Iyini Kahle I-Doula Futhi Kufanele Uyiqashe?

-Delile

• Kuyini iDoula?
• Yini uDoula Asiza Ngayo - nokuthi Yini Abangayenzi
• Ibiza Malini I-Doula?
• Unganquma Kanjani Uma iDoula ikulungele
• Buyekeza kwe-

Uma kukhulunywa ngokukhulelwa, ukuzalwa, kanye nokwesekwa kwangemva kokubeletha, kukhona kakhulu ochwepheshe abaqeqeshiwe kanye nochwepheshe abangakusiza ekuguqukeleni ekubeni ngumama. Unama-ob-gyns akho, ababelethisi, abelaphi bezibeletho, abelaphi baphansi kwe-pelvic, abaqeqeshi bezempilo, kanye…ama-doula.

U-Dou yini manje? Ngokuyinhloko, ama-doula angabangane abaqeqeshiwe abanikeza ukwesekwa phakathi *zonke* izigaba ezahlukene zenqubo yokuzala, okuhlanganisa ukukhulelwa, ukubeletha, ukubeletha, ukuphuphuma kwesisu, nokulahlekelwa, kuchaza uRichelle Whittaker, LPC-S., isazi sokusebenza kwengqondo sezemfundo esigunyazwe ngengqondo yokuzala. impilo. Futhi namuhla, njengoba ubhubhane lwe-COVID-19 lushiye abazali abasha benesidingo esikhulu sokusekelwa, omama nobaba abaningi abasha baphendukela kuma-doulas ukuze bavale izikhala ekunakekelweni. (Funda: Abesifazane Abayi-6 Babelana Ngalokho Ukuthola Ukunakekelwa Kwe-Virtual ngaphambi kokubeletha nangemva kokubeletha bekufana kanjani)

"Ikakhulukazi ngesikhathi sokubeletha esiwubhadane lapho uhlukanisiwe, uye wakha phansi, futhi ucabanga ukuthi wonke umuntu ukubheke kangcono ukwedlula wena, abazali abasha badinga ompetha abaningi ekhoneni labo ngangokunokwenzeka," kusho uMandy Major, i-doula eqinisekisiwe yangemva kokubeletha, kanye ne-CEO nomsunguli wabalingani beMajor Care.

E-U.S., Ama-doulas athathwa njengokukhetha kakhulu, kepha akunjalo kuyo yonke indawo. "Kwamanye amazwe, lolu hlobo lokunakekelwa lujwayelekile futhi luyingxenye yenqubo yokubeletha. Lapha, asinakho lokho, futhi yigebe elikhulu ohlelweni lwethu," kusho uMajor.

Ngenkathi ama-doulas engewona ochwepheshe bezokwelapha, wona kukhona abaqeqeshwe ngesikhathi sokukhulelwa kanye nangemuva kokubeletha futhi kungaba inzuzo engathi sína komama abazoba khona nabazali abasha. Ukuqeqeshwa kuzohluka kuye ngokuthi yiluphi uhlobo lwe-doula oyikhethayo (isibonelo, ama-doulas okuzalwa, anokuqeqeshwa okuhlukile kunama-postpartum doulas) kodwa ngokwesiko, ukuqeqeshwa kuhilela umhlangano wokucobelelana ngolwazi lapho ama-doulas azofunda mayelana nendlela yokweseka imindeni emisha futhi abe eqinisekisiwe. I-DONA International ingumholi ekuqeqeshweni okusekelwe ebufakazini be-doula kanye nesitifiketi futhi amaqembu amaningi ezweni lonke anikeza ukuqeqeshwa kwe-doula okugunyazwe yi-DONA.

Futhi ama-doulas ezemfundo atholayo - bese eyabelana namakhasimende - akhokha: Ucwaningo luphakamisa ukuthi ukusetshenziswa kwe-doulas kungasiza ukunciphisa isikhathi esichithwa ekusikeni, kunciphise imizwa yokuzalwa engemihle, futhi kunciphise amazinga e-C-section.

Futhi, ngesikhathi esivame ukuba yisikhathi sokuxakaniseka empilweni yakho, i-doula inikeza indlebe elalelayo, isandla esiwusizo, nokusekelwa okuningi. Kodwa yini ngempela kuyinto i-doula—futhi ingabe kufanele ucabange ukuqasha oyedwa? Lapha, okudingayo ukwazi ngomsebenzi obalulekile nokuthi ungakwenza kanjani ukuqasha i-doula uma uzizwa ulungele wena.

Kuyini iDoula?

Incazelo eyisisekelo ye-doula umuntu osekela imindeni ohambweni lwabo lokuzala, enikeza ukusekelwa okungokomzwelo, okungokwenyama, kolwazi, kanye nokukhuthaza, kuchaza uQuanisha McGruder, i-doula egcwele (funda: ihlanganisa konke izigaba zenqubo yokuzala).

Cabanga nge-doula njenge-BFF yakho uma kukhulunywa ngokukhulelwa, ukuzalwa, kanye / noma ukubeletha: "Ungayethemba i-doula yakho ukuthi ikulalele ukwesaba okujule kakhulu futhi inikeze imininingwane ewusizo ukubhekana nalolo valo ngqo," kusho uMarnellie Bishop, a ukuzalwa okuqinisekisiwe kanye ne-postpartum doula. Imvamisa iyisengezo ekunakekelweni osuvele unakho, ukukwenyusa nokwakha ukuzethemba kwakho phakathi nokukhulelwa, ukuzalwa, kanye nangemuva kokubeletha. (Kuhlobene: U-Amy Schumer Uvula Ngokuthi I-Doula Yamsiza Kanjani Ngokukhulelwa Kwakhe Okuyinkimbinkimbi)

UDoulas naye uvame ukuba sesimweni esiyingqayizivele nesisondelene ngoba bavame ukubona abazali abasha emakhaya abo, kuchaza uBethany Warren, L.C.S.W., umelaphi oqinisekisiwe empilweni yengqondo yokubeletha. "Ukuhlinzeka ngezinsizakalo ezisekelwa ekhaya kanye nokuzijwayeza ngokwezifiso kubonakala kwakha ubudlelwano obuhle phakathi kwabazali abasha ne-doula," esho. "Ngithola ukuthi abazali abathola ukulingana kahle ne-doula yabo bazizwa besekelwa kuso sonke lesi sikhathi esibalulekile."

Ngemuva kwakho konke, yize sivame ukukhuluma ngokubaluleka "komzana" ekukhuliseni ingane, kudinga nomuzi ukuvikela nokukhulisa abazali abasha, kusho uWarren. Umehluko omkhulu kakhulu phakathi, ake sithi, ukunakekelwa okuhlinzekwa ngumhlengikazi wasebusuku kanye nokunakekelwa okunikezwa yi-postpartum doula? Izikhungo zokunakekela umhlengikazi ebusuku ezungeze i- ingane, kanti isikhungo se-doula yi- umndeni kanye nabendlu, kuchaza uMcGruder.

I-Doulas ingakusiza ukuthi usethe okulindelwe okungokoqobo (okungukuthi hlukana eyakho isipiliyoni ekukhulelweni nasemva kokubeletha kusuka kulokho abezindaba * abakushoyo * kufanele kubukeke), yenza izinqumo lapho izinhlelo ziguquka (funda: ngokuzumayo, udinga isigaba se-C noma uthole ukuxilongwa okungalindelekile), futhi uqonde isipiliyoni sakho ngokwenyuka naphezulu phansi.

Yini uDoula Asiza Ngayo - nokuthi Yini Abangayenzi

Kunezindawo ezine eziyinhloko ama-doulas avame ukusekela ngazo abazali abasha kakhulu: ukwesekwa kolwazi, ukunakekelwa ngokomzimba, usizo olungokomzwelo, kanye nokumela, kusho uMbhishobhi.

Njengoba i-COVID-19 isishintshile, kahle kakhulu konke njengoba sazi, ama-doulas amaningi azibophezele ngezinsizakalo zawo ukuhlinzeka ukunakekelwa okubonakalayo, imfundo nezinsizakusebenza, esebenzisa ifoni, umbhalo, ingxoxo yevidiyo, noma izinsizakalo ezenziwa kuwebhu. (Isibonelo, ngesikhathi sokukhulelwa, ungaxoxa ngohlelo lwakho lwangaphambi kokubeletha ngocingo nge-doula kanye / noma nge-FaceTime mayelana konke yemibuzo yakho.)

Mane uqaphele ukuthi njengamanje, kwezinye izifundazwe, ama-doulas awabonwa njengabasebenzi bezempilo abalulekile futhi avunyelwe kuphela esibhedlela ngesikhathi sokubeletha njengomuntu osekelayo esikhundleni wozakwethu wokuzalwa, ngakho-ke kubalulekile ukuthi uhlole imihlahlandlela yesibhedlela sakho noma yesikhungo sokubeletha. Cishe usazokwazi ukubhekana ne-FaceTime i-doula yokuzalwa ukuze ubelethe, kodwa futhi, okungcono ukuhlola kabili nesibhedlela sakho noma isikhungo sokubeletha ukuze uphephe. (Okuhlobene: Ezinye Izibhedlela Azivumeli Ozakwethu Nabasekeli Emakamelweni Okulethwa Kokubeletha Ngenxa Yezinkinga ze-COVID-19)

Nakhu ukubuka kafushane izinhlobo zosekelo ezingahlinzekwa yi-doula:

• Ukusekelwa kolwazi. Inqubo yokuzalwa nangemva kokubeletha ingadida (sawubona, info galore ukuze uhlunge, izeluleko okufanele uzicabangele, nezincwadi okufanele uzifunde). I-doula ingakusiza uqonde ukuhlolwa kwezinqubo zokwelashwa ngaphambi kokuba zenzeke, icacise i-lingo yezokwelapha, ikusize uthole ulwazi olusekelwe ebufakazini, futhi usize umlingani wakho aqonde ukuthi kwenzekani. Abanye baze bafundise nokubeletha, kusho uMbhishobhi.

• Ukunakekelwa ngokomzimba. “Akuyona imfihlo ukuthi ukukhulelwa, ukubeletha nokubeletha kudinga umuntu okhulelwe ngokomzimba, kodwa kungakhathaza wonke umndeni,” kusho uMbhishobhi. "Izinhlelo eziphazamisekile kanye nokwesaba okukhulu kungashiya ozakwethu kanye nezingane bezizwa bekhathele ngisho nangaphambi kokuba ingane ifike." Ngokuya ngokuthi ukhetha ukuqasha i-doula bangakusiza ukupakisha isikhwama sakho sasesibhedlela, bakufundise izikhundla ezikahle zomsebenzi, bakusize ngesikhathi sokubeletha, bakusize ngokunakekelwa kwangemva kokubeletha, futhi bakusekele nge-lactation, uyaphawula.

• Usizo lwemizwa. Ukukhulelwa, ukubeletha, kanye nesikhathi sokubeletha kungathumela imizwa yakho nge * loop * (ukusho okuncane). Kepha iqiniso lodaba ukuthi, konke kusuka ekuthokozelweni kuye ekwesabeni (nayo yonke imizwa ephakathi) kuyinto ejwayelekile ngalesi sikhathi. I-doula ingakusiza uzizwe usekelwa futhi ukhuthazekile noma ngabe uzizwa kanjani, ikuqinisekise uma ukhathazekile, uvumele umlingani wakho athole amakhefu, futhi unikeze umbono omuhle ngenkathi ulungiselela izinguquko ezinkulu, kusho uMbhishobhi. (Okuhlobene: Izinkinga Zezempilo Yengqondo Ngesikhathi Sokukhulelwa Nangemva Kokubeletha Okungekho Okhuluma Ngazo)

• Ukumela. Unenkinga yokuzikhulumela? Cue doulas! Bavame ukuqeqesha abazali ngokuthi bangaxhumana kanjani ngempumelelo nangendlela ehloniphekile ngesikhathi sokuvakashelwa odokotela ngaphambi kokubeletha, okusiza uzizwe unamandla futhi uzethemba, kusho uMbhishobhi. Bangasebenza nabasebenzi bendawo yokubelethisa kanye nanoma iziphi izivakashi ukuqinisekisa ukuthi izidingo zakho ziyahlangatshezwa. "I-doula izolalela futhi idlulisele imiyalezo njengoba kudingeka," kusho uMbhishobhi.

Ngokuqondene nalokho ama-doulas angakwenzi? Abahlolisisi, bakunikeze imiyalelo noma belaphe noma yiziphi izinkinga zempilo (cabanga: umfutho wegazi ophakeme, isiyezi, noma isicanucanu), kepha bangakusiza bakukhombe ngakuyo ochwepheshe bezokwelapha abangasiza. Eqinisweni, imvamisa, abalingani be-doulas nabahlinzeki bokuzalwa njengama-ob-gyns nababelethisi, odokotela bezingane, abahlinzeki bezempilo yengqondo, kanye nababonisi be-lactation futhi bavame ukuba nenethiwekhi yokudlulisela yendawo enamandla.

"Kungaba usizo ukusayina 'Ukukhishwa Kolwazi' ukuze bonke abahlinzeki bakho eqenjini lakho babe sekhasini elifanayo," kuphawula uWarren. "Ngithole ukusebenza ngokubambisana nama-doulas kuyindlela enhle yokuzungezela abazali ngokusekelwa okukhulu ngangokunokwenzeka, nokubasiza ekwakheni isigodi sabo." (Related: Um, Kungani Abantu Bethola 'Ama-Death Doulas' Futhi Bakhuluma 'Ngempilo Yokufa?')

Ibiza Malini I-Doula?

Izindleko zokuqasha i-doula zincike ezintweni eziningi ezahlukahlukene, kufaka phakathi ukuthi uhlala kuphi nokuthi uluqasha hlobo luni lwe-doula. Izindleko zingasukela kumakhulu ambalwa amadola (noma ngaphansi) ukuya ezinkulungwaneni ezimbalwa zamadola, futhi ngisho nangaphakathi kwendawo efanayo, zingahluka. Isibonelo: "EPortland, e-Oregon metro area ngibone ama-doulas akhokhisa imali ephansi njengama- $ 500 ngokuzalwa futhi afinyelela ku- $ 2,700 ngokuzalwa," kusho uMbhishobhi (okuyiqiniso, ukuba khona nje ngokuzalwa). "Kuma-doulas asanda kubeletha, ngibone amanani entengo ngehora asukela ku- $ 20 kuya ku-40 ngehora."

Abanye bathi — kufaka phakathi i-Oregon, iMinnesota, nohlelo lokushayela izindiza eNew York — babuyiselwa imali yokunakekelwa kwe-doula uma uku-Medicaid, kepha akuhlali kungamaphesenti ayi-100 njalo.

Amanye ama-doula anamazinga okuxoxiswana ngawo futhi amanye—okuhlanganisa nalabo abaphothula ukuqeqeshwa kwe-doula ukuze bathole isitifiketi sabo—angase asebenze nawe ekuzalweni kwakho mahhala ukuze aqedele umsebenzi okufanele awenze ukuze athole isitifiketi.

Uma kungenjalo, ezinye (kodwa hhayi zonke) izinkampani zomshuwalense zizokhokhela ezinye zezindleko zezinsizakalo ze-doula-ngakho kunengqondo njalo ukushayela inkampani yakho yomshwalense ukuze uthole ukuthi yini engase ihlanganiswe.

Unganquma Kanjani Uma iDoula ikulungele

Imvamisa, isinqumo sokuqasha i-doula sehlela ekuthini ukwesekwa okwengeziwe uzizwa kanjani ukuthi ufuna, udinga, futhi ungazuza kukho. Kwabesifazane abaningi, ukukhulelwa nokubeletha kungaba yinto ejabulisayo neyesabekayo, ngakho ukuba ne-doula ozohamba nabo ohambweni kungaba induduzo enkulu,” kusho uWhittaker. "Abesifazane abangenakho ukusekelwa komndeni okuncane, abadinga ukwesekwa okwengeziwe yena kanye nowakwakhe, abebenobunzima bokuthi izwi lakhe lizwakale ngesikhathi sokuvakashelwa odokotela, noma abake baba nokukhulelwa okuyinkimbinkimbi kwangaphambilini noma okuhlangenwe nakho kokubeletha okungaba phambili emisebenzini ye-doula."

Kubalulekile ukuthola okulungile lapho ukhetha i-doula, okusho ukuthi ukubheja kwakho okuhle kakhulu kungahle kuxoxisane nabambalwa. Kungaba usizo ukubhala imibuzo yakho kusenesikhathi, kuphakamisa uWarren. Kokukodwa, uzofuna ukubuza mayelana nokuthi hlobo luni lwezinsizakalo i-doula ocabanga ukuyinikeza (ukuzalwa, ukubeletha, noma kokubili) futhi ucabange lapho ucabanga ukuthi ungadinga khona ukusekelwa okukhulu. Ungathola izindawo eziningi ze-doulas, okuhlanganisa nesayithi le-DONA, kanye nezinkampani ezifana ne-Robyn, Major Care, Motherfigure, nezinye izingosi zabahlinzeki be-inthanethi.

Awunawo umndeni eduze futhi ucabanga ukuthi uzodinga usizo ngokulala, ukubhekana nokukhathazeka, nokusekelwa kwabazali? I-postpartum doula ingaba ukubheja okungcono kakhulu kuwe. Uma unedolobhana lokwesekwa elikuzungezile kepha ukhathazeka ngokubeletha nokubeletha, i-doula yokuzalwa ingaba yindlela ehamba phambili, kusho uMcGruder. Ufuna ukusekelwa kuzo zombili lezi zindawo? Bheka umuntu ongasiza ngakho kokubili ukuzizwisa ukuze anciphise ubuso obusha. (Okuhlobene: Indlela uMsunguli Wokukhanya KukaMama uLatham Thomas Afuna Ngayo Ukuguqula Inqubo Yokubeletha Ibe Ngcono)

Ezingxoxweni, cabanga ukuthi i-doula iphendula kanjani imibuzo yakho. "Kubalulekile ukuba nomuntu ozokuxhasa ngendlela engakhethi ukwahlulela kungakhathalekile ukuthi ukhetha ini kanye nemiphumela yakho yokuzalwa," kusho uWarren. "Uma ungazizwa ukhululekile manje ukwazi i-doula ngesikhathi senhlolokhono, cishe ngeke ukwazi uma usengozini enkulu."

Buyekeza kwe-