i-U.S. Ngokudingekile Edinga Odokotela Abesifazane Abamnyama Abengeziwe)

Ngokusebenzisa uphiko lwethu lokunakekelwa kwezempilo okungumahamba nendlwana, sikwazile ukususa izithiyo eziningi kulaba besifazane, enkulu kunazo zonke ukufinyelela kuzo.

Nge-COVID kanye nemihlahlandlela yokuqhelelana komphakathi, iziguli manje kudingeka zibhukhe ama-aphoyintimenti kusengaphambili, ngocingo noma nge-imeyili. Kepha uma ezinye iziguli zingakwazi ukuza enyameni ngokomzimba, siyakwazi ukunikeza ipulatifomu ebonakalayo esivumela ukuthi sibanakekele khona kanye ekhaya. Manje sihlinzeka ngochungechunge lwezikhathi ezibukhoma, zamaqembu e-inthanethi nabanye besifazane abakhulelwe endaweni ukunikela ngolwazi kanye nokuholwa yilaba besifazane. Izihloko zengxoxo zifaka ukunakekelwa kokubeletha, ukudla okunempilo nemikhuba yokuphila, imiphumela yengcindezi ngesikhathi sokukhulelwa, ukulungiselela ukubeletha, ukunakekelwa kwangemva kokubeletha, nokunakekelwa okuvamile kwengane yakho.

Kungani Ukungafani Kokunakekelwa Kwezempilo Komama Kubakhona, nokuthi Kufanele Wenzeni Ngabo

Ukwehlukana okuningi kobuhlanga nenhlalo-mnotho ekunakekelweni kwezempilo komama kunezimpande zomlando. Emiphakathini ye-BIPOC, kunokungathembani okukhulu uma kukhulunywa ngohlelo lokunakekelwa kwezempilo ngenxa yokuhlukumezeka okwathatha amakhulu eminyaka esabhekana nakho kudala ngaphambi kwesikhathi sogogo wami omkhulu. (Cabanga: U-Henrietta Lacks kanye nokuhlolwa kogcunsula kwe-Tuskegee.) Sibona umphumela walokho kuhlukumezeka ngesikhathi sangempela ngokungabaza mayelana nokugomela i-COVID-19.

Le miphakathi inesikhathi esinzima sokuthemba ukuphepha komuthi wokugoma ngenxa yomlando wohlelo lokunakekelwa kwezempilo wokungafihli lutho nokuzibandakanya nawo. Lokhu kunqikaza kuwumphumela oqondile wokucwasa ngokwesistimu, ukuhlukumeza, nokunganakwa ababhekane nakho ezandleni zesistimu manje ethembisa ukwenza okufanele ngayo.

Njengomphakathi, sidinga ukuqala ukukhuluma ngokuthi kungani ukunakekelwa kwangaphambi kokubeletha kubaluleke kangaka. Izingane zomama abangakutholi ukunakekelwa ngaphambi kokubeletha kunamathuba aphindwe kathathu (!) Okuba nesisindo sokuzalwa esiphansi futhi amathuba okufa aphindwe kahlanu kunalabo abazalwa omama abathola ukunakekelwa, ngokusho koMnyango Wezempilo Nezinsizakalo Zase-US. . Omama ngokwabo baphucwa ukunakekelwa okuyigugu kubandakanya nokuqapha izinkinga ezingaba khona zezempilo ngokuhlolwa komzimba, ukuhlolwa kwesisindo, ukuhlolwa kwegazi nomchamo, kanye nama-ultrasound. Baphinde baphuthelwe yithuba elibalulekile lokuxoxa ngezinye izinto ezingase zibe khona njengokuhlukunyezwa ngokomzimba nangokwezwi, ukuhlolelwa i-HIV, nemiphumela utshwala, ugwayi, nokusebenzisa izidakamizwa ezingekho emthethweni okungaba nayo empilweni yabo. Ngakho-ke lokhu akuyona into okufanele ithathwe kalula.

Ngendlela efanayo, kufanele futhi kube ulwazi olujwayelekile ukuthi kufanele ulungiselele umzimba wakho ngaphambi kokukhulelwa. Akukhona nje ukuqala amavithamini akho ngaphambi kokubeletha kanye nokuthatha i-folic acid. Kufanele ube nempilo ngaphambi kokuthatha umthwalo wokuthwala ingane. Ingabe unayo i-BMI enhle? Ngabe amazinga akho e-hemoglobin A1C alungile? Injani umfutho wegazi lakho? Ingabe uyazazi izimo ezikhona ngaphambili? Lena yonke imibuzo wonke umama okufanele azibuze yona ngaphambi kokuthatha isinqumo sokukhulelwa. Lezi zingxoxo eziqotho zibaluleke kakhulu uma kuziwa kwabesifazane abakhulelwe enempilo futhi bebeletha. (Okuhlobene: Konke Odinga Ukukwenza Ngonyaka Ngaphambi Kokukhulelwa)

Kade ngizama ukulungiselela nokufundisa abesifazane ngalokhu okungenhla impilo yami yonke yabantu abadala futhi ngizoqhubeka nokwenza njalo isikhathi eside ngangokunokwenzeka. Kodwa lokhu akuyona into umuntu oyedwa noma inhlangano eyodwa engayixazulula. Isistimu idinga ukushintsha futhi umsebenzi okudingeka ungene kuwo ngokuvamile ungazizwa ungenakunqotshwa. Ngisho nasezinsukwini eziyinselele kunazo zonke, ngimane ngizame ukukhumbula ukuthi okungabonakala njengesinyathelo esincane - okusho ukubonisana ngaphambi kokubeletha nowesifazane oyedwa - empeleni kungaba yithemba lokuthola impilo engcono nokuphila kahle kwabo bonke abesifazane.

Buyekeza kwe-