Ubani umbelethisi? Usizo ngesikhathi sokukhulelwa nokubeletha kwakho!

Ingabe ungumama ozayo? Noma ucabanga ukuqala umndeni? Kungenzeka ukuthi uke wezwa igama elithi 'umbelethisi'. Abanye abantu bangase bamazi nangokuthi "umbelethisi." Kodwa ubani umbelethisi? Bangakusiza kanjani? Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, njengokukhuluma nomngane.

Ubani ngempela umbelethisi?

Kalula nje, umbelethisi uyisisebenzi sezempilo esinakekela impilo yakho ngesikhathi sokukhulelwa, ukubeletha, ukunakekelwa kosana olusanda kuzalwa, kanye nangemva kokuzalwa komntwana. Abanye ababelethisi banakekela nempilo yakho yokuzala ejwayelekile, njengokuhlolwa kwe-pelvic kanye nokuhlolwa kwe-Pap, futhi bakweluleke ngezindlela zokuhlela umndeni.

Ababelethisi bavame ukunikeza ukwesekwa okuphelele kokubeletha ngokwemvelo kanye naphakathi nokukhulelwa. Uma ufuna ukubeletha ngokwemvelo, ngaphandle kwemithi, noma uma ufuna ukubeletha ekhaya, abantu abaningi bakhetha umbelethisi.

Kodwa khumbula, ababelethisi abavamile ukuba odokotela. Kodwa bavame ukusebenza nodokotela bezifo zabesifazane kanye nodokotela bezifo zabesifazane (Ob/Gyns), ikakhulukazi ezibhedlela. Lokhu kusho ukuthi ungathola ukunakekelwa okukhethekile noma nini lapho ukudinga. Umbelethisi ungcono kakhulu uma ukukhulelwa kwakho kusengozini encane noma kunezinkinga ezincane kuphela.

Ukukhulelwa nokubeletha kuyinto ethinta umuntu ngamunye. Unelungelo lokukhetha uhlobo lokunakekelwa olufunayo. Yingakho kubalulekile ukwazi umehluko phakathi kombelethisi nodokotela wezifo zabesifazane (Ob/Gyn).

Wenzani umbelethisi?

Izinsizakalo ezinikezwa umbelethisi zingahluka kuye ngeziqu zabo, izitifiketi, imfundo, kanye nendawo. Ababelethisi abaqinisekisiwe nabahlengikazi abaqinisekisiwe bayakwazi ukunikeza izinsizakalo eziningi kakhulu. Ababelethisi abangenazo izitifiketi banganikeza izinsizakalo ezilinganiselwe.

Lezi ezinye zezinsizakalo zezempilo ongazithola kumbelethisi:

• Ukuba nemitholampilo yokubeletha nokukuqapha njalo phakathi nokukhulelwa kwakho. Lokho kusho ukuhlola izinto ezifana nesisindo sakho kanye nokushaya kwenhliziyo kwengane.
• Ukwenza izinto ezifana nokuskena nge-ultrasound kanye nokuhlolwa kwegazi okudingekayo ngesikhathi sokukhulelwa.
• Ukusiza ngesikhathi sokubeletha kanye nokunikeza ukunakekelwa okuyisisekelo kosana olusanda kuzalwa.
• Ukunakekelwa kwangemva kokubeletha. Lokhu kusho ukunakekela inhlalakahle yakho ngemva kokuthola umntwana wakho.
• Ukukufundisa ngokudla okunempilo, ukuncelisa, ukuzala, nezinye izindaba eziphathelene nempilo yokuzala.
• Ukunikeza izeluleko ngezindlela zokuhlela umndeni kanye nokulawula inzalo.
• Izinto ezifana nokuhlolwa kwe-Pap kanye nokuhlolwa kwamabele.
• Ukuhlolwa Kwezifo Ezithathelwana Ngocansi (ama-STI) kanye nezinye izifo ezithathelwanayo zesitho sangasese sowesifazane.

Umhlengikazi oqeqeshiwe angasebenza ezibhedlela, emitholampilo, ezikhungweni zokubeletha, noma ngisho nasekhaya lakho. Kodwa-ke, kunezindawo ezimbalwa lapho ababelethisi abangenazo iziqinisekiso bengasebenza khona. Kungcono ukubuza ngeziqu zombelethisi ngaphambi kokukhetha eyodwa nokuthola ukuthi yimiphi imithetho nemigomo yokunakekelwa kwababelethisi esibhedlela noma esikhungweni sokubeletha lapho uhlela ukubeletha khona ingane yakho.

Ingabe kunezinhlobo ezahlukene zababelethisi?

Yebo, kunezinhlobo eziningana zababelethisi. Lokhu kuhlukaniswa kanye namagama kungahluka kancane kuye ngamazwe, kodwa umqondo oyisisekelo yilo:

• Abahlengikazi Abanezitifiketi (ama-CNM): Laba ngabantu abaphothule isikole sobuhlengikazi futhi bathole iziqu zokubelethisa. Ngaphezu kokunikeza ukunakekelwa kwangaphambi kokubeletha kanye nokubeletha izingane, banganikeza ukunakekelwa okuvamile kokuzala, banikeze imithi, ba-ode ukuhlolwa kwelebhu, futhi baxilonge izifo. Bayafaneleka ukusebenza ezibhedlela, emakhaya, nasezikhungweni zokubeletha. Isibonelo, e-United States, baqinisekiswe yi-American Midwifery Certification Board.

• Ababelethisi Abaqinisekisiwe (ama-CM): Laba bangababelethisi abaneziqu ze-master's degree ekubelethiseni, kodwa abakaqedi isikole sobuhlengikazi. Iziqu zabo zokuqala zingase zibe sesifundweni esingesona esobuhlengikazi. Bangakunikeza nemithi. Baqinisekiswe yi-American Midwifery Certification Board, kodwa banelayisensi yokusebenza emazweni/ezifundazweni ezithile kuphela.

• Ababelethisi Abaqeqeshiwe Abaqinisekisiwe (ama-CPM): Laba babelethisi bavame ukusebenza ezikhungweni zokubeletha noma emakhaya. Baqedile ukuqeqeshwa okufanele futhi baqinisekiswe yinhlangano, njenge-North American Registry of Midwives, eNyakatho Melika. Abanalo ilayisensi yokusebenza kuwo wonke amazwe/izifundazwe, futhi abakwazi ukunikeza imithi.

• Ababelethisi abangenazo ilayisensi noma abavamile: Laba babelethisi abanaso isitifiketi noma ilayisensi ethile yokusebenza. Kungenzeka ukuthi bathole lolu lwazi ngokuzifundela noma ngolunye uqeqesho (mhlawumbe ngokusebenza njengomfundi oqeqeshwayo). Ababelethisi abangenazo ilayisensi bavame ukusebenza emakhaya.

Okubalulekile: Kungakhathaliseki ukuthi ukhetha uhlobo luni lombelethisi, kubaluleke kakhulu ukuhlola ukuthi baneziqu ezifanele, ukuqeqeshwa, kanye namalayisense, nokuthi basebenza ngokuhambisana nemithetho yezwe/isifunda sakho.

Ingabe ababelethisi bangodokotela?

Iningi lababelethisi ababona odokotela, kodwa abanye bangase babe neziqu zobudokotela emkhakheni wobuhlengikazi. Kodwa-ke, abanazo iziqu zobudokotela ezivela esikoleni sezokwelapha.

Uyini umehluko phakathi kombelethisi nodokotela wezifo zabesifazane kanye nodokotela wezifo zabesifazane (Ob/Gyn)?

Umehluko omkhulu usendleleni abanikeza ngayo imfundo nokunakekela.

Ababelethisi bavame ukusekela kakhulu, futhi babeka phambili izindlela zemvelo ukusiza ngokukhulelwa nokubeletha. Babona ukukhulelwa nokubeletha njengenqubo yemvelo, hhayi isimo sezokwelapha okufanele siphathwe. Bathambekele kakhulu ekusebenziseni izindlela zokubeletha ezingezona ezendabuko. Labo abafuna ukubeletha okukhululekile nokungacindezeli kakhulu banamathuba amaningi okukhetha umbelethisi.

Kodwa-ke, ngenxa yokuthi ababelethisi abaqeqeshwe esikoleni sezokwelapha, abakwazi ukuhlinzeka ngazo zonke izinsizakalo ezinganikezwa udokotela wezifo zabesifazane kanye nodokotela wezifo zabesifazane (Ob/Gyn). Abakwazi ukwelapha ukukhulelwa okuyingozi noma izinkinga ngesikhathi sokubeletha. Odokotela bezifo zabesifazane bangenza ukungenelela kwezokwelapha noma kokuhlinzwa abangakwazi ukukwenza uma kuvela izinkinga.

Lokhu akusho ukuthi ama-Ob/Gyn awasekeli, awabomuntu siqu, noma awavulelekile kwezinye izindlela. Awavulelekile. Uma ubhekene nobunzima bokwenza isinqumo, kungcono ukuhlangana nombelethisi kanye no-Ob/Gyn ukuze unqume ukuthi ubani ofanelana kahle nobuntu bakho kanye nokulindela kwakho ngokukhulelwa nokubeletha.

Ingabe umbelethisi ungcono kunodokotela?

Kuncike kakhulu kulokho okuthandwa ngumuntu ngamunye. Abanye abantu bakhetha ababelethisi, abanye bakhetha ama-Ob/Gyns. Umbelethisi uvame ukunconywa kuphela uma ukhulelwe ngendlela engengozi kakhulu. Ukukhulelwa okuningi akunangozi kakhulu.

Nazi ezinye zezinzuzo zokukhetha umbelethisi:

• Amathuba okunciphisa ukulethwa noma ukulethwa ngosizo ancishisiwe.
• Amathuba okubeletha ngokuhlinzwa ancishisiwe.
• Ukusetshenziswa okuncishisiwe kwe-epidurals noma eminye imithi yobuhlungu.
• Ingozi encishisiwe yokudabuka okukhulu kwe-perineal (ibanga lesi-3 nelesi-4) ngesikhathi sokubeletha.
• Ukuba nokuguquguquka okwengeziwe kokubelethela umntwana ekhaya.
• Unelawulo elingcono ekunakekelweni kwakho.

Kodwa-ke, ababelethisi abavamile ukuqeqeshwa ukwenza ukuhlinzwa. Uma ukukhulelwa noma ukubeletha kwakho kunzima noma usesimweni esiyingozi kakhulu, ababelethisi bazokudlulisela kudokotela wezifo zabesifazane kanye nodokotela wezifo zabesifazane (Ob/Gyn).

Ingabe ngidinga ukukhetha umbelethisi?

Uma ukhulelwe ngendlela evamile futhi usengozini encane, futhi ufuna ubuhlobo obuseduze nomhlinzeki wakho wezempilo , umbelethisi angase akulungele.

Kodwa-ke, uma unesifo esingadala izinkinga ngesikhathi sokukhulelwa noma sokubeletha, kungcono ukuba nokubambisana okuseduze phakathi kombelethisi wakho nodokotela wezifo zokubelethisa. Ezinye zezimo okufanele uziqaphele zifaka:

• Umfutho wegazi ophakeme
• Isifo sikashukela
• Uma uke waba nokuquleka ngaphambili (Umlando wokuquleka)
• Uma uke waba nokukhulelwa okuyingozi kakhulu ngaphambilini
• Uma ulindele amawele noma izingane eziningi (Kulindeleke ukuthi uzale izingane eziningi)

Uma unquma ukukhetha umbelethisi, sincoma ukuthi uthole umuntu onelayisensi futhi oqinisekisiwe ukusebenza ezweni/esifundeni sakho.

Ingabe zikhona izingozi zokuthola izinsizakalo ezivela kumbelethisi?

Ababelethisi basebenzisana nodokotela bezifo zabesifazane kanye nodokotela bezifo zabesifazane (Ob/Gyns), ochwepheshe bezokwelapha komama nomntwana, kanye nabanye abahlinzeki bezempilo ukuze banciphise izingozi zokunakekelwa kwakho. Uma ukhathazekile ngokubeletha, kuvame ukunconywa ukuthi usebenze nombelethisi osebenza esibhedlela. Lokhu kuzokusiza uzizwe uphephile uma kuvela izinkinga.

Uyini umehluko phakathi kwe-doula nombelethisi?

Igama elithi `Doula` livela esiGrekini elisho "umsizi wowesifazane." I-doula ngumuntu oqeqeshwe ukukunikeza ukwesekwa ngesikhathi sokubeletha nokubeletha. Bangakusiza ukuphatha ukucindezeleka, bakulethele uketshezi lokuphuza, basikisele izikhundla ezinganciphisa izinhlungu zokubeletha, futhi bakukhuthaze. Kodwa-ke, abaqeqeshwe ngokwezokwelapha. Ukunakekelwa abakunikezayo kuwukusekelwa ngokomzwelo nangokolwazi, hhayi ukunakekelwa kwezokwelapha. Umbelethisi ungumuntu oqeqeshwe ngokwezokwelapha ohlinzeka ngokunakekelwa kwezokwelapha.

Ingabe ababelethisi bayakwenza ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha ngokuhlinzwa)?

Cha, ababelethisi abakwazi ukwenza ukuhlinzwa kwe-C-section. Kodwa bangakusiza ngakho. Uma udinga ukuhlinzwa kwe-C-section, udokotela osebenzisana naye uzobizwa futhi uzothatha ukunakekelwa.

Ingabe ababelethisi bayanikeza ama-epidural?

Abanye ababelethisi bangakunikeza imithi yokunciphisa ubuhlungu njenge-epidural. Kodwa-ke, ababelethisi abakwazi ukunikeza imithi yokunciphisa ubuhlungu.Bazoxoxa ngalokhu nodokotela wezinzwa noma umhlengikazi obhalisiwe oqeqeshiwe we-Anesthetist (CRNA). Abahlinzeki bezinzwa zokubulala izinzwa bavame ukutholakala esibhedlela kuphela.

Yimiphi imibuzo okufanele uyibuze ngaphambi kokukhetha umbelethisi?

Abantu abaningi baxoxisana nababelethisi abangaba khona ngaphambi kokuba baqale ukusebenza ukuze babone ukuthi bakulungele yini futhi bazizwa bekhululekile. Nansi eminye imibuzo okufanele uyicabangele ngaphambi kokukhetha umbelethisi:

• Ngizobelethela kuphi ingane yami? (Isibhedlela, isikhungo sokubeletha, noma ikhaya?)
• Hlobo luni loqeqesho onalo? (Buza mayelana nezitifiketi, amalayisense)
• Usebenze isikhathi esingakanani njengombelethisi?
• Zingaki izinsuku zokubeletha oye wazithola?
• Uyini umbono wakho kanye nezindinganiso zakho mayelana nokubeletha?
• Yiziphi izivivinyo noma ukuhlolwa okwenzayo ngesikhathi sokukhulelwa?
• Ingabe umshwalense uzokhokhela izindleko?
• Ingabe usebenza nodokotela be-Ob/Gyns endaweni yakini? (Ingabe ukhona udokotela ongabhekisela kuye uma kunesimo esiphuthumayo?)

Le mibuzo izokusiza ukuthi wenze isinqumo esihle.

Ekugcineni, ake sikhumbule lokhu.

Umbelethisi uyisithako esibalulekile eqenjini lakho lezempilo yokuzala, ikakhulukazi ngesikhathi sokukhulelwa nokubeletha. Zilungele ukukhulelwa nokubeletha okungengozi kakhulu, noma uma ufuna indlela yemvelo.

Kodwa khumbula, akubona bonke ababelethisi abafanayo. Uma ufuna umbelethisi, qiniseka ukuthi ucwaninga ngezitifiketi zabo, izindawo abanikezwe khona ilayisensi yokusebenza, nokuthi banobudlelwano obuhle yini nomlingani kadokotela.

Kungakhathaliseki ukuthi ukhetha umbelethisi, udokotela wezifo zabesifazane/udokotela wezifo zabesifazane (Ob/Gyn), noma inhlanganisela yakho kokubili, abahlinzeki bakho bezempilo bazosebenzisana ukukusiza uthole umphumela ongcono kakhulu. Sikufisela ukukhulelwa okunempilo nokubeletha okuphephile!

Umbelethisi , ukubeletha, ukukhulelwa, umbelethisi, isisebenzi sezempilo somndeni, ukunakekelwa kokubelethisa, ukubeletha kwemvelo