Aw i kin fayn fɔ yɛri se nyu smɔl gɔst de kam na yu layf? Dis na tɛm we rili fayn. Bɔt di sem tɛm, smɔl smɔl kwɛstyɔn dɛn ɛn smɔl smɔl tin dɛn we pɔsin kin want fɔ no kin kam na mi maynd. Di big kweshon we de kam fo maind fo plenti mama dem na, "Udat go helep mi bring mi pikin fo dis wold sef? Udat sopot a shud get?" Pan ɔl we sɔm pipul dɛn gɛt klia aidia bɔt dis, fɔ bɔku pipul dɛn dis kin mek dɛn ed pen smɔl. So tide, lɛ wi tɔk bɔt tri men pipul dɛn we go ɛp yu fɔ du dis fayn fayn waka. Na di dɔktɔ , di midwayf, ɛn di doula.
Lɛ wi lan fɔs bɔt di Obstetrician ɛn Gynecologist (OB/GYN) .
As wi ɔl no, bɔku mama dɛn we gɛt bɛlɛ na Sri Lanka kin pik fɔ go to Obstetrician and Gynecologist ɔl di tɛm we dɛn gɛt bɛlɛ ɛn we dɛn de bɔn pikin. Wi kin kɔl dɛn "VOG Dɔkta." Dis na spɛshal dɔktɔ we gɛt mɛdikal digri ɛn i dɔn gɛt spɛshal trenin fɔ lɔng lɔng tɛm bɔt uman dɛn wɛlbɔdi, bɛlɛ, ɛn bɔn pikin.
If na VOG dɔktɔ de trit yu, na in go gi yu kɔmplit mɛdikal sɔpɔtishɔn frɔm di biginin to di ɛnd fɔ yu bɛlɛ. Fɔ tɔk am simpul wan, na dɛn wan dɛn we gɛt fɔ du wit mɛrɛsin fɔ mek yu ɛn yu pikin sef.
Na sɔm pan di men wok dɛn we VOG dɔktɔ kin du :
- Dɛn go de chɛk yu ɔltɛm: Dɛn go si yu ɔltɛm ɛn dɛn go de chɛk yu blɔd prɛshɔn, di pikin in at rit, ɛn aw di pikin de gro ɔltɛm.
- Manejmɛnt fɔ di prɔblɛm dɛn we kin apin we uman gɛt bɛlɛ: I kin gi advays ɛn tritmɛnt fɔ di tin dɛn we kin apin we pɔsin nɔ kin fil fayn lɛk fɔ sik na mɔnin.
- Fɔ gi yu mɛrɛsin: If yu nid mɛrɛsin fɔ wan mɛrɛsin, dɛn go gi yu am. Dɛn go rivyu bak di mɛrɛsin dɛn we yu dɔn ɔlrɛdi de tek ɛn no if dɛn fayn fɔ gɛt bɛlɛ .
- Test: Dɛn kin du blɔd tɛst, urine test, ɛn ɔltra saund skan fɔ mek shɔ se yu ɛn yu pikin gɛt wɛlbɔdi. Sɔm pan dɛn tɛst ya kin no bak ɛni jɛnɛtik sik ɔ we dɛn bɔn yu pikin.
- Dilivri: Dɔn, dɛn go bɔn yu pikin sef wan na ɔspitul. If ɛni kɔmplikeshɔn de ɔ if dɛn nid fɔ du imejensi C-sekshɔn, na VOG dɔktɔ nɔmɔ go ebul fɔ mek ɛn impruv da disizhɔn de.
Di tin we impɔtant pas ɔl na, sɔm kayn we yu gɛt ay blɔd prɛshɔn.If yu gɛt ɔda mɛrɛsin, lɛk dayabitis, ɔ if ɛni prɔblɛm kam we yu gɛt bɛlɛ, di sɔpɔtishɔn fɔ VOG dɔktɔ rili nid fɔ de.
So udat na dis midwayf?
We wi yɛri di wɔd "midwife," bɔku pipul dɛn na wi kɔntri kin tink bɔt di "midwife lady" ɔ famili wɛlbɔdi savis ɔfisa we kin kam na wi os, go na klinik dɛn na di MOH, ɛn chɛk wi. Infakt, da savis de na big trɛnk fɔ mama ɛn pikin dɛn wɛlbɔdi na wi kɔntri.
Bɔt di ‘midwayf’ we wi de tɔk bɔt ya difrɛn smɔl, pɔsin we dɔn gɛt spɛshal trenin fɔ bɔn pikin. Insay sɔm kɔntri dɛn, na di wan dɛn we de kia fɔ midwayv dɛn we dɛn gɛt bɛlɛ ɛn we dɛn de bɔn pikin. Dɛn kin gi di mama ɛn in famili sɔpɔt pan bɔdi, filin, ɛn soshal. Bɔku tɛm, di we aw dɛn kin du tin kin bi mɔ natura .
Di wok we midwayf de du na dis:
- Dɛn go kia fɔ yu ɛn yu famili ɔl di tɛm we yu gɛt bɛlɛ ɛn afta dat.
- Wi go gi yu di advays ɛn ɛdyukeshɔn we yu nid.
- Dɛn go de nia yu we yu de bɔn pikin, sɔpɔt yu ɛn gi yu trɛnk.
- Wi de ɛp fɔ bɔn di pikin mɔ natura l wan, ɛn nɔ de yuz tɛknikal intavɛnshɔn ɛn mɛrɛsin dɛn as mɔ as wi ebul.
- Di tin we impɔtant pas ɔl: If ɛni sayn de fɔ se yu ɔ yu pikin gɛt prɔblɛm wit yu pikin, dɛn go rifer yu to spɛshal dɔktɔ (OB/GYN) wantɛm wantɛm.
Insay Sri Lanka, midwayv dɛn kin wok as tim wit dɔktɔ dɛn na ɔspitul dɛn. Bɔt i nɔ tan lɛk sɔm ɔda kɔntri dɛn, midwayf savis we de ɛp fɔ bɔn pikin na os ɔ na difrɛn say dɛn fɔ bɔn pikin nɔ rili bɔku yet na wi kɔntri.
Udat na ‘Doula’? Dis nem kin bi nyu tin smɔl.
Yu kin sɔprayz fɔ yɛri di wɔd ‘doula’. Dis na sɔm nyu kɔnsɛpt to wi kɔlchɔ. 'Doula' kɔmɔt frɔm wan Grik wɔd we min "uman we de sav." Fɔ tɔk am simpul wan, doula na pɔsin we nɔ de du mɛrɛsin, we tren fɔ de wit am.
I nɔto dɔktɔ ɛn i nɔto midwayf. I nɔ de bɔn di pikin. Di wangren wok we i de du na fɔ gi yu kɔntinyu fɔ sɔpɔt yu bɔdi ɛn aw yu de fil we yu de bɔn pikin. Lɛk yu bɛst padi, lɛk mama, i de de fɔ gi yu trɛnk, kɔrej, ɛn kɔrej we yu nid.
Wetin doula de du?
- I de ɛp fɔ mek yu ɛn yu mɛdikal tim kɔntinyu fɔ tɔk fayn.
- I de ɛp yu fɔ fɛn fayn pozishɔn ɛn praktis di rayt we fɔ blo we yu de bɔn pikin.
- Wi de yuz we dɛn we go mek yu fil fayn (e.g. masaj, fɔ mek yu kol).
- Ɛp yu man ɔ yu fambul fɔ put an pan dis prɔses bak.
Risach dɔn ivin sho se mama dɛn we doula de sɔpɔt nɔ nid bɔku mɛrɛsin fɔ mek dɛn fil pen ɛn dɛn kin gɛt bɛtɛ tin fɔ bɔn pikin fɔ mama ɛn pikin. I de wok lɛk kɔmpin we de gi yu layf to yu, apat frɔm yu dɔktɔ ɔ midwayf.
| Pat | Obstetrician ɛn Gaynekɔlɔjis (OB/GYN) . | Midwayf we de mek di pikin | Doula, we gɛt fɔ du wit am |
|---|---|---|---|
| Kwalifayeshɔn fɔ mɛn pipul dɛn | Wan dɔktɔ we gɛt spɛshal trenin. | Wan wɛlbɔdi pɔsin we tren fɔ midwayf. | Nɔ kwalifayeshɔn fɔ mɛn pipul dɛn. Trenin fɔ sɔpɔt pɔsin. |
| Men tin we wi de pe atɛnshɔn pan | di mεdikal aspek dεm εn sef we uman bεlε εn bכn pikin. | Natural pikin ɛn ɔlistik kia fɔ di mama. | Di sɔpɔt we dɛn de gi di mama na in bɔdi ɛn in maynd. |
| Fɔ bɔn pikin | Yɛs, dɛn kin du am na ɔspitul. Dɛn kin du ɔpreshɔn. | Yɛs, dɛn kin du di pikin dɛn we nɔ gɛt prɔblɛm na ɔspitul, na os, ɔ na say usay dɛn kin bɔn pikin dɛn. | Nɔ, a nɔ de bɔn di pikin. A jɔs de gi ɛp. |
| Manejmɛnt fɔ kɔmplikeshɔn | Dɛn dɔn manej am ful wan. | I de tɔk bɔt to dɔktɔ. | Nɔ de intafya atɔl. |
So, udat rayt fɔ yu? Aw yu kin pik?
Afta yu rid dis infɔmeshɔn, yu go de tink se, "Okay, naw udat a fɔ pik?" Dis tin we yu disayd fɔ du na yu yon nɔmɔ. Bɔku tin dɛn go afɛkt am, lɛk aw yu gɛt wɛlbɔdi, aw yu de si pikin fɔ bɔn pikin, ɛn di sɔpɔt we yu nid.
- If yu gɛt mɛdikal kɔndishɔn (high-risk pregnancy) ɔ yu want fɔ gɛt mɔ kɔnfidɛns bɔt yu mɛrɛsin sef, ɔbstetrician ɛn gynecologist (OB/GYN) na di bɛst ɛn sef tin fɔ pik. Dis na di opshɔn we prɛktikal pas ɔl we yu tink bɔt di sistɛm we de naw na Sri Lanka.
- If yu want fɔ bɔn pikin we nɔ gɛt drɔgs ɛn yu bɛlɛ gɛt wɛlbɔdi, yu kin tink bɔt di sɔpɔt we midwayf go gi yu . Bɔt i rili impɔtant fɔ mek yu gɛt plan fɔ gɛt dɔktɔ fɔ ɛp yu if ɛnitin apin we nɔ izi fɔ yu.
- I nɔ mata udat yu bɔn, if yu nid ɛkstra sɔpɔt pan yu maynd ɛn bɔdi, yu kin tink bɔt fɔ aks fɔ ɛp frɔm wan doula . I go bi pɔsin we go mek yu gɛt trɛnk apat frɔm yu mɛdikal tim.
Nɔ mek dis disizhɔn yu wan. Tɔk to yu man ɔ yu fambul bɔt am. Sheb yu tink ɛn op wit dɛn. Dɔn bak, tɔk opin wan bɔt dis wit yu dɔktɔ, we yu dɔn ɔlrɛdi de si. I go ebul fɔ ɛp yu fɔ pik di rod we go fayn fɔ yu bay aw yu gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Obstetrician and gynecologist (OB/GYN) na dɔktɔ we spɛshal pan bɛlɛ ɛn bɔn pikin. I rili kwalifay fɔ manej kɔmplikeshɔn ɛn fɔ gi mɛrɛsin.
- Midwayf de gi mɔ natura, mama-center kia, bɔt yu fɔ rɛdi fɔ go to dɔktɔ if ɛni prɔblɛm apin.
- Doula na kɔmpin we nɔ de du mɛrɛsin, we tren, we de gi di mama sɔpɔt pan filin ɛn bɔdi we i de bɔn pikin. I nɔto pɔsin we de tek in ples fɔ dɔktɔ ɔ midwayf.
- Fɔ pik di rayt wan fɔ yu, i go dipen pan yu wɛlbɔdi biznɛs, wetin yu lɛk, ɛn di tin dɛn we yu gɛt.
- Ilɛk wetin dis disayd fɔ du, .I rili impɔtant fɔ de ɔnda di sɔpɔtishɔn fɔ wan kwalifay dɔktɔ ɔl di tɛm we yu gɛt bɛlɛ. Tɔk bɔt ɔl yu plan dɛn wit yu dɔktɔ.
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