Ukukhetha umboneleli wezempilo olungileyo wokukhulelwa nokubeleka

Zininzi izigqibo ekufuneka uzenzile xa ulindele umntwana. Enye yeyokuqala kukuthatha isigqibo sokuba loluphi uhlobo lomboneleli wezempilo olifunayo kukhathalelo lwakho kunye nokuzalwa komntwana wakho. Unokukhetha:

• Ogqirha
• Ugqirha wosapho
• Umongikazi-mzalikazi oqinisekisiweyo

Ngamnye waba baboneleli uchazwe ngezantsi. Ngamnye uqeqesho olwahlukileyo, izakhono, kunye nembono malunga nokukhulelwa nokuzala. Ukhetho lwakho luya kuxhomekeka kwimpilo yakho kunye nohlobo lwamava okuzalwa owafunayo.

Nazi izinto ekufuneka uzithathele ingqalelo xa usenza isigqibo ngohlobo lomboneleli olifunayo:

• Izinto ezinobungozi onokuba nazo kwiingxaki ngexesha lokukhulelwa nokubeleka
• Apho ungathanda ukuhambisa khona umntwana wakho
• Iinkolelo zakho kunye neminqweno ngokuzalwa kwendalo

Ugqirha (OB) ngugqirha onoqeqesho olukhethekileyo kwimpilo nakwimithi yabasetyhini.

Oogqirha bagqwesa ekunyamekeleni abasetyhini ngexesha lokukhulelwa nasemsebenzini, nasekuhambiseni abantwana babo.

Ezinye ii-OB ziye zaqhubela phambili uqeqesho ekunyamekeleni ukukhulelwa okusemngciphekweni omkhulu. Babizwa ngokuba ziingcali zamayeza oomama abakhulelweyo, okanye iingcali zepherinatologists. Abasetyhini banokucetyiswa ukuba babone iingcali ze-OB ukuba:

• Ngaba wayekhulelwe ngaphambili
• Silindele amawele, kathathu, okanye nangaphezulu
• Unemeko yezonyango esele ikho
• Kufuneka ube nokuhanjiswa kwe-cesarean (icandelo le-C), okanye ubukhe wanalo ngaphambili

Ugqirha wosapho (FP) ngugqirha ofundele ukuba liyeza lonyango. Lo gqirha unokunyanga izifo ezininzi kunye neemeko, kwaye uphatha amadoda nabafazi bayo yonke iminyaka.

Abanye oogqirha bosapho bakhathalela abantu basetyhini abakhulelweyo.

• Uninzi luya kukukhathalela ngexesha lokukhulelwa kwakho naxa uhambisa umntwana wakho.
• Abanye banikezela ngononophelo lwangaphambi kokubeleka kwaye banononophelo lwe-OB okanye umbelekisi ngexesha lokuzalwa komntwana wakho.

Oogqirha bosapho baqeqeshelwe ukukhathalela usana lwakho emva kokubeleka.

Abongikazi ababelekisi (CNM) abaqinisekisiweyo baqeqeshelwa ubuhlengikazi kunye nokubelekisa. Uninzi lwe-CNM:

• Unesidanga se-bachelor's in nursing
• Yiba nesidanga sokuqala kwi-midwifery
• Iqinisekisiwe yiKholeji yaseMelika yaBongikazi abaBelekisi

Abongikazi ababelekisi bakhathalela abasetyhini ngexesha lokukhulelwa, ukubeleka kunye nokuzala.

Abasetyhini abafuna ukuba nokuzalwa kwendalo ngangokunokwenzeka banokukhetha i-CNM. Abazalisikazi bajonga ukukhulelwa kunye nokubeletha njengeenkqubo eziqhelekileyo, kwaye banceda abafazi ngokukhuselekileyo ngaphandle kokunyanga okanye ukunciphisa ukusetyenziswa kwabo. Unyango lunokubandakanya:

• Amayeza entlungu
• Umshini okanye i-forceps
• Amacandelo e-C

Uninzi lwabazalisikazi abongikazi basebenza nee-OBs. Ukuba iingxaki okanye imeko zonyango ziyavela ngexa lokukhulelwa, umfazi uya kuthunyelwa kwi-OB ukuze abonisane okanye athathe unonophelo.

Unonophelo lwangaphambi kokubeleka Unonophelo lokukhulelwa - umboneleli wezempilo

Ikholeji yaseMelika yezithintelo kunye newebhusayithi yamaGynecologists. Isiteyitimenti esidibeneyo sobudlelwane bokuziqhelanisa phakathi kwababelekisi-gynecologists kunye nabongikazi abaqinisekisiweyo / ababelekisi abaqinisekisiweyo. www.acog.org/clinical-information/policy-and-position-statement/statement-of-policy/2018/joint-statement-of-practice-relations-between-ob-gyns-and-cnms. Ukuhlaziywa kuka-Epreli 2018. Kufumaneka ngo-Matshi 24, 2020.

UGregory KD, uRamos DE, uJauniaux ERM. Ukuqonda kwangaphambili kunye nokhathalelo lwaphambi kokubeleka. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 6.

UWilliam DE, uPridjian G. Obstetrics. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 20.

• Ukubeleka
• Ukukhetha uGqirha okanye iNkonzo yoKhathalelo lwezeMpilo
• Ukukhulelwa