Kutheni ndithathe isigqibo sokuba yiPro Bono Ukuzalwa kukaDoula

Umxholo

• Ibali lam
• Ingxaki yoomama eUnited States
• Kuqhubeka ntoni apha?
• Iziphumo ezichaziweyo zedoulas kwigumbi lokuhambisa
• Isifundo se-2013 esivela kwiJenali yeMfundo yePerinatal
  
• Ityala lenkxaso eqhubekayo yabasetyhini ngexesha lokubeleka-uphononongo lukaCochrane ngo-2017
  
• Ikamva elinethemba le-doulas kunye noomama
• Fumana efikelelekayo okanye pro bono doula
  

Impilo kunye nokuphila kakuhle kuchaphazela ngamnye wethu ngokwahlukileyo. Eli libali lomntu omnye.

I-Groggy kunye nesiqingatha sobuthongo, ndijika kwi-nightstand yam ukujonga iselfowuni. Yayisandula ukwenza ingxolo yokukhala njengekhilikithi-ithoni yokukhala ekhethekileyo endiyigcinele kuphela abathengi bam be-doula.

Isicatshulwa sikaJoanna sifundeka ngolu hlobo: “Amanzi aqhekeka nje. Ukunciphisa kakhulu. ”

Ngu-2: 37 kusasa.

Emva kokumcebisa ukuba aphumle, ahlambe amanzi, achame, kwaye aphindaphinde, ndiye ndibuye ndilale - nangona kusoloko kunzima ukuphuma xa ndisazi ukuba ukuzalwa kusondele.

Kuthetha ntoni ukuphumla ikhefu lakho?

Xa umama wamanzi oza kubakho kungekudala aqhekeka, oko kuthetha ukuba ingxowa yakhe ye-amniotic iqhekekile. (Ngexesha lokukhulelwa, usana lujikelezwe kwaye ludityaniswe yile ngxowa, ezele lulwelo lwe-amniotic.) Ngokwesiqhelo, ingxowa yokuqhekeka kwamanzi luphawu lokuba ukubeleka kusondele okanye kuyaqala.

Kwiiyure ezimbalwa kamva ngo-5: 48 kusasa, uJoanna ufowunela ukundixelela ukuba ukucuthwa kwakhe kuyomelela kwaye kwenzeka rhoqo. Ndiyaqaphela ukuba unengxaki ekuphenduleni imibuzo yam kwaye uyancwina ngexesha lokuchasana - yonke imiqondiso yomsebenzi osebenzayo.

Ndipakisha ibhegi yam ye-doula, ndizele yonke into ukusuka kwioyile eyimfuneko ukuya ekugabheni iibhegi, ndaya kwindlu yakhe.

Ngaphezulu kweeyure ezimbini ezizayo, mna noJoanna senza ubuchule babasebenzi ebesikade siziqhelisa kwinyanga ephelileyo: ukuphefumla okunzulu, ukuphumla, ukubekwa komzimba, ukubonwa, ukuphululwa, ukubonwa ngomlomo, uxinzelelo lwamanzi kwishawari, kunye nokunye.

Malunga ne-9: 00 kusasa, xa uJoanna ekhankanya ukuba uziva uxinzelelo lwe-rectal kunye nomnqweno wokutyhala, siya esibhedlele. Emva kohambo oluqhelekileyo lwe-Uber, sibuliswa esibhedlele ngabongikazi ababini abasikhaphe basiya kwigumbi labasebenzi kunye nelokubeleka.

Samkela usana uNathaniel ngo-10: 17 ukuya ku-7 weepawundi, ii-ounces ezi-4 zokugqibelela.

Ngaba wonke umama akafanelekanga ukuba abe nokuzala okukhuselekileyo, okuhle, kunye nokuxhotyiswa? Iziphumo ezingcono azifanele zilinganiselwe kuphela kwabo banokuhlawula.

Ibali lam

NgoFebruwari 2018, ndigqibe uqeqesho lwe-doula lokuzalwa lweyure ye-35 kwizixhobo zendalo eSan Francisco. Oko ndathweswa isidanga, bendisebenza njengesixhobo seemvakalelo, somzimba, kunye nolwazi kunye neqabane labasetyhini abafumana imivuzo ephantsi ngaphambi, ngexesha, nasemva kokusebenza.

Ngelixa i-doulas inganikeli ngengcebiso yezonyango, ndinokufundisa abathengi bam ngongenelelo ngoncedo lonyango, amanqanaba kunye neempawu zomsebenzi, amanyathelo entuthuzelo, izikhundla ezifanelekileyo zabasebenzi kunye nokutyhala, isibhedlele kunye neendawo zokuzalwa kwamakhaya, nokunye okuninzi.

UJoanna, umzekelo, akanalo iqabane - utata akekho emfanekisweni. Akanayo usapho kuloo ndawo, nokuba. Ndisebenze njengelinye lamaqabane akhe aphambili kunye nezixhobo ngalo lonke ixesha lokukhulelwa kwakhe.

Ngokumkhuthaza ukuba aye kudinga lokukhulelwa kunye nokuthetha naye malunga nokubaluleka kwesondlo kunye nokutya ngexesha lokukhulelwa, ndiye ndamnceda ukuba abe nokukhulelwa okunempilo, okunomngcipheko ophantsi.

I-United States inelona zinga limbi lokufa koomama kwilizwe eliphuhlileyo. Kuyinto, xa kuthelekiswa ne-9.2 e-United Kingdom.

Ndaziva ndinomdla wokuzibandakanya emva kokwenza uphando olunzulu malunga nemeko eyoyikisayo yokukhathalela oomama kunye neziphumo e-United States. Ngaba wonke umama akafanelekanga ukuba abe nokuzala okukhuselekileyo, okuhle, kunye nokuxhotyiswa?

Iziphumo ezingcono azifanele zilinganiselwe kuphela kulabo abanokuhlawula.

Kungenxa yoko le nto ndikhonza abantu abafumana imivuzo ephantsi eSan Francisco njengevolontiya le-doula-inkonzo endikholelwa kakhulu ukuba iyafuneka ukuphucula ubomi babasetyhini kunye nabantwana kwilizwe lethu. Kungenxa yoko le nto ezinye i-doulas zibonelela ngokuguquguquka okanye isikali esityibilikayo xa kufikwa kwintlawulo.

Ingxaki yoomama eUnited States

Ngokwedatha evela kwi-UNICEF, amazinga okusweleka koomama kwihlabathi ehle phantse ngesiqingatha ukusuka ku-1990 ukuya ku-2015.

Kodwa i-United States-lelinye lawona mazwe atyebileyo, kunye nezona zihambele phambili emhlabeni-eneneni zihamba ngendlela eyahlukileyo xa kuthelekiswa nomnye umhlaba. Ikwalilo lizwe kuphela elenza njalo.

Sinezinga elibi kakhulu lokusweleka koomama kwilizwe eliphuhlileyo. Kuyinto, xa kuthelekiswa ne-9.2 e-United Kingdom.

Ubukho be-doula bukhokelela kwiziphumo ezingcono zokuzalwa kunye nokuncitshiswa kobunzima kubo bobabini umama nomntwana - asiyiyo nje "into entle ukuba nayo."

Ngexesha lophando lwexesha elide, iProPublica kunye ne-NPR zichonge ngaphezulu kwama-450 abalindileyo kunye noomama abatsha abaswelekileyo ukusukela nge2011 kwimiba eyavela ngexesha lokukhulelwa nokuzalwa. Le micimbi ibandakanya, kodwa ayikhawulelwanga:

• isifo sentliziyo
• Ukopha
• amahlwili egazi
• usulelo
• preeclampsia

Kuqhubeka ntoni apha?

Emva kwayo yonke loo nto, ayisiyiyo i-Middle Ages-akufuneki ukuba into eyindalo neqhelekileyo njengokuzalwa komntwana ikhuseleke ngokupheleleyo inikwe inkqubela phambili kunyango lwangoku? Kule mihla, kutheni oomama benikwa isizathu sokoyika ubomi babo?

Iingcali ziqikelela ukuba ezi ngxaki zibulalayo ziyenzeka- kwaye zenzeka ngenqanaba eliphezulu- ngenxa yeendlela ezahlukeneyo ezinokuthi zichaphazele omnye nomnye:

• baninzi abafazi abazala kamva ebomini
• ukonyuka kokuhanjiswa kokutya (amacandelo e-C)
• Inkqubo entsonkothileyo, engafikelelekiyo yokhathalelo lwempilo
• ukunyuka kwemicimbi yezempilo engapheliyo njengesifo seswekile kunye nokutyeba kakhulu

Uninzi lophando lukhanyisile ngokubaluleka kwenkxaso eqhubekayo, uthini ngenkxaso evela kwi-doula ngokuthe ngqo, ngokuchasene neqabane, ilungu losapho, umbelekisi, okanye ugqirha?

Uninzi lwabasetyhini abakhulelweyo-nokuba baluphi na uhlanga, imfundo, okanye umvuzo-baphantsi kwezi zinto ziphambili. Kodwa izinga lokusweleka koomama liphezulu kakhulu kubafazi abanengeniso ephantsi, abafazi abamnyama, kunye nabo bahlala ezilalini. Iintsana ezimnyama eMelika ngoku zinamathuba aphindwe kabini okusweleka njengeentsana ezimhlophe (iintsana ezimnyama, xa kuthelekiswa ne-4.9 kwi-1,000 yabantwana abamhlophe).

Ngokwedatha yokufa kwabantu kumaziko aseMelika oLawulo lweZifo noThintelo, inqanaba lokusweleka koomama kwiindawo ezinkulu zembindi yedolophu yayiyi-18.2 kwi-100,000 nganye yokuzalwa ngo-2015 -kodwa kwiindawo ezisemaphandleni, yayingu-29.4.

Akufuneki ukuba, ilizwe lethu liphakathi kwesoyikiso, ubhubhane wezempilo kwaye abantu abathile basemngciphekweni.

Kodwa i-doulas-abaqeqeshi bezonyango abanokufumana iiyure ezingama-35 okanye ezinye zoqeqesho, njengam-babe yinxalenye yesisombululo kwingxaki enkulu kangaka?

Iziphumo ezichaziweyo zedoulas kwigumbi lokuhambisa

Ngaphandle kwento yokuba kuphela sisi-6 seepesenti sabasetyhini abakhetha ukusebenzisa i-doula ngexesha lokukhulelwa nasemsebenzini kwilizwe liphela, uphando lucacile: Ubukho be-doula bukhokelela kwiziphumo ezingcono zokuzalwa kunye nokuncitshiswa kobunzima kumama nomntwana- asiyiyo nje "intle -ukufumana."

Isifundo se-2013 esivela kwiJenali yeMfundo yePerinatal

• Kuma-226 abalindelweyo oomama baseMelika nabamhlophe (izinto ezinje ngeminyaka kunye nohlanga zazifana phakathi kwiqela), phantse isiqingatha sabasetyhini sanikwa i-doula eqeqeshiweyo kwaye abanye babengekho.
• Iziphumo: Oomama abafaniswe ne-doula babe amatyeli amane mancinci amathuba okuba umntwana azalwe enesisindo sokuzalwa esisezantsi kwaye amatyeli amabini mancinci amathuba okuba bafumane ingxaki yokuzalwa ebandakanya bona okanye usana lwabo.

Uninzi lophando lukhanyisile ngokubaluleka kwenkxaso eqhubekayo, kodwa ngaba inkxaso evela kwi-doula ngokuthe ngqo, xa kuthelekiswa neqabane, ilungu losapho, umbelekisi, okanye ugqirha owahlukileyo?

Into enomdla kukuba, xa behlalutya idatha, abaphandi bafumanisa ukuba ngokubanzi, abantu abanenkxaso eqhubekayo ngexesha lokuzalwa komntwana ngamava okwehla komngcipheko wecandelo le-C. Kodwa xa i-doulas ingabo babonelela ngenkxaso, le pesenti ngequbuliso yehla ukwehla.

IAmerican College of Obstetricians and Gynecologists yakhupha lo mvumelwano ulandelayo ngo-2014: “Idatha epapashiweyo ibonisa ukuba esona sixhobo sisebenzayo ekuphuculeni iziphumo zabasebenzi kunye nokuhanjiswa kukuqhubeka kwabasebenzi abaxhasayo, njenge-doula.”

Ityala lenkxaso eqhubekayo yabasetyhini ngexesha lokubeleka-uphononongo lukaCochrane ngo-2017

• Uphononongo: Izifundo ezingama-26 malunga nokusebenza kwenkxaso eqhubekayo ngexesha lomsebenzi, ezinokubandakanya uncedo lwe-doula. Izifundo zibandakanya ngaphezulu kwe-15,000 yabasetyhini abavela kwimvelaphi eyahlukeneyo kunye neemeko.
• Iziphumo: "Inkxaso eqhubekayo ngexesha lomsebenzi ingaziphucula iziphumo zabafazi neentsana, kubandakanya ukwanda kokuzalwa okuzenzekelayo, ixesha elifutshane lomsebenzi, kunye nokuhla kokubeleka, ukubeleka kwilungu lobufazi, ukusetyenziswa kwayo nayiphi na i-analgesia, ukusetyenziswa kwe-analgesia yommandla, amanqaku aphantsi e-Apgar, kunye neemvakalelo ezingalunganga malunga namava okuzalwa komntwana. Asifumananga bungqina bobubi benkxaso yabasebenzi eqhubekayo. ”
• Isifundo sesigama sokuzalwa ngokukhawuleza: "I-Analgesia" ibhekisa kunyango lwentlungu kwaye "inqaku le-Apgar" yindlela impilo yeentsana evavanywa ngayo ekuzalweni kwaye kungekudala emva koko-amanqaku aphezulu, angcono.

Kodwa nantsi into: Ngokolu vavanyo luvela kwiAmerican Journal of Care Managed, abafazi abamnyama nabafumana umvuzo ophantsi zezona zinokwenzeka ukuba bafuna kodwa ubuncinci banokufikelela kukhathalelo lwe-doula.

Oku kunokwenzeka ngenxa yokuba abanakho ukuyifumana, bahlala kwindawo enejiyo ezimbalwa okanye bangabikho kwa-doulas, okanye ngokulula zange bafunde ngayo.

I-Doulas inokuthi ingafikeleleki kwabo bafuna ngokwenene.

Kwakhona kubalulekile ukukhankanya ukuba uninzi lwe-doulas ngabamhlophe, abafundileyo, abafazi abatshatileyo, ngokusekwe kwiziphumo zolu phando luka-2005 olupapashwe kwimiba yezeMpilo yabaseTyhini. (Nam ndiwela kweli candelo.)

Kungenzeka ukuba aba bathengi be-doulas bafanise iiprofayili zabo zobuhlanga kunye nezenkcubeko-ezibonisa ukuba kukho umqobo onokubakho ekuthinteleni uxhaso lwedoula. Oku kunokuba sisiseko senkolelo yokuba ii-doulas zizinto zokunethezeka ezinokuthi zifumaneke kuphela ngabafazi abamhlophe abazizityebi.

I-Doulas inokuthi ingafikeleleki kwabo bafuna ngokwenene. Kodwa kuthekani ukuba ukusetyenziswa okuxhaphakileyo kwe-doulas-ngakumbi kwaba bantu bangagcinwanga-kunokuthintela ezinye zeengxaki ezisemva kwezinga lokufa kwabantu ababhinqileyo e-U.S.

Ikamva elinethemba le-doulas kunye noomama

Lo ngowona mbuzo urhulumente waseNew York anethemba lokuwuphendula ngenkqubo yakhe yokulinga esandula ukubhengezwa, eya kuthi yandise ukugubungela iMedicaid kwi-doulas.

KwiSixeko saseNew York, abafazi abamnyama banamathuba ali-12 okufa ngenxa yezizathu ezinxulumene nokukhulelwa kunabafazi abamhlophe. Kodwa ngenxa yophando oluqinisekileyo lwe-doulas, abenzi bomthetho banethemba lokuba le nkcukacha-mhlathi ishiya umhlathi, idityaniswa nokwandiswa kweenkqubo zemfundo ngaphambi kokuzalwa kunye nokuphononongwa kwezibhedlele.

Ngokuphathelene nenkqubo, ezakuqalisa ngeli hlobo, iRhuluneli u-Andrew Cuomo uthi, "Ukusweleka koomama akufuneki kube luloyiko nakubani na eNew York ekufuneka ejongane naye kwinkulungwane yama-21. Sithatha inyathelo elindlongondlongo lokuphula imiqobo ethintela abasetyhini ekufumaneni unonophelo lwangaphambi kokubeleka kunye nolwazi abaludingayo. ”

Okwangoku, zombini iMinnesota kunye ne-Oregon zezinye kuphela iimeko ezivumela ukubuyiselwa kweMedicaid kwi-doulas.

Izibhedlele ezininzi, njengeSan Francisco General Hospital kwi-Bay Area, zenze iinkqubo ze-doula zokuzithandela ukulungisa lo mbandela.

Nasiphi na isigulana sinokutshatiswa nepro bono doula okhoyo ukukhokela umama ngaphambi kokubeleka, ngexesha lokuzalwa, nasemva koko. Amavolontiya e-doulas anokuphinda asebenze iiyure ezingama-12 esibhedlele kwaye abelwe umama osebenzayo ofuna inkxaso, mhlawumbi ukuba akasithethi kakuhle isiNgesi okanye ufike esibhedlele yedwa ngaphandle kweqabane, ilungu losapho, okanye umhlobo wokuxhasa.

Ukongeza, iSan Francisco's Homeless Prenatal Programme yinto engenzi nzuzo ebonelela nge-doula kunye nokhathalelo lwangaphambi kokubeleka kubemi besi sixeko abangenakhaya.

Njengoko ndiqhubeka ndifunda kwaye ndisebenza njenge-doula, ndiyathemba ukugxila kwimizamo yam kwaba bantu basemngciphekweni ngokuzinikela kwezi nkqubo kunye nokuthatha abathengi be-pro bono njengoJoanna.

Ngalo lonke ixesha ndisiva isandi esiqhelekileyo seqakamba sikhala kwifowuni yam ngentseni, ndiyazikhumbuza ukuba nangona ndindedwa, ndenza eyam indima encinci ukuphucula ubomi babasetyhini, kwaye mhlawumbi ndincedisa ukugcina ezinye, nazo.

Fumana efikelelekayo okanye pro bono doula

• Ngokugqibeleleyo u-Doula
• IVolontiya laseChicago iDoulas
• Isango leQela laseDoula
• Inkqubo yokuBeleka engenakhaya
• Uvimba wendalo
• Ukuzalwa
• Iprojekthi yeNdawo yeBa Bay eDoula
• Uqeqesho lweConerstone Doula

U-English u-Taylor ngumbhali wase-San Francisco wezempilo yabasetyhini kunye nokuba sempilweni kunye ne-doula yokuzalwa. Umsebenzi wakhe ubonakalisiwe kwiAtlantic, Refinery29, NYLON, LOLA, kunye THINX. Landela isiNgesi kunye nomsebenzi wakhe kuMedium okanye kwi I-Instagram.