Moyo kapena Imfa: Udindo wa Doulas Pakukweza Thanzi Labwino la Amayi
Zamkati
Amayi akuda amakhala pachiwopsezo chazovuta nthawi yapakati komanso yobereka. Munthu wothandizira atha kuthandiza.
Nthawi zambiri ndimadzimva kuti ndikudandaula chifukwa cha amayi akuda akuda. Zinthu monga kusankhana mitundu, kugonana, kusalingana kwa ndalama, komanso kusowa kwa zinthu mosakayikira zimakhudza zomwe mayi amabala. Izi zokha zimatumiza kuthamanga kwa magazi kudzera padenga.
Ndatopa ndikufufuza njira zokulitsira zotsatira zakubadwa mdera langa. Kulankhula ndi amayi omwe ali ndi thanzi labwino komanso momwe angathere pakubereka za njira yabwino yothetsera mavutowa nthawi zambiri imabweretsa malo osalirako akalulu komwe angayambirepo.
Kukula kwa ziwerengerozi ndikodabwitsa. Koma palibe - ndipo sindikutanthauza kanthu - chimandipangitsa kufuna kulimbikitsa kusintha kuposa zomwe ndakumana nazo.
Zoona zomwe amayi akuda akumana nazo
Monga mayi wa ana atatu, ndakumana ndi kubadwa katatu mchipatala. Mimba iliyonse ndikubereka pambuyo pake zinali zosiyana monga usiku ndi usana, koma mutu umodzi wamba unali kusowa chitetezo.
Pafupifupi milungu 7 nditatenga mimba yanga yoyamba, ndidapita kukayezetsa kuchipatala, kudera nkhawa matenda. Popanda kupimidwa kapena kukhudzidwa, dokotalayo adalemba mankhwala ndikunditumiza kunyumba.
Patatha masiku angapo ndidayimba foni ndi amayi anga, dokotala, omwe adandifunsa zaulendo wanga. Nditagawana dzina la mankhwala omwe adandipatsa adandigwira mwachangu kuti ndiwawone. Monga amaganizira, siziyenera kutchulidwa.
Ndikadakhala kuti ndidamwa mankhwalawo, zikadadzetsa kutaya mimba mokhazikika mu trimester yanga yoyamba. Palibe mawu ofotokozera m'mene ndidayamikirira kuti ndidadikirira kuti lamuloli lidzazidwe. Ndipo palibe mawu ofotokozera mantha omwe adasefukira mtima wanga ndikaganiza zomwe zikadachitika.
M'mbuyomu, ndimalemekeza "akatswiri" ndipo sindinali ndi chifukwa chomveka chodzinenera. Sindikukumbukira ndikudalira zipatala kapena madokotala izi zisanachitike. Zachisoni, kusowa chisamaliro ndikunyalanyaza komwe ndidakumana nako kudawonekeranso pakati.
Ndili ndi pakati kachiwiri, nditapita kuchipatala ndikudandaula zam'mimba, ndimatumizidwa kunyumba mobwerezabwereza. Ogwira ntchito akuwoneka kuti akukhulupirira kuti ndikuchita mopitilira muyeso, kotero OB wanga adayimbira chipatala m'malo mwanga kuti andilole kuti andivomere.
Atandilowetsa, adapeza kuti ndataya madzi m'thupi ndipo ndikumva kuwawa ndisanakwane. Popanda kuchitapo kanthu, ndikanabereka mwana asanakwane. Ulendowu unadzetsa mpumulo wa miyezi itatu.
Pomaliza, koma koposa zonse, chidziwitso changa chachitatu chobadwa sichinasinthidwe bwino. Ngakhale ndimakhala ndi pakati wathanzi, wamphamvu kwambiri, kubereka ndikubereka inali nkhani ina. Ndinadabwa ndi chisamaliro changa.
Pakati pa cheke ya khomo pachibelekeropo ndi dotolo yemwe anandiuza kuti atha kundipatsa matenda ndikayatsa magetsi (ndikuyesadi kutero), ndidaopanso chitetezo changa. Ngakhale kuwopsa kwa nkhope za onse omwe anali mchipindacho, adandinyalanyaza. Ndinakumbutsidwa momwe ndinkanyalanyazidwa kale.
Malinga ndi Centers for Disease Control and Prevention (CDC), azimayi akuda akumwalira pafupifupi azimayi azungu amafa chifukwa chobadwa. Chiwerengerochi chimakula kwambiri ndi ukalamba. Amayi akuda opitilira zaka 30, amatha kufa pobereka kuposa azungu.
Tiyeneranso kukumana ndi zovuta zambiri nthawi yonse yomwe tili ndi pakati komanso osakhala ndi mwayi wopeza chisamaliro choyenera munthawi yobereka. Preeclampsia, fibroids, kuperewera kwa zakudya m'thupi, komanso chisamaliro chapamwamba cha umayi zimavutitsa madera athu.
Zowona, zinthu zambiri zomwe zimakhudza ziwerengerozi ndizotheka kuzipewa. Tsoka ilo, pazaka makumi angapo zapitazi, ngakhale kupita patsogolo kwachipatala komanso zambiri zowonetsa kusiyanasiyana kwakukulu, sizinasinthe kwenikweni.
Malinga ndi kafukufuku wopangidwa ndi Center for American Progress, madera okhala anthu akuda akadali opanikizika m'misika yamagolosale, zipatala ndi zipatala zolipiridwa bwino.
Ambiri angaganize kuti kusiyana komwe tikukumana nako makamaka ndi vuto lazachuma. Izi si zoona. Malinga ndi CDC, amayi akuda omwe ali ndi digiri yaku koleji amatha kufa pobereka kuposa anzawo azungu.
Kuperewera kwa chitetezo pakubadwa kumakhudza mayi aliyense wakuda, kuyambira ngwazi ya Olimpiki Serena Williams mpaka mtsikana wasukulu yasekondale yemwe wabereka pompano.
Amayi akuda amitundu yonse yazachuma amakumana ndi zovuta za moyo kapena imfa. Mdima ukuwoneka kuti ndiwofala wokha womwe umachepetsa mwayi wokhala ndi pakati pathupi labwino komanso pobereka. Ngati ali wakuda komanso wobereka, atha kukhala pankhondo ya moyo wake.
Chisamaliro cha Doula chimapereka yankho
Nthawi iliyonse ndikabereka, ndinkayesetsa kuti amayi azipezekapo. Ngakhale azimayi ena amatha kusankha izi posankha, ndidapanga izi posafunikira. Chowonadi nchakuti, ndikukhulupirira popanda wina wondilankhulira ine ndikadapwetekedwa kapena ndikadakumana ndi imfa.Kukhala ndi munthu wodziwa bwino m'chipindacho yemwe ndimamukonda kwambiri kunasintha kwambiri.
Zaka zingapo pambuyo pake, ndinadzipereka kuti ndikhale wogwira ntchito yothandizira mnzanga ali ndi pakati, podziwa momwe zimandithandizira. Atawona njira zonse zomwe adawonetsera paulendo wake wobadwa, mafunso onga "Ndingatani?" ndipo "Ndingatani kuti izi zisadzachitikenso" zidazungulira m'mutu mwanga.
Ndidasankha pomwepo kuti abale anga, anzanga, komanso mdera lathu nthawi zonse azikhala ndi wina wowasamalira komanso kuwateteza panthawi yomwe ali ndi pakati. Ndinaganiza zokhala doula.
Izi zinali zaka 17 zapitazo. Ulendo wanga wa doula wanditsogolera muzipinda zambiri zachipatala, malo obadwira komanso zipinda zogona kuti ndithandizire nthawi yopatulika yobadwa. Ndayenda ndi mabanja paulendo wawo wapakati ndikuphunzira kuchokera ku zowawa zawo, chikondi, zowawa zawo, komanso zovuta zawo.
Ndikaganizira zonse zomwe anthu akuda adakumana nazo - miyambo, zikhulupiriro, zovuta zomwe sizinachitike, komanso kupsinjika komwe timakumana nako m'moyo wathu - ndizovuta kupereka yankho limodzi. Kusiyanasiyana kwa chithandizo chamankhwala kumachitika chifukwa chazikhalidwe zazikulu. Koma pali chinthu chimodzi chomwe chimabweretsa zotsatira zabwino kudera lonse.
Kupanga chisamaliro cha doula kupezeka kungathandize kukonza thanzi la amayi akuda panthawi yapakati komanso yobereka.
Amayi akuda ali ndi mwayi wokhala ndi gawo la C kuposa 36% kuposa azimayi amtundu uliwonse, adatero. Kusamalidwa kwa doula asanabadwe kumapereka chithandizo chowonjezera kwa amayi asanabadwe, kumapereka chipinda chothandizira, ndipo, malinga ndi kafukufuku wa 2016, awonetsedwa kuti amachepetsa magawo a C-gawo.
Center for American Progress yanena za kafukufuku waposachedwa kuchokera ku bungwe lina lopanda phindu ku Washington DC lomwe cholinga chake ndikuthandiza amayi amtundu. Adapeza kuti azimayi ochepera ndalama zochepa komanso ocheperako akapatsidwa chisamaliro chokomera mabanja kuchokera kwa mzamba, doula, ndi mkaka wa mkaka wa m'mawere, adali ndi zifa zakufa kwa amayi ndi amayi, ndipo 89% adatha kuyamwitsa.
Zikuwonekeratu kuti kupatsa amayi akuda chithandizo pathupi komanso pambuyo pobereka kumawonjezera mwayi wawo wobereka wathanzi kwa mayi ndi mwana.
Dzikonzekereni nokha
Chowonadi ndichakuti simungathe kuwongolera zomwe wina angachite kapena kuyesa, koma mutha kukonzekera. Kudziwitsidwa za chikhalidwe chakomwe mwasankha kubadwira ndikofunikira. Kumvetsetsa mfundo ndi njira zake kumakupangitsani kukhala wodwala wodziwa zambiri. Kudziwa mbiri yanu yazachipatala ndi zotsutsana zilizonse kumatha kukupatsani mtendere wamaganizidwe.
Kulimbitsa ndi kulimbikitsa machitidwe anu othandizira kumapereka lingaliro lokhazikika. Kaya mulembera doula kapena mzamba kapena mubweretse wachibale kapena bwenzi kuti abereke, onetsetsani kuti muli ndi tsamba limodzi. Kufufuza nthawi yonse yoyembekezera kumapangitsa kusiyana!
Pomaliza, khalani omasuka kudzilankhulira nokha. Palibe amene angakulankhulireni monga momwe mungathere. Nthawi zina timazisiya kwa ena kuti atiphunzitse zomwe zikuchitika potizungulira. Koma tiyenera kufunsa mafunso ndikukhala ndi malire pokhudzana ndi matupi athu komanso zokumana nazo pobadwa.
Thanzi lakuda kwa amayi komanso kubereka limakhudzidwa ndi zinthu zambiri. Kukhala ndi gulu lamphamvu lothandizira kubadwa lomwe limayikidwa muzabwino ku banja lanu ndikofunikira. Kulimbana ndi kukondera komanso kusazindikira chikhalidwe ndikofunikira. Kuonetsetsa kuti amayi azikhalidwe zonse ali ndi mwayi wopeza chithandizo choyenera, choyenera kuyenera kukhala patsogolo.
Ndikulakalaka kuti nkhani yanga ndiyosowa, kuti azimayi omwe amawoneka ngati ine adachitiridwa ulemu, ulemu, komanso chisamaliro akabereka. Koma sitiri. Kwa ife, kubadwa ndi nkhani ya moyo kapena imfa.
Jacquelyn Clemmons ndi doula wodziwa kubadwa, doula wachikhalidwe, wolemba, wojambula, komanso wolandila podcast. Amakhala wokonda kuthandiza mabanja kwathunthu kudzera ku kampani yake yozikidwa ku Maryland De La Luz Wellness.