Namwino-mzamba wovomerezeka
MBIRI YA UTUMIKI
Namwino-mzamba anayambika mu 1925 ku United States. Pulogalamu yoyamba idagwiritsa ntchito anamwino olembetsa zaumoyo omwe adaphunzitsidwa ku England. Anamwino awa adapereka chithandizo chamankhwala kubanja, komanso kubereka ndi chisamaliro, m'malo ophunzitsira okalamba m'mapiri a Appalachian. Pulogalamu yoyamba yophunzitsa unamwino ku United States idayamba mu 1932.
Lero, mapulogalamu onse a anamwino-azamba amakhala ku makoleji ndi mayunivesite. Azamba ambiri azamayi amaliza maphunziro awo pa digiri ya Master. Mapulogalamuwa ayenera kuvomerezedwa ndi American College of Nurse-Midwives (ACNM) kuti omaliza maphunziro awo akayese mayeso a National Certification. Olembera mapulogalamu a anamwino-azamba nthawi zambiri ayenera kukhala anamwino olembetsedwa ndipo amakhala ndi zaka 1 mpaka 2 zokumana ndi unamwino.
Anamwino azamba apititsa patsogolo chithandizo chamankhwala choyambirira kwa azimayi akumidzi ndi akumidzi. National Institute of Medicine yalimbikitsa kuti anamwino-azamba apatsidwe gawo lalikulu popereka chisamaliro cha amayi.
Kafukufuku wambiri pazaka 20 mpaka 30 zapitazi awonetsa kuti anamwino-azamba amatha kusamalira nthawi yobereka (kuphatikizapo kubereka, kubereka, ndi kubereka). Ayeneranso kupereka zakulera komanso zosowa za azimayi azaka zonse. Ena atha kuwunika ndikuwongolera matenda omwe anthu ambiri amakhala nawo.
Anamwino azamba amagwira ntchito ndi madokotala a OB / GYN. Amatha kufunsa kapena kutumiza kwa othandizira ena pazinthu zomwe sanazidziwe. Milanduyi ingaphatikizepo kutenga pakati pangozi komanso kusamalira amayi apakati omwe amakhalanso ndi matenda aakulu.
ZOCHITIKA ZOCHITA
Namwino-mzamba amaphunzitsidwa ndikuphunzitsidwa kupereka ntchito zosiyanasiyana zaumoyo kwa amayi ndi ana obadwa kumene. Ntchito za nurse-mzamba (CNM) zovomerezeka ndi monga:
- Kutenga mbiri ya zamankhwala, ndikupima thupi
- Kuitanitsa mayesero ndi njira zasayansi
- Kusamalira chithandizo
- Kuchita zinthu zomwe zimalimbikitsa thanzi la amayi ndikuchepetsa zovuta zathanzi
Ma CNM amaloledwa kulemba malamulo m'maiko ena, koma osati m'maiko ena.
ZOCHITA ZOCHITA
Ma CNM amagwira ntchito zosiyanasiyana. Izi zitha kuphatikizira zochita zachinsinsi, mabungwe okonza zaumoyo (HMOs), zipatala, madipatimenti azaumoyo, ndi malo oberekera ana. Ma CNM nthawi zambiri amapereka chisamaliro kwa anthu omwe sanasungidwe bwino kumidzi yakumidzi kapena mkati mwamizinda.
MALANGIZO A NTCHITO
Amzamba ovomerezeka amavomerezedwa pamagulu awiri osiyanasiyana. Kupatsa chilolezo kumachitika pamaboma ndipo kumakhala pansi pa malamulo aboma. Monga anamwino ena oyeserera, zofunikira za ma CNM zimatha kusiyanasiyana kuchokera kumayiko ena.
Chitsimikizo chimachitika kudzera m'bungwe ladziko lonse ndipo mayiko onse ali ndi zofunikira zofananira pakuchita ukadaulo. Omaliza maphunziro okhawo oyang'anira unamwino-azamba ovomerezeka ndi ACNM ndiomwe ali oyenera kutenga mayeso ovomerezeka ndi ACNM Certification Council, Inc.
Namwino Mzamba; CNM
American College ya Namwino-Azamba. Ndemanga ya ACNM. Midwifery / Namwino-Midwifery maphunziro ndi chiphaso ku United States. www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000077/Certified-Midwifery-and-Nurse-Midwifery-Education-and-Certification-MAR2016.pdf. Idasinthidwa pa Marichi 2016. Idapezeka pa Julayi19, 2019.
Thorp JM, Laughon SK. Matenda azinthu zantchito zachilendo komanso zachilendo. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 43.