Kuvamile ukuzizwa wesaba futhi ube nemicabango eminingi uma usuzobeletha. "Ingabe kuzobuhlungu?", "Ingabe ingane izobe isenkingeni?", "Ingabe isibhedlela sizongivumela ukuba ngihlale njengoba ngifisa?" Lolu hlobo lwemibuzo lufika engqondweni. Ngalokhu kwesaba, abanye omama bacabanga, "Bekungeke yini kube ngcono ukube benginomntwana ekhaya, ngedwa, ngaphandle kosizo lwamuntu?" Eqinisweni, emazweni angaphandle, kunezingxoxo ngomama abazala izingane zabo bodwa, ngaphandle kosizo lwezokwelapha (Unassisted Childbirth ). Ngakho-ke, ake sixoxe ngalokhu ngokujulile namuhla. Ake siqonde kahle ukuthi lokhu kuhle kangakanani nokuthi yiziphi izingozi ezifihliwe lapha.
"Ukubeletha kuyinto yemvelo, ungesabi" - indaba elandiswa yilabo abanombono ofanayo
Omunye umsekeli ovelele walo mbono nguLaura Shanley. Wazala zonke izingane zakhe ezine ekhaya, ngaphandle kukadokotela noma umbelethisi. Uthi waze wabeletha umntwana ophuma esiswini eyedwa lapho umyeni wakhe engekho.
"Odokotela bacabanga ukuthi ngiyahlanya," esho ehleka. "Kodwa ngikholelwa ukuthi ukubeletha akubuhlungu noma akuyingozi uma singesabi, uma singaphansi kwengcindezi engafanele evela ngaphandle."
Uthi uma sibhekene nento eyesabekayo futhi sesaba, umzimba wethu ulungiselela impendulo yokulwa noma yokubaleka . Ngalesi sikhathi, inani legazi eligeleza esibelethweni liyancipha, futhi izinhlungu zokubeletha zingase zingajwayelekile noma zime. Ngakho-ke, impikiswano yakhe iwukuthi uma singesabi futhi sigcina izingqondo zethu zikhululekile, umzimba uzokhipha umntwana ngokwawo.
"Awuzazi zonke izinyathelo zokugaya ukudla, akunjalo? Kodwa ukholelwa ukuthi kwenzeka kahle. Futhi, njengoba nje ingane yadalwa ngendlela emangalisayo, 'ukuhlakanipha' emzimbeni kusiza ekukhipheni umntwana," basho.
Kodwa-ke, umqondisi we-American Association of Midwives uthi, "Kuye, ukubeletha kumelwe ukuba kwakulula kakhulu. Kodwa kubantu abaningi, akulula futhi akunzima, kuphakathi nendawo." Eqinisweni, ukubeletha akulula kangako kuwo wonke umuntu.
Ithini isayensi yezokwelapha ngalokhu? Iyini ingozi yangempela?
Nakuba umbono ongenhla ungase ududuze kancane, kumelwe sibheke nolunye uhlangothi lwemali. Ukubeletha kuyisenzakalo esishintsha impilo kumama nomntwana. Lapha, imibono yodokotela nababelethisi ihluke kakhulu.
Kuyiqiniso yini ukuthi kukhona 'ukukhulelwa okuyingozi kakhulu'?
Labo ababelethe ngaphandle kosizo bathi izimo eziningi 'eziyingozi' zibangelwa yindawo yasesibhedlela. Isibonelo, bathi izinzwa ezixhunywe ekhanda lomntwana kanye nezikrini ezixhunywe esiswini zenza umama esabe, futhi lokho kwesaba kuyamvimbela ukubeletha.
Kodwa odokotela nababelethisi abavumelani nhlobo nalokhu. Abakushoyo yilokho okubaluleke ngempela.
| Umqondo | Umbono walabo abasekela ukubeletha ngaphandle kosizo | Umbono Wezokwelapha |
|---|---|---|
| Ukunakekelwa Kwangaphambi Kokubeletha | Lokhu bakubiza ngokuthi “ukwesaba kwangaphambi kokubeletha.” Bakholelwa ukuthi lokhu kudala ukwesaba okungadingekile. | Lezi zikliniki azihloselwe ukukwesabisa, zenzelwe ukukuvikela . Zingabona kusenesikhathi ukuthi unezimo ezifana nomfutho wegazi ophakeme noma isifo sikashukela, ukuthi ingane yakho ikhula kahle yini, nokuthi ngabe kukhona yini izinkinga ngendlela ingane yakho ebekwe ngayo. Lokhu kungavikela umama kanye nengane. |
| Ukuqapha ngesikhathi sokubeletha | Lezi zinto ziyamesabisa umama futhi ziphazamise ukubeletha. | Izinto ezifana nokushaya kwenhliziyo kwengane ziyaqashwa ukuze kubonwe ukuthi ingane ayizizwa kahle yini noma inenkinga yokuntuleka komoya-mpilo (ukucindezeleka kwengane) . Uma lokho kwenzeka, udinga ukuthatha isinyathelo ngokushesha ngaphambi kokuba kwenzeke umonakalo wobuchopho. Lawa madivayisi awakho ukuze akwesabise, akhona ukuze asindise ingane. |
Yiziphi izingozi ezingaba khona empilweni yangempela?
Isisho esithi " umzimba uzokhipha umntwana ngokwawo" asilona iqiniso ngaso sonke isikhathi. Izimo eziyingozi zingavela ngokuzumayo futhi ngaphandle kwesixwayiso ngesikhathi sokubeletha.
- Ukopha Ngemva Kokubeletha:Lesi yisona sizathu esiyinhloko sokufa komama emhlabeni jikelele. Uma kwenzeka into efana nale ekhaya, ingabulala umama ngaphambi kokuba afike esibhedlela.
- Ukubeletha Okuvinjiwe: Uma ikhanda lomntwana likhulu kakhulu noma umntwana engakabekwa kahle, ukubeletha kungase kume phakathi. Kuleli qophelo, kufanele kwenziwe ukuhlinzwa kokubeletha ngokushesha.
- Intambo ezungeze intamo yomntwana: Nakuba lokhu kuyinto evamile, ngezinye izikhathi intambo yesisu ingaqina futhi incishe umntwana umoya-mpilo .
- I-Asphyxia Yokuzalwa: Ngezinye izikhathi umntwana akaphefumuli lapho ezalwa. Ezimweni ezinjalo, imishini ekhethekile kumele isetshenziswe ukusiza umntwana ukuba aphefumule ngokushesha.
Esimweni esiphuthumayo esinjengalesi, ukushaya ucingo "911" usekhaya (ezweni lakithi, ngo-1990) nokulinda i-ambulensi ukuthi ifike kuwukuchitha isikhathi esibalulekile. Uma kuqhathaniswa nezindawo ezitholakala esibhedlela i-Emergency Treatment Unit (ETU), kunezinto ezimbalwa kakhulu ezingenziwa ekhaya.
I-American College of Obstetricians and Gynecologists (ACOG) ithi ngokusemthethweni, "Izindinganiso zokuphepha ezitholakala esibhedlela azikwazi ukufezwa ekhaya."
Ngakho-ke iyiphi inketho engcono kakhulu nephephile?
Isifiso sakho sokubeletha, okungukuthi, isipiliyoni esikhululekile nesangasese, sinengqondo kakhulu. Ngenhlanhla, uhlelo lwezokwelapha namuhla nalo lucabanga kakhulu ngakho.
"Ngingakhuluma ngokukhululekile nodokotela wami ngezinto ezingesabisayo, nganoma iyiphi indlela engiyifunayo?" Yebo, ngiyakwazi futhi kufanele ngikwenze.
Namuhla, izibhedlela eziningi zinamakamelo okubelethela aklanyelwe ukuba akhululeke njengekamelo lokulala ekhaya. Ezinye izindawo zinezindawo zokubeletha emanzini. Futhi, manje kukhuthazwa kakhulu ukushintsha izikhundla njengoba udinga phakathi nesikhathi sokubeletha nokufuna ukwesekwa komyeni wakho.
Khumbula, udokotela noma umbelethisi omuhle akasona isitha sakho, kodwa umngane wakho omkhulu, okhona ukuze akuvikele wena nomntwana wakho. Bakhona ukuze bakusize ulawule ubuhlungu, futhi babone noma yiziphi izingozi ezingaba khona kusenesikhathi ukuze banivikele nobabili.
Nakuba umqondo wokuba nomntwana ekhaya ungase ubonakale umuhle, kufana nokuhamba ngentambo eqinile entabeni ende ngaphandle kwenetha lokuphepha. Konke kungahamba kahle, kodwa iphutha elincane lingaholela enhlekeleleni engacabangeki. Ngakho-ke, lapho wenza izinqumo mayelana nokubeletha kwakho, vumela ingqondo yakho inqobe imizwa yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukubeletha ngaphandle kosizo kuyingozi kakhulu. Kungaba yingozi empilweni kamama kanye nengane uma kuvela izinkinga ezingalindelekile.
- Ukunakekelwa kwangaphambi kokubeletha akuyona into okufanele uyesabe, kuyinto ebalulekile ekuvikeleni wena nomntwana wakho. Ngakho-ke ungalokothi uye emtholampilo.
- Khuluma nodokotela wakho ngokukhululekile ngokwesaba kwakho, ukungabaza, kanye namathemba akho ngokubeletha.
- Ngisho nasezibhedlela namuhla, kunezindlela eziningi ezinikeza umama ulwazi olukhululekile noluyimfihlo. Buza udokotela wakho ngazo.
- Beka ukuphepha kwakho nokwengane yakho kuqala. Ukubeletha kuyinqubo okufanele yenzeke ngaphansi kokuqondisa kwabasebenzi bezokwelapha abaqeqeshiwe.
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