Nei Ndasarudza Kuva Pro Bono Kuberekwa Doula

Zvemukati

• Nyaya yangu
• Dambudziko remadzimai muUnited States
• Chii chiri kuitika pano?
• Iyo yakatarwa kukanganisa kwe doulas mune yekuendesa imba
• 2013 kudzidza kubva kuChinyorwa chePerinatal Dzidzo
  
• Nyaya yekuenderera mberi kwekutsigirwa kwevakadzi panguva yekusununguka - 2017 Cochrane ongororo
  
• Ramangwana rine tariro kune doulas naamai
• Tsvaga inodhura kana pro bono doula
  

Hutano uye hutano zvinobata mumwe nemumwe wedu zvakasiyana. Iyi inyaya yemunhu mumwe.

Groggy uye hafu-yakarara, ini ndinotendeukira kune yangu yemanheru yekutarisa foni yangu. Yakanga ichango gadzira ruzha rwakaita sekiriketi - irineti chaiyo yandinochengetera chete vatengi vangu ve doula.

Chinyorwa chaJoanna chaiti: "Mvura yakangodambuka. Kuva nezvinyoro zvishoma. ”

Ndi2: 37 a.m.

Mushure mekumuraira kuti azorore, hydrate, pee, uye adzokorore, ndinodzokera kunorara - kunyangwe zvichingove zvakaoma kutsauka kubva pandinoziva kuti kuberekwa kuri padyo.

Zvinorevei kuva neyako mvura yekuzorora?

Kana mvura ichangouya-kuva amai yaamai inotsemuka, zvinoreva kuti saga yavo yeamniotic yatsemuka. (Panguva yekuzvitakura, mwana akakomberedzwa uye akasungwa nesaga iri, iro rinozadzwa neamniotic fluids.) Kazhinji, bhegi rekutyorwa kwemvura chiratidzo chekuti kusununguka kuri padyo kana kuti kuri kutanga.

Maawa mashoma gare gare na5: 48 mangwanani, Joanna anofona achindiudza kuti mabatiro ake ari kuwedzera uye achiitika nguva nenguva. Ndinoona ari kunetsekana kupindura mibvunzo yangu uye ari kugomera panguva yekubata - zvese zviratidzo zvebasa rinoshanda.

Ini ndinorongedza bhegi rangu re doula, rizere nezvose kubva kumafuta akakosha kusvika kurutsa mabhegi, ndonanga kuimba yake.

Mumaawa maviri anotevera, Joanna neni tinoita matekinoroji ebasa atange tichiita kwemwedzi wapfuura: kufema zvakadzama, zororo, kumira panyama, kuona, kukwiza muviri, kutaura kwemazwi, kumanikidza kwemvura kubva mushower, nezvimwe.

Kuma 9: 00 a.m, apo Joanna akataura kuti ari kunzwa kumanikidzwa kwerectal uye kuda kusunda, tinoenda kuchipatara. Mushure mekutasva kweUber kukwira, tinogamuchirwa kuchipatara navanamukoti vaviri vanotiperekedza kuimba yekusununguka neyekusununguka.

Tinogamuchira mucheche Nathaniel na10: 17 am - 7 mapaundi, mana maunundi ehutsva hwakakwana.

Amai vese havafanirwe kuve nekuzvarwa kwakachengeteka, kwakanaka, uye nekupihwa simba? Zviwanikwa zvirinani hazvifanirwe kuganhurirwa kune avo chete vanogona kubhadhara.

Nyaya yangu

Muna Kukadzi 2018, ndakapedza yemaawa makumi matatu neshanu yekuzvarwa doula yekudzidzira ku Natural Natural muSan Francisco. Kubva zvandakapedza kudzidza, ndanga ndichishanda senge munhu ane hunyanzvi, hwepanyama, uye ane ruzivo uye mubatsiri kumadzimai anotambira mari shoma pamberi, panguva, uye mushure mekusununguka.

Nepo doulas isingape kuraira kwechipatara, ndinogona kudzidzisa vatengi vangu kupindira kwekurapa, matanho nezviratidzo zvevashandi, matanho ekunyaradza, nzvimbo dzakanaka dzevashandi nekusunda, nharaunda dzekuzvarwa nekuzvarwa, nezvimwe zvakawanda.

Joanna, semuenzaniso, haana mudiwa - baba vacho vari kunze kwemufananidzo. Haana mhuri munzvimbo iyi, futi. Ini ndakashanda sevamwe vake vepamberi shamwari uye zviwanikwa panguva yese yaaive nepamuviri.

Nekumukurudzira kuenda kumisangano yake yepamuviri uye kutaura naye nezvekukosha kwekudya kunovaka muviri uye kudya panguva yekuzvitakura, ndakamubatsirawo kuti ave nepamuviri pasimba, panjodzi.

United States ine mwero wakaipisisa wekufa kwevabereki munyika dzakasimukira. Izvo, zvichienzaniswa ne9.2 muUnited Kingdom.

Ndakanzwa kuda kubatanidzwa mushure mekuita nzvero yakakura nezve mamiriro anotyisa ekuchengetwa kwaamai nemhedzisiro muUnited States. Amai vese havafanirwe kuve nekuzvarwa kwakachengeteka, kwakanaka, uye nekupihwa simba?

Zviwanikwa zvirinani hazvifanirwe kuganhurirwa kune avo chete vanogona kubhadhara.

Ichi ndicho chikonzero ini ndinoshandira vanhu vane mari shoma yeSan Francisco semuzvipiri doula - basa randinotenda zvakasimba kuti rinodiwa zvakanyanya kugadzirisa hupenyu hwevakadzi nevana munyika medu. Ndicho zvakare chikonzero nei mamwe ma doulas achichinjika kana chiyero chinotsvedza kana zvasvika pakubhadhara.

Dambudziko remadzimai muUnited States

Sekureva kwedata kubva kuUNICEF, huwandu hwepasi rose hwekufa kwemadzimai hwakaderera nehafu kubva muna1990 kusvika 2015.

Asi United States - imwe yenyika dzakapfuma, dzakasimukira kwazvo pasirese - iri kunyatso famba munzira yakatarisana ichienzaniswa nedzimwe nyika. Ndiyo chete nyika yekuita kudaro.

Isu tine mwero wakaipisisa wekufa kwevabereki munyika dzakasimukira. Izvo, zvichienzaniswa ne9.2 muUnited Kingdom.

Kuvapo kwaDoula kunotungamira kune zvirinani zvibereko zvekuzvarwa uye kuderedzwa kunetsekana kune vese amai nemwana - isu hatisi chete "akanaka-kuva-naye."

Munguva yekuferefetwa kwenguva refu, ProPublica neNPR yakaratidza vanopfuura mazana mana nemakumi mana vanotarisira uye vanaamai vatsva vakafa kubvira 2011 kubva pazvinhu zvakamuka panguva yekuzvitakura nekuzvara. Idzi nyaya dzinosanganisira, asi hadziganhurirwe ku:

• cardiomyopathy
• kubuda ropa
• kugwamba kweropa
• zvirwere
• preeclampsia

Chii chiri kuitika pano?

Mushure mezvose, iyi haisi iyo Middle Ages - haifanire here kuti chinhu chakajairika uye chakajairika sekuzvara kuve chakachengeteka chose kupihwa kufambira mberi mune zvekurapa zvemazuva ano? Muzuva rino nezera, nei madzimai ari kupihwa chikonzero chekutyira hupenyu hwavo?

Nyanzvi dzinofungidzira kuti matambudziko anouraya anoitika - uye ari kuitika padanho repamusoro - nekuda kwezvinhu zvakasiyana zvinogona kukanganisa mumwe nemumwe:

• vakadzi vazhinji vanozvara mushure mehupenyu
• kuwedzera kwekusiyiwa kwekusiya (C-zvikamu)
• yakaoma, isingasvikike yehutano system
• kusimuka kwehutano husingaperi nyaya dzakadai seshuga uye kufutisa

Yakawanda yekutsvagisa yakajekesa kukosha kwekuenderera kwerutsigiro, ko zvakadiniko nerutsigiro kubva kuna doula chaizvo, maringe nemumwe wako, nhengo yemhuri, nyamukuta, kana chiremba?

Vakadzi vazhinji vane nhumbu - zvisinei nedzinza ravo, dzidzo, kana mari - vari pasi pezvikonzero izvi. Asi huwandu hwekufa kwemadzimai hwakakwira zvakanyanya kune vakadzi vane mari shoma, vakadzi vatema, uye avo vanogara kumaruwa. Vacheche vatema muAmerica parizvino vane mukana wakapetwa kaviri wekufa sevacheche vachena (vacheche vatema, zvichienzaniswa ne4,9 pavacheche chena vacheche).

Zvinoenderana neruzivo rwevanhu kubva kuUS Centers for Disease Control and Prevention, mwero wekufa kwemadzimai munzvimbo hombe yepakati peguta yaive 18.2 pavanhu zviuru zana vanozvarwa muna 2015 - asi munzvimbo dzekumaruwa, yaive 29.4.

Pasina mubvunzo kutaura, nyika yedu iri mukati meinotyisa, yakakomba denda rehutano uye vamwe vanhu vari panjodzi.

Asi doulas - vasiri veclinical nyanzvi pamwe pamwe chete maawa makumi matatu nemashanu kana zvakadaro ekudzidzira, seni - kuva chikamu chemhinduro kudambudziko rakakura kudaro?

Iyo yakatarwa kukanganisa kwe doulas mune yekuendesa imba

Kunyangwe paine chokwadi chekuti chete 6 muzana yevakadzi vanosarudza kushandisa doula panguva yekuzvitakura nekushanda munyika yose, tsvagiridzo iri pachena: Kuvapo kwaDoula kunotungamira kuzvibereko zviri nani zvekuzvarwa uye kuderedzwa kwematambudziko kuna vese amai nemwana - isu hatisi "chakanaka" -kuva."

2013 kudzidza kubva kuChinyorwa chePerinatal Dzidzo

• Kunze kwevane makumi maviri nevaviri vanofungidzirwa vemuAmerican American uye vachena vanaamai (akasiyana senge zera uye dzinza aive akafanana mukati meboka), dzinenge hafu yevakadzi vakapiwa yakadzidziswa doula uye vamwe vaive vasina.
• Mhedzisiro: Vana mama vakaenzana ne doula vaive kana kashoma kuve nemwana akazvarwa pahuremu hwakaderera hwekuzvarwa uye kaviri kashoma kuti vawane dambudziko rekuzvarwa rinosanganisira ivo kana mwana wavo.

Yakawanda yekutsvagisa yakajekesa kukosha kwekuenderera kwerutsigiro, asi rutsigiro kubva kudoula zvakanangana, kupesana nemumwe, nhengo yemhuri, nyamukuta, kana chiremba zvakasiyana?

Sezvineiwo, kana vachiongorora data, vaongorori vakaona kuti zvakazara, vanhu vanoramba vachitsigirwa panguva yekusununguka vanoona kudzikira kwenjodzi yeC-chikamu. Asi kana doulas ari iwo ari kupa rutsigiro, iyi muzana inongoerekana yasvetukira kudzikira.

American College of Obstetricians uye Gynecologists vakaburitsa chirevo chinotevera chekubvumirana muna 2014: "Dhata rakaburitswa rinoratidza kuti chimwe chezvishandiso zvinobudirira kusimudzira mhedzisiro yebasa nekutakura ndiko kuramba kuripo kwevatsigiri, senge doula."

Nyaya yekuenderera mberi kwekutsigirwa kwevakadzi panguva yekusununguka - 2017 Cochrane ongororo

• Ongorora: Zvidzidzo makumi maviri nezvitanhatu nezve kushanda kwerutsigiro ruripo panguva yebasa, izvo zvinogona kusanganisira doula rubatsiro. Zvidzidzo izvi zvaisanganisira vakadzi vanopfuura zviuru gumi nezvishanu kubva kwakasiyana mamiriro uye mamiriro.
• Mhedzisiro: “Kuramba uchitsigirwa panguva yekusununguka kunogona kuvandudza mibairo kuvakadzi nevacheche, kusanganisira kuwedzera kuzvarwa kwechikadzi, kutora nguva pfupi yekubereka, uye kuderera kwekuberekwa kwekesari, kubereka nhengo yemukadzi, kushandisa chero analgesia, kushandiswa kweanalgesia yedunhu, chikamu chepasi chemaminetsi mashanu eApgar, uye kusagadzikana manzwiro nezve zviitiko zvekusununguka. Hatina kuwana humbowo hwekukuvara kwekuramba uchitsigirwa nevashandi. ”
• Kurumidza kuberekwa terminology chidzidzo: "Analgesia" inoreva mishonga yekurwadziwa uye "Apgar mamaki" ndiyo nzira iyo hutano hwevacheche hunotariswa pakuzvarwa uye nguva pfupi yapfuura - iyo yakakwira mamaki, iri nani.

Asi hechino chinhu: Zvinoenderana neongororo iyi kubva kuAmerican Journal yeManaged Care, vakadzi vatema uye vane mari shoma ndivo vangangoda asi zvishoma mukana wekuwana doula care.

Izvi zvinokwanisika nekuti havagone kuzvitenga, kugara munzvimbo ine vashoma kana vasina doulas, kana kungoti havana kumbobvira vadzidza nezvazvo.

Doulas inogona kunge isingawanikwe kune avo vanovada zvakanyanya.

Zvakakoshawo kutaura kuti madora mazhinji akachena, akadzidziswa, vakadzi vakaroora, zvichibva pamhedzisiro kubva kuongororo iyi ya2005 yakaburitswa muWomen's Health Issues. (Ini ndinowirawo muchikamu ichi.)

Zvinogoneka kuti ava vatengi ve doulas vanofananidza yavo yavo yemadzinza uye tsika tsika - zvichiratidza kuti pane inogona kugarisana nehupfumi hwevanhu kune doula rutsigiro. Izvi zvinogona zvakare kutsigira stereotype yekuti doulas ndeye froufrou yakasarudzika iyo chete vakadzi vakapfuma vachena vanogona kuwana.

Doulas inogona kunge isingawanikwe kune avo vanovada zvakanyanya. Asi ko kana kushandiswa kwakanyanya kwedoulas - kunyanya kune vanhu vasina kuchengetedzeka - kunogona kudzivirira zvimwe zvezvinetso zviri kumashure kwehuwandu hwekufa kwemadzimai eU.S.

Ramangwana rine tariro kune doulas naamai

Uyu ndiwo mubvunzo chaiwo nyika yeNew York inotarisira kupindura kuburikidza nechirongwa chayo chazvino chekuchaira, icho chichawedzera kufukidzwa kweMedicaid kune doulas.

MuNew York City, vakadzi vatema vane mikana yakapetwa ka12 yekufa nezvikonzero zvine chekuita nepamuviri pane vakadzi vachena. Asi nekuda kweyekutsvagisa kwekutarisira nezve doulas, vatongi vemitemo vanovimba iyi nhamba-inodonhedza shaya, pamwe nekuwedzera kwezvirongwa zvedzidzo yepamberi pekuzvarwa uye kuongororwa kwakanyanya kwechipatara, zvichavandudza.

Nezve chirongwa ichi, chinozovhura zhizha rino, Gavhuna Andrew Cuomo anoti, "Kufa kwevanamai hakufanirwe kunge kuri kutya chero munhu muNew York anofanira kusangana nezana remakore rino ramakumi maviri nerimwe. "Tiri kutora matanho ane hukasha kuputsa zvipingaidzo zvinodzivirira vakadzi kuwana rubatsiro rwepamuviri uye ruzivo rwavanoda."

Parizvino, ese Minnesota neOregon ndidzo chete dzimwe nyika dzinobvumidza kudzoreredzwa kweMedicaid kune doulas.

Zvipatara zvakawanda, seSan Francisco General Hospital muBay Area, zvakagadzira zvirongwa zvekuzvipira zve doula kugadzirisa nyaya iyi.

Chero murwere anokwanisa kuenzaniswa nepro bono doula aripo kuti atungamire amai vasati vaberekwa, panguva yekuzvarwa, uye mushure. Kuzvipira doulas kunogonawo kushanda kwemaawa gumi nemaviri echipatara uye kupihwa kuna amai vanoshanda vanoda rutsigiro, pamwe kana vasingataure Chirungu zvakaringana kana kusvika kuchipatara vari vega vasina mudiwa, nhengo yemhuri, kana shamwari yekutsigirwa.

Pamusoro pezvo, San Francisco's Homeless Prenatal Program is a nonprofit iyo inopa doula uye prenatal kuchengetedza kune vagari veguta vasina pekugara.

Sezvo ini ndichiramba ndichidzidza uye ndichishanda sa doula, ndinotarisira kuisa simba rangu pavanhu vane njodzi huru nekuzvipira nezvirongwa izvi nekutora pro bono vatengi vakaita saJoanna.

Nguva imwe neimwe pandinonzwa ruzha rwunozivikanwa rwemakiriketi achirira kubva munharembozha yangu panguva dzemangwanani, ndinozviyeuchidza kuti kunyangwe ini ndiri doula mumwe chete, ndiri kuita chikamu changu chidiki kusimudzira hupenyu hwevakadzi, uye pamwe kutobatsira kuponesa vamwe, zvakare.

Tsvaga inodhura kana pro bono doula

• Radical Doula
• Chicago Kuzvipira Doulas
• Gateway Doula Boka
• Chirongwa Chekuzvarwa Pacheche
• Zviwanikwa
• Kuberekwa
• Bay Area Doula Chirongwa
• Dombo repakona Doula Kudzidziswa

Chirungu Taylor iSan Francisco-yakavakirwa hutano hwevakadzi uye hukama hwemunyori uye kuberekwa doula. Basa rake rakaverengerwa muThe Atlantic, Refinery29, NYLON, LOLA, uye THINX. Tevedza Chirungu nebasa rake paMedium kana pa Instagram.