Naute i beisei tih i hriat chuan hlimna ruala hlauhna leh hriat duhna tlem i neih chu thil pangngai a ni. "Tunah hian engtin nge ka tih ang?", "Tunge ka rawn zawt ang?", "Tunge ka hriselna leh ka naute hriselna hi enfiah ang?" Zawhna tam tak rilruah a lo lang thin. Chutih lai chuan kan ramah hian i tanpui tura lo kal, i inah lo kal a, nang leh i naute dinhmun a enfiah thin a awm a. Amah hi "midwife nona" emaw, hmangaihna nena kan koh vek angin family health worker (PHM) emaw a ni. Chuvangin vawiin hian he midwife nona hi tu nge a nih leh engtin nge a puih theih che tih hi han sawi ila.
Sri Lanka rama ‘midwife lady’ chu tu nge ni?
A awlsam zawngin kan rama midwife hi nangmah ang nu naupai te, nau neih hnua nu te, nausen te tan pawh hriselna lama service pe tura sorkarin a zirtir leh a ruat, health professional a ni. Khawthlang ram thenkhat ang lo takin kan ramah hian training level hrang hrang nei, mimal taka hnathawk an tam lo hle. Kan ramah hian he rawngbawlna hi sorkar health system-ah ngei pawh a tel ve a ni.
Khaw leh khawpui tin deuhthaw hian Family Health Midwife (PHM) pakhatin area pakhat a enkawl a. Tualchhung Medical Officer of Health (MOH) hnuaiah hna a thawk a ni. Hei hian sorkar pawm, trained officer a ni tihna a ni . I naupai tih i hriat chuan i tih hmasak ber tur chu i awmna hmuna midwife hnenah i inziak lut tur a ni.
Midwife hian eng hna nge a thawh?
Midwife rawngbawlna hi naupai i tih atanga tan a ni a, naute pian hnuah pawh chhunzawm zel a ni a, naute kum 5 vel a tlin thlengin chhunzawm zel a ni. A hnapui berte hi ngun zawkin han thlir ila.
| Hun chhung hun chhung | Midwife pakhatin service a pek thin |
|---|---|
| Naupai hma | Chhungkaw ruahmanna siam dan tur thurawn pek leh naupai hrisel tak atana inbuatsaih dan zirtir. |
| Naupai lai hian | I in register te, i in lama i hriselna enfiah te, i rihna leh thisen sang enfiah te, ei leh in, exercise leh faina chungchanga thurawn pek te, Thriposha ang chi nutritional supplement pek te, Maternal Clinics neih te, risk factors te hriatchhuah te leh damdawi in doctor hnena refer te. |
| Nau neih a ni | Damdawi ina nau neih tur atana buatsaih che. A pawimawh ber: Kan ramah hian tunah chuan nau piang hi damdawi inah, doctor leh damdawi ina thawktute enkawlna hnuaiah a thleng ta a ni. Midwife hna chu him taka chutah chuan kaihruai che a ni. |
| Nau neih hnuah | Damdawi in a\anga i haw hnuah in lamah an rawn tlawh ang che a, i hriselna leh i naute hriselna enfiahin, nau hnute pek dan tur thurawn pein, i naute inbual dan tur an zirtir ang che, umbilical cord enkawl dan tur an zirtir ang che, i naute thanlen dan leh a rih zawng an enfiah ang che, vaccine pek hun tur an hriat nawn tir ang che a, clinic-ah an refer ang che. |
Midwife leh doctor inkara inzawmna chu engtin nge a awm?
Hei hi thil pawimawh tak a ni. Midwife leh i doctor te hi mi pahnih team khat anga thawk an ni . An pahnih hian nang leh i naute tan himna sang ber pek an tum a ni.
Midwife hi khawtlang leh damdawi in inkara inzawmna nghet tak a ni.
Ngaihtuah teh, i naupai lai hian i midwife chu i inah i dinhmun enfiah turin a lo kal a. I thisen sang a sang deuh tih a hmuh chuan damdawi ina antenatal clinic-ah a refer nghal ang che. There , obstetrician (OB-GYN) chuan a enfiah ang che a, a tul anga enkawlna a pe ang che.
Chu chu midwife hi i hriselna vengtu hmasa ber a ni tihna a ni. Khawtlang level-ah a enkawl che a, harsatna awm thei chhinchhiahna tlemte pawh a hmuh chuan harsatna lian tak a nih hmain doctor hnenah a refer che a ni. Hei vang hian kan ram hian nu leh nausen thihna rate a hniam hle a ni.
Engvangin nge midwife rawngbawlna hi a hlut em em?
‘Natural birth’ duhthusam a nih avangin midwife thlan tih ngaihdan ang lo takin, khawthlang ramte ang bawkin kan rama midwife rawngbawlna hi a kal thui hle.
- Support reng reng : .Engtik lai pawha biak theihna tur, zawhna zawh tur emaw, thurawn la thei tur emaw i rintlak mi i nei a ni.
- Home visit service: Clinic leh hospital-a kan kal bakah hian i dam leh that loh enfiah turin i inah kan lo kal a, chu chuan awlsamna leh rilru chakna nasa tak a pe che a ni.
- Risk hriat hmasak: In lama test hian thisen sang, zunthlum, leh nau piang rihna hniam te ang chi risk condition te chu a hmain hriatchhuah a, enkawl turin a refer thei a ni.
- Inzawmna rintlak : Hun rei tak i hriat tawh avangin i zawhna emaw, i ngaihtuahna emaw eng pawh hlauhna leh rinhlelhna awm lovin i sawipui thei a ni.
Engtin nge midwife rawngbawlna atanga hlawkna tam ber kan hmuh theih ang?
I tualchhung midwife nena inzawmna tha siam hi nang leh i naute tan pawh a pawimawh hle. Chutianga tih theihna tûr tips ṭhenkhat chu hetiang hi a ni:
- Clinic-a kal: Nau neihna clinic a neih apiangah kal vek tur a ni.
- Zawhna zawt rawh: Zawhna i neih apiang chu eng ang pawhin tlem pawh ni se, zalen takin zawt rawh. "Hei hi zawhna bengchheng tak a ni em?"
- Thu hriat tur thup suh: A hnen atangin engmah thup suh, chu chu natna lan chhuah dan danglam tak i neih emaw, i chhungkuaa damdawi lam harsatna emaw te hi a ni.
- Thupek zawm rawh: Ei leh in leh hriselna chungchanga a thupekte chu dik taka zawm tum ang che.
- Rinna: Nang leh i naute tan pawha awm, trained professional a ni tih hre reng ang che. A hnathawh chu zah rawh.
Harsatna eng emaw i neih chuan, entirnan thisen chhuak nasa emaw, natna nasa tak emaw i neih chuan damdawi in Emergency Department (ETU) pan nghal tur a ni . Chutih lai chuan i midwife hnenah hriattir a pawimawh.
Take-Home Thuchah a ni
- Sri Lanka-a ‘midwife’ emaw Family Health Worker (PHM) chu sorkarin a zirtir, health professional hriat hlawh tak a ni.
- A rawngbawlna hi naupai lai, nau neih lai leh a hnu lama i naute tan rawngbawlna pawimawh tak a ni.
- Khawtlang leh damdawi in inzawmna pawimawh tak a ni a, i hriselna a enfiah a, a tul chuan damdawi inah doctor-te hnenah a refer bawk.
- I tualchhung midwife nena inzawmna tha neih hi nu hrisel leh naute hrisel tan chuan a pawimawh hle.
- I naupai lai emaw, naupai hnu emawa harsatna lo awm apiang chu amah emaw, i doctor emaw nen zalen takin sawipui rawh.
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