Kodi Doula Ndi Chiyani ndipo Muyenera Kulipira?

Zamkati

• Kodi Doula N'chiyani?
• Zomwe a Doula Amathandizira - ndi Zomwe Sachita
• Kodi Doula Amawononga Ndalama Zingati?
• Momwe Mungasankhire Ngati Doula Ndi Woyenera kwa Inu
• Onaninso za

Pankhani ya kutenga pakati, kubadwa, ndi chithandizo cha pambuyo pobereka, pali zambiri a akatswiri ophunzitsidwa bwino ndi akatswiri omwe angakuthandizeni pakusintha kukhala mayi. Muli ndi ma ob-gyns anu, azamba, othandizira nthawi zonse, othandizira m'chiuno, makochi azaumoyo, ndi… doulas.

Dou chiyani tsopano? Kwenikweni, doulas ndi anzawo ophunzitsidwa bwino omwe amapereka chithandizo munthawi yonse yobereka, kuphatikiza kutenga pakati, kubereka, kubereka, kupita padera, ndi kutayika, akufotokoza a Richelle Whittaker, LPC-S. thanzi. Ndipo lero, pamene mliri wa COVID-19 wasiya makolo atsopano kufunikira thandizo, amayi ndi abambo ambiri akutembenukira ku doulas kuti adzaze mipata posamalira. (Werengani: 6 Amayi Agawana Zomwe Zikuyenda Bwino Pakusamalira Mayi Pobereka ndi Pambuyo Pobereka)

"Makamaka pakubala kwa mliri mukakhala kwayokha, mudapitako, ndipo mukuganiza kuti aliyense wazindikira kuposa inu, makolo atsopano amafunikira akatswiri ambiri pakona yawo momwe angathere," akutero Mandy Major, postpartum doula, ndi CEO komanso woyambitsa mnzake wa Major Care.

Ku US, doulas amadziwika kuti ndiwosankha, koma sizili choncho kulikonse. "M'mayiko ena, chisamaliro chamtunduwu ndi chachilendo ndipo ndi gawo la postpartum process. Pano, tilibe izo, ndipo ndi kusiyana kwakukulu m'dongosolo lathu," akutero Major.

Ngakhale doulas si akatswiri azachipatala, iwo ndi ophunzitsidwa nthawi yobadwa ndi pakati komanso atatha kubereka ndipo atha kukhala phindu lalikulu kwa amayi omwe akukhala komanso makolo atsopano. Maphunziro amasiyana malinga ndi mtundu wa doula yomwe mungasankhe (mwachitsanzo doulas, mwachitsanzo, amaphunzitsidwa mosiyana ndi postpartum doulas) koma mwachizolowezi, maphunziro amaphatikizapo msonkhano wambiri pomwe doulas-to-be aphunzire momwe angathandizire mabanja atsopano ndikukhala wotsimikizika. DONA International ndiye mtsogoleri wazophunzitsira za doula zophunzitsira komanso kuzindikiritsa ndipo magulu ambiri mdziko muno amapereka maphunziro ovomerezeka a DONA.

Ndipo maphunziro a doula amalandira - ndikugawana ndi makasitomala - amalipira: Kafukufuku akusonyeza kuti kugwiritsa ntchito doulas kungathandize kuchepetsa nthawi yogwiritsidwa ntchito pobereka, kuchepetsa kukhumudwa kwa kubadwa, ndi kuchepetsa chiwerengero cha C-gawo.

Komanso, panthawi yomwe nthawi zambiri imakhala yovuta m'moyo wanu, doula amapereka khutu lomvetsera, dzanja lothandizira, ndi chithandizo chochuluka. Koma chiyani kwenikweni ndi doula—ndipo kodi muyenera kuganizira zolemba ganyu? Apa, zomwe muyenera kudziwa za ntchito yofunikira komanso momwe mungapangire ntchito doula ngati mukuwona kuti ndizoyenera kwa inu.

Kodi Doula N'chiyani?

Tanthauzo lenileni la doula ndi munthu amene amathandiza mabanja paulendo wawo wobereka, kupereka chithandizo chamaganizo, thupi, chidziwitso, ndi kulengeza, akufotokoza Quanisha McGruder, doula wathunthu (werengani: chikuto onse magawo a uchembere).

Ganizirani za doula ngati BFF yanu pankhani ya mimba, kubadwa, ndi / kapena pambuyo pobereka: "Mungathe kukhulupirira doula wanu kuti amvetsere mantha anu aakulu ndikupereka chidziwitso chothandiza kuthana ndi mantha," akutero Marnellie Bishop, a. chizindikiritso chobadwa ndi postpartum doula. Nthawi zambiri amakuwonjezera chisamaliro chomwe muli nacho kale, kuchikulitsa ndikukulimbikitsani pakukhala ndi pakati, kubadwa, ndi kubereka. (Zogwirizana: Amy Schumer Amatsegulira Momwe Doula Anamuthandizira Kudzera Mimba Yake Yovuta)

Doulas amakhalanso ndi malo apadera komanso apamtima chifukwa nthawi zambiri amawona makolo atsopano m'nyumba zawo, akufotokoza Bethany Warren, L.C.S.W., wothandizira wotsimikizika muumoyo wamaganizidwe amisala. “Kupereka chithandizo chapakhomo ndi chogwirizana ndi mwambo kumawoneka kuti kumapanga ubale wabwino pakati pa makolo atsopano ndi doula,” akutero. "Ndimaona kuti makolo omwe amapeza bwino ndi doula wawo amamva kuti akuthandizidwa panthawi yofunikayi."

Ndipotu, ngakhale kuti nthawi zambiri timalankhula za kufunika kwa "mudzi" pakulera mwana, zimatengeranso mudzi kuti uteteze ndi kulera makolo atsopano, anatero Warren. Kusiyana kwakukulu pakati, tinene, chisamaliro chomwe namwino wausiku amapereka ndi chisamaliro chomwe doula wa postpartum amapereka? Malo osamalira anamwino ausiku kuzungulira khanda, pomwe likulu la doula ndilo banja ndi banja, akufotokoza McGruder.

Doulas atha kukuthandizani kukhazikitsa zoyembekeza zenizeni (ie zosiyana yanu chidziwitso pa mimba ndi pambuyo pobereka kuchokera ku zomwe atolankhani * akunena* ziyenera kuwoneka), pangani zisankho pamene mapulani asintha (werengani: mwadzidzidzi, mukufunikira gawo la C kapena kupeza matenda osayembekezeka), ndipo mvetsetsani zomwe mwakumana nazo podutsa pansi.

Zomwe a Doula Amathandizira - ndi Zomwe Sachita

Pali madera anayi akuluakulu omwe doulas amathandizira makolo atsopano makamaka: chithandizo chazidziwitso, chisamaliro chakuthupi, thandizo lamalingaliro, ndi kulengeza, atero Bishop.

Monga COVID-19 yasintha, chabwino, kwambiri chirichonse monga tikudziwira, ma doulas ambiri asankha ntchito zawo kuti apereke chisamaliro chenicheni, maphunziro, ndi zothandizira, pogwiritsa ntchito foni, malemba, macheza a kanema, kapena mautumiki apa intaneti. (Mwachitsanzo, pa nthawi yapakati, mutha kucheza patelefoni ndi doula ndi/kapena FaceTime za zonse ya mafunso anu.)

Ingokumbukirani kuti pakadali pano, m'maiko ena, doulas samawoneka ngati othandizira azaumoyo ndipo amangololedwa mchipatala pakubereka ngati munthu wothandizira m'malo mwake za obadwa nawo, kotero ndikofunikira kuti mufufuze malangizo achipatala kapena malo oberekera. Mwinanso mutha kukhala ndi FaceTime doula yobadwira kuti mubereke, koma kachiwiri, ndibwino kuti mufufuze kawiri kuchipatala kapena malo oberekera kuti mukhale otetezeka. (Zogwirizana: Zipatala Zina Sizikuloleza Othandizana Nawo Omwe Akuthandiza Pazipinda Zoberekera Chifukwa Cha Zovuta za COVID-19)

Nayi mwachidule mitundu yamathandizidwe omwe doula angapereke:

• Thandizo lazidziwitso. Njira yobadwa ndi yobereka pambuyo pake ingakhale yosokoneza (moni, uthenga wambiri kuti musanthule, upangiri wofunikira, ndi mabuku oti muwerenge). Doula imatha kukuthandizani kumvetsetsa mayesedwe azachipatala zisanachitike, kufotokozera zamankhwala, kukuthandizani kupeza zambiri zokhudzana ndi umboni, ndikuthandizani mnzanu kumvetsetsa zomwe zikuchitika. Ena amaphunzitsanso za kubala, atero Bishop.

• Chisamaliro chakuthupi. “Si chinsinsi kuti mimba, kubereka, ndi kubereka zimavuta kwa woyembekezerayo, koma zimatopetsanso banja lonse,” akutero Bishopu. "Kusokonezeka kwa magawo komanso mantha owonjezera amatha kusiya anzawo ndi ana atatopa ngakhale mwana asanabwere." Kutengera nthawi yomwe mungasankhe kukalembera doula atha kukuthandizani kunyamula thumba lanu lachipatala, kukuphunzitsani malo ogwira ntchito, kukuthandizani panthawi yobereka, kukuthandizani ndi chithandizo chamankhwala cha postpartum, ndikuthandizani ndi mkaka wa m'mawere, akutero.

• Kuthandiza anthu. Mimba, kubala mwana, komanso nthawi yobereka pambuyo pobereka zingakutumizireni mtima kuti mutenge * kuzungulira (* kungonena zochepa). Koma zowona zake ndizakuti, chilichonse kuyambira chisangalalo mpaka mantha (ndi malingaliro onse pakati) ndizabwinobwino munthawi imeneyi. A doula atha kukuthandizani kuti muzimva kuthandizidwa ndikulimbikitsidwa ngakhale mutakhala kuti mukumva bwanji, kukutsimikizirani ngati muli ndi nkhawa, lolani mnzanuyo kuti apume, ndikupatseni chiyembekezo mukamakonzekera kusintha kwakukulu, atero Bishop. (Zokhudzana: Nkhani Zaumoyo Wam'mimba Pakati Ndi Mimba Ndi Postpartum Zomwe Palibe Akulankhula)

• Kulengeza. Kodi mumavutika kudzilankhulira nokha? Ndi doulas! Nthawi zambiri amaphunzitsa makolo momwe angalankhulire mogwira mtima komanso mwaulemu panthawi yoyendera madokotala oyembekezera, zomwe zimakuthandizani kuti mukhale ndi mphamvu komanso kuti mukhale ndi chidaliro, akutero Bishop. Atha kugwiranso ntchito ndi ogwira ntchito yosungira ana komanso alendo kuti awonetsetse kuti zosowa zanu zakwaniritsidwa. "A doula amvera ndikutumiza mauthenga ngati pakufunika," akutero Bishop.

Nanga zomwe doulas samachita? Samazindikira, kupereka, kapena kuchiza zovuta zilizonse zamankhwala (ganizirani: kuthamanga kwa magazi, chizungulire, kapena mseru), koma amatha kukulozerani komwe dokotala angakuthandizeni. M'malo mwake, nthawi zambiri, doulas amagwirizana ndi omwe amabereka monga ob-gyns ndi azamba, madokotala a ana, othandizira azaumoyo, komanso othandizira ma lactation ndipo amakhala ndi njira yolumikizira anthu kuderalo.

"Zitha kukhala zothandiza kusaina 'Kutulutsidwa Kwachidziwitso' kuti onse omwe amakupatsani omwe ali mgulu lanu akhale patsamba lomweli," akutero Warren. "Ndapeza kugwira ntchito limodzi ndi ma doulas kukhala njira yabwino yozungulira makolo ndi chithandizo chochuluka momwe ndingathere, ndikuwathandiza kumanga mudzi wawo." (Zogwirizana: Um, Chifukwa Chiyani Anthu Akupeza 'Imfa Doulas' ndikuyankhula Za 'Imfa?')

Kodi Doula Amawononga Ndalama Zingati?

Mtengo wobwereketsa doula umatengera zinthu zosiyanasiyana, kuphatikiza komwe mukukhala ndi mtundu wanji wa doula womwe mukulemba. Mtengo wake umatha kuyambira madola mazana angapo (kapena ochepera) mpaka madola masauzande ochepa, ndipo ngakhale mdera lomwelo, zimatha kusiyanasiyana. Mwachitsanzo: "Ku Portland, m'dera la metro Oregon ndawonapo ndalama zokwana madola 500 pa kubadwa komanso mpaka $ 2,700 pa kubadwa," akutero Bishopu (zomwe ziridi, kungokhala komweko pakubadwa). "Kwa postpartum doulas, ndawona mitengo yamaola kuchokera pa $ 20 mpaka 40 pa ola limodzi."

Ena akuti - kuphatikiza Oregon, Minnesota, ndi pulogalamu yoyendetsa ndege ku New York - amabwezeredwa ndalama zothandizira doula ngati muli pa Medicaid, koma sikuti nthawi zonse amakhala 100%.

Ma doulas ena amakhala ndi mitengo yoti angakambirane ndipo ena-kuphatikiza omwe akumaliza maphunziro a doula kuti akhale ndi chizindikiritso-amatha kugwira nanu ntchito kubadwa kwanu kwaulere kuti amalize ntchito yomwe akuyenera kuchita kuti akhale otsimikizika.

Kupanda kutero, makampani a inshuwaransi ena (koma osati onse) adzalipira zina mwazofunikira za mautumiki a doula - chifukwa chake zimakhala zomveka kuyimbira kampani yanu ya inshuwaransi kuti mudziwe zomwe zingafunike.

Momwe Mungasankhire Ngati Doula Ndi Woyenera kwa Inu

Nthawi zambiri, chisankho cholemba ganyu ya doula chimangotengera thandizo lowonjezera lomwe mumamva kuti mukufuna, ndikusowa, ndipo mutapindula nalo. "Kwa amayi ambiri, kutenga mimba ndi kubereka kumakhala kosangalatsa komanso kochititsa mantha, kotero kukhala ndi doula kuti muyende nawo paulendo kungakhale kotonthoza kwambiri," akutero Whittaker. "Azimayi omwe alibe chithandizo chochepa cha mabanja, amafunikira chithandizo chowonjezera kwa iyeyo ndi mkazi wake, amavutika kuti mawu ake amveke paulendo wopita kwa dokotala, kapena adakhalapo ndi pakati kapena zokumana nazo zakubadwa zitha kukhala zofunika kwambiri pazantchito za doula."

Ndikofunikira kuti mupeze oyenera posankha doula, kutanthauza kuti kubetcha kwanu kuyenera kufunsa ochepa. Kungakhale kothandiza kulemba mafunso anu pasadakhale, akutero a Warren. Choyamba, mufuna kufunsa za mtundu wa ntchito zomwe doula yomwe mukuganizira ikupereka (kubadwa, kubereka, kapena zonse ziwiri) ndikuwona komwe mukuganiza kuti mungafunikire chithandizo chachikulu. Mutha kupeza doulas malo ambiri, kuphatikiza tsamba la DONA, komanso kudzera m'makampani monga Robyn, Major Care, Motherfigure, ndi masamba ena othandizira pa intaneti.

Mulibe banja pafupi ndipo mukuganiza kuti mudzafunika thandizo pakugona, kuthana ndi nkhawa, komanso chithandizo cha makolo? Postpartum doula ikhoza kukhala yabwino kwambiri kwa inu. Ngati muli ndi mudzi wothandizirana nanu koma mukukayikira za kubala ndi kubereka, doula yobadwa ikhoza kukhala njira yabwino kwambiri, akutero McGruder. Mukufuna kuthandizidwa m'malo onsewa? Fufuzani munthu yemwe angakuthandizeni pazinthu zonsezi kuti muchepetse nkhope zatsopano. (Zokhudzana: Momwe Amayi Oyera Amayi Latham Thomas Afuna Kusintha Njira Yoberekera Kuti Ikhale Bwino)

Pakufunsidwa, ganizirani momwe doula amayankhira mafunso anu. "Ndikofunikira kukhala ndi munthu yemwe angakuthandizireni mosaweruza mosaganizira zomwe mumakonda komanso zotsatira zake," akutero Warren. "Ngati simukumva bwino podziwa doula panthawi yamafunso, mwina simungakhale pomwe muli pachiwopsezo chachikulu."

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