Udat na ‘midwayf’? Na pɔsin we de ɛp fɔ bɔn pikin? Mek wi tok!

Adu! Tide wi go tɔk bɔt wan tɔpik we kin impɔtant to bɔku pipul dɛn. Yu kin dɔn yɛri bɔt pɔsin we dɛn kɔl ‘midwayf’. Bɔt udat rili bi dis ‘midwayf’? Wetin dɛn kin du? Dis na fɔ tray fɔ jɔs ɔndastand us kayn savis yu de gɛt frɔm dɛn pipul ya, mɔ as mama.

Udat rili na ‘midwayf’?

Fɔ tɔk am simpul wan, midwayf na wɛlbɔdi wokman we dɔn gɛt spɛshal trenin fɔ uman dɛn riprodaktiv wɛlbɔdi, dat na fɔ bɔn pikin ɛn ɔda tin dɛn we gɛt fɔ du wit am. Imajin, if yu de op fɔ bi mama, dɛn pipul ya kin ɛp yu wit ɔl di advays ɛn kia we yu nid we yu gɛt bɛlɛ, ɛp we yu de bɔn pikin, ɛn di kia we yu ɛn yu pikin nid afta yu bɔn di pikin. Bɔt bɔku tɛm, dɛn savis na fɔ bɛlɛ we nɔ gɛt bɔku prɔblɛm, we nɔ gɛt big prɔblɛm .

Apat frɔm dat, sɔm midwayv dɛn kin gi advays bɔt aw fɔ plan famili, i.e., kɔntrol fɔ bɔn pikin, ɛn ɔda wɛlbɔdi prɔblɛm dɛn we spɛshal fɔ uman dɛn, lɛk we uman kin lɛf fɔ gɛt bɛlɛ. Bɔku tɛm, dɛn kin wok togɛda wit dɔktɔ dɛn. Bɔt na sɔm kɔntri dɛn, dɛn kin alaw dɛn bak fɔ wok fɔ dɛnsɛf, i kin dipen pan di lɔ we dɛn se.

Difrɛn kayn midwayv dɛn de?

Yes, rili difrɛn lɛvul dɛn de fɔ tren ɛn kwalifayeshɔn fɔ ‘midwayf’. Nɔto ɔlman na di sem. Lɛ wi si aw dat kin wok. Insay sɔm kɔntri dɛn, dɛn kin ɛksplen dɛn klas dɛn ya klia wan. Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, dɛn kin put dɛn na difrɛn say dɛn akɔdin to dɛn edyukeshɔn ɛn sɛtifiket dɛn. Insay Sri Lanka, di savis fɔ wi ‘Family Health Midwives’ difrɛn smɔl frɔm di kɔnsɛpt fɔ ‘midwife’. Wi PHM dɛn de ɛp mɔ fɔ mek di kɔmyuniti gɛt wɛlbɔdi, fɔ kia fɔ uman dɛn we gɛt bɛlɛ ɛn yɔŋ pikin dɛn na os, ɛn fɔ gi dɛn vaysin. Bɔt di ‘midwayf’ we wi de tɔk bɔt tide na pɔsin we de ple mɔ dairekt rol fɔ bɔn pikin, sɔntɛnde i de ol di men rispɔnsibiliti.

In jɛnɛral, di men trenin lɛvɛl dɛn na dɛn wan ya:

• Di wan dɛn we gɛt advans mɛdikal trenin ɛn digri: Dɛn pipul ya na pipul dɛn we kin gɛt digri pan nɔs ɛn afta dat dɛn kin gɛt spɛshal digri pan midwayf. Dɛn kin gi bɔku bɔku savis dɛn. Dis min se dɛn kin gi kia we dɛn gɛt bɛlɛ, ɛp fɔ bɔn pikin, gi kia afta dɛn bɔn pikin, ɛn trit sɔm prɔblɛm dɛn we gɛt fɔ du wit uman dɛn. Dɛn kin wok na ɔspitul, say dɛn usay dɛn kin bɔn pikin dɛn, klinik dɛn, ɛn we i fayn, dɛn kin bɔn pikin dɛn na os. Insay sɔm kɔntri dɛn, dɛn kin kɔl dɛn Sɛtifiket Nɔs Midwayv (CNM) ɔ Sɛtifiket Midwayv (CM).

• Di wan dɛn we dɔn kɔmplit spɛshal ‘midwayf’ trenin program dɛn:Dɛn midwayv ya nɔ kin rili gɛt yunivasiti digri, bɔt dɛn kin dɔn wan spɛshal trenin kɔs (lɛk tri to 4 ia) ɛn pas ɛgzam fɔ bi midwayf. Dɛn kin pe atɛnshɔn mɔ fɔ ɛp mama dɛn we gɛt bɛlɛ we nɔ gɛt bɔku prɔblɛm fɔ bɔn pikin na say dɛn we dɛn kin bɔn pikin ɔ na os. Bɔt nɔto lɛk di kayn dɛn we wi bin dɔn tɔk bɔt, dɛn nɔ kin alaw dɛn fɔ gi dɛn mɛrɛsin, fɔ wok pan kɔmpleks kes dɛn na ɔspitul, ɔ fɔ trit uman dɛn we nɔ gɛt bɛlɛ prɔblɛm dɛn we gɛt fɔ du wit uman dɛn. Insay sɔm kɔntri dɛn, dɛn kin kɔl dɛn ``Sɛtifiket Prɔfɛshɔnal Midwayv - CPM''.

• Tradishɔnal ɔ kɔstɔm midwayv dɛn: Sɔntɛm dɛn midwayv ya nɔ bin gɛt fɔmal trenin ɔ sɛtifiket. Sɔntɛm dɛn bin dɔn lan di wok fɔ dɛnsɛf, dɛn bin dɔn wok as pɔsin we de lan fɔ wok ɔnda wan uman we sabi midwayv, ɔ dɛn bin lan am tru tradishɔn. Dɛn kin kɔl dɛn bak ‘Lay Midwives’ ɔ ‘Traditional Midwives’. Insay sɔm kɔntri dɛn, dɛn kin alaw dɛn bak fɔ wok ɔnda lɔ, bɔt bɔku tɛm na fɔ bɔn pikin dɛn nɔmɔ na os.

Di tin we impɔtant pas ɔl na dat if yu de tink bɔt fɔ aks fɔ savis frɔm midwayf, yu fɔ du risach gud gud wan bɔt da pɔsin de in trenin, kwalifayeshɔn, ɛn ɛkspiriɛns.

Us sityueshɔn dɛn yu kin aks fɔ di savis fɔ midwayf?

Naw yu go de tink se, ‘So udat go pik ‘midwayf’? Yu nɔ tink se i go bɛtɛ fɔ go to dɔktɔ?’ Na tru se bɔku tɛm, we wi tink bɔt fɔ bɔn pikin, wi kin tink bɔt dɔktɔ we de mɛn uman dɛn we de bɔn pikin ɛn we de mɛn uman dɛn (OB-GYN). Bɔt sɔm pipul dɛn kin lɛk fɔ fɛn di savis fɔ ‘midwayf’. Sɔntɛm bɔku rizin dɛn de fɔ dis.

Sɔntɛm na bikɔs dɛn fil se di tin dɛn we dɛn lɛk, dat na di we aw midwayf de gi savis, da filɔsofi de, de alaynɛd ​​fayn wit wetin dɛn de op fɔ. Bɔku tɛm, midwayv dɛn kin si pikin as sɔntin we dɛn kin du. So, dɛn kin tray fɔ mek dɛn nɔ du bɔku tin dɛn we nɔ nid fɔ du wit mɛrɛsin ɛn dɛn kin gi dɛn di kayn we aw dɛn fɔ kia fɔ dɛnsɛf.

Bɔt sɔntin de we yu fɔ rili mɛmba na ya. di savis dεm we midwayf de gi na כnli fכ mama dεm we gεt gud hεlth εn we nכ go gεt big big kכmplikεshכn we dεn bεlε כ we dεn de bכn pikin (i.e., ‘low-risk’).

Dɔn, sɔm pipul dɛn de we nɔ rili fit fɔ di savis we midwayf de du. dat min se, di wan dεm we gεt bεlε we de fכl insay di ``high-risk`` kεtכgrεf. Na sɔm ɛgzampul dɛn ya:

• If yu gɛt ay blɔd prɛshɔn.
• If yu de sɔfa wit Dayabitis Mɛlitɔs.
• If yu gɛt ɛni at sik.
• If yu de kɛr twins ɔ mɔ (multiples).
• if di pikin nכ posishכn kכrekt, dat min se if di pikin tכn to di bכtכk dεm εn i de na ``Breech posishכn``.
• If yu bin dɔn bɔn pikin bifo bay sizarian sɛkshɔn (C-sekshɔn) (dis kin bi risk factor bak insay sɔm kes dɛm).

If dis kayn tin apin, i go sef fɔ bɔn pikin na ɔspitul we gɛt di tin dɛn we i nid, ɔnda di sɔpɔtishɔn fɔ wan ɔbstetrishan-gaynekɔlɔjis (OB-GYN).

Lɛ wi lan smɔl mɔ bɔt aw fɔ gɛt savis frɔm ‘midwayf’.

Wan ɔda tin de we yu fɔ no bɔt. Insay bɔku kɔntri dɛn, mɔ na kɔntri dɛn lɛk Amɛrika, dɔktɔ dɛn we de mɛn pikin dɛn ɛn OB-GYN dɛn se di say dɛn we sef ɛn we fayn fɔ bɔn pikin na ɔspitul ɔ say dɛn we dɛn dɔn gri fɔ bɔn pikin . Dis na bikɔs dɛn gɛt di say dɛn fɔ gi dɛn mɛrɛsin kwik kwik wan if ɛnitin apin we dɛn nɔ bin de tink se go apin.

Dɛn biliv bak se dɛn kin gi di bɛst kia fɔ bɛlɛ ɛn sɔpɔt fɔ bɔn pikin we dɔktɔ ɛn midwayv dɛn we kwalifay wok togɛda as tim . Dis min se di midwayf kin tek kia ɔf nɔmal, nɔ kɔmplikt kes dɛm, bɔt i kin rifer yu to dɔktɔ if prɔblɛm kam. Dis de gi maksimal sef fɔ mama ɛn pikin ɔl tu.

Bɔt wi fɔ tɔk wan tin. Sɔm kɔntri dɛn de na di wɔl, usay bikɔs ɔf rizin dɛn lɛk kɔlchɔ, istri ɔ izi akses to wɛlbɔdi savis, di savis fɔ ‘midwayf’ rili kɔmɔn ɛn ivin impɔtant. Dat min se, ‘midwayf’ de tek di lid fɔ bɔn pikin. Pan ɔl we wi sistɛm na Sri Lanka difrɛn smɔl, a tink se i go fayn fɔ mek yu no bɔt dis savis we dɛn kɔl ‘midwayf’.

Tin dɛn fɔ mɛmba fɔ sɔm tɛm

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu gɛt gud aidia bɔt udat na ‘midwayf’ ɛn aw dɛn savis tan. Fɔ dɔn, na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• ‘Midwayf’ na wɛlbɔdi wokman we spɛshal pan uman dɛn riprodaktiv wɛlbɔdi, mɔ we uman gɛt bɛlɛ, we dɛn de bɔn pikin, ɛn we dɛn de kia fɔ dɛn afta dɛn bɔn pikin.
• Bɔku tɛm, dɛn savis kin fayn fɔ bɛlɛ we nɔ gɛt bɔku prɔblɛm, we nɔ gɛt prɔblɛm.
• Di trenin ɛn kwalifayeshɔn fɔ midwayv dɛn difrɛn, so i impɔtant fɔ tek tɛm du risach bifo yu tek midwayf.
• If yu gɛt tin dɛn we kin mek yu gɛt bɔku prɔblɛm lɛk ay blɔd prɛshɔn, dayabitis, ɔ at sik, i impɔtant fɔ mek di dɔktɔ de kia fɔ yu.
• Bɔku tɛm, dɔktɔ ɛn midwayv dɛn we kwalifay we de wok togɛda as tim kin gi bɛtɛ protɛkshɔn ɛn kia fɔ mama ɛn pikin.
• Pan ɔl we di wok we wi ‘Family Health Midwives’ de du na Sri Lanka difrɛn smɔl frɔm di wok we ‘Midwives’ we de bifo fɔ bɔn pikin na sɔm kɔntri dɛn de du, lɛk aw dɛn tɔk bɔt am na dis atikul, i impɔtant fɔ no bɔt dis.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fɔgɛt fɔ tɔk to yu dɔktɔ ɔ Famili Ɛlth Maneja (PHM). Dɛn kin gi yu di bɛst advays.

` Midwayf, Pikin, Bɛlɛ Keya, Uman dɛn Wɛlbɔdi, Lɔw Risk Bɛlɛ, Pɔstpartum Keya