Kusankha woyenera kulandira chithandizo chamankhwala pa nthawi yobereka

Muli ndi zisankho zambiri zoti mupange pamene mukuyembekezera mwana. Chimodzi mwazoyamba ndikuti musankhe mtundu wanji waumoyo womwe mungafune kuti mukhale ndi pakati komanso kubadwa kwa mwana wanu. Mutha kusankha:

• Wobereka
• Dokotala wochita zamabanja
• Namwino-mzamba wovomerezeka

Onse opereka awa amafotokozedwa pansipa. Aliyense ali ndi maphunziro osiyanasiyana, maluso, komanso malingaliro okhudzana ndi pakati komanso kubereka. Kusankha kwanu kudalira thanzi lanu komanso mtundu wa zokumana nazo zomwe mukufuna.

Nazi zinthu zina zomwe muyenera kuganizira mukamasankha mtundu wa omwe mukufuna:

• Zowopsa zomwe mungakhale nazo pamavuto pakubereka komanso pobereka
• Kumene mungakonde kuberekera mwana wanu
• Zikhulupiriro ndi zokhumba zanu zakubadwa kwachilengedwe

Wobereka (OB) ndi dokotala yemwe amaphunzitsidwa mwapadera zaumoyo wa amayi komanso pakati.

Madokotala a OB amakhazikika pakusamalira azimayi ali ndi pakati komanso kubereka, komanso kubereka ana awo.

Ma OB ena apita patsogolo kusamalira mimba zoopsa. Amatchedwa akatswiri azachipatala achikazi, kapena ma perinatologists. Amayi atha kulangizidwa kuti akawone katswiri wa OB ngati:

• Ndinali ndi mimba yovuta kale
• Mukuyembekezera mapasa, atatu, kapena kupitilira apo
• Khalani ndi matenda omwe analipo kale
• Muyenera kukhala ndi njira yobweretsera (C-gawo), kapena mudakhala nayo kale

Dokotala wabanja (FP) ndi dokotala yemwe adaphunzirira zochizira mabanja. Dokotala uyu amatha kuchiza matenda ndi zikhalidwe zambiri, ndipo amathandizira amuna ndi akazi a mibadwo yonse.

Madokotala ena amasamaliranso amayi omwe ali ndi pakati.

• Ambiri adzakusamalirani mukakhala ndi pakati komanso mukamabereka mwana.
• Ena amapereka chisamaliro chokhachokha komanso amakhala ndi OB kapena mzamba amakusamalirani pakubadwa kwa mwana wanu.

Madokotala am'banja amaphunzitsidwanso kusamalira mwana wanu wakhanda akangobereka.

Amzamba ovomerezeka (CNM) amaphunzitsidwa unamwino ndi unamwino. Ma CNM ambiri:

• Khalani ndi digiri ya bachelor ya unamwino
• Khalani ndi digiri ya master mu mzamba
• Amatsimikiziridwa ndi American College of Nurse-Midwives

Anamwino azamba amasamalira amayi panthawi yapakati, pobereka, ndi pobereka.

Amayi omwe akufuna kubereka mwachilengedwe momwe angathere angasankhe CNM. Azamba amawona kuti pathupi ndi pobereka ndi njira yachibadwa, ndipo amathandiza azimayi pobereka popanda chithandizo kapena kuchepetsa kugwiritsa ntchito mankhwala. Chithandizo chitha kukhala:

• Mankhwala opweteka
• Zingalowe kapena forceps
• Zigawo za C

Azamba ambiri amamwino amagwira ntchito ndi ma OB. Ngati zovuta kapena zovuta zamankhwala zimachitika panthawi yapakati, mayiyo amatumizidwa ku OB kuti akamufunse kapena amusamalire.

Kusamalira amayi asanabadwe - wothandizira zaumoyo; Chisamaliro cha mimba - wothandizira zaumoyo

American College of Obstetricians ndi tsamba la Gynecologists. Mgwirizano wothandizana pakati pa azamba ndi azamba ovomerezeka / azamba ovomerezeka. www.acog.org/clinical-information/policy-and-position-statement/statement-of-policy/2018/joint-statement-of-practice-relations-between-ob-gyns-and-cnms. Idasinthidwa mu Epulo 2018. Idapezeka pa Marichi 24, 2020.

Gregory KD, Ramos DE, Jauniaux ERM. Kulingalira komanso kusamalira amayi asanabadwe. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 6.

Williams DE, Pridjian G. Obstetrics. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 20.

• Kubereka
• Kusankha Dotolo kapena Health Care Service
• Mimba