Khawiah nge i naute neih i duh? (Birth Location Choices) Hemi chungchang hi han sawi ila!

Vawiin hian i nun member thar, i naute, he khawvela lo hmuak tura i thlan dan tur kan sawi dawn a ni. Hei hi thutlukna pawimawh tak leh ngaihtuahna senga siam a ni tak zet a ni lawm ni? A châng chuan hlauhna leh hriat duhna tlem i nei thei bawk. Mahse, lungngai suh, heng zawng zawng hi chiang takin kan sawi dawn a ni. Tichuan nang leh i naute nena inhmeh ber tur hmun i thlang thei ang.

Hospital-a Nau neih

Mi tam tak, a bik takin kan ramah hian naute nei turin damdawi in an thlang thin. Mahse damdawi in zawng zawng hian facility inang an nei vek lo. Chu thutlukna siamtu chu thil engemaw zat a awm a.

Damdawi in atanga enkawlna level

Hospital thenkhatah chuan naupai pangngai, hlauhawm lo tak takte chauh ngaihtuah thin an awm . Chu chu nu leh naute tan harsatna lian tham a awm loh chuan chutiang hmun chu a tha a ni. Mahse, naupai thenkhatah chuan , high-risk conditions a awm thei. Chutiang hunah chuan damdawi in, chumi atan chuan special facility leh specialist doctor te nei thlan chu a finthlak hle.

Damdawi in hriselna lam team

Damdawi inah naute i neih chuan health team lian tak, pui turin an awm a. Tute nge an nih leh eng hna nge an thawh tih hi han thlir ila:

• Obstetricians/Gynecologists (OB/GYNs): A awlsam zawngin sawi ila, heng doctor zingah hian naupai lai enkawltu leh i naute pian dan kawnga puitu berte an ni. Heng mite hi medical school zawh hnua kum 4 tal hmeichhe hriselna leh reproduction lama special training nei tawhte an ni. Naupai buaithlak tak tak an enkawl thei a, a tul chuan cesarean section (C-section) an ti thei bawk. Naupai hlauhawm tak chungchanga training bik dawng tawhte chu Maternal-Fetal Specialists, a nih loh leh Perinatologists tia koh an ni bawk.
• Chhungkaw Doctor: Chhungkaw doctor thenkhat chuan naupai enkawl dan leh nau neih danah training bik an nei bawk. Kum tin, pian tirh atanga dam chhung zawnga damlo an hmuh avangin anmahni nen hian inzawmna tha tak i nei thei a ni.
• Midwife: Midwife-te chu hmeichhe hriselna lama training bik nei tawhte an ni a, a bik takin naupai lai te, nau neih lai te, nau neih hnua enkawl lai te an ni. Mahse, naupai buaithlak lo takah chuan an pui fo thin . Training level hrang hrang nei midwife an awm bawk. Doctor te nen an thawk dun fo thin a, mahse ram thenkhatah chuan mahni inrintawkna neiin hna an thawk thei bawk.
• Registered Nurses (RNs): Nurse te hi nau neih laiin nu leh naute enkawl leh pui turin an awm a. Damdawi in ṭhenkhatah chuan nu pakhatin nurse pakhat a\angin pakhat hnu pakhata enkawlna a dawng thei a ni.
• Doulas-a chuan:Doulas te hi nau neih dan zirtirna nei, nausen pian hma, nau piang lai leh nau piang hnua nu leh pa te rilru leh taksa lama tanpuitu an ni.
• Naupang enkawltu: I naute chu a pian veleh hmu nghal tur leh a hriselna enfiah turin naupang enkawltu doctor a awm thei bawk. Neonatologist te hi naute piang hma emaw damdawi lama harsatna nei emaw a bik taka enkawltu doctor an ni .
• Anesthesiologists: Heng doctor te hi natna i tuar harsat chuan i enkawl theih nan an awm a, a tul chuan epidural ang chi thil pe turin an awm bawk.
• Residents, medical students: A chang chuan, a bik takin zirtirna damdawi inah , residents, medical students, etc. te pawhin nau neihnaah hian an tel ve thei bawk.
• Lactation Consultants: I naute hnute pek chungchanga zawhna i neih chuan heng mite hian tanpui leh fuihna pe turin an awm a ni.

Labour Room leh Delivery Room chi hrang hrang

Tun hma chuan nu tur chu labour room-ah an hruai a, chumi hnuah delivery room-ah an hruai a, naute pian hnuah room dangah an insawn leh thin. Mahse tunah chuan damdawi in tam tak chuan "chhungkaw ngaihtuahna senga enkawlna" an ngaihtuah ta a ni. Chu chu nu chu nau paiah a kal thei a, naute a nei thei a, chutah chuan a dam leh thei tihna a ni - chu zawng zawng chu hmun khatah, inbualna tur awmna private room -ah, "birthing suite" an ti a ni. Tichuan kal leh haw a ngai tawh lo. Tunah chuan damdawi in tam takah pawh "rooming-in" facility an nei tawh bawk. Chumi awmzia chu naute chu nu pindanah a awm thei tihna a ni a, nursery hran panpui ngai lovin. Chu chu a remchâng êm êm tih han ngaihtuah teh!

Hospital policy leh kalphung hrang hrang

Hospital hrang hrangah hian enkawlna thenkhat, test neih tam dan, etc. chungchangah policy hrang hrang an nei thei a, nau neih laiin tute nge room chhunga luh phal, naute thinlung thawk dan enfiah dan, nau neih laiin ei leh in pek leh pek loh chungchangah pawh policy hrang hrang an nei thei bawk.

Hospital-ah chuan natna damdawi , epidurals , leh spinal anesthesia te i dawng thei a, chu chuan natna tihziaawmna atan a pui thei a, i mamawh chuan. Naupai chhunzawm zel hi a him lo a nih chuan, nu emaw naute hriselna atana hlauhawm a nih chuan nau neih tir turin an pui thei bawk. Damdawi in hi naupai hlauhawmna nei tan chuan naute neihna hmun him ber a ni.

Birth Center-a Nau neih

I nei tawhNaupai hlauhawm lo tak i neih a, in ang deuh, boruak hahdam zawk i duh chuan "birth center" hi duhthlan tur tha tak a ni thei. Chûngte chu damdawi in a\anga in\hen emaw, building hran emawa awm emaw, damdawi ina inzawm emaw pawh a ni thei a, chu chu a tel ve angin. Heng hmunte hian "chhungkaw ngaihtuahna senga enkawlna" an pe bawk. Anni hian private room-ah lighting nem tak, shower, whirlpool bathtub, leh chhungkaw hman tur kitchen an nei fo thin. A awlsam zawngin, an setting chu damdawi in aiin in ang deuha siam an tum a ni.

Birth Center chungchanga hriat tur awmte:

• Birth centre hi mi zawng zawng tan a ni lo. Nau neih hmaa enkawl tura an hnena lo kalte chu an fit tha em tih an screen thin. Hriselna tha tak nei, naupai emaw, nau neih lai emawa harsatna lian tham an neih a rinawm lohte chauh an pawm tlangpui. Entir nan:
• Birth center hi hriselna lama harsatna nei tan chuan a tha lo hle a , thisen sang , zunthlum , thinlung natna nei tan chuan a tha lo hle .
• Twins emaw a aia tam emaw (multiples) , emaw, naute chu a hmaa cesarean section (C-section) hmanga nau neih a nih chuan an pawm lo mai thei.
• Naupai chhung zawngin nu hriselna an enfiah thin. A hriselnaah danglamna a awm a nih chuan, entirnan, preeclampsia (naupai laiin thisen sang), premature labor , emaw breech baby , damdawi inah an sawn ang che.
• Birth center-a health team-ah hian midwife, nurse leh doulas te an tel tlangpui. Doctor-te chu hmunah awm lo mah se, nau neihna hmun tam tak chuan nau neih thiam leh naupang enkawltu doctor-te nen consultative basis-in an thawk dun a ni.
• Damdawi in aiin birth center-ah hian medical intervention a tlem zawk tlangpui. Entirnan, damdawi ina ang maia naute thinlung thawk dan enfiah chhunzawm zel ai chuan, nausen thinlung thawk dan enfiahna (intermittent fetal heart rate monitoring) an hmang thin . Hei hian nu chu zalenna tam zawkin a kal kual thei a ni. Mahse, an mamawh chuan damdawi lam enkawlna, IV fluid , oxygen , leh damdawi ṭhenkhat , an pe thei a ni.
• Birth center-ah hian natna tihdamna kawng thenkhat an pe a. Entirnan, damdawi thenkhat, massage, relaxation technique te, thawk lak dan te, birth ball te, leh inbual te. Mahse, epidural emaw, spinal anesthesia emaw an pe lo.
• Birth centre i thlan chu "CABC (Commission for the Accreditation of Birth Centers)" tih a ni.National Institute of Health ang chi pawl hmingthang takin a pawmpui em tih enfiah rawh. Ram/state thenkhat chuan birth center hi an regulate a, chuvangin i facility thlan hian a tul ang qualification a nei em tih enfiah rawh.

In lama Nau neih

Dik tak chuan mithiamte chuan in lama nau neih hi an rawt lo. Zirna thenkhatah chuan in lama nau neih hian harsatna lian tak tak, naute thihna telin, a then phei chuan a thlen theihna a sang zawk tih a tarlang. A tlangpuiin damdawi in leh accredited birth center te hi nau neihna hmun him ber a ni.

Mahse, chhungkaw thenkhat chuan in lama nau neih hi an rel thin (a chang chuan in lama nau neih hi ruahmanna siam lovin a thleng thei bawk). In lama nau neih tum chhungkaw tan chuan American Academy of Pediatrics chuan a hnuaia mi ang hian a rawt a ni:

• Hei hi naupai chu low-risk a nih chauhvin tih theih a ni .
• Nau piang lai hian mi pahnih tal an awm tur a ni – pakhat chu nu enkawltu tur a ni a, pakhat zawk chu naute enkawltu tur a ni. Naute enkawltu chu nausen piang thar enkawl leh kaihthawh thiam leh chutiang ti tur chuan hmanraw mamawh nei mi a ni tur a ni.
• If something goes wrong , doctor emaw certified paramedic emaw chu pui turin a awm tur a ni a, a tul chuan damdawi in pan thuai theihna tur ruahmanna a awm tur a ni.

Chuti a nih chuan, eng ber nge i tan a dik? (Tunge Ka Tana Dik?)

Hei hi zawhna pawimawh ber a ni. Hmun dik thlan theihna tura puitu tur thil thenkhat chu hetiang hi a ni:

• I doctor emaw midwife emaw nen inbia ang che. I naupai chhung zawnga enkawltu tur doctor emaw midwife emaw chuan i naupai chu a hlauhawm lo nge a hlauhawm hle tih a hre thei ang. Chumi ang chuan thurawn tha ber ber an pe ang che.
• Nau neihna hmun chi hrang hrang an cover tih hriat tumin i health insurance-ah zawt rawh .
• Hospital emaw birth center emaw tlawh kual rawh. Hei hian staff te an friendly em tih leh boruak hahdam tak a awm em tih i hriat theih nan a pui ang che. Facility policy leh procedure te pawh i hre thei bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Naute neihna tur hmun thlan hi thutlukna lian tak a ni. Hengte hi hre reng ang che:

• Safety hi a hmasa ber a ni. I himna leh i naute himna chu dah hmasa rawh.
• I doctor nen inbia la , i hriselna dinhmun atan eng option nge tha ber tih zawt rawh.
• Option tinte thatna leh that lohna hrethiam rawh.
• I mimal duhzawng pawh a pawimawh a, mahse a himna chhungah a awm tur a ni.
• I hmun thlanah hian inrintawkna leh hlim takin i inhria.Ka hre duh.

He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che. Mi tanpui thei tur leh kaihruaitu tur tam tak an awm a. He thu hian nang leh i chhungte chu he mikhual thar lo hmuak tura thutlukna tha ber leh hlim ber siam turin a puih ngei kan beisei!

` Nau neih, Damdawi In, Birth Center, In lama Nau neih, Naupai Enkawl, Nau neih leh Hmeichhia, Vawanaliya