Ngubani umbelethisi? Nceda ngexesha lokukhulelwa kwakho kunye nokuzala!

Ngaba ungumama ozayo? Okanye ucinga ngokuqalisa usapho? Mhlawumbi sele ulivile igama elithi 'umbelethisi'. Abanye abantu basenokumazi njengo "mbelethisi." Kodwa ngubani umbelethisi? Bangakunceda njani? Makhe sithethe ngale nto ngokweenkcukacha namhlanje, njengokuba uthetha nomhlobo.

Ngubani kanye kanye umbelekisi?

Ngamafutshane, umbelethisi ngumsebenzi wezempilo ojonga impilo yakho ngexesha lokukhulelwa, ukubeleka, ukhathalelo losana olusandul’ ukuzalwa, nasemva kokuba umntwana ezelwe. Abanye ababelethisi bajonga nempilo yakho yokuzala ngokubanzi, njengovavanyo lwe-pelvic kunye novavanyo lwe-Pap, kwaye bakunike iingcebiso ngeendlela zokucwangcisa usapho.

Ababelekisi badla ngokubonelela ngenkxaso epheleleyo yokuzala ngokwendalo nangalo lonke ixesha lokukhulelwa. Ukuba ufuna ukuzala ngokwendalo, ngaphandle kwamayeza, okanye ukuba ufuna ukubelekela ekhaya, abantu abaninzi bakhetha umbelekisi.

Kodwa khumbula, ababelekisi abaqhelekanga ukuba ngoogqirha. Kodwa badla ngokusebenza kunye nooGqirha beZibeleko kunye neeGynecologists (Ob/Gyns), ingakumbi ezibhedlele. Oku kuthetha ukuba ungafumana unyango olukhethekileyo nanini na xa ulufuna. Umbelekisi ungcono ukuba ukukhulelwa kwakho akunangozi ingako okanye kuneengxaki ezincinci.

Ukukhulelwa nokuzala ngamava obuqu kakhulu. Unelungelo lokukhetha uhlobo lonyango olufunayo. Yiyo loo nto kubalulekile ukwazi umahluko phakathi kombelekisi kunye nogqirha wezifo zabesifazane/ingcali yezifo zabesifazane (Ob/Gyn).

Wenza ntoni umbelethisi?

Iinkonzo ezinikezelwa ngumbelekisi zinokwahluka ngokuxhomekeke kwiziqinisekiso zabo, iziqinisekiso, imfundo, kunye nendawo abakuyo. Ababelekisi abaqinisekisiweyo kunye nababelekisi abaqinisekisiweyo bayakwazi ukubonelela ngeenkonzo ezininzi. Ababelekisi abangenazo iziqinisekiso banokubonelela ngeenkonzo ezimbalwa.

Nazi ezinye zeenkonzo zempilo onokuzifumana kumbelekisi:

• Ukuba neekliniki zokukhulelwa kunye nokukubeka esweni rhoqo ngexesha lokukhulelwa kwakho. Oko kuthetha ukujonga izinto ezifana nobunzima bakho kunye nokubetha kwentliziyo yomntwana.
• Ukwenza izinto ezifana nee-ultrasound scans kunye novavanyo lwegazi olufunekayo ngexesha lokukhulelwa.
• Ukuncedisa ngexesha lokubeleka nokubonelela ngononophelo olusisiseko kumntwana osandul' ukuzalwa.
• Ukhathalelo emva kokubeleka. Oku kuthetha ukukhathalela impilo-ntle yakho emva kokuba ufumene umntwana wakho.
• Ndikufundisa ngesondlo, ukuncancisa, ukuzala, kunye neminye imiba enxulumene nempilo yokuzala.
• Ukubonelela ngeengcebiso malunga neendlela zokucwangcisa usapho kunye nolawulo lokuzalwa.
• Izinto ezifana novavanyo lwe-Pap kunye novavanyo lwamabele.
• Ukuhlolwa kwezifo ezidluliselwa ngesondo (ii-STI) kunye nezinye izifo kunye nezifo zangasese.

Umongikazi oqeqeshiweyo unokusebenza kwizibhedlele, kwiikliniki, kwiindawo zokubelekela, okanye nakwikhaya lakho. Nangona kunjalo, zimbalwa iindawo apho ababelekisi abangenazo iziqinisekiso banokusebenza khona. Kungcono ukubuza ngeziqinisekiso zombelekisi ngaphambi kokuba ukhethe omnye kwaye ufumane ukuba yeyiphi imithetho nemigaqo yokhathalelo lwababelekisi esibhedlele okanye kwiziko lokubelekela apho uceba ukubelekela khona umntwana wakho.

Ngaba kukho iintlobo ezahlukeneyo zababelekisi?

Ewe, kukho iintlobo ezahlukeneyo zababelekisi. Olu hlobo kunye namagama anokwahluka kancinci ngokwamazwe ngamazwe, kodwa ingcamango esisiseko yile:

• Ababelekisi Abaqinisekisiweyo (ii-CNM): Aba ngabantu abagqibileyo isikolo sobubelekisi baze bafumana isidanga sobubelekisi. Ukongeza ekunikezeni unyango lokukhulelwa kunye nokubelekisa abantwana, banokubonelela ngonyango lokuzala ngokubanzi, banike amayeza, ba-odole uvavanyo lwelebhu, kwaye baxilonge izifo. Bafanelekile ukusebenza kwizibhedlele, emakhaya, nakwiindawo zokubelekisa. Umzekelo, eMelika, baqinisekiswe yiBhodi yeSiqinisekiso seMidwifery yaseMelika.

• Ababelekisi abaQinisekisiweyo (ii-CM): Aba ngababelekisi abanesidanga se-master kwi-midwifery, kodwa abakagqibi isikolo sobunesi. Isidanga sabo sokuqala sinokuba kwisifundo esingesiso esobunesi. Banokunika amayeza. Baqinisekiswe yi-American Midwifery Certification Board, kodwa banelayisenisi yokusebenza kumazwe athile kuphela.

• Ababelekisi abaQinisekisiweyo (ii-CPM): Ababelekisi badla ngokusebenza kwiindawo zokubelekisa okanye emakhaya. Bagqibile uqeqesho olufanelekileyo kwaye baqinisekisiwe yintlangano, efana neNorth American Registry of Midwives, eMntla Melika. Abanalayisenisi yokusebenza kuwo onke amazwe/amazwe, kwaye abanakukunika amayeza.

• Ababelekisi abangenazo iilayisenisi okanye abaqeqeshwanga: Aba babelekisi abanaso isiqinisekiso okanye ilayisenisi ethile yokusebenza. Basenokuba bafumene olu lwazi ngokuzifundela okanye olunye uqeqesho (mhlawumbi ngokusebenza njengomfundi). Ababelekisi abangenazo iilayisenisi basebenza emakhaya.

Kubalulekile: Nokuba ukhetha luphi uhlobo lombelekisi, kubaluleke kakhulu ukujonga ukuba banazo na iziqinisekiso ezifanelekileyo, uqeqesho, kunye neelayisenisi, kwaye basebenza ngokuhambelana nemithetho yelizwe/ummandla wakho.

Ngaba ababelekisi ngoogqirha?

Uninzi lwababelekisi abangabo oogqirha, kodwa abanye basenokuba neengcali zobugqirha kwicandelo lobuhlengikazi. Nangona kunjalo, abanazo izidanga zobugqirha ezivela kwisikolo sezonyango.

Yintoni umahluko phakathi kombelekisi kunye nogqirha wezifo zabesifazane kunye nogqirha wezifo zabesifazane (Ob/Gyn)?

Umahluko omkhulu ukwindlela ababonelela ngayo ngemfundo nokhathalelo.

Ababelekisi badla ngokuba nenkxaso kakhulu, kwaye babeka phambili iindlela zendalo ukunceda ekukhulelweni nasekubelekeni. Babona ukukhulelwa nokubeleka njengenkqubo yendalo, kungekhona imeko yezonyango ekufuneka ilawulwe. Bathanda ukusebenzisa iindlela zokubelekisa ezingezizo ezemveli. Abo bafuna ukubeleka okukhululekileyo nokungaxinezelekiyo banokukhetha umbelekisi.

Nangona kunjalo, ngenxa yokuba ababelekisi abaqeqeshwanga kwisikolo sezonyango, abanakukwazi ukubonelela zonke iinkonzo ezinokwenziwa yingcali yokubelekisa kunye nogqirha wezifo zabesifazane (Ob/Gyn). Abanakukwazi ukunyanga ukukhulelwa okunobungozi obukhulu okanye iingxaki ngexesha lokubeleka. Ababelekisi banokwenza utyando lwezonyango okanye utyando olungenakwenziwa ngababelekisi ukuba kuvela iingxaki.

Oku akuthethi ukuba ii-Ob/Gyns azixhasi, azibancedi, azivuleli bucala, okanye azivuleli ezinye iindlela. Azivuleli. Ukuba unengxaki yokwenza isigqibo, kungcono udibane nombelekisi kunye ne-Ob/Gyn ukuze ugqibe ukuba ngubani ofanela ubuntu bakho kunye nolindelo lwakho lokukhulelwa kunye nokuzala.

Ngaba umbelekisi ungcono kunogqirha?

Ixhomekeke kakhulu kukhetho lomntu. Abanye abantu bakhetha ababelekisi, abanye bakhetha i-Ob/Gyns. Umbelekisi uhlala ecetyiswa kuphela xa ukhulelwe ungenabungozi bungako. Uninzi lokukhulelwa alunabungozi bungako.

Nazi ezinye zeengenelo zokukhetha umbelethisi:

• Amathuba okunciphisa ukungeniswa okanye ukuhanjiswa ngoncedo.
• Amathuba okuzala ngotyando anciphile.
• Ukusetyenziswa okuncitshisiweyo kwe-epidurals okanye amanye amayeza entlungu.
• Umngcipheko onciphileyo wokukrazuka okukhulu kwe-perineal (ibanga lesi-3 nelesi-4) ngexesha lokubeleka.
• Ukuba nobuchule obungakumbi bokuzalela umntwana ekhaya.
• Unolawulo olungakumbi ekunyamekeleni kwakho.

Nangona kunjalo, ababelekisi abaqhelekanga ukuqeqeshwa ukwenza utyando. Ukuba ukukhulelwa okanye ukuzala kwakho kunzima okanye ukwimeko enobungozi obukhulu, ababelekisi baza kukuthumela kwingcali yokubelekisa kunye nengcali yezifo zabesifazane (Ob/Gyn).

Ngaba kufuneka ndikhethe umbelethisi?

Ukuba ukhulelwe ngendlela eqhelekileyo, kwaye ufuna ubudlelwane bobuqu nobusondeleyo nomboneleli wakho wezempilo , umbelekisi unokuba ngoyena ufanelekileyo kuwe.

Nangona kunjalo, ukuba unesifo esinokubangela iingxaki ngexesha lokukhulelwa okanye lokubeleka, kungcono ukuba kubekho intsebenziswano esondeleyo phakathi kombelekisi wakho kunye nogqirha wokubelekisa. Ezinye zeemeko ekufuneka uziqaphele ziquka:

• Igazi elonyukayo
• Isifo seswekile
• Ukuba ukhe waxhuzula ngaphambili (Imbali yokuxhuzula)
• Ukuba ukhe wakhulelwa ukhulelwe ngendlela enobungozi obukhulu ngaphambili
• Ukuba ulindele amawele okanye abantwana abaninzi (Ukulindela ukuzala abantwana abaninzi)

Ukuba ugqiba ekubeni ukhethe umbelethisi, sicebisa ukuba ufumane umntu onelayisenisi kwaye oqinisekisiweyo ukuba asebenze kwilizwe/kwingingqi yakho.

Ngaba kukho naziphi na iingozi ekufumaneni iinkonzo kumbelekisi?

Ababelekisi basebenza noogqirha bezifo zabesifazane kunye noogqirha bezifo zabesifazane (Ob/Gyns), iingcali zonyango loomama nosana, kunye nabanye ababoneleli bezempilo ukunciphisa iingozi zokhathalelo lwakho. Ukuba unexhala malunga nokubeleka, kudla ngokucetyiswa ukuba usebenze nombelekisi osebenza esibhedlele. Oku kuya kukunceda uzive ukhuselekile ngakumbi ukuba kuvela iingxaki.

Yintoni umahluko phakathi kwe-doula kunye nombelethisi?

Igama elithi `Doula` lithetha "umncedisi womfazi." I-doula ngumntu oqeqeshwe ukunika inkxaso ngexesha lokubeleka nokubeletha. Banokukunceda ulawule ukubhitya, bakuzisele ulwelo lokusela, bakucebise ngeendlela zokunciphisa iintlungu zokubeleka, baze bakukhuthaze. Nangona kunjalo, abaqeqeshwanga ngokwezonyango. Inkathalelo abayinikayo yinkxaso yeemvakalelo nolwazi, hayi unyango. Umbelethisi ngumntu oqeqeshwe ngokwezonyango obonelela ngonyango.

Ngaba ababelekisi bayawenza umsebenzi wotyando (C-sections)?

Hayi, ababelekisi abanakwenza utyando lwe-C-section. Kodwa banokukunceda ngalo. Ukuba ufuna utyando lwe-C-section, ugqirha osebenzisana naye uya kubizwa aze athathe unonophelo.

Ngaba ababelekisi banika ii-epidurals?

Abanye ababelekisi banokunika amayeza okudambisa iintlungu afana ne-epidurals. Nangona kunjalo, ababelekisi abanakukunika amayeza e-epidurals.Baza kuxoxa ngale nto nogqirha we-anesthesiologist okanye uGqirha we-Anesthetist obhalisiweyo oqinisekisiweyo (CRNA). Ababoneleli nge-anesthesia badla ngokufumaneka esibhedlele kuphela.

Yeyiphi imibuzo omele uyibuze ngaphambi kokuba ukhethe umbelethisi?

Abantu abaninzi badlan’ indlebe nababelekisi abanokubakho ngaphambi kokuba baqale ukusebenza ukuze babone ukuba bakulungele na kwaye bazive bekhululekile. Nazi ezinye zemibuzo ekufuneka uziqwalasele ngaphambi kokuba ukhethe umbelekisi:

• Ndiza kumzalela phi umntwana wam? (Isibhedlele, iziko lokubeleka, okanye ikhaya?)
• Luhlobo luni loqeqesho onalo? (Buza malunga neziqinisekiso, iilayisenisi)
• Usebenze ixesha elingakanani njengombelekisi?
• Zingaphi iintsuku oye wazala ngazo?
• Zithini izimvo zakho kunye nemilinganiselo yakho malunga nokuzala umntwana?
• Zeziphi iimvavanyo okanye iimvavanyo ozenzayo ngexesha lokukhulelwa?
• Ngaba i-inshorensi iza kuzihlawulela iindleko?
• Ngaba usebenza ne-Ob/Gyns kwindawo okuyo? (Ngaba ukho ugqirha onokubhekisa kuye xa kukho imeko engxamisekileyo?)

Le mibuzo iza kukunceda wenze isigqibo esifanelekileyo.

Okokugqibela, masikhumbule oku.

Umbelekisi uluncedo kakhulu kwiqela lakho lezempilo yokuzala, ingakumbi ngexesha lokukhulelwa nokubeleka. Zilungele ukukhulelwa nokubeleka okungengozi kakhulu, okanye ukuba ufuna indlela yendalo.

Kodwa khumbula, ayingabo bonke ababelekisi abafanayo. Xa ufuna umbelekisi, qiniseka ukuba uphanda iziqinisekiso zabo, iindawo abanikwe kuzo ilayisenisi yokusebenza, kunye nokuba banobudlelwane obuhle na neqabane likagqirha.

Nokuba ukhetha umbelekisi, ingcali yokubelekisa/ingcali yabasetyhini (Ob/Gyn), okanye indibaniselwano yazo zombini, ababoneleli bakho bezempilo baya kusebenzisana ukukunceda ufumane iziphumo ezilungileyo kangangoko. Sikunqwenelela ukukhulelwa okunempilo kunye nokuzala okukhuselekileyo!

Umbelethisi , ukuzala, ukukhulelwa, umbelethisi, umsebenzi wezempilo wosapho, ukhathalelo lokubeleka, ukuzala kwendalo