Nau neih tura i inbuatsaih a nih chuan zawhna engemaw zat leh i rilruah hlauhna tlem te i nei ngei ang. A pangngai hle mai. He zin kawngah hian tanpui tur che leh enkawltu tur chein doctor, nurse te, kan ramah hian chhungkaw hriselna service officer (Midwife) an awm bawk. Mahse, "Nurse-Midwife" tia koh mi pakhat i hre tawh em? Hei hi concept danglam deuh a ni. Vawiin hian he nurse-midwife hi tu nge a nih, eng ang rawngbawlna nge a hnen atanga i dawn tih hi han sawi ila.
He Nurse-Midwife hi tu nge ni?
A awlsam zawngin, nurse midwife chu Registered Nurse (RN) anga qualify tawh, nau neih, naupai leh hmeichhe hriselna lama specialized degree zir tawh a ni. Hei hian nursing lama hriatna an neih bakah midwifery lama thiamna an nei tihna a ni.
Hei hi kan khuaa ‘midwife’ tih ngaihdan nen a danglam hle. Tin, heng mite hian kan sorkarin a ruat Family Health Officer (PHM) te chanvo aia zau zawk rawngbawlna zau zawk an pe bawk.
An thil tum ber chu nau neih dan pangngaia hmeichhiate taksa leh rilru lama tanpuina sang ber pek a ni a, a tul lo taka technological intervention awm lovin. Nau neih hi natna ni lovin, nunah thil thleng mawi tak, pianpui thil thleng niin an ngai. Chuvangin, a pianphung leh hahdam thei ang bera hmachhawn turin an kaihruai thin.
Nurse midwife hian eng service nge a pek?
Nau neihnaah a puih bakah hian nurse midwife hian hmeichhe nun kawng hrang hrangah service hrang hrang a pe a ni.
- Naupai enkawl dan: Nu leh nau piang lai hriselna hi enfiah reng a ni. Thurawn bik pek i ni. I duh ang anga nau neih dan tur ruahman turin tanpui i ni.
- Childbirth support: Nau neih laiin a tichak che a, natural method hmangin natna i enkawl theih nan a pui bawk.
- Nau neih hnua enkawlna: Nausen pian hnua nu leh naute enkawlna tul ang ang an pe thin. Nausen piang thar enkawlna pawh an pe thei a, a bik takin naute dam chhung thla khatnaah an pe thei bawk.
- General gynecological care: Hmeichhiain a mamawh tlangpui hriselna lama service hrang hrangte tan thurawn leh enkawlna a pe a, naupai lai chauh ni lovin, entirnan, menopause ang chi period-ah te
- Hriselna lama inrawnkhawmna: Taksa enfiahna an nei a, damdawi lam harsatna thenkhat an enfiah a, enkawlna an pe bawk. Ram thenkhatah chuan condition thenkhat tan pawh prescription ziak turin thuneihna an nei bawk.
- Mipat hmeichhiatna hmanga kai theih natna (STDs) enkawl dan:Mak tak maiin nurse midwife thenkhat phei chu hmeichhe kawppui mipa chu STD a vei chuan enkawl turin an zirtir thin.
Hmun pakhat leh mi pakhat a\anga hetiang rawngbawlna zau tak dawng chu eng ang nge a awlsam ang tih han ngaihtuah teh.
A pawimawh ber chu, technical intervention tul lo tak takte chu pumpelh fo mah se, emergency, C-section
| Rawngbawlna hun remchang | Rawngbawlna dawnte sawifiahna |
|---|---|
| Naupai hma (Pre-conception) 1.1. | Naupai hrisel, ei leh in leh nunphung tha tak nei tura taksa inbuatsaih dan tur thurawn pek. |
| Naupai lai hian | Check-up neih fo te, nu leh naute hriselna enfiah te, mimal counselling te, nau neih theihna tura rilru leh taksa inbuatsaihna te. |
| Pian chhungin | Natural pain relief method zirtir te, taksa lama tanpuina pek te, leh i naute him taka nau neih theihna tura kaihhruai te. |
| Nau neih hnua thil thleng | Nu hriselna enfiah te, nau hnute pekna tur puihna te, leh nausen piang thar hriselna enkawlna (ni 28 hmasa ber). |
Hetiang mi ni tur hian eng qualification nge awm?
Certified Nurse-Midwife (CNM) nih hi zinkawng awlsam a ni lo. Zirna lama thiamna sang tak leh practical training neih a ngai a ni. Kawngpui tlangpui chu hetiang hi a ni:
1. Nursing Degree: A hmasa berin University pawmpui atanga Nursing lama Bachelor’s Degree i neih a ngai a ni.
2. Registered Nurse nih: A dawtah chuan Registered Nurse (RN) nih theihna tura state exam mamawh (e.g., United States-a NCLEX-RN exam ) i pass tur a ni.
3. Practical experience: Damdawi in emaw clinic emaw-a nurse hna kum khat tal hnathawh tawhna neih a ngai fo thin.
4. Postgraduate degree: A dawtah chuan nursing leh midwifery lamah Master emaw Doctoral emaw i zir tur a ni. Hei hian kum hnih emaw a aia rei emaw a daih thei.
5. Certification Exam: A tawp berah chuan a kaihhnawih ram midwifery certification board (e.g., American Midwifery Certification Board )-in exam a buatsaih chu i pass tur a ni a, Certified Nurse Midwife (CNM) i tling tur a ni.
He zinkawng atang hian heng mite hi eng ang taka hriatna leh trained nge an nih tih i hmu thei a ni lawm ni?
Nurse midwife tanpuina dil chhan te chu engte nge ni?
Engvangin nge hmeichhia tam zawkin doctor aiah emaw, doctor bakah emaw nurse midwife tanpuina an dil? Hei hi chhan lian tak tak engemaw zat a awm.
1. Holistic Care neih dan tur
Hei hi a chhan ber a ni. A natna lan chhuah dan chauh an en lo. I taksa, rilru, leh rilru put hmangte chu an ngaihsak a ni . An service hi "low-tech, high-touch" tih a ni. Chu chu, technology ṭûl lo hmanna an tihtlem a, mihring nihna, khawih leh mimal ngaihsakna nêna enkawlna an pe tihna a ni. I mamawh an hmuchhuak a, i mamawh ang zela service an pe bawk.
2. Cost tihhniam zawk
Nurse midwife-te hian natural childbirth an ngaih pawimawh avangin technical intervention tul lo tak tak a tlem zawk. Hei hian damdawi ina awm man zawng zawng a tihtlem thei a ni. A bik takin naute hi in lama piang emaw, specialized birthing center-a piang a nih chuan damdawi in aiin a man a tlawm zawk tih a chiang hle.
3. Enkawlna Quality sang & Outcome tha zawk
Research atanga a lan dan chuan nurse midwife-te puihnaa nau neihte result chu doctor-te kaihhruaina hnuaia damdawi ina nau piangte nen tehkhin theih a ni.
Research chuan nurse midwife service dawng nu zingah C-section leh birth induction a tlem zawk tih a tarlang bawk.Chutiang thil thleng theihna chance chu a tlem hle. Tin, an puihna dawng tawh nu zingah nau hnute pek zat a sang zawk tih hmuhchhuah a ni bawk.
Chuvangin hei hi hmeichhe naupai hlauhawmna nei tan chuan duhthlan tur tha tak leh him tak a ni thei.
Take-Home Thuchah a ni
- Nurse-Midwife hi professional thiam tak a ni a, nursing leh midwifery lamah pawh specialized training nei a ni.
- An kalphung chu nau neih dan pangngaia technological intervention tul lo tak takte tihtlem ruala mimal puihna pek hi a ni.
- An rawngbawlna hi nau neihnaah chauh a ni lo va, hmeichhe dam chhung zawnga healthcare mamawh thlengin a zau zawk a ni.
- Research atanga a lan dan chuan an service hian cesarean section a tihtlem bakah nau neih dan him leh tha tak a thlen thin.
- Mahse, i hriselna dinhmun atana ṭha ber tur hriat tumin i obstetrician-gynecologist (OG) nen i duhthlan turte sawiho chu a finthlak hle.
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