Ubomi okanye ukufa: Indima yeDoulas ekuphuculeni iMpilo yabaNtu abaMnyama

Umxholo

• Inyani ejongene noomama abamnyama
• Ukunyamekela kukaDoula kunika isisombululo
• Zilungiselele

Abafazi abamnyama basemngciphekweni wokuba neengxaki ngexesha lokukhulelwa nokubeleka. Umntu oxhasayo anganceda.

Ndihlala ndiziva ndonganyelwe ziinyani ezingqonge impilo yomama omnyama. Izinto ezinje ngobuhlanga, isini, ukungalingani kwemivuzo, kunye nokunqongophala kokufikelela kwizixhobo ngaphandle kwamathandabuzo zichaphazela amava okuzala kamama. Le nyaniso iyodwa ithumela uxinzelelo lwegazi kuphahla.

Ndityiwe kukucinga ngeendlela zokuphucula iziphumo zokuzalwa kwindawo endihlala kuyo. Ukuthetha nabameli bempilo yoomama kunye neyokuzalwa malunga neyona ndlela ilungileyo yokusombulula ezi ngxaki zihlala zikhokelela ezantsi emngxunyeni onogwaja ongapheliyo.

Ubungakanani bamanani-manani buyothusa. Kodwa akukho nto-kwaye andithethi nto-indenza ndifune ukukhuthaza utshintsho ngakumbi kunamava am obuqu.

Inyani ejongene noomama abamnyama

Njengomama wabantwana abathathu, ndinamava okuzalwa kwesibhedlele kathathu. Ukukhulelwa ngakunye kunye nokuhanjiswa okwalandelayo kwahlukile njengasebusuku nasemini, kodwa umxholo omnye oqhelekileyo yayikukusilela kwam kukhuseleko.

Malunga neeveki ezisi-7 ndikhulelwe okokuqala, ndaye ndaya kuhlolwa kwiziko lezempilo lendawo endikuyo, ndixhalabile ngosulelo. Ngaphandle kovavanyo okanye nakuphi na ukubanjwa ngokwasemzimbeni, ugqirha wabhala iyeza waza wandigodusa.

Kwiintsuku ezimbalwa kamva ndandisemnxebeni nomama, ugqirha, owabuza ukuba uhambo lwam luhambe njani. Xa ndabelana ngegama lamayeza endabelwe wona wakhawuleza wandibeka ukuba ndijonge. Njengoko wayekrokrela, bekungafanelanga ukuba kumiselwe.

Ukuba bendilithathile iyeza, bekungabangela ukukhupha isisu ngokuzenzekelayo kwitrimester yam yokuqala. Akukho magama okuchaza indlela endinombulelo ngayo ngokulinda kwam ukuba ndigcwaliswe. Kwaye akukho magama okuchaza uloyiko olwaluzalise intliziyo yam xa ndicinga ngento enokwenzeka.

Ngaphambili, bendinentlonipho esempilweni "kwiingcali" kwaye kungekho sizathu sikhulu sokuziva ngenye indlela. Andikhumbuli ndingazithembi izibhedlele okanye oogqirha ngaphambi kwaloo mava. Okulusizi kukuba, ukunqongophala kononophelo kunye nokungakhathalelwa endadibana nako kwabonakala nakukukhulelwa kwam kamva.

Ngexesha lokukhulelwa kwam okwesibini, xa ndafika esibhedlele ndikhathazekile ziintlungu zesisu, ndaphinda ndathunyelwa ekhaya. Abasebenzi babonakala bekholelwa ukuba ndiyasebenza, ngenxa yoko i-OB yam yabiza isibhedlele egameni lam ukuba inyanzelise ukuba bayandamkela.

Emva kokungeniswa, bafumanisa ukuba ndiphelile emzimbeni kwaye ndinamava okuqala. Ngaphandle kongenelelo, ngendandibeleke ngaphambi kwexesha. Olu tyelelo lubangele iinyanga ezi-3 zokuphumla ebhedini.

Okokugqibela, kodwa ngokuqinisekileyo kungaphelelanga apho, amava am okuzalwa okwesithathu nawo aphathwa kakubi. Ngelixa ndikonwabele ukukhulelwa okuphezulu kwamandla, amandla aphezulu, ukubeleka kunye nokuhanjiswa lelinye ibali. Ndothuswa kukukhathalelwa kwam.

Phakathi kokutshekishwa komlomo wesibeleko okunyanzelekileyo kunye ne-anesthesiologist endixelele ukuba angandinika i-epidural ndicime izibane (kwaye ndizamile), ndisoyika ukhuseleko lwam kwakhona. Ngaphandle kwenkangeleko eyoyikekayo ebusweni babo bonke abakwelo gumbi, andahoywa. Ndakhunjuzwa ngendlela endandingahoywa ngayo ngaphambili.

NgokwamaZiko oLawulo lweNtsholongwane kunye noThintelo (CDC), abasetyhini abamnyama bayafa malunga neqondo labasetyhini abamhlophe ekufeni okunxulumene nokuzalwa. Elo nani-manani liba mandundu ngakumbi ngobudala. Abafazi abamnyama abangaphezulu kweminyaka engama-30, kunokwenzeka ukuba bafe ngokuzalwa kunabasetyhini abamhlophe.

Sikwanamathuba okuba sifumane iingxaki ezingakumbi ngalo lonke ixesha lokukhulelwa kwethu kwaye mancinci amathuba okuba sikwazi ukufikelela kukhathalelo olufanelekileyo ngexesha lethu lokuzala. I-Preeclampsia, i-fibroids, ukutya okungalinganiyo, kunye nokunakekelwa komama okusemgangathweni ophantsi kuhlasela uluntu lwethu.

Kuyavunywa, uninzi lwezinto ezichaphazela ezo zibalo zinokuthintelwa. Ngelishwa, kule minyaka ingamashumi idlulileyo, ngaphandle kwenkqubela phambili kwezonyango kunye nedatha ebonisa ukungafani okukhulu, akukho nto ingako itshintshileyo.

Ngokophando olwenziwe liziko lenkqubela phambili yaseMelika, uninzi lwabamelwane abantsundu kusenzima kubo kwiivenkile zokutya ezisemgangathweni, amaziko ezempilo axhaswa kakuhle kunye nezibhedlele, kunye nokugubungela impilo rhoqo.

Uninzi lunokucinga ukuba ukungafani esijamelene nako ngumbandela wezoqoqosho. Asiyonyani leyo. Ngokwe-CDC, oomama abamnyama abanesidanga sasekholejini kunokwenzeka ukuba babhubhe xa bebeleka kunabalingani babo abamhlophe.

Ukungabikho kokhuseleko ekuzalweni kuchaphazela wonke umama omnyama, ukusukela kwimbaleki yeOlimpiki uSerena Williams ukuya kumfazi osemncinci ofunde kwisikolo samabanga aphakamileyo obelekayo ngoku.

Abafazi abamnyama bayo yonke imvelaphi yentlalo noqoqosho bajongene nemiceli mngeni ebomini okanye ekufeni. Ubumnyama bubonakala njengokuphela kwesiqhelo esinciphisa ithuba lomntu ozalelayo ekukhulelweni nasekubelekeni okunempilo. Ukuba umnyama kwaye uzala, unokuba kumlo wobomi bakhe.

Ukunyamekela kukaDoula kunika isisombululo

Qho xa ndibeleka, bendiqinisekisa ukuba umama wam ukhona. Nangona abanye abantu basetyhini banokwenza eso sigqibo ngokuzikhethela, ndenze eso sigqibo ngenxa yesidingo. Inyani yile, ndiyakholelwa ngaphandle komntu ozokundithethelela ngendonzakele okanye ndibhekane nokufa.Ukuba nomntu onolwazi egumbini onomdla wam ngentliziyo wenze umahluko omkhulu.

Kwiminyaka eyadlulayo, ndanikezela ukuba ndibengumntu onika inkxaso kumhlobo wam ngexa lokukhulelwa kwakhe, ndisazi ukuba indincede kangakanani. Emva kokubona zonke iindlela enziwe ukuba angabonakali ngazo kuhambo lwakhe lokuzalwa, imibuzo enje "Ndingenza ntoni?" kwaye "Ndingayithintela njani le nto ukuba ingaphinde yenzeke" yajikeleza entlokweni yam.

Ndithathe isigqibo kwangoko ukuba usapho lwam, abahlobo, kunye noluntu luyakuhlala linomntu apho ukubaxhasa nokubathethelela ngexesha lokukhulelwa kwabo. Ndithathe isigqibo sokuba yi-doula.

Kwakuneminyaka eli-17 eyadlulayo. Uhambo lwam lwe-doula lundikhokelele kumagumbi amaninzi esibhedlele, amaziko okuzalwa kunye namagumbi okuhlala ukuxhasa umzuzu ongcwele wokuzalwa. Ndihambile neentsapho ngohambo lwabo lokukhulelwa kwaye ndifunde kwintlungu, uthando, ukwenzakala, kunye nobunzima.

Xa ndithathela ingqalelo onke amava oluntu lwam olumnyama lunyamezeleyo - inkcubeko, imiba yokuthembana, umothuko ongenasiphene, kunye noxinzelelo esidibana nalo ebomini bethu - kunzima ukucebisa nasiphi na isisombululo. Umahluko kukhathalelo lwempilo ziziphumo zemicimbi emikhulu yasekuhlaleni. Kodwa inye into ekhokelela kwiziphumo ezingcono ebhodini.

Ukwenza ukhathalelo lwe-doula lufumaneke ngokulula kunokunceda ukuphucula impilo yomama omnyama ekukhulelweni nasekuhanjisweni.

Abasetyhini abamnyama banamathuba angama-36 epesenti yokuba necandelo le-C kunabasetyhini balo naluphi na olunye uhlanga, kuchazwe enye. Ukhathalelo lwe-doula yaphambi kokubeleka inika abasetyhini inkxaso eyongezelelweyo ngaphambi kokubeleka, ibonelela ngendawo yokuhanjiswa kwegumbi, kwaye, ngokokuphononongwa ngo-2016 kwezifundo, kubonisiwe ukunciphisa amaxabiso eC-c.

Iziko lenkqubela phambili yaseMelika linike ingxelo ngophando lwamva nje oluvela kumbutho ongenzi nzuzo eWashington DC onjongo zawo ikukuxhasa oomama bombala. Bafumanise ukuba xa abafazi abanengeniso ephantsi kunye nabambalwa banikwa ukhathalelo olujolise kusapho kumama obelekisa, u-doula, kunye neengcali zokuncancisa, babenentsana yokufa kwabantwana kunye noomama, kwaye iipesenti ezingama-89 zakwazi ukuqala ukuncancisa.

Kucacile ukuba ukubonelela abafazi abamnyama ngenkxaso ekukhulelweni nasemva kokubeleka kwandisa amathuba abo okuzalwa okunempilo komama nosana.

Zilungiselele

Inyaniso kukuba awukwazi ukulawula ukuba omnye umntu uza kwenza ntoni okanye azame ntoni, kodwa ungazilungiselela. Ukwaziswa malunga nenkcubeko yendawo okhetha ukuzalwa kuyo kubalulekile. Ukuqonda imigaqo-nkqubo kunye neenkqubo zikwenza ube sisigulana esinolwazi. Ukwazi imbali yakho yezonyango kunye nazo naziphi na izinto ezichasayo kunokubonelela ngoxolo olukhulu lwengqondo.

Ukomeleza kunye nokuqinisa iinkqubo zakho zenkxaso kubonelela ngengqondo yomhlaba. Nokuba uqesha i-doula okanye umbelekisi okanye uzisa ilungu losapho okanye umhlobo kuziso, qiniseka ukuba wena nenkqubo yakho yenkxaso bakwiphepha elinye. Ukujonga lonke ixesha lokukhulelwa kwenza umahluko!

Okokugqibela, zive ukhululekile ukuzikhuthaza. Akukho mntu unokukuthethela njengoko unakho. Ngamanye amaxesha sikushiya kwabanye ukuba basifundise ngokwenzeka ngaphakathi kwethu. Kodwa kufuneka sibuze imibuzo kwaye sibambe imida esempilweni xa kuziwa kwimizimba yethu kunye namava okuzalwa.

Impilo emnyama yoomama kunye neyokubeleka ichaphazeleka kwizinto ezininzi. Ukuba neqela elomeleleyo lokuxhasa inzala elityalwe kwiziphumo ezilungileyo kusapho lwakho kubalulekile. Ukujongana nokukhetha inkqubo kunye nokungakwazi ukusebenza kwenkcubeko kunyanzelekile. Ukuqinisekisa ukuba oomama bayo yonke imvelaphi banokufikelela kukhathalelo olunolwazelelelo, olubanzi kufuneka kube yinto ephambili.

Ndinqwenela ukuba ibali lam linqabile, ukuba abantu ababhinqileyo abafana nam baphathwe ngembeko, ngesidima nangononophelo xa bebeleka. Kodwa asiyiyo. Kuthi, ukuzalwa ngumba wobomi okanye wokufa.

UJacquelyn Clemmons yi-doula yokuzalwa enamava, i-doula yesiko emva kokubeleka, umbhali, umzobi, kunye nomphathi we-podcast. Unomdla wokuxhasa ngokupheleleyo iintsapho ngenkampani yakhe esekwe eMaryland iDe La Luz Wellness.