Umhlahlandlela Wezinsizakusebenza Ezisebenziseka Kakhulu Abazali Abasha Kufanele Bagcine Ephaketheni Labo Emuva

-Delile

• Eziphuthumayo
• Ukusekelwa okujwayelekile nokuholwa
• Imibuzo yokwelashwa: Ngingakuthatha lokhu?
• Impilo yengqondo
• Ukuncelisa nokuncelisa
• Impilo yaphansi
• I-Postpartum doula
• Izinsizakalo ezingeziwe

Gcina lawa masayithi nezinombolo ngokudayela okusheshayo lapho udinga ukwesekwa kakhulu.

Uma ulindele ukungezwa okusha emndenini, kungenzeka ukuthi usuvele uthole izinto eziningi ezinhle zengane yakho. Kepha ngizokunikeza okunye: isipho solwazi.

Ngiyazi, ngiyazi. Akumnandi neze njengezingubo zokugoqeka kanye namafreyimu wesithombe. Kepha ngethembe. Ngemuva kokufika kwengane, sh * t iba ngeyangempela. Ngeke wazi - noma ngabe eyakho yokuqala noma yesine - yiziphi izingqinamba ozohlangabezana nazo noma uhlobo losizo oludingayo.

Yilapho lo mhlahlandlela osebenzayo wezinto ezibalulekile ungena khona. Kunezinsizakusebenza ezithile ezibalwe engithemba ukuthi wonke umuntu uzisebenzisa. Kunemithombo ethile efakwe kuhlu engithemba ukuthi akekho okufanele ayisebenzise. Noma ngabe ikuphi, konke kufakiwe lapha, akunakwahlulelwa.

Njenge-doula yangemva kokubeletha, kungumsebenzi wami nelungelo lami ukuxhasa abazali abasha lapho besengozini kakhulu. Ukunikeza izinsiza kuyingxenye enkulu yalokho. (Isikhathi esincane sokuqeda ingqondo ukuhlanganisa kwalasha oluku-inthanethi, isikhathi esithe xaxa nomndeni wakho: Yebo!) Ngiyethemba ukuthi nami ngingakwenza okufanayo.

Ngemuva kwakho konke, kuthatha isigodi. Futhi kulezi zinsuku, lelo dolobhana liyi-patchwork evulekile yempilo yangempela nezinsizakusebenza eziku-inthanethi.

Eziphuthumayo

Izinto zokuqala kuqala: Faka inombolo yocingo yengane yakho ocingweni lwakho Izintandokazi uma kungenzeka ube nokukhathazeka ngengane. Yazi ukuthi sikuphi isibhedlela esiseduze noma isikhungo sokunakekelwa esiphuthumayo samahora angama-24.

Kuyafana nakuwe. Ungalokothi unqikaze ukubiza umhlinzeki wakho, ikakhulukazi uma uhlangabezana nokulandela ukubeletha okulandelayo: Uma udlula ihlwili elikhudlwana kuneplamu, cwilisa ngaphezu kwephedi elilodwa ngehora, noma ube nomkhuhlane, ukugodola, isicanucanu, noma ukushaya kwenhliziyo okusheshayo. Noma yikuphi kwalokhu kungaba yizimpawu zokopha kwangemva kokubeletha.

Uma unezinguquko kumbono, isiyezi, noma ikhanda elibuhlungu, shayela umhlinzeki wakho ngokushesha. Lezi zimpawu zingaba yizimpawu ze-postpartum preeclampsia.

Ukusekelwa okujwayelekile nokuholwa

Ngingumlandeli omkhulu wokuthinta u-Facebook ukuthola amaqembu wabazali abasha endawo, kanye namaqembu ezwe / omhlaba wonke ngenzalo. Zisebenzisele ukwesekwa, ukwelulekwa, ukuvulelwa umoya, noma ukuhlangana ngokomzimba, okuzuzisa kakhulu uma uwedwa ekhaya kulawo masonto okuqala noma izinyanga. Isibhedlela sakho kungenzeka futhi sinikeze iqembu lomzali elisha.

• Ukuncelisa ibele. ILa Leche League yiqembu lokwesekwa elaziwa kakhulu, futhi lisabalele. (Okuningi nge-lactation ngezansi.) Inezahluko cishe kuwo wonke amadolobha namadolobha, futhi iyinsiza yamahhala emangazayo - yokuqonda, kanye nabangahle babe abangane.
• Ukudiliva ngokuhlinzwa I-International Cesarean Awareness Network (ICAN) inamaqembu endawo kanye neqembu elivaliwe le-Facebook lalabo abafuna ukwesekwa, noma ngabe ubune-C-section ehleliwe, i-C-emergency emergency, noma i-VBAC.
• Ukukhathazeka nokudangala kwangemva kokubeletha. IPostpartum Support International (i-PSI) inikela ngezinsizakusebenza eziningi zezempilo yengqondo (ngaphezulu kulokho okungezansi), kepha ngiyithakasela kakhulu imihlangano eku-inthanethi eyenziwa masonto onke yokukhathazeka kwemizwa yangaphambi kokubeletha kanye nabanakekeli bezempi.
• Ukuzimela. Uma usebenzisa (noma usebenzise) i-surrogate futhi ufuna ukuxhumana nabanye abazali abazalela izingane, ungahle uthande ukubheka iqembu le-Facebook ama-Surrogates kanye ne-Intended Parents, elinamalungu acishe abe yi-16,000.
• Ukutholwa. Umkhandlu waseNyakatho Melika Wezingane Ezitholakalayo (i-NACAC) unikeza inkomba yamaqembu okusekelwa kwabazali ngokwamukelwa nguhulumeni. Kuyaqapheleka ukuthi ukucindezelwa ngemuva kokutholwa yisimo sangempela, abanye abakuthola kunzima ukuxoxa ngokukhululekile. Uma udonsa kanzima, ungathola lezi zinkundla zisiza kanye nalolu lwazi oluvela eMnyangweni Wezempilo wase-U.S.

Imibuzo yokwelashwa: Ngingakuthatha lokhu?

Ngibhalile ngezithasiselo zangemva kokubeletha kanye namakhambi athandwayo e-lactation lapha eHealthline, kepha uma usazibuza, "Ngingakuthatha lokhu?" sebenzisa lezi zinsizakusebenza ezimbili ukuthola ulwazi lomtholampilo:

• LactMed. Le yi-National Institute of Health's database kanye ne-lactation database. (Kukhona nohlelo lokusebenza!)
• UMamaToBaby. Uma unombuzo mayelana nomuthi noma enye into ngesikhathi sokubeletha, le nzuzo ingasiza. Funda amaqiniso afanele kusayithi noma uxhumane nabo ngqo ngocingo, umbhalo, i-imeyili noma ingxoxo ebukhoma ukuze ukhulume nongoti mahhala.

Impilo yengqondo

Kukhona inani elithile lokuthi "Angizizwa njengami" okujwayelekile emva kokubeletha. Kepha wazi kanjani ukuthi lokho ozizwa kujwayelekile, noma kukhona okufanele ukhathazeke ngakho? Ikakhulukazi lapho i-postpartum blues, ukucindezeleka, ukukhathazeka, kanye ne-psychosis kungabonakalisa okuhluke kakhulu kumuntu ngamunye.

Kulinganiselwa ukuthi amaphesenti angama-15 abesifazane abakhulelwe nababeletha babhekana nokudangala. Uma ungaqiniseki, ungaqala ngokuthatha le mibuzo esheshayo. Kuyimibuzo ejwayelekile evame ukusetshenziswa ama-doulas amaningi ekuvakasheleni abakhulelwe nabangemva kokubeletha.

• Uma ukhathazekile ngezimpendulo zakho, noma imizwa evezwa yimibuzo, sicela uxhumane nomhlinzeki wakho, uchwepheshe wezempilo yengqondo othembekile, noma ushayele Inombolo Kazwelonke Yokudangala Kokucindezeleka Kwasekhaya ku-1-800-PPD-MOMS (773-6667) .
• I-PSI iphinde inikeze inqwaba yezinsizakusebenza. Ngicabanga ukuthi yizona ezingcono kakhulu zemibuzo yezempilo yengqondo. Ungashayela inombolo yosizo ku-1-800-944-4773 noma uthole ukwesekwa okuseduze ngesiqondisi sabo sombuso.
• Uma kwenzeka uzizwa usengozini ngokushesha, shayela ku-911, abezimo eziphuthumayo zendawo, noma iNational Suicide Prevention Lifeline ku-1-800-273-8255.

Ukuncelisa nokuncelisa

Komama abakhetha ukuncelisa, ukwesekwa kwe-lactation kuvame ukuba kufushane futhi kufushane esibhedlela, futhi akukho ukulandelwa okusemthethweni kwe-lactation uma usubuyela ekhaya.

bayeke ukuncelisa ibele ngokushesha kunokuba bebehlosile ngenxa yezinselelo zokuncelisa. Futhi amaphesenti angama-25 kuphela ezinsana anceliswa ibele kuphela ezinyangeni eziyisithupha.

Ukuncelisa ibele kungumsebenzi onzima, futhi kuthatha ukuzijwayeza nokuphikelela. Mhlawumbe ubhekene nezinselelo zezingono (iflethi, iguquliwe, noma iphinyiselwe ingaba yinkohliso eyengeziwe), noma izingqinamba ze-latch, noma ukunikezwa okuphansi - ikakhulukazi uma unezinkinga, ukuzalwa ngaphambi kwesikhathi, noma ubhekene nengcindezi yokubuyela kusenesikhathi ukusebenza.

• I-American Academy of Pediatrics inikeza i-Q & A ephelele mayelana nokukhathazeka okuvamile kokuncelisa ibele.
• IStanford Medicine ineqoqo elincane kodwa elinamandla lamavidiyo wokuncelisa awusizo ukuwabuka lapho ukhulelwe noma usanda kubeletha futhi uzama ukuthola ukulengiswa kwezinto.
• Uma ukwesekwa ngaphakathi komuntu kunejubane lakho, iLa Leche League, njengoba kushiwo ngenhla, isabalele - futhi kumahhala!

Ngikholelwa ngenhliziyo yonke ukuthi wonke umuntu obelethayo kufanele atshale imali kumxhumanisi we-lactation uma a) kungenzeka ngokwezimali, kanye / noma b) inhliziyo yakho isethwe ekunceliseni ibele. Zifanele isisindo sazo nge (liquid) igolide.

Ngihlala ngincoma ukuthi ubonane nodokotela wezingane kuqala ukuthola ochwepheshe bendawo, abathembekile. Njengokubuyela emuva, ungabheka umxhumanisi wendawo we-IBCLC we-lactation. Ama-IBCLC anezinga eliphakeme lokuqeqeshwa okungenzeka.

Lokho kusho ukuthi kunamanye amazinga amaningana wesitifiketi futhi, uma ehlangene nesipiliyoni (ngokoqobo), akukho sizathu sokuthi bangakusiza ngokulinganayo kuwe. Nayi i-rundown esheshayo yesobho lama-alfabhethi lamagama we-lactation ongahlangabezana nawo:

• CLE: Umfundisi we-Lactation Certified
• CLS: Uchwepheshe Wokuhlungwa Kwezitifiketi
• I-CLC: Umeluleki oqinisekisiwe we-Lactation

Igama ngalinye elingenhla limele okungenani amahora angama-45 emfundo yokuncelisa, ilandelwe ukuhlolwa.

• I-IBCLC: Umeluleki We-Lactation Certified International Board

Leli zinga lisho okungenani amahora angama-90 emfundo yokuncelisa, kanye nokuhlolwa okuphelele.

Impilo yaphansi

Njengoba ngibhalile kukholamu yangaphambilini ngempilo yangaphansi kokubeletha, ukubeletha akwenzi ngokuzenzakalela ukuthi uphumelele ezingozini zokuchama lapho uthimula, uhleka noma ukhwehlela.

Ukuvimbela izimo eziyimbangela, akufanele ube nezinkinga ezivuzayo ngemuva kwamaviki ayisi-6 ngokulethwa okungenzima, noma ngemuva kwezinyanga ezi-3 uma uke waba nokuhlukumezeka okukhulu noma ukuhlukumezeka okuhlobene nokuzala. Uma wenza kanjalo, sekuyisikhathi sokufuna i-pelvic floor therapist.

• Kukhona imikhombandlela emibili ongayisebenzisa ukuthola uchwepheshe eduze kwakho: Okokuqala, i-American Physical Therapy Association (APTA). Hlunga "impilo yabesifazane" bese ubheka umuntu one-DPT ne-WCS ngegama lakhe.
• Bese, kukhona umkhombandlela weHerman & Wallace Pelvic Rehabilitation Institute. Laba bahlinzeki banokuqeqeshwa okuhle. Uzobona futhi ukuqokwa okungeziwe kwe-PRPC kwesitifiketi sePelvic Rehabilitation Practitioner, esiqonde ngqo kuHerman naseWallace.

Yize kunezinkulungwane ngokoqobo zokufundiswa okuku-inthanethi nokuzivocavoca okusebenzisekayo ngabathonya be-YouTube nabakwa-Instagram, akufanele kube lapho uqala khona.

Udinga ukwazi ukuthi kwenzekani ngqo nge eyakho body ngaphambi kokuzama ukunyakaza. (Isibonelo, ama-kegels awalungele wonke umuntu!) Funa ukuqonda okunguchwepheshe kuqala, bese uhlola lapho kudingeka.

I-Postpartum doula

Ngokusobala, njenge-doula yangemva kokubeletha, ngiyacwasa lapho ngithi okulandelayo, kodwa ngikholelwa ukuthi kuyiqiniso ngamaphesenti ayi-100: Yonke imindeni ingazuza ngokuba ne-doula yangemva kokubeletha.

Ucwaningo lukhombisile ukuthi ukwesekwa kwe-doula kungasiza ekwehliseni izinga lokuphazamiseka kwemizwa kwangemva kokubeletha, futhi kungaba nemiphumela emihle kakhulu kuwo wonke umndeni.

Ukuze uthole i-doula eqinisekisiwe yangemva kokubeletha endaweni yakho, hlola ukufakwa kuhlu kwe-DONA International ezweni lonke. Ukudalulwa okugcwele: Ngiqinisekisiwe, futhi ngiyilungu le-DONA International. Kunezinye izinhlangano eziningi ze-postpartum doula kanye namaqoqo athembekile ngokulinganayo. Noma iyiphi inhlangano nokuthi ukhetha bani, ngiphakamisa ukuthi ukhethe umuntu oqinisekisiwe bese ubuza ngokuqeqeshwa kwakhe, ngaphezu kokucela izinkomba.

Futhi umzuzu wokuzikhangisa: Ngigijimisa incwadi yezindaba yamasonto onke enikezela ngemininingwane esekwe ebufakazini nasekuqondisweni kwe-trimester yesine. Imfishane, iyashesha, futhi ifaka ukufundwa okuthokozisayo okuvela esontweni. Ungafunda kabanzi ngakho lapha.

Izinsizakalo ezingeziwe

• Izimpahla zasendlini nokuphepha kwemvelo. Uma ukhathazekile ngokunakekelwa kwesikhumba nemikhiqizo yasendlini oyisebenzisayo ngesikhathi sokukhulelwa nangemva kokubeletha, i-Environmental Working Group ine-database ewusizo kakhulu yemikhiqizo elinganisiwe. Zulazulela kumenyu yokudonsela phansi kuthebhu yezingane nomama. Uzothola ama-lotion amaningi athandwayo, insipho, ama-shampoo, nama-diaper cream abekwe endaweni yobuthi.
• Ukudla okunomsoco. Uhlelo lwe-Special Supplemental Nutrition Programme for Women, Infants and Children (WIC) Programme alusizi kuphela ngokudla okunempilo komama nezinsana, kodwa futhi luhlinzeka ngezinsizakusebenza kubazali abasha njengokuhlolwa kwezempilo nokwelulekwa ngokuncelisa ibele. Funda kabanzi lapha.
• Ukuphazamiseka kokusebenzisa i-opioid. Ukusetshenziswa kwe-opioid ngesikhathi sokukhulelwa sekuphindwe kane, futhi ukusetshenziswa kabi kwezidakamizwa kuyimbangela ekufeni kwabantu ngesikhathi sokubeletha. Uma udinga usizo - ukuthola indawo yokwelashwa, iqembu lokusekela, inhlangano yomphakathi, noma enye insiza - thintana Nokusetshenziswa Kwezidakamizwa Nokuphathwa Kwezinsizakalo Zempilo Yengqondo (SAMHSA) Inombolo yosizo Kazwelonke ku-1-800-662-HELP (4357). Kuyimfihlo, kumahhala, futhi kuyatholakala 24/7.

UMandy Major ungumama, i-postpartum doula PCD (DONA) eqinisekisiwe, futhi ungumsunguli we-Major Care, isiqalo se-telehealth enikeza ukunakekelwa kwe-doula okukude kubazali abasha. Landela kanye @majorcaredoulas.