Lo mbelekisi unikezele ngekhondo lakhe lomsebenzi ekuncedeni abasetyhini kwiintlango zoKhathalelo koomama

Umxholo

• Ndaqalisa Njani Ukukhonza Abantu Abangancedwayo
• Ukuqonda Umda weNgxaki
• Indlela iiYunithi zoNonophelo lweMpilo eziSetyenziswayo zibanceda ngayo abasetyhini baseD.C.
• Kutheni ukungafani koKhathalelo lwezeMpilo kwabafazi, kwaye kufuneka wenze ntoni ngabo
• Uphengululo lwe

Ubelekisi bubaleka egazini lam. Bobabini umakhulu notatomkhulu wam babengabazalisikazi xa abantu abaMnyama bengamkelekanga kwizibhedlele zabamhlophe. Akuphelelanga apho, kodwa iindleko zokubeleka bezingaphezu kwamandla eentsapho ezininzi, yiyo loo nto abantu bebezidinga kakhulu iinkonzo zabo.

Sele kudlule amashumi eminyaka, kodwa iyantlukwano ngokobuhlanga kukhathalelo lwempilo kamama isaqhubeka-kwaye ndinelunda lokulandela emanyathelweni ookhokho bam kwaye ndenze indima yam ekuvaleni lo msantsa nangakumbi.

Ndaqalisa Njani Ukukhonza Abantu Abangancedwayo

Ndaqala umsebenzi wam kwimpilo yabasetyhini njengomongikazi wokhathalelo loomama ndigxile ekusebenzeni nasekubelekeni. Ndakwenza oko kangangeminyaka ngaphambi kokuba ndibe ngumncedisi kagqirha kwizifundo zokubelekisa nezabafazi. Kwakungekho ngo-2002, nangona kunjalo, apho ndagqiba ekubeni ndibe ngumdlezana. Injongo yam yayihlala kukunceda abasetyhini abasweleyo, kwaye umbelekisi waba yeyona ndlela inamandla yokwenza oko. (ICYDK, umbelekisi ngumboneleli wezempilo onelayisensi kunye noqeqeshiweyo onobuchule kunye nezakhono zokunceda abafazi ukuba babe nokukhulelwa okunempilo, ukuzalwa okufanelekileyo, kunye nokubuyisela ngempumelelo emva kokubeleka kwizibhedlele, izibonelelo zempilo, kunye namakhaya abantu.)

Emva kokufumana isatifikethi sam, ndaqalisa ukukhangela imisebenzi. Ngo-2001, ndafumana ithuba lokusebenza njengombelekisi kwiSibhedlele iMason General eShelton, isixeko esisemaphandleni eMason County kwiphondo laseWashington. Abantu bendawo ngelo xesha babemalunga nama-8 500 abantu. Ukuba ndithathe umsebenzi, ndiza kukhonza yonke idolophu, kunye nenye enye i-ob-gyn.

Njengoko ndandizinza kumsebenzi omtsha, Ndikhawuleze ndabona ukuba bangaphi abantu basetyhini abanesidingo sokukhathalelwa- nokuba yayikukufunda ukulawula iimeko ezazisele zikhona, imfundo esisiseko yokubeleka kunye nokuncancisa, kunye nenkxaso yezempilo yengqondo. Ngalo lonke ixesha lokuqeshwa, ndenze inqaku lokubonelela oomama abakhulelweyo ngezibonelelo ezininzi kangangoko. Awunakuze uqiniseke ukuba izigulane beziza kuqhuba novavanyo lwaphambi kokubeleka ngenxa nje yokufikelela esibhedlele. Kwafuneka ndenze iikiti zokubeletha, eziqulethe ukuhanjiswa okukhuselekileyo nokucoceka (okt.iipads ze-gauze, ii-mesh undies, i-clamp for the umbilical cord, njl. Ndiyakhumbula ngelinye ixesha, kwakukho i-avalanche eyabangela ukuba abaninzi oomama babe nekhephu xa kwakufika ixesha lokubeletha - kwaye ezo zixhobo zokubeleka zafika ngokufanelekileyo. (Inxulumene: Ukufikeleleka kunye neNkxaso yeMithombo yezeMpilo yeNgqondo yaBamnyama Womxn)

Amaxesha amaninzi, igumbi lokusebenza lalinolibaziseko olukhulu. Ke, ukuba abaguli bafuna uncedo olungxamisekileyo, bahlala benyanzelwa ukuba balinde ixesha elide, elibeka ubomi babo emngciphekweni- kwaye ukuba imeko yexesha likaxakeka ingaphaya kwamandla esibhedlele, kufuneka sicele ihelikopta enkulu izibhedlele kude lee. Ngokunikwa indawo esihlala kuyo, bekudingeka ukuba silinde ngaphezulu kwesiqingatha seyure ukufumana uncedo, ngamanye amaxesha eligqibela sele silibele kakhulu.

Ngelixa ngamanye amaxesha ibibuhlungu, umsebenzi wam ubundivumela ukuba ndizazi ngokwenene izigulana zam kunye nemiqobo ethintela ukukwazi kwabo ukufikelela kukhathalelo lwempilo oluludingayo kwaye olulufaneleyo. Ndiyazi ukuba le kanye kanye bendifanele ukuba kuyo. Ngexesha lam leminyaka emithandathu ndiseShelton, ndavelisa umlilo wokuba yeyona nto ibalaseleyo endinokuyenza kulo msebenzi ndinethemba lokunceda abafazi abaninzi kangangoko ndinako.

Ukuqonda Umda weNgxaki

Emva kwexesha lam e-Shelton, ndagxuma kwilizwe lonke ndibonelela ngeenkonzo zokubelekisa kwiindawo ezingafumani nkonzo. Ngo-2015, ndabuyela kwi-D.C.-metropolitan, apho ndivela khona ekuqaleni. Ndiqale omnye umsebenzi wokubelekisa, kwaye kungaphantsi kweminyaka emibini kwisikhundla, i-DC yaqala ukujongana notshintsho olukhulu kufikelelo kukhathalelo lwempilo yoomama, ngakumbi kwiiWadi 7 kunye ne-8, ezinabantu abadibeneyo abangama-161,186, ngokwemiba yezeMpilo ye-DC.

Imvelaphi encinci: I-DC ibisoloko yaziwa njengenye yezona ndawo ziyingozi kakhulu kubafazi abaMnyama ukuba bazale e-US Enyanisweni, ide "ibekwe kwindawo embi kakhulu, okanye ekufutshane kakhulu, yokufa komama xa kuthelekiswa namanye amazwe. "Ngokwengxelo kaJanuwari 2018 evela kwiKomiti yezoBulungisa kunye noKhuseleko loLuntu. Kwaye kunyaka olandelayo, idatha evela kwiSiseko seMpilo eManyeneyo yabonisa ngakumbi le nyani: Ngo-2019, izinga lokusweleka koomama e-D.C. lalingama-36.5 lokusweleka kwi-100,000 labantwana abazalwayo (vs. izinga lesizwe lama-29.6). Kwaye la maxabiso ayephezulu kakhulu kubafazi abaNtsundu ngokusweleka kwabangama-71 kwi-100,000 nganye yokuzalwa okwenzeka kwikomkhulu (vs. 63.8 kuzwelonke). (Inxulumene: Intombi kaCarol isandula ukumilisela iphulo elinamandla lokuxhasa impilo yabamnyama)

La manani kunzima ukuwetyisa, kodwa ukuzibona zidlala, enyanisweni, kwakunzima nangakumbi. Imeko yokhathalelo lwempilo yoomama kwikomkhulu lesizwe sethu yatshintsha yaba mandundu ngo-2017 xa i-United Medical Centre, esinye sezibhedlele ezinkulu kulo mmandla, yavala iwadi yayo yokubelekisa. Kumashumi eminyaka, esi sibhedlele besibonelela ngeenkonzo zempilo zoomama kuluntu oluhlwempuzekileyo nolusweleyo kwiiWadi 7 no-8. Emva koko, isibhedlele saseProvidence, esinye isibhedlele esikhulu kule ndawo, naso sivale iwadi yaso yokubeleka ukonga imali, senza lo mmandla ye-DC intlango yokhathalelo loomama. Amawakawaka oomama abalindeleyo kwiimbombo zedolophu ezihlwempuzekileyo basala bengenalo ufikelelo kwangoko kukhathalelo lwempilo.

Ngobusuku nje, aba mama abalindeleyo banyanzelwa ukuba bahambe imigama emide (isiqingatha seyure okanye nangaphezulu )- enokuba bubomi okanye kukufa kwimeko engxamisekileyo- ukufumana ukhathalelo olusisiseko lokubeleka, ukuhanjiswa kunye nokhathalelo lwasemva kokubeleka. Ekubeni abantu bolu luntu bedla ngokungabi namali, ukuhamba kuba ngumqobo omkhulu kula mabhinqa. Abaninzi abanakukwazi ukufumana unonophelo lwabantwana olufumanekayo lula kubo nabaphi na abantwana abasenokuba sele benabo, ngakumbi ukuthintela ukukwazi kwabo ukutyelela ugqirha. Aba basetyhini bakwanalo neeshedyuli ezingqongqo (ngenxa yokuba, bathi, ukusebenza imisebenzi eliqela) eyenza ukukrola iiyure ezimbalwa zokuqeshwa kube nzima nangakumbi. Ke kuye kwehle ukuba okanye ungatsiba yonke le miqobo yovavanyo olusisiseko lokubeleka ngaphambi komntwana kufanelekile- kwaye amaxesha ngamaxesha kunokuba kunjalo, isivumelwano asikho. Aba bafazi badinga uncedo, kodwa ukuze sikwazi ukufikelela kubo, kufuneka sidale izinto ezintsha.

Ebudeni beli xesha, ndaqalisa ukusebenza njengomalathisi weNkonzo yababelekisi kwiYunivesithi yaseMaryland. Apho, saye saziswa yi-Better Starts for All, inkqubo esemhlabeni, yempilo yoomama abahambahambayo eneenkonzo ezijolise ekuziseni inkxaso, imfundo, kunye nokunakekela oomama noomama abaza kubakho. Ukuzibandakanya nabo kwakungeyongqondo.

Indlela iiYunithi zoNonophelo lweMpilo eziSetyenziswayo zibanceda ngayo abasetyhini baseD.C.

Xa kuziwa kubafazi abakwiindawo ezingakhuselekanga ezinje ngeWadi 7 kunye ne-8, kukho uluvo lokuba "Ukuba andophukanga, akukho mfuneko yokuba ndilungiswe," okanye "Ukuba ndiyasinda, ke andiyenzi ' funeka ndiye kufuna uncedo." Ezi nkqubo zokucinga zicima ingcamango yokubeka phambili ukhathalelo lwezempilo olukhuselayo, olunokukhokelela ekubulaweni kweengxaki zempilo zexesha elide. Oku kuyinyani ngokukhethekileyo ekukhulelweni. Uninzi lwaba bafazi alukujongi ukukhulelwa njengemeko yezempilo. Bacinga "kutheni ndingafuna ukubona ugqirha ngaphandle kokuba kukho into engalunganga kakhulu?" Ke ngoko, ukhathalelo lwempilo ngaphambi kokubeleka lubekwa kwisitshisi esingasemva. (Eyeleleneyo: Kufana Ntoni Nokukhulelwa Kwindyikityha)

Ewe, abanye baba basetyhini banokuya kukhangelwa kwangoko ngaphambi kokubeleka ukuze baqinisekise ukukhulelwa kwaye babone ukubetha kwentliziyo. Kodwa ukuba sele benomntwana, kwaye izinto zihamba kakuhle, abanakubona isidingo sokutyelela ugqirha wabo okwesibini. Emva koko, aba bafazi babuyela kwiindawo abahlala kuzo baxelele abanye abantu basetyhini ukuba ukukhulelwa kwabo kwakulungile ngaphandle kokwenza uhlolo oluqhelekileyo, nto leyo ebangela ukuba uninzi lwabasetyhini bafumane ukhathalelo abaludingayo. (Related: Iindlela ezili-11 zabasetyhini abaMnyama abanokukhusela impilo yabo yengqondo ngexesha lokukhulelwa kunye nokubeleka)

Kulapho iiyunithi zononophelo lwempilo ezihambayo zingenza umohluko omkhulu. Ibhasi yethu, umzekelo, ingena ngqo kwezi ndawo kwaye izisa ukhathalelo lukamama olululo olufunwa ngamandla ngqo kwizigulana. Sixhotyiswe ngabazalisikazi ababini, kubandakanya nam, amagumbi eemviwo apho sinikezela khona iimviwo zaphambi kokubeleka kunye nemfundo, ukuvavanywa kokukhulelwa, imfundo yokunyamekela ukukhulelwa, ukudubula komkhuhlane, ukubonisana ngolawulo lokuzalwa, iimviwo zebele, ukhathalelo lweentsana, imfundo yoomama neyomntwana, kunye neenkonzo zenkxaso yoluntu . Sihlala sipaka ngaphandle kweecawe kunye namaziko oluntu kuyo yonke iveki kwaye sinceda nabani na oyifunayo.

Ngelixa samkela i-inshurensi, inkqubo yethu ikwaxhaswa ngezimali, oko kuthetha ukuba abasetyhini banelungelo lokufumana iinkonzo zasimahla okanye ezinesaphulelo kunye nokhathalelo. Ukuba kukho iinkonzo esingenako ukuzibonelela, sikwabonelela ngolungelelwaniso lokhathalelo. Umzekelo, singathumela izigulana zethu kubanikezeli abanokulawula i-IUD okanye ulawulo lokuzalwa kokufaka ngexabiso eliphantsi. Okufanayo kuya kwiimviwo ezinzulu zebele (cinga: i-mammograms). Ukuba sifumana into engaqhelekanga kwiimviwo zethu zomzimba, sinceda izigulana zicwangcise i-mammogram ngexabiso eliphantsi ukuya ngaphandle kweendleko ngokusekelwe kwiziqinisekiso zabo kunye ne-inshurensi yabo, okanye ukungabikho kwayo. Sikwanceda abasetyhini abanezifo ezikhoyo ezifana noxinzelelo lwegazi kunye nesifo seswekile banxibelelane nababoneleli bezempilo abanokubanceda ukuba balawule impilo yabo. (Eyeleleneyo: Nantsi indlela yokufumana ulawulo lokubeleka luhanjiswe eLungelo kumnyango wakho)

Eyona nto ibalulekileyo, nangona kunjalo, kukuba ibhasi ibonelela ngesetingi esondeleyo apho siyakwazi ukunxibelelana ngokwenene nezigulana zethu. Ayisiyongokubanika nje ukujonga kwabo kwaye ubathumele endleleni. Singababuza ukuba ingaba bafuna uncedo na ukufaka isicelo seinshurensi, ukuba bayafikelela ekutyeni, okanye ukuba baziva bekhuselekile ekhaya. Siba yinxalenye yoluntu kwaye sikwazi ukuseka ubudlelwane obakhelwe kukuthenjwa. Elo themba lidlala indima enkulu ekwakheni ubudlelwane nezigulana kwaye zibanike ukhathalelo oluzinzileyo, olusemgangathweni. (Idibeneyo: Kutheni i-US ifuna ngamandla oogqirha abamnyama abasetyhini)

Ngecandelo lethu lezempilo elihambahambayo, sikwazile ukususa imiqobo emininzi kwaba basetyhini, owona mkhulu kukufikelela.

Ngokukhokelwa yi-COVID kunye nezikhokelo zokuphambuka ekuhlaleni, abaguli ngoku bayacelwa ukuba babhukishe amadinga kwangaphambili, nokuba kungomnxeba okanye nge-imeyile. Kodwa ukuba abanye abaguli abakwazi ukuza emzimbeni, siyakwazi ukubonelela ngeqonga elisivumela ukuba sibanyamekele ekhaya. Ngoku sinikezela ngothotho lweeseshoni ezenzeka ngoku, kunye neqela elikwi-intanethi kunye nabanye abasetyhini abakhulelweyo kwindawo leyo ukubonelela ngolwazi kunye nesikhokelo esifunwa ngaba bafazi. Imixholo yengxoxo ibandakanya ukhathalelo lwaphambi kokubeleka, ukutya okusempilweni kunye neendlela zokuphila, iziphumo zoxinzelelo ngexesha lokukhulelwa, ukulungiselela ukubeleka, ukhathalelo lwasemva kokubeleka, kunye nokhathalelo ngokubanzi lomntwana wakho.

Kutheni ukungafani koKhathalelo lwezeMpilo kwabafazi, kwaye kufuneka wenze ntoni ngabo

Uninzi lweyantlukwano ngokobuhlanga nentlalo-ntle kukhathalelo lwempilo yoomama kuneengcambu zembali. Kwiindawo zokuhlala ze-BIPOC, kukho ukungathembani okunzulu xa kufikwa kwinkqubo yokhathalelo lwempilo ngenxa yokwenzakala kangangeenkulungwane esiye sajongana nazo kwakudala ngaphambi kwexesha likamakhulu wam. (Cinga: uHenrietta uswele kunye novavanyo lwe-syphilis yaseTuskegee.) Sibona iziphumo zolo xinzelelo ngexesha lokwenyani kunye nokuthandabuza malunga nokugonya kwe-COVID-19.

Olu luntu lunexesha elinzima lokuthemba ukhuseleko lwesitofu ngenxa yembali yenkqubo yokhathalelo lwempilo yokungabikho elubala kunye nokuzibandakanya nabo. Oku kuthandabuza kusisiphumo esithe ngqo socalucalulo olucwangcisiweyo, impatho-mbi, kunye nokungahoywa abathe bajongana nabo ezandleni zenkqubo ngoku ethembisa ukwenza okulungileyo ngabo.

Njengoluntu, kufuneka siqale ukuthetha ngokuba kutheni unonophelo lwaphambi kokubeleka lubaluleke kangaka. Iintsana zoomama abangalufumaniyo ukhathalelo lwangaphambi kokubeleka zisesichengeni ngokuphindwe kathathu (!) Ukuzalwa kobunzima obuphantsi kunye namathuba aphindwe kahlanu okufa kunezo zizalwa ngoomama abafumana ukhathalelo, ngokutsho kweSebe lezeMpilo kunye neeNkonzo zaseUnited States. . Oomama ngokwabo bahluthwa ukhathalelo oluxabisekileyo kubandakanya ukubeka iliso kwiingxaki zempilo ezinokuthi zibekho ngokuhlolwa ngokomzimba, ukutshekisha ubunzima, iimvavanyo zegazi kunye nomchamo, kunye ne-ultrasounds. Baphoswa lithuba elibalulekileyo lokuxoxa neminye imiba enokubakho njengokuxhatshazwa ngokwasemzimbeni nangokwamazwi, ukuvavanyelwa i-HIV, kunye neziphumo zotywala, icuba, kunye nokusetyenziswa gwenxa kweziyobisi. Ke ayisiyonto ethathwa kancinci.

Kwangokunjalo, kufuneka kube lulwazi oluqhelekileyo ukuba kufuneka ulungiselele umzimba wakho ngaphambi kokuba ukhulelwe. Ayikokuqala nje iivithamini zangaphambi kokubeleka kunye nokuthatha i-folic acid. Kufuneka ube usempilweni ngaphambi kokuba uthathe umthwalo wokuthwala umntwana. Ngaba unayo i-BMI elungileyo? Ngaba amanqanaba akho e-hemoglobin A1C alungile? Lunjani uxinzelelo lwegazi lwakho? Ngaba uyazi naziphi na iimeko esele zikho? Le yimibuzo wonke umama ekufuneka ezibuza yona phambi kokuba athathe isigqibo sokumitha. Ezi ncoko zinyanisekileyo zibaluleke kakhulu xa kufikwa kumabhinqa akhulelweyo kwaye abelekisa. (Eyeleleneyo: Yonke into ekufuneka uyenzile kuNyaka oPhambi kokuba ukhulelwe)

Kudala ndizama ukulungiselela nokufundisa abantu basetyhini malunga noku kungasentla ebomini bam bonke kwaye ndiza kuqhubeka nokwenza njalo okoko ndinako. Kodwa ayisiyonto inokusonjululwa ngumntu omnye okanye umbutho omnye. Inkqubo kufuneka iguqulwe kwaye umsebenzi ekufuneka ungene kuwo unokuziva ungoyiswa. Nditsho nakwezona ngxaki zinzima kwiintsuku, nangona kunjalo, ndizama nje ukukhumbula ukuba oko kunokubonakala ngathi linyathelo elincinci- okt ukubonisana ngaphambi kokubeleka nowasetyhini-inokuba ngumtsi kwimpilo engcono nokuba sempilweni kwabo bonke abantu basetyhini.

Uphengululo lwe