Umdla wokuzalwa kwamakhaya unyuka ngexesha lesibetho se-COVID-19

Umxholo

• Ukukhulelwa komngcipheko omncinci ngabagqatswa bokuzalwa emakhaya
• Qonda umngcipheko wakho kwaye ube nesicwangciso sokugcina
• Yintoni ekufuneka uyazi ukuba ukhathazekile ngezibhedlele ngoku
• Thetha nomboneleli wakho malunga nokukhetha kwakho

Kulo lonke ilizwe, i-COVID-19 ineentsapho ezikhulelweyo eziphinda zivavanye izicwangciso zazo zokuzalwa kwaye zibuze ukuba ngaba ukuzalwa ekhaya yeyona ndlela ikhuselekileyo.

Njengoko i-COVID-19 iqhubeka isasazeka ngokuthe cwaka nangobundlongondlongo ukusuka komnye umntu ukuya emntwini, ukuzalwa kwamakhaya kuye kwaba yinto enyanzelekileyo kubantu abaninzi abakhulelweyo ababecwangcise ukubeleka esibhedlele ngaphambili.

Njengokuba bekuxeliwe ezindabeni ezifana neThe New York Times kunye neChicago Tribune, ababelekisi kwilizwe liphela bafumana ukwanda komdla kubantwana abazelwe ekhaya. Abasetyhini abakhulelweyo baphinde baqwalasele izicwangciso zabo zokuzalwa, ngakumbi njengoko iimeko ze-COVID-19 zasekhaya zinyuka kwaye izibhedlele zenze imigaqo-nkqubo emitsha ejikeleze ukuzalwa kunye nokhathalelo olusandul 'ukuzalwa.

Kwezinye iimeko, izibhedlele zinciphisa inkxaso yokuzala abantu, ukugunyazisa ukubanjwa kwabasebenzi okanye amacandelo e-C, okanye ukwahlula iintsana koomama abarhanelwa ukuba bane-COVID-19.

Olunye lolu tshintsho lunokukhokelela ekwandeni kweziphumo ezibi, amanqaku kuhlalutyo lwe-2017 ebonisa ukuba ukunciphisa umda kwinkxaso yokuzalwa kunokunyusa amathuba okungenelela kwezonyango.

Ngokunjalo, ukwahlula oomama neentsana ekuzalweni kunokuba nefuthe elibi. Ukhathalelo lolusu-nolusu kunye nokuncancisa kunezibonelelo ezinkulu zempilo, kwimpilo yexeshana kunye nexesha elide yeentsana.

Ezi zibonelelo zibaluleke ngokukodwa ngexesha lobhubhane, njengoko zombini ziphucula ukusebenza komzimba womntwana. Ngokucacileyo icebisa ukhathalelo lolusu-nolusu kunye nokuncancisa, nokuba umzali wokuzalwa avavanya i-COVID-19.

Ngenxa yemigaqo-nkqubo efana nale, iintsapho zilinganisela ukhetho lwabo. UCassandra Shuck, i-doula e-Charlotte, e-North Carolina, uthi ubonile ukunyuka komdla wokuzalwa kwamakhaya ngaphakathi kwindawo yakhe. Yonke imihla, abasetyhini abakhulelweyo abatsha bayafikelela ekubuzeni malunga nendlela abanokukhusela ngayo ubuchwephesha bokuzalwa ekhaya ngexesha lobhubhane.

"Ukuthetha ngokwasemzimbeni, ngayo yonke into eyenzekayo, umama-onokuthi azive ekhululekile kwimeko apho alawula khona ngakumbi," utshilo uShuck.

Ngenxa yokwanda komdla wokuzalwa kwamakhaya, iAmerican College of Obstetricians kunye neGynecologists (ACOG) kunye neAmerican Academy of Pediatrics (AAP) kutsha nje kukhuphe iingxelo ezibanga ukuba izibhedlele kunye namaziko okuqinisekisa ukuzala yeyona ndawo ikhuselekileyo yokuba nomntwana.

I-AAP iphinde yapapasha izikhokelo zokhuseleko kwabo baceba ukubeleka ekhaya, kunye nokuba ngubani othathwa njengomgqatswa ofanelekileyo wokuzalwa ekhaya.

Nantsi into ekufuneka uyazi malunga nokuzalwa kwasekhaya ukuba uyakuqwalasela.

Ukukhulelwa komngcipheko omncinci ngabagqatswa bokuzalwa emakhaya

Uninzi lweengcali zempilo ziyavuma ukuba abantu abafuna ukubelekela emakhaya kufuneka babenomngcipheko omncinci wokukhulelwa.

Uphando luye lwabonisa ukuba abafazi abakhulelweyo abasemngciphekweni omncinci abanakho ukuphinda babe neengxaki ekhaya kunokuba besesibhedlele. Ngapha koko, ukuzalwa kwamakhaya kuhlala kunxulunyaniswa namazinga asezantsi okungenelela koomama, njengokunyanzelwa kwabasebenzi, amacandelo okuyeka, kunye neenyembezi ezinkulu.

NgokukaGqirha Jessica Illuzzi, oyintloko yecandelo labasebenzi kunye nababelekisi kwiYale Medicine, phantse iipesenti ezingama-80 ukuya kuma-90 zeepesenti zokuzalwa komngcipheko ophantsi zinokwenzeka ngaphandle kwengxaki.

"Uninzi lwabasetyhini abasisigxina, banomntwana omnye ohleli phantsi ngaphandle kwezinye iingxaki zonyango okanye zokubelekisa kunokuba ngumgqatswa wokuzalwa ekhaya," utshilo u-Illuzzi.

Elinye i-10 ukuya kwi-20 yepesenti yamatyala, nangona kunjalo, inokuba nengxaki yokubelekisa kwaye kufuneka idluliselwe esibhedlele ukuze ifumane uncedo kwezonyango, waphawula.

I-AAP ikwacebisa ukuba abafazi abakhulelweyo abazalela ekhaya kufuneka babe neeveki ezingama-37 bekhulelwe (ngaphantsi kweeveki ezingama-37 zokukhulelwa kuthathelwa ingqalelo ngaphambi kwexesha), kwaye umfazi ngamnye uneqela lokhathalelo lwempilo lwabantu ababini ubuncinci- omnye wabo kufuneka abe noxanduva kwimpilo yosana olusandul 'ukuzalwa.

Ukongeza, abasetyhini abathathelwa ingqalelo benomngcipheko ophezulu wokukhulelwa- njengabo banesifo seswekile, i-preeclampsia, icandelo elidlulileyo le-Cesarean, okanye bephethe iimfesane ezininzi- kufuneka bakuthathele ingqalelo ukubeleka kwindawo yokhathalelo lwempilo, njengoko benokuphuhlisa iingxaki ezisongela ubomi.

"Kwabasetyhini abakolu didi lomngcipheko omkhulu, ndicebisa kakhulu ukuba siqwalasele isibhedlele okanye indawo yokuzalwa," utshilo uShuck.

Qonda umngcipheko wakho kwaye ube nesicwangciso sokugcina

Ukuba ucinga ngokuzalwa ekhaya, u-Illuzi uthi kubalulekile ukuqonda zonke izakhono, ukusikelwa umda, umngcipheko kunye nezibonelelo zokubelekela ekhaya.

Thetha kwiingcali zakho zokuzalwa kwaye uqonde ukuba ngawaphi amayeza kunye nezixhobo abaya kuba nazo, kunye nemvelaphi yabo kunye nezakhono.

Ukuba uthatha isigqibo sokuqhubela phambili ngokuzalwa ekhaya, iingcali zezempilo zicebisa ukuba ube nesicwangciso esifanelekileyo kwimeko apho kuya kufuneka uhanjiswe esibhedlele.

Uninzi lwabakhulelweyo abasemngciphekweni omkhulu luya kuba neziphumo ezilungileyo ekhaya, ngokutsho kohlalutyo lokuzalwa okungaphezulu kwama-800,000.

Oko kwathiwa, abanye abantu basetyhini banokufumana iingxaki ezingalindelekanga-ezinje nge-postpartum hemorrhage okanye ukwehla ngesiquphe kwinqanaba lentliziyo lomntwana okanye amanqanaba eoksijini- anokufuna uthutho esibhedlele.

Ngokophando olwenziwe ngo-2014 olupapashwe yi-The Midwives Alliance yaseNyakatho Melika eyavavanya iziphumo zokuzalwa kwabantu abaphantse babe li-17,000, malunga neepesenti ezili-11 zoomama abasebenzayo basiwe esibhedlele. Uninzi lwezi meko bezingahanjiswanga ngenxa yexesha likaxakeka, kodwa ngenxa yokuba abasebenzi bebengaqhubeki.

Ukuzalwa ekhaya kukhuseleke ngakumbi kwabo babekhe bazala ngaphambili. Ngokutsho kwe-ACOG, malunga neepesenti ezi-4 ukuya kwezi-9 zabasetyhini abakhulelweyo abaye bazala ngaphambili kuya kufuneka bafudukele esibhedlele. Eli nani linciphile ukusuka kwiipesenti ezingama-23 ukuya kwezingama-37 zoomama bexesha lokuqala abafuna ukutshintshelwa esibhedlele.

Okwangoku, kwiindawo ze-coronavirus "hotspot", iinkonzo zikaxakeka zinokulibaziseka. Kwakhona, i-AAP icebisa ukuba ukuzala kufutshane nesibhedlele kubalulekile xa kukho ingxaki; Ukuhamba ngaphezulu kwemizuzu eli-15 ukuya kwengama-20 ukuya kwiziko lonyango kunxulunyaniswa neziphumo ezibi zosana, kubandakanya nokusweleka.

Yintoni ekufuneka uyazi ukuba ukhathazekile ngezibhedlele ngoku

Esinye sezizathu eziphambili zokuba abafazi abakhulelweyo baqwalasele ukuzalwa kwamakhaya kungenxa yokoyika ukufumana i-COVID-19 esibhedlele.

U-Illuzzi ugxininise ukuba izibhedlele, njengalezo zidibene neYale Medicine, eNew Haven, eConnecticut, zisebenza ngokuzimisela "ukwenza indawo ezikhuselekileyo zabasetyhini ukuba babeleke." Izibhedlele ziye zonyusa amanyathelo okhuseleko kwabasetyhini abakhulelweyo nakwiintsana ukunciphisa onke amathuba okuvezwa.

"Izibhedlele ezininzi zenze iindawo ezingqongqo zoomama abane-COVID kunye nabasebenzi ababelwe ukusebenza naba mama ababakhathaleli abanye abaguli," utshilo u-Illuzzi.

Ukongeza, uninzi lwabasebenzi banxiba iimaski ze-N95, izikhuselo zamehlo, iigawuni kunye neiglavu ukuba kwaye xa befuna isigulana ukuba sibe ne-coronavirus, utshilo u-Illuzzi, esongeza ukuba imiphezulu icocwa kwaye ibulawe iintsholongwane rhoqo ukuthintela usulelo.

Thetha nomboneleli wakho malunga nokukhetha kwakho

Ukuba unomdla wokuzalela ekhaya, thetha nogqirha wakho okanye umbelekisi kwaye wabelane ngeengcinga zakho kunye neenkxalabo kunye nabo.

Baza kuba nakho ukuvavanya impilo yomama neyomntwana okhulelweyo, kwaye bachonge nayiphi na ingozi ekufuneka uyazi.

U-Shuck ucebisa ngokuzalwa okungafakwanga ekhaya. Ukuba ukhetha ukubelekela ekhaya, qiniseka ukuba uneqela lokuzalisa eliqinisekisiweyo ecaleni kwakho ngezixhobo ezifanelekileyo kunye nezixhobo.

Yenza uphando lwakho, ulinganise izibonelelo zakho kunye nomngcipheko, kwaye uzilungiselele.

"Olu lukhetho lomntu kwaye banokuthi bathethe ngalo kunye neqabane labo kunye neqela lokuzala," utshilo uShuck.

UJulia Ries ngumbhali osekwe kwi-LA ogubungela impilo kunye nokuba se-HuffPost, i-PBS, i-Girlboss, kunye ne-Philadelphia Inquirer, phakathi kwabanye. Ungawubona umsebenzi wakhe kwiwebhusayithi yakhe www.juliaries.com.