Udat na midwayf? Ɛp di tɛm we yu gɛt bɛlɛ ɛn we yu de bɔn pikin!

Yu na mama we go bi mama? Ɔ yu de tink bɔt fɔ bigin famili? Dɔn yu go mɔs dɔn yɛri di wɔd ‘midwayf’. Sɔm pipul dɛn kin no am bak as "midwayfe." Bɔt udat na midwayf? Aw dɛn go ɛp yu? Lɛ wi tɔk bɔt dis smɔl smɔl tide, jɔs lɛk aw wi de tɔk to wi padi.

Udat rili na midwayf?

Fɔ tɔk am simpul wan, midwayf na wɛlbɔdi wokman we de kia fɔ yu wɛlbɔdi we yu gɛt bɛlɛ, we yu de bɔn pikin, we yu de kia fɔ di pikin we dɛn jɔs bɔn, ɛn afta dɛn bɔn di pikin. Sɔm midwayv dɛn kin luk bak fɔ yu jenɛral riprodaktiv wɛlbɔdi, lɛk fɔ du ɛgzam na yu bɛlɛ ɛn fɔ du Pap tɛst, ɛn dɛn kin advays yu bɔt aw fɔ plan yu famili.

Bɔku tɛm, midwayv dɛn kin gi mɔ ɔlistik sɔpɔt fɔ natura l pikin ɛn ɔl di tɛm we dɛn gɛt bɛlɛ. If yu want fɔ bɔn pikin we nɔ gɛt mɛrɛsin, ɔ if yu want fɔ bɔn pikin na os, bɔku pipul dɛn kin pik midwayf.

Bɔt mɛmba se, midwayv dɛn nɔ kin bi dɔktɔ. Bɔt bɔku tɛm dɛn kin wok wit Obstetricians and Gynecologists (Ob/Gyns), mɔ na ɔspitul. Dis min se yu kin gɛt spɛshal kia ɛnitɛm we yu nid am. Midwayf bɛtɛ if yu bɛlɛ nɔ gɛt bɔku prɔblɛm ɔ i gɛt smɔl smɔl prɔblɛm dɛn nɔmɔ.

Bɛlɛ ɛn bɔn pikin na tin dɛn we pɔsin kin du fɔ insɛf. Yu gɛt rayt fɔ pik di kayn kia we yu want. Na dat mek i impɔtant fɔ no di difrɛns bitwin midwayf ɛn ɔbstetrician/gynecologist (Ob/Gyn).

Wetin midwayf kin du?

Di savis dɛm we midwayf de gi kin difrɛn difrɛn wan bay dɛn kwalifayeshɔn, sɛtifiket, edyukeshɔn, ɛn usay dɛn de. Sɛtifiket midwayv ɛn sɛtifiket nɔs midwayv dɛn kin ebul fɔ gi di mɔs savis. Midwayv dɛn we nɔ gɛt sɛtifiket kin gi smɔl savis.

Dis na sɔm pan di wɛlbɔdi savis dɛm we yu kin gɛt frɔm midwayf:

• Fɔ gɛt klinik bifo yu bɔn ɛn fɔ wach yu ɔltɛm ɔl di tɛm we yu gɛt bɛlɛ. Dat min se yu fɔ chɛk tin dɛn lɛk yu wet ɛn di pikin in at bit.
• Fɔ du tin dɛn lɛk ɔltra saund skan ɛn blɔd tɛst we dɛn nid we uman gɛt bɛlɛ.
• Fɔ ɛp we dɛn de bɔn pikin ɛn fɔ gi di bɛsis kia fɔ di nyu bɔbɔ.
• Di kia we dɛn kin kia fɔ afta dɛn bɔn pikin. Dis min se yu fɔ de kia fɔ yu wɛlbɔdi afta yu dɔn gɛt yu pikin.
• Fɔ tich yu bɔt aw fɔ it, aw fɔ gi pikin bɔbi, aw fɔ bɔn pikin, ɛn ɔda tin dɛn we gɛt fɔ du wit aw fɔ bɔn pikin.
• Fɔ gi advays bɔt aw fɔ plan famili ɛn aw fɔ kɔntrol bɔn pikin.
• Tin dɛm lɛk Pap tɛst ɛn brɔst ɛgzam.
• Skrin fɔ Sekswal Transmitted Infɛkshɔn (STI) ɛn ɔda vagina infɛkshɔn ɛn sik dɛn.

Nɔs midwayf we gɛt sɛtifiket kin wok na ɔspitul, klinik, bɔn sɛnta, ɔ ivin na yu yon os. Bɔt smɔl ples dɛn de we midwayv dɛn we nɔ gɛt sɛtifiket kin wok. I bɛtɛ fɔ aks bɔt di kwalifayeshɔn fɔ midwayf bifo yu pik wan ɛn fɔ no wetin na di lɔ ɛn rigyuleshɔn fɔ midwayf kia na di ɔspitul ɔ bɔn sɛnta usay yu plan fɔ bɔn yu pikin.

Difrɛn kayn midwayv dɛn de?

Yɛs, difrɛn kayn midwayv dɛn de. Dɛn klasification ɛn nem ya kin difrɛn smɔl frɔm wan kɔntri to ɔda kɔntri, bɔt di men aidia na dis:

• Certified Nurse Midwives (CNMs): Dɛn pipul ya na pipul dɛn we dɔn kɔmplit nɔs skul ɛn gɛt digri pan midwayf. Apat frɔm we dɛn de kia fɔ pikin dɛn bifo dɛn bɔn pikin ɛn we dɛn de bɔn pikin dɛn, dɛn kin gi dɛn jenɛral kia fɔ pikin dɛn, gi dɛn mɛrɛsin, ɔda fɔ du tɛst na lab, ɛn no if dɛn gɛt sik. Dɛn kwalifay fɔ wok na ɔspitul, os, ɛn say dɛn we dɛn kin bɔn pikin. Fɔ ɛgzampul, na Amɛrika, di American Midwifery Certification Board gɛt sɛtifiket fɔ dɛn.

• Certified Midwives (CMs): Dis na midwayv dɛm we gɛt masta digri pan midwayf, bɔt dɛn nɔ dɔn dɔn nɔs skul. Dɛn praymari digri kin bi pan ɔda sɔbjɛkt pas nɔs. Dɛn kin gi yu mɛrɛsin bak. Dɛn gɛt sɛtifiket frɔm di American Midwifery Certification Board, bɔt dɛn jɔs gɛt laysens fɔ praktis na sɔm kɔntri/stet dɛn.

• Certified Professional Midwives (CPM): Dɛn midwayv ya kin wok na say dɛn we dɛn kin bɔn pikin ɔ na os. Dɛn dɔn dɔn di trenin we gɛt fɔ du wit di wok ɛn wan ɔganayzeshɔn lɛk di Nɔt Amɛrika Rɛjista fɔ Midwayv dɛn, we de na Nɔt Amɛrika, dɔn gi dɛn sɛtifiket. Dɛn nɔ gɛt laysens fɔ praktis na ɔl di kɔntri/stet dɛn, ɛn dɛn nɔ kin ebul fɔ gi dɛn mɛrɛsin.

• Midwayv dɛn we nɔ gɛt laysens ɔ lay lay midwayv dɛn: Dɛn midwayv dɛn ya nɔ gɛt patikyula sɛtifiket ɔ laysens fɔ praktis. Dɛn kin dɔn gɛt dis no bay we dɛn de stɔdi dɛnsɛf ɔ ɔda trenin (sɔntɛm bay we dɛn de wok as pɔsin we de lan fɔ wok). Midwayv dɛn we nɔ gɛt laysens kin wok mɔ na os.

Impɔtant: I nɔ mata us kayn midwayf yu pik, i rili impɔtant fɔ chɛk if dɛn gɛt di kwalifayeshɔn, trenin, ɛn laysens we gɛt fɔ du wit am, ɛn if dɛn de wok akɔdin to di lɔ dɛn na yu kɔntri/rijɔn.

Yu tink se midwayv dɛn na dɔktɔ dɛn?

Bɔku pan di midwayv dɛn nɔto dɔktɔ, bɔt sɔm kin gɛt dɔktɔrɛt pan nɔs prɛktis. Bɔt dɛn nɔ gɛt digri fɔ mɛn pipul dɛn frɔm mɛdikal skul.

Wetin na di difrɛns bitwin midwayf ɛn ɔbstetrician ɛn gaynecologist (Ob/Gyn)?

Di men difrɛns na di we aw dɛn de tich pipul dɛn ɛn kia fɔ dɛn.

Bɔku tɛm, midwayv dɛn kin rili sɔpɔt dɛn, ɛn dɛn kin put di natura l we dɛn fɔs fɔ ɛp fɔ gɛt bɛlɛ ɛn fɔ bɔn pikin. Dɛn kin si bɛlɛ ɛn bɔn pikin as natura l tin, nɔto mɛrɛsin we dɛn fɔ mɛn. Dɛn kin lɛk fɔ yuz di we dɛn we nɔto tradishɔnal we fɔ bɔn pikin. Di wan dɛn we want fɔ bɔn pikin we nɔ de rilaks ɛn we nɔ gɛt bɔku strɛs, kin pik midwayf.

Bɔt bikɔs dɛn nɔ tren di midwayv dɛn na mɛdikal skul, dɛn nɔ kin ebul fɔ gi ɔl di savis dɛn we ɔbstetrishan ɛn gaynekɔlɔjis (Ob/Gyn) kin gi. Dɛn nɔ kin ebul fɔ trit bɛlɛ we gɛt ay risk ɔ prɔblɛm dɛn we kin apin we dɛn de bɔn pikin. Di wan dɛn we de mɛn pikin dɛn kin du mɛdikal ɔ ɔspitul intavɛnshɔn dɛn we midwayv dɛn nɔ kin du if kɔmplikeshɔn dɛn kam.

Dis nɔr min se Ob/Gyns nɔr de sɔpɔt, pɔrsin, ɔr opin to ɔda we fɔ du tin. Dɛn nɔ de du dat. If yu gɛt prɔblɛm fɔ disayd, i bɛtɛ fɔ mit wit ɔl tu di midwayf ɛn wan Ob/Gyn fɔ disayd udat fit yu pɔsin ɛn wetin yu de op fɔ we yu gɛt bɛlɛ ɛn bɔn pikin.

Yu tink se midwayf bɛtɛ pas dɔktɔ?

I rili kam dɔŋ to wetin pɔsin insɛf lɛk. Sɔm pipul dɛn lɛk midwayv, ɔda wan dɛn lɛk Ob/Gyns. כltu dεn kin rεkomεnd midwayf fכ bεlε dεm we nכ gεt bכku risk. Bɔku pan di bɛlɛ dɛn nɔ kin gɛt bɔku prɔblɛm.

Na sɔm pan di bɛnifit dɛn we pɔsin kin gɛt we i pik midwayf:

• Ridyus chans fɔ indukshɔn ɔ ɛp fɔ gi pikin.
• Di chans fɔ mek dɛn bɔn pikin we dɛn yuz sizarian, nɔ bɔku.
• Ridyus yus fɔ epidural ɔ ɔda pen mɛrɛsin.
• di risk fכ siriכs (grεd 3 εn 4) perineal tear dεm we dεn de bכn pikin.
• Fɔ gɛt mɔ fleksibiliti fɔ bɔn di pikin na os.
• Yu gɛt mɔ kɔntrol pan di kia we yu de kia fɔ yu.

Bɔt dɛn nɔ kin tren midwayv dɛn fɔ du ɔpreshɔn. If yu bɛlɛ ɔ di pikin we yu bɔn kɔmplikt ɔ yu de pan ay risk, midwayv dɛn go rifer yu to ɔbstetrishan ɛn gaynekɔlɔjis (Ob/Gyn).

A nid fɔ pik midwayf?

If yu gɛt smɔl risk, nɔmal bɛlɛ, ɛn yu de luk fɔ mɔ pasɔnal, tayt rilayshɔn wit yu wɛlbɔdi prɔvayda , midwayf kin fayn fɔ yu.

Bɔt if yu gɛt wɛlbɔdi prɔblɛm we kin mek yu gɛt prɔblɛm dɛn we yu gɛt bɛlɛ ɔ we yu de bɔn pikin, i bɛtɛ fɔ mek yu midwayf ɛn di dɔktɔ we de mɛn pikin dɛn wok togɛda. Sɔm pan di tin dɛn we yu fɔ wach bɔt na:

• Di ay blɔd prɛshɔn
• Shuga
• If yu dɔn gɛt sik bifo (History of seizures) .
• If yu bin dɔn gɛt bɛlɛ we gɛt ay risk bifo
• If yu de ɛkspɛkt twins ɔ mɔ pikin dɛn (Expecting multiples) .

If yu disayd fɔ pik midwayf, wi kin advays yu fɔ fɛn wan we gɛt laysens ɛn sɛtifiket fɔ wok na yu kɔntri/rijɔn.

Ɛni risk de fɔ gɛt savis frɔm midwayf?

Midwayv dɛn kin wok wit ɔbstetrishan ɛn gaynekɔlɔjis (Ob/Gyns), mama ɛn pikin mɛrɛsin spɛshal, ɛn ɔda wɛlbɔdi biznɛs pipul dɛn fɔ ridyus di risk dɛn we yu kin gɛt we yu de kia fɔ yu. If yu gɛt wɔri bɔt aw fɔ bɔn pikin, i kin fayn fɔ mek yu wok wit midwayf we de wok na ɔspitul. Dis go ɛp yu fɔ fil sef if prɔblɛm dɛn kam.

Wetin na di difrɛns bitwin doula ɛn midwayf?

Di wɔd `Doula` na Grik fɔ "uman in ɛlda." Doula na pɔsin we dɛn tren fɔ gi sɔpɔt we i de bɔn ɛn we i de bɔn pikin. Dɛn kin ɛp yu fɔ kɔntrol di kɔntrakshɔn, briŋ yu wata fɔ drink, gi yu di pozishɔn dɛn we go mek yu nɔ gɛt pen we yu de bɔn pikin, ɛn mek yu gladi. Bɔt, dɛn nɔ tren fɔ mɛn dɛn. Di kia we dɛn de gi na sɔpɔt fɔ di we aw pɔsin de fil ɛn fɔ gɛt infɔmeshɔn, nɔto fɔ kia fɔ di mɛrɛsin. Midwayf na pɔsin we tren fɔ mɛn pipul dɛn ɛn we de gi dɛn mɛrɛsin.

Yu tink se midwayv dɛn kin du sizarian sɛkshɔn (C-section)?

Nɔ, midwayv dɛn nɔ kin ebul fɔ du C-sekshɔn. Bɔt dɛn kin ɛp wit dɛn. If yu nid fɔ du C-section, dɛn go kɔl dɔktɔ we de wok wit yu ɛn i go tek di kia.

Yu tink se midwayv dɛn kin gi epidural?

Sɔm midwayv dɛn kin gi dɛn mɛrɛsin fɔ mek dɛn fil pen lɛk epidural. Bɔt di midwayv dɛn nɔ kin ebul fɔ gi di epidural.Dɛn go tɔk bɔt dis wit wan dɔktɔ we de anestez ɔ wan Sɛtifiket Rɛjista Nɔs Anɛstɛsi (CRNA). Bɔku tɛm, na ɔspitul nɔmɔ dɛn kin gɛt di wan dɛn we de gi dɛn anestezi.

Us kwɛstyɔn dɛn yu fɔ aks bifo yu pik midwayf?

Bɔku pipul dɛn kin intavyu uman dɛn we go bi midwayv bifo dɛn bigin fɔ wok fɔ si if dɛn fit ɛn fil fayn. Na sɔm kwɛstyɔn dɛn we yu fɔ rili tink bɔt bifo yu pik midwayf:

• Usay a go bɔn mi pikin? (Ɔspitul, say usay dɛn kin bɔn pikin, ɔ na os?)
• Us kayn trenin yu gɛt? (Ask bɔt sɛtifiket, laysens)
• Aw lɔng yu dɔn wok as midwayf?
• Ɔmɔs bɔn yu dɔn atɛnd?
• Wetin yu tink ɛn valyu bɔt bɔn pikin?
• Us tɛst ɔ skrinin yu kin du we yu gɛt bɛlɛ?
• Yu tink se inshɔrans go kɔba di kɔst dɛn?
• Yu de wok wit Ob/Gyns na yu eria? (Dɔkta de we yu kin rifer to we yu gɛt imejensi?)

Dɛn kwɛstyɔn ya go ɛp yu fɔ disayd fɔ du gud tin.

Fɔ dɔn, lɛ wi mɛmba dis.

Midwayf na valyu tin fɔ ad to yu riprodaktiv wɛlbɔdi tim, mɔ we yu gɛt bɛlɛ ɛn we yu de bɔn pikin. Dɛn fayn fɔ gɛt bɛlɛ ɛn bɔn pikin dɛn we nɔ gɛt bɔku prɔblɛm, ɔ if yu de luk fɔ we fɔ du tin we nɔmal.

Bɔt mɛmba se nɔto ɔl midwayv dɛn na di sem. We yu de luk fɔ midwayf, mek shɔ se yu du risach bɔt dɛn sɛtifiket, di say dɛn we dɛn gɛt laysens fɔ wok, ɛn if dɛn gɛt wɛlbɔdi rilayshɔn wit pɔsin we de wok wit dɔktɔ.

Ilɛksɛf yu pik midwayf, ɔbstetrician/gynecologist (Ob/Gyn), ɔ yu ɔl tu, yu wɛlbɔdi biznɛs pipul dɛn go wok togɛda fɔ ɛp yu fɔ gɛt di bɛst autkam. Wi de wish yu wɛlbɔdi bɛlɛ ɛn sef bɔn!

` Midwayf, bɔn pikin, bɛlɛ, midwayf, famili wɛlbɔdi wokman, ɔbstetrik kia, natura l pikin