Yintoni eyiyo iDoula kwaye ngaba ufanele uyiqeshe?

Umxholo

• Yintoni iDoula?
• Yintoni iDoula eNcedisa ngayo-kunye nento abangayenziyo
• Ixabisa malini iDoula?
• Ugqiba njani ukuba iDoula ikulungele
• Uphengululo lwe

Xa kuziwa ekukhulelweni, ekuzalweni, kunye nenkxaso yasemva kokubeleka, kukho okuninzi yeengcali eziqeqeshiweyo kunye neengcali ezinokukunceda kwinguqu yokuba ngumama. Unee-ob-gyns zakho, ababelekisi, iingcali zangaphambi kokubeleka, iincutshe zepelvic, abaqeqeshi bezempilo, kunye ne ... doulas.

Dou Yintoni ngoku? Ngokusisiseko, i-doulas ngamaqabane aqeqeshiweyo anika inkxaso ngexesha lawo onke amanqanaba enkqubo yokuzala, kubandakanya ukukhulelwa, ukubeleka, ukubeleka, ukukhulelwa kwesisu, kunye nelahleko, uyachaza uRichelle Whittaker, uLPC-S. impilo. Kwaye namhlanje, njengoko ubhubhane we-COVID-19 ushiye abazali abatsha benesidingo esinzulu senkxaso, oomama nootata abaninzi abatsha baguqukela kwi-doulas ukuze bazalise izikhewu kukhathalelo. (Funda: Abafazi aba-6 babelana ngokufumana ukhathalelo olusebenzayo ngaphambi kokubeleka nangasemva kokubeleka)

“Ingakumbi ngexesha lokubeleka kubhubhane xa uwedwa, awuzange ulale, kwaye ucinga ukuba wonke umntu uyiqikelele ngakumbi kunawe, abazali abatsha bafuna iintshatsheli ezininzi kwikona yabo kangangoko,” utshilo uMandy Major. i-doula yasemva kokubeleka eqinisekisiweyo, kunye ne-CEO kunye nomseki-kunye noMseki woNyango.

E-US, i-doulas ithathwa njengento yokuzikhethela kakhulu, kodwa akunjalo kuyo yonke indawo. "Kwamanye amazwe, olu hlobo lokhathalelo luqhelekileyo kwaye luyingxenye yenkqubo yokuphuma emva kokuphuma. Apha, asinalo loo nto, kwaye i-gap enkulu kwinkqubo yethu, "kusho uMajor.

Ngelixa i-doulas ingezizo iingcali zonyango, zona zi baqeqeshwe ngexesha lokukhulelwa kunye nasemva kokubeleka kwaye banokuba sisibonelelo esibi koomama abaza kuba kunye nabazali abatsha. Uqeqesho luya kwahluka ngokuxhomekeka kuhlobo luni lwe-doula oyikhethileyo (umz. ziqinisekisiwe. I-DONA International yinkokeli kuqeqesho olusekelwe kubungqina be-doula kunye nesatifikethi kwaye amaqela amaninzi kwilizwe lonke anikezela ngoqeqesho lwe-doula oluvunyiweyo lwe-DONA.

Kwaye i-doulas yemfundo ifumana - kwaye yabelane nabathengi - ihlawula: Uphando lucebisa ukuba ukusetyenziswa kwe-doulas kunokunceda ukunciphisa ixesha elichithwe emsebenzini, ukunciphisa iimvakalelo zokuzalwa ezingalunganga, kunye nokunciphisa amazinga e-C-section.

Kwaye, ngexesha elinokuba lixesha elinzima ebomini bakho, i-doula ibonelela ngendlebe ephulaphulayo, isandla esiluncedo kunye nenkxaso eninzi. Kodwa yintoni kanye kanye ngu I-doula-kwaye kufuneka ucinge ngokuqesha omnye? Apha, into ekufuneka uyazi malunga nomsebenzi obalulekileyo kunye nendlela yokwenza malunga nokuqesha i-doula ukuba uziva ulungile.

Yintoni iDoula?

Inkcazo esisiseko yedoula ngumntu oxhasa iintsapho kuhambo lwabo lokuzala, ukubonelela ngenkxaso yemvakalelo, yomzimba, yolwazi kunye nenkxaso, ucacisa uQuanisha McGruder, i-doula epheleleyo (funda: igubungela konke izigaba zenkqubo yokuzala).

Cinga nge-doula njenge-BFF yakho xa kufikwa ekukhulelweni, ekuzalweni, kunye / okanye emva kokubeleka. Ukuzalwa okuqinisekisiweyo kunye nedoula yasemva kokubeleka. Zihlala zisongezelelo kukhathalelo osele unalo, ukulomeleza kunye nokwakha ukuzithemba kwakho ngexesha lokukhulelwa, ukuzalwa, kunye nasemva kokubeleka. (Eyeleleneyo: U-Amy Schumer Uvula malunga nendlela iDoula eyamnceda ngayo ekukhulelweni kwakhe okuntsonkothileyo)

UDoulas naye uhlala ekwisimo esikhethekileyo nesisondeleyo kuba bahlala bebona abazali abatsha emakhayeni abo, uyachaza uBethany Warren, LC.S.W., ugqirha oqinisekisiweyo kwimpilo yengqondo. "Ukubonelela ngeenkonzo ezisekwe ekhaya kunye nesiko kubonakala ngathi kudala ubudlelwane obuhle phakathi kwabazali abatsha nedoula," utshilo. "Ndifumanisa ukuba abazali abafumana ukulunga kunye ne-doula yabo baziva bexhaswa ngeli xesha libalulekileyo."

Emva kwayo yonke loo nto, ngelixa sihlala sithetha ngokubaluleka "kwelali" ekukhuliseni umntwana, kukwafuna ilali ukukhusela nokukhulisa abazali abatsha, utshilo uWarren. Umahluko omkhulu phakathi, yithi, ukhathalelo olunikezwa ngumongikazi wasebusuku kunye nokhathalelo olunikezwa yi-doula yasemva kokubeleka? Amaziko okunakekela umongikazi ebusuku umntwana, kanti iziko le-doula lilo usapho kunye nendlu, kuchaza uMcGruder.

I-Doulas inokukunceda usete ulindelo lokwenyani (okt ahluke eyakho amava okukhulelwa kunye nasemva kokubeleka kwinto ethethwa ngamajelo eendaba * kufanele ukuba ijongeke), yenza izigqibo xa kutshintsha izicwangciso (funda: ngequbuliso, ufuna icandelo le-C okanye ufumane ukuxilongwa okungalindelekanga), kwaye uqonde amava akho ngokunyuka kunye amahla ndinyuka.

Yintoni iDoula eNcedisa ngayo-kunye nento abangayenziyo

Kukho iindawo ezine eziphambili apho i-doulas idla ngokuxhasa abazali abatsha kakhulu: inkxaso yolwazi, ukhathalelo lomzimba, uncedo lweemvakalelo, kunye nokukhuthaza, utsho uBhishophu.

Njengoko i-COVID-19 itshintshile, kuhle, kakhulu yonke into njengoko sisazi, uninzi lwee-doulas ziye zanyanzelisa iinkonzo zazo ukubonelela ngononophelo, imfundo kunye nezixhobo, zisebenzisa ifowuni, isicatshulwa, ingxoxo yevidiyo, okanye iinkonzo ezisekwe kwiwebhu. (Umzekelo, ngexesha lokukhulelwa, unokuncokola ngesicwangciso sakho sasemva kokubeleka kwifowuni kunye ne-doula kunye / okanye ne-FaceTime malunga konke kwimibuzo yakho.)

Qaphela nje ukuba okwangoku, kwamanye amazwe, i-doulas ayibonwa njengabasebenzi bezempilo kwaye bavunyelwe kuphela esibhedlele ngexesha lokuhambisa njengomntu oxhasayo kubuxoki yeqabane lokuzalwa, ke kubalulekile ukuba ungene kwisibhedlele sakho okanye kwiziko lokubeleka. Usezokwazi ukwenza iFaceTime idoula yokuzalwa, kodwa kwakhona, kungcono ukuba ujonge kabini esibhedlele okanye kwiziko lokuzalwa ukuze ukhuseleke. (Eyeleleneyo: Ezinye izibhedlele azibavumeli abalingane kunye nabaxhasayo kumagumbi okubelekela ngenxa ye-COVID-19)

Nalu ujongo olufutshane kwiindidi zenkxaso enokubonelela nge-doula:

• Inkxaso yolwazi. Inkqubo yokuzalwa kunye nasemva kokubeleka inokudideka (molo, ulwazi malunga nokuhluza, ingcebiso ekufuneka uyiqwalasele, kunye neencwadi oza kuzifunda). I-doula inokukunceda uqonde iimvavanyo zonyango okanye iinkqubo ngaphambi kokuba zenzeke, ucacise iilwimi, ukunceda ufumane ulwazi olusekwe kubungqina, kwaye uncede iqabane lakho liqonde ukuba kuqhubeka ntoni. Abanye bade bafundise ukuzala, utsho uBhishophu.

• Unonophelo lomzimba. “Ayiyomfihlo into yokuba ukukhulelwa, ukuzala, nokubeleka kuyafuneka emntwini okhulelweyo, kodwa kusenokudinwa nakusapho lonke,” utsho uBhishophu. "Iishedyuli eziphazamisekileyo kunye nokukhathazeka okuphezulu kunokushiya amaqabane kunye nabantwana beziva bediniwe nangaphambi kokuba umntwana afike." Ngokuxhomekeke xa ukhetha ukuqesha i-doula banokukunceda upakishe ibhegi yakho yesibhedlele, bakufundise izikhundla ezikhululekileyo zomsebenzi, ukukunceda ngexesha lokubeleka, ukukunceda ngokhathalelo lokunyanga emva kokubeleka, kunye nokuxhasa nge-lactation, uyaphawula.

• Uncedo ngokweemvakalelo. Ukukhulelwa, ukuzala, kunye nexesha lasemva kokubeleka kunokuthumela iimvakalelo zakho ze *loop* (ukutsho kancinci). Kodwa inyani yombandela yile, yonke into ukusuka kulonwabo ukuya kuloyiko (nazo zonke iimvakalelo eziphakathi) ziqhelekile ngeli xesha. I-doula inokukunceda uzive uxhaswa kwaye ukhuthazwe nokuba uziva njani, ikuqinisekise ukuba ukhathazekile, vumela iqabane lakho ukuba likhefu, kwaye unikezele ngesimo sengqondo esifanelekileyo ngelixa ulungiselela utshintsho olukhulu, utshilo uBhishophu. (Idibeneyo: Imiba yezeMpilo yengqondo ngethuba lokukhulelwa kunye nePostpartum ekungekho mntu uthetha ngayo)

• Uthethelelo. Ngaba kunzima ukuba uthethe ngokwakho? Cue doulas! Bahlala beqeqesha abazali ngendlela yokunxibelelana ngempumelelo nangentlonipho ngexesha lotyelelo lukagqirha lwaphambi kokubeleka, nto leyo ekuncedayo ukuba uzive unamandla kwaye uzithembile, utsho uBhishophu. Banokusebenza nabasebenzi bendawo yokubeleka kunye nabo nabaphi na abatyeleli ukuqinisekisa ukuba iimfuno zakho ziyafezekiswa. "I-doula iya kumamela kwaye idlulise imiyalezo njengoko kufuneka," utshilo uBhishophu.

Ngokuphathelele kwinto engenziwa yidoulas? Abachongi, ukumisela, okanye ukunyanga nayiphi na inkxalabo yezonyango (cinga: uxinzelelo lwegazi oluphezulu, isiyezi, okanye isicaphucaphu), kodwa banokukunceda bakukhombise kwicala lobuchwephesha abanokukunceda. Ngapha koko, rhoqo, i-doulas isebenzisana nabanikezeli bokuzalwa abanje nge-ob-gyns kunye nababelekisi, oogqirha babantwana, ababoneleli ngempilo yengqondo, kunye nabacebisi bokuncancisa kwaye bakholisa ukuba nothungelwano olomeleleyo lokuthunyelwa kwendawo.

"Kunokuba luncedo ukusayina 'uKhupho loLwazi' ukuze bonke ababoneleli bakho kwiqela lakho babe kwiphepha elinye," utshilo uWarren. "Ndifumene ukusebenzisana ne-doulas ibe yindlela entle yokujikeleza abazali ngenkxaso enkulu kangangoko, nokubancedisa ekwakheni ilali yabo." (Idibeneyo: Um, Kutheni abantu befumana 'iDoulas yokuFa' kunye nokuThetha malunga 'nokuPhila ngokuFa?')

Ixabisa malini iDoula?

Ixabiso lokuqesha i-doula lixhomekeke kwizinto ezininzi ezahlukeneyo, kubandakanya apho uhlala khona kunye nohlobo luni lwe-doula oqeshayo. Iindleko zinokuvela kumakhulu ambalwa eedola (okanye ngaphantsi) ukuya kumawaka ambalwa eedola, kwaye nakwindawo enye, inokwahluka. Umzekelo: "E-Portland, e-Oregon indawo ye-metro ndibone i-doulas ibiza imali ephantsi njenge- $ 500 ngokuzalwa ukuya kuthi ga kwi-2,700 yeedola ngokuzalwa," utshilo uBhishophu (okuyinyani, ukubakhona nje ngokuzalwa). "Kwi-postpartum doulas, ndibone iireyithi zeyure ukusuka kwi-$ 20 ukuya kwi-40 ngeyure."

Abanye bathi-kubandakanya i-Oregon, iMinnesota, kunye nenkqubo yokulinga eNew York-baneembuyekezo zokukhathalela i-doula ukuba ukwiMedicaid, kodwa ayisoloko iyi-100 yepesenti.

Ezinye i-doulas zinemilinganiselo ekuthethwa ngayo kwaye ezinye-kubandakanya abo bagqiba uqeqesho lwe-doula kwisatifikethi sabo-banokuthi basebenze nawe ngokuzalwa kwakho simahla ukugqiba umsebenzi ekufuneka bewenzile ukuze baqinisekiswe.

Ngaphandle koko, ezinye (kodwa ngokuqinisekileyo ayizizo zonke) iinkampani zeinshurensi ziya kuhlawula ezinye zeendleko zeenkonzo ze-doula-ke kusoloko kusengqiqweni ukubiza inkampani yakho yeinshurensi ukuba ifumanise okunokugutyungelwa.

Ugqiba njani ukuba iDoula ikulungele

Ngokuqhelekileyo, isigqibo sokuqesha i-doula siyehla kwinkxaso eyongezelelweyo ovakalelwa kukuba ufuna, uyayidinga, kwaye unokuzuza kuyo. "Kwabafazi abaninzi, ukukhulelwa kunye nokuzala kunokuba ngamava amyoli kunye noloyiko, ke ukuba ne-doula ukuhamba ecaleni kwabo kuhambo kunokuba yinto enkulu kakhulu," utshilo uWhittaker. "Abasetyhini abangenayo inkxaso yentsapho, bafuna inkxaso eyongezelelweyo yena kunye neqabane lakhe, babenobunzima bokuva ilizwi lakhe ngexesha lotyelelo logqirha, okanye babekhulelwe ngaphambili okanye amava okubeleka angabaluleka kwiinkonzo ze-doula."

Kubalulekile ukuba ufumane ulungiso olufanelekileyo xa ukhetha i-doula, okuthetha ukuba ukubheja kwakho okungcono kunokwenzeka ukuba udliwanondlebe nabambalwa. Kunokuba luncedo ukubhala phantsi imibuzo yakho kwangethuba, ucebisa uWarren. Okokuqala, uya kufuna ukubuza malunga nokuba zeziphi na iinkonzo idoula ocinga ukuba ibonelela ngayo (ukuzalwa, ukubeleka, okanye zombini) kwaye uqwalasele apho ucinga ukuba ungafuna khona eyona nkxaso. Ungafumana i-doulas iindawo ezininzi, kubandakanywa kwindawo ye-DONA, kunye neenkampani ezifana ne-Robyn, i-Major Care, i-Motherfigure, kunye nezinye iisayithi zababoneleli be-intanethi.

Awunayo intsapho kwaye ucinge ukuba uya kufuna uncedo ngokulala, ukujongana noxinzelelo kunye nenkxaso yabazali? I-doula yasemva kokubeleka inokuba yeyona nto ukubheja kwakho. Ukuba unayo ilali yenkxaso ejikeleze wena kodwa ukhululeka malunga nomsebenzi kunye nokuhanjiswa, i-doula yokuzalwa inokuba yeyona ndlela ilungileyo, utshilo uMcGruder. Ngaba ufuna inkxaso kuzo zombini ezi ndawo? Khangela umntu onokunceda kuwo omabini amava ukunciphisa ubuso obutsha. (Izinto ezinxulumeneyo: Indlela uMama Glow uMseki uLatham Thomas afuna ukuyitshintsha ngayo iNkqubo yokuZala ibengcono)

Kudliwanondlebe, jonga indlela i-doula ephendula ngayo kwimibuzo yakho. “Kubalulekile ukuba ube nomntu oza kukuxhasa ngendlela engakhethiyo nokuba ukhetha ntoni na kunye neziphumo zokuzalwa,” utshilo uWarren. "Ukuba awuziva ukhululekile ngoku ngokwazi i-doula ngexesha lesigaba sodliwanondlebe, ngekhe ubekhona xa usemngciphekweni wakho."

Uphengululo lwe