Tu nge ‘midwife’ ni? Nau neihna kawnga puitu a ni em? Kan sawi dun teh ang!

Chibai! Vawiin hian mi tam tak tana pawimawh ni thei tur thupui kan sawi dawn a ni. Mi pakhat ‘midwife’ tia koh i hre tawh mai thei. Mahse, he ‘midwife’ hi tu tak nge ni? Engtin nge an tih? Hei hi heng mite hnen atanga eng ang rawngbawlna nge i dawn tih hriatthiam tumna a ni a, a bik takin nu i nih angin.

‘Midwife’ chu tu nge ni tak tak?

A awlsam zawngin sawi ila, midwife chu hriselna lama thawktu, hmeichhe nau neih hriselna, chu chu nau neih leh a kaihhnawih thila training bik nei a ni. Ngaihtuah teh, nu nih i beisei a nih chuan heng mite hian naupai laia i mamawh thurawn leh enkawlna zawng zawng te, nau neih laia tanpuina te, leh naute i neih hnua nang leh i naute enkawlna mamawh zawng zawngah an pui thei che a ni. Mahse a tam zawkah chuan an service hi naupai hlauhawm lo tan a ni a, harsatna lian tham a awm lo .

Chu bakah, midwife thenkhat chuan family planning methods, i.e., birth control, leh hmeichhiate tana hriselna lam thil dang, menopause ang chi chungchangah thurawn an pe bawk. Doctor te nen an thawk ho fo thin. Amaherawhchu ram thenkhatah chuan dan kalphung a zirin mahni inrintawkna neia hnathawh phalsak an ni bawk.

Midwife chi hrang hrang an awm em?

Ni e, a takah chuan ‘midwife’ tan hian training leh qualification level hrang hrang a awm. Mi zawng zawng hi kan inang vek lo. Chu chu engtin nge a thawh tih i en ang u. Ram thenkhatah chuan heng classification te hi chiang taka tarlan a ni. Entirnan, America ang ramah chuan an zirna leh certification a zirin classified an ni. Sri Lanka ramah chuan kan ‘Family Health Midwives’ te rawngbawlna hi ‘midwife’ tih concept nen hian a danglam deuh hlek a ni. Kan PHM-te hian khawtlang hriselna, hmeichhe naupai leh naupang tête in lama enkawlna, leh vaccine pekna kawngah nasa takin an thawhhlawk hle. Mahse vawiina kan sawi ‘midwife’ hi nau neihna kawngah hian direct zawka chanvo changtu, a chang chuan mawhphurhna lian ber chelhtu a ni.

A tlangpuiin training level lian ber berte chu hetiang hi a ni:

• Medical training sang tak leh degree nei te: Heng mite hi nursing degree nei tlangpui, chutah chuan midwifery lama specialized degree nei an ni. Service hrang hrang an pe thei a ni. Hei hian naupai laiin enkawlna an pe thei tihna a ni a, nau neihnaah an pui thei a, nau neih hnua enkawlna an pe thei a, hmeichhe lam harsatna thenkhat pawh an enkawl thei tihna a ni. Damdawi inah te, nau neihna hmunah te, damdawi inah te, a remchan hunah chuan in lama nau neihnaah te an thawk a ni. Ram thenkhatah chuan Certified Nurse Midwives (CNMs) emaw Certified Midwives (CMs) tia koh an ni.

• ‘Midwifery’ training programme bik nei zo tawhte chuan:Heng midwife te hian university degree an nei hauh lo mai thei a, mahse specialized training course (kum thum atanga kum li vel) an zo a, midwife ni turin exam an pass a ni. Anni hian naupai hlauhawm lo nute chu nau neihna hmun emaw, in lama emaw nau neih theihna tura ṭanpui hi an ngaih pawimawh ber a ni. Mahse, a chunga kan sawi tak chi hrang hrangte ang lo takin damdawi pek phal a ni lo va, damdawi inah case buaithlak tak takah hnathawh phal a ni lo va, hmeichhe naupai lote chu hmeichhe lam harsatna enkawl phal a ni lo. Ram thenkhatah chuan ``Certified Professional Midwives - CPMs'' an ti thin.

• Traditional emaw customary midwife: Heng midwife te hian formal training emaw certification emaw an dawng lo mai thei. Anmahni chauhin he hna hi an zir a ni thei a, midwife tawnhriat ngah tak hnuaiah apprentice hna an thawk a, a nih loh leh hnam dan hmanga zir an ni thei bawk. ‘Lay Midwives’ emaw ‘Traditional Midwives’ emaw tia hriat an ni bawk. Ram thenkhatah chuan dan anga hnathawh phalsak an ni bawk a, mahse a tam zawk chu in lama nau piang tan chauh an ni.

A pawimawh ber chu midwife hnen atanga service zawng i ngaihtuah a nih chuan chu mi training, qualification leh experience te ngun takin i zirchiang tur a ni.

Eng dinhmunah nge midwife rawngbawlna i zawn thin?

Tunah chuan, ‘Chuti a nih chuan tuin nge ‘midwife’ thlang ang? Doctor hmuh chu a tha zawk dawn lo maw?’ a ti a. Dik tak chuan a tam zawkah chuan nau neih chungchang kan ngaihtuah hian obstetrician and gynecologist (OB-GYN) kan ngaihtuah thin. Mahse mi thenkhat chuan ‘midwife’ rawngbawlna zawng an duh zawk. Hei hi chhan hrang hrang a awm thei.

An mimal duhzawng, chu chu midwife-in rawngbawlna a pek dan, chu philosophy chu an beisei nen a inmil hle tih an hriat vang pawh a ni mai thei. Midwife-te chuan nau neih hi thil awmdan pangngaiah an ngai fo thin. Chuvangin, damdawi lama hmalakna tul lo tak takte chu tihtlem tumin an bei a, mimal zawka enkawlna (personalized level of care) an pe thin.

Mahse hetah hian i hriat reng tur thil a awm. Midwife rawngbawlna hi nu hriselna tha tak nei, naupai emaw nau neih lai emawa harsatna lian tham nei thei lo (i.e., ‘low-risk’) tan chauh a tha a ni.

Tichuan, midwife rawngbawlna atana tling bik lo an awm bawk. Chu chu ``high-risk`` category-a tla naupai te tihna a ni. Entirna tlemte chu hetiang hi a ni:

• Thisen sang i neih chuan.
• Diabetes Mellitus natna i vei a nih chuan.
• Lung natna eng emaw i neih chuan.
• Twins emaw a aia tam emaw (multiple) i phur a nih chuan.
• Naute chu a dinhmun dik lo a nih chuan, chu chu naute chu a hnute lam hawiin ``Breech position``-ah a awm a nih chuan tihna a ni.
• Tun hmaa cesarean section (C-section) hmanga naute i lo neih tawh chuan (hei hi a then phei chuan risk factor a ni thei bawk).

Hetiang dinhmunah hian damdawi inah nau neih hi a him ber a, chu chu obstetrician-gynecologist (OB-GYN) enkawlna hnuaiah a ni.

‘Midwife’ hnen atanga service lak dan tur tlem han zir belh ila.

Thil pakhat i hriat reng tur a awm bawk. Ram tam takah, a bik takin United States ang ramah chuan naupang enkawltu doctor leh OB-GYN-te chuan nau neihna hmun him ber leh remchang ber chu damdawi in emaw, accredited birth center emaw a ni tih an rawt a ni Hei hi a chhan chu beisei loh taka emergency a thlen hunah damdawi lam enkawlna nghal theihna tur facility an neih vang a ni.

Naupai enkawlna leh nau neihna atana puihna tha ber chu doctor leh midwife thiam tak takte team anga an thawh dun hian pek a ni tih an ring bawk Chumi awmzia chu midwife hian case pangngai, buaithlak lo tak takte chu a enkawl thei a, mahse harsatna a awm chuan doctor hnenah a refer thei che tihna a ni. Hei hian nu leh naute tan pawh himna sang ber a pe a ni.

Mahse thil pakhat sawi tur a ni. Khawvel ram thenkhatah chuan hnam nunphung, history emaw, hriselna lama rawngbawlna awlsam taka hmuh theihna emaw avang hian ‘midwife’ rawngbawlna hi a hluar hle a, a pawimawh hial a ni. Chu chu nau neih kawngah ‘midwife’ ten hma an hruai tihna a ni. Sri Lanka rama kan system hi tlem a danglam deuh mahse, he service ‘midwife’ tih hi i hriat chuan a tangkai hlein ka hria.

Thil hriat reng tur te chu a tawi zawngin

Okay, chuvangin kan sawiho tawh atang hian ‘midwife’ hi tu nge a nih leh an rawngbawlna hi eng ang nge tih hi i hriat chian ka beisei. A tawp berah chuan, hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

• ‘Midwife’ chu hmeichhiate naupai hriselna, a bik takin naupai, nau neih, leh nau neih hnua enkawlna lama tui, health worker a ni.
• An rawngbawlna hi naupai hlauhawm lo, harsatna nei lo tan pawh a tha fo thin.
• Midwife-te training leh qualification a inang lo a, chuvangin midwife lak hmain uluk taka zirchian a pawimawh.
• Thisen sang, zunthlum, thinlung natna ang chi natna hlauhawm tak tak i neih chuan damdawi lam enkawlna a pawimawh hle.
• Thil tam takah chuan doctor leh midwife thiam tak takte team anga thawk ho hian nu leh naute tan pawh venhimna leh enkawlna tha zawk an pe thei a ni.
• Sri Lanka rama kan ‘Family Health Midwives’ te chanvo hi ram thenkhata nau neih kaihruaitu ‘Midwife’ te chanvo nen hian a danglam deuh hlek nachungin, he thuziak-a kan sawi tawh angin, hei hi hriat chian a pawimawh hle.

Hemi chungchanga zawhna dang i neih chuan i doctor emaw Family Health Manager (PHM) emaw biak theihnghilh suh. Thurawn tha ber ber an pe thei che a ni.

` Midwife, Nau neih, Naupai enkawl dan, Hmeichhe hriselna, Naupai hlauhawm lo, Nau neih hnua enkawlna