I a koe e whakatata atu ana ki te whānautanga, he maha ngā mea ka puta ake ki tō hinengaro, tika? He mea noa te rongo i ngā kare ā-roto rerekē, pērā i te mataku, te hiahia nui, me te harikoa. I tēnei wā, he mea pai ki te whai i tētahi hei pupuri i tō ringa, hei whakakaha i a koe, hei noho i tō taha i tēnei haerenga? I tēnei rā, hei tāpiri atu ki ngā kaimahi hauora , kei te kōrero tātou mō tētahi e tautoko ana i a koe i te hinengaro me te tinana. Koia te kaiawhina e kiia nei ko te 'doula'.
Ko wai te doula? He māmā noa iho...
Ehara te doula i te tākuta, i te nēhi, i te kaiwhakawhanau rānei. Kāore rātou e whakarato tiaki hauora . Arā, kāore e taea e rātou te whānau pēpi, te hoatu rongoā, te tuku tohutohu hauora rānei.
Nā, he aha tā rātou mahi?
He kupu ngāwari noa iho, he tangata tautoko whakangungua te doula e tautoko ana i a koe me tō whānau i te wā e hapu ana, e whānau ana, me ngā wiki tuatahi i muri i te whānautanga. He rite rātou ki tō hoa pono, mātau hoki. Kei reira rātou hei tautoko i ō hiahia, hei kaha mōu, hei āwhina hoki kia ataahua, kia whakamarie hoki tēnei wheako.
Ko te mea nui, ehara te doula i te whakakapi mō ngā kaimahi hauora. He hononga tāpiri rātou e tautoko ana i a koe me te tīma hauora.
He aha ngā whai wāhitanga mō te whakamahi i te doula?
Ka rerekē pea ngā ratonga a te doula i runga i ō hiahia. E toru ngā āhuatanga matua ka taea e koe te rapu i tā rātou āwhina. Me titiro tātou ki tā rātou.
| He whai wāhitanga ki te tautoko | Te āhua o tā rātou āwhina i a koe |
|---|---|
| Doula i mua i te whānautanga |
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| Doula Whānau/Whakawhanautanga |
|
| I muri i te whānautanga (Postpartum Doula) |
|
He tangata kotahi te doula me te kaiwhakawhanau?
Āe. He mea tēnei e pōhēhē ai te tini o te tangata. He rerekē rawa ngā mahi a te "kaiwhakawhanau" a te āpiha ratonga hauora whānau e mōhiotia whānuitia ana e tātou i Sri Lanka, me te doula. He mea nui kia mārama ki tēnei rerekētanga.
| Wāhanga | Doula | Kaiwhakawhanau (Āpiha Ratonga Hauora Whānau) |
|---|---|---|
| Whakangungu | Kāore he whakangungu hauora. Kua oti i ahau ngā kaupapa whakangungu whaimana mō te whakarato āwhina. | He tohunga hauora kua rēhitatia, kua whakangungua ki te hauora. (Kaiwhakarato hauora kua whakangungua). |
| Tūranga matua | Te tautoko i te hinengaro me te tinana. Te tautoko i te whaea. | Te aro turuki i ngā hāputanga me ngā whānautanga iti te mōrearea. Te whakarato ratonga hauora. |
| Ngā mea ka taea te mahi | Te whakamarie, te mirimiri, te whakaako i ngā tikanga manawa, te whakapuaki i ngā whakaaro o te whaea ki te tīma hauora. | Te whakahaere i ngā whakamātautau hauora, te whānautanga o te pēpi, te rongoā i ngā mate wahine, te tuku tohutohu mō te whāngai ū me te whakamahere whānau. |
| Ngā mea kāore e taea te mahi | Te whakarato tohutohu hauora, te tohu rongoā, te whānau tamariki, me te whakahaere whakamātautau hauora. | Ngā whānautanga mōrearea nui, ngā pokanga uaua rānei (e hiahiatia ana he tākuta tohunga). |
He aha ngā painga o te doula?
Kua whakaūtia e ngā rangahau he maha ngā painga o te tautoko a te doula ki te whaea me te whānau.
- He wheako pai ake: Mā te tautoko a te doula, ka taea e te whānautanga te noho hei wheako pai ake, whakamana ake hoki mō te whaea.
- Te whakaiti i te wā whānau: Kua whakaatuhia e ētahi rangahau he poto ake pea te wā whānau o ngā whaea e whiwhi ana i te tautoko doula.
- Te Whakaiti i te Wāhanga Caesarean: He taunakitanga kei te whakaitihia te hiahia mō ngā mahi Caesarean ('C-sections') mā te tautoko a te doula.
- Te whakaiti i te whakamahinga o ngā rongoā mamae: Nā te mea ka āwhina te doula ki te whakahaere mamae me te whakamarie, tera pea ka iti ake te hiahia mō ngā rongoā mamae.
- Te angitu o te whāngai ū:He tino āwhina te doula hei āwhina i te angitu o te whāngai ū i muri i te whānautanga.
Me pēhea te kimi i tētahi doula? E hia te utu?
I te mea he mea hou tonu te ariā o ngā doula ki Sri Lanka, he uaua pea te kimi i a rātou hei mema o ngā kaimahi hōhipera. Me whakapau kaha koe ki te mahi i tēnei.
Ko te mea pai ko te pātai atu ki tō tākuta mō tēnei. Tērā pea e mōhio ana rātou ki tētahi e whakarato ana i tēnei ratonga. Ka taea hoki e koe te pātai atu ki ō hoa me tō whānau mō tēnei.
I mua i te whiriwhiri i tētahi doula, he mea pai kia tūtaki koe ki a rātou, kia kōrero hoki ki a rātou mēnā ka taea. Kaua e wareware ki te pātai i ēnei pātai:
- He aha tāu whakangungu? Nō hea koe i whiwhi ai i tāu whakangungu?
- He aha ngā tiwhikete kei a koe?
- E hia ngā whānautanga kua tae atu koe?
- E hia te utu mō tāu ratonga?
- Me pēhea tāu mahi i roto i tētahi āhuatanga ohorere?
Mō ngā utu, kāore te inihua hauora e hipoki i tēnei. Nō reira, me utu e koe te utu katoa. Ka rerekē pea ngā utu i runga i ia doula me ngā ratonga e whakaratohia ana e rātou. Nō reira, kia tino kōrerohia tēnei i mua i te wā.
Ko te mea nui ko te whiriwhiri i tētahi e pai ana mōu, tētahi e taea e koe te whakawhirinaki, tētahi e mātau ana, ā, tētahi e pai ana koe ki te noho tahi.
Karere Tangohia ki te Kāinga
- He tangata tautoko whakangungua te doula, engari ehara i te mea hauora, e whakarato ana i te tautoko kare ā-roto me te tinana ki te whaea i mua, i te wā e whānau ana, me muri i te whānautanga.
- Kāore rātou e mahi i te maimoatanga hauora, e hoatu rongoā, e whānau pēpi rānei.
- He tokorua ngā tāngata te doula me te kaiwhakawhanau (he kaimahi hauora whānau) e rua ā rāua mahi tino rerekē .
- Kua whakaatuhia e ngā rangahau he maha ngā painga o te tautoko a te doula, pērā i te whakaiti i ngā mahi cesarean, te whakaiti i te whakamahinga o ngā rongoā whakamamae, me te wheako whānau pai ake.
- Me rapu e koe he doula i Sri Lanka māu ake, ā, ko te utu kāore e hipokina e te inihua. Kōrero ki tō tākuta mō ngā mea katoa.
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