Hupenyu kana Rufu: Basa raDoulas Mukuvandudza Hutano hweVanamai Vevatema
Zvemukati
Vakadzi vatema vari panyatwa yematambudziko panguva yekuzvitakura nekusununguka. Munhu anotsigira anogona kubatsira.
Ini ndinogara ndichinzwa kuremerwa nechokwadi chakakomberedza vatema hutano hwaamai. Zvinhu zvakaita sekusarurana, kuita zvepabonde, kusaenzana kwemari, uye kushomeka kwekuwana zviwanikwa zvisina mubvunzo zvinokanganisa chiitiko cheamai chekuzvara. Chokwadi ichi chega chinotumira BP yangu kuburikidza nemudenga remba.
Ini ndakapedzwa nekutsvaga nzira dzekuvandudza zvibereko zvekuzvarwa munharaunda yangu. Kutaura nemadzimai uye amai vehutano husingaperi vanotaura nezvenzira yakanakisa yekugadzirisa matambudziko aya kazhinji zvinotungamira pasi mugomba retsuro risingaperi pekutangira.
Kukura kwehuwandu kunoshamisa. Asi hapana - uye ini handireve chinhu - chinoita kuti ini ndide kutsigira shanduko kupfuura angu ega zviitiko.
Ichokwadi chakatarisana naamai vatema
Saamai vevana vatatu, ndakasangana nekuzvarwa katatu muchipatara. Nhumbu yega yega uye kuburitsa kwakatevera kwaive kwakasiyana seusiku neusiku, asi dingindira rimwe chete kwaive kushaya kuchengeteka kwangu.
Anenge masvondo manomwe kubva pakubata kwangu kwekutanga, ndakaenda kunoongororwa kunzvimbo yangu yehutano, ndichinetseka nezvehutachiona. Pasina ongororo kana kubatwa chaiko, chiremba akanyora tsamba ndokundidzosera kumba.
Mazuva mashoma gare gare ndakanga ndiri parunhare naamai vangu, chiremba, uyo akabvunza kuti kushanya kwangu kwafamba sei. Pandakagovana zita remushonga wandainyorerwa akabva andimisa kuti nditsvage. Sezvaaifungira, hazvina kumbofanira kunge zvakatemwa.
Dai ndakatora mushonga wacho, zvaizokonzeresa kubvisa nhumbu pakarepo. Iko hakuna mazwi ekutsanangura kuonga kwandakaita kuti ndakamirira kuti iwo odha izadzwe. Uye hapana mazwi ekutsanangura kutya kwakazadza moyo wangu kana ndichifunga nezve zvingadai zvakaitika.
Pamberi, ndaive neruremekedzo rwakanaka kune "nyanzvi" uye kwete chikonzero chakakura chekunzwa neimwe nzira. Ini handirangariri kuve nekusavimbika kwechikonzero kwezvipatara kana vanachiremba izvi zvisati zvaitika. Zvinosuruvarisa, kushayikwa kwekutarisirwa uye kushaya hanya kwandakasangana nako kwakaratidza mune dzangu nhumbu dzapashure zvakare.
Mukati memimba yangu yechipiri, pandakauya kuchipatara ndichinetseka nezvekurwadziwa kwemudumbu, ndakadzoserwa kumba. Vashandi vakaita kunge vaitenda kuti ndainyanyisa, saka OB wangu akadana chipatara achimiririra kuti vandibvumire.
Mushure mekubvumidzwa, vakaona kuti ndakanga ndisisina mvura uye ndichitanga basa rekutanga. Pasina kupindira, ndingadai ndakasununguka nguva isati yakwana. Kushanya ikoko kwakaguma nemwedzi mitatu yekurara kwemubhedha.
Chekupedzisira, asi zvirokwazvo chisiri chidiki, chiitiko changu chechitatu chekuzvarwa chakabatwawo zvakaipa. Kunyange ini ndainakidzwa nepamuviri zvine hutano, simba rine simba, kubata uye kuendesa yaive imwe nyaya. Ndakakatyamadzwa nokuchengetwa kwangu.
Pakati pesimba remuromo wechibereko uye anesthesiologist uyo akandiudza kuti aigona kundipa chirwere pamwe nemwenje (uye ndokuedza), ndakatya kuchengetedzeka kwangu zvakare. Kunyangwe paityisa kutaridzika pazviso zvevose vaive mumba, ini handina kufuratirwa. Ndakayeuchidzwa nezvekusaraswa kwandakaitwa kare.
Sekureva kweCenters for Disease Control and Prevention (CDC), vakadzi vatema vari kufa panenge pachiyero chevakadzi vachena mukufa kwakanangana nekuzvarwa. Iyo nhamba inotora zvakanyanya kukura nezera. Vakadzi vatema vanopfuura makore makumi matatu, vane mukana wekufa mukuzvara pane vakadzi vachena.
Isu tiri zvakare mukana wekusangana nematambudziko akawanda panguva yese yekuzvitakura kwedu uye kashoma kuwana mukana wekuchengetwa kwakakodzera panguva yedu yekusununguka. Preeclampsia, fibroids, kusaenzana zvinovaka muviri, uye yakaderera yemhando yekuchengetwa kwekubereka inotambudza nharaunda dzedu.
Chokwadi, zvakawanda zvezvinhu zvinokanganisa izvo zviverengero zvinodzivirirwa. Nehurombo, pamusoro pemakumi mashoma apfuura makumi emakore, kunyangwe kufambira mberi kwekurapa uye data richiratidza kusiyana kukuru, hapana zvakawanda zvachinja.
Zvinoenderana neongororo yakaitwa neCentre for American Progress, nharaunda zhinji dzevatema dzichiri kumanikidzwa kuzvitoro zvemhando yepamusoro, nzvimbo dzezvipatara dzakabhadharwa zvakanaka uye zvipatara, uye nehutano husingaperi.
Vazhinji vanogona kufunga kuti mutsauko watinotarisana nawo inyaya yezvehupfumi. Icho hachisi chokwadi. Sekureva kweCDC, vanaamai vatema vane dhigirii rekoreji vanogona kufa mukubereka pane vamwe vavo vachena.
Kushaikwa kwekuchengeteka mukuzvarwa kunokanganisa amai vese vatema, kubva kumhare yeOlympic Serena Williams kusvika kumusikana wepamusoro-soro akadzidza ari kuzvara izvozvi.
Vakadzi vatema veese mamiriro ezvehupfumi pamwe nehupenyu vakatarisana nehupenyu kana kufa matambudziko. Kusviba kunoratidzika kuve kwega kujairika kunoderedza mukana wemunhu wekuzvara pahutano hwakanaka uye nepamuviri. Kana ari mutema uye achizvara, anogona kunge ari muhondo yehupenyu hwake.
Kuchengeta kwaDoula kunopa mhinduro
Pese pandinosununguka, ndaive nechokwadi chekuti amai vangu varipo. Kunyangwe vamwe vakadzi vachigona kuita sarudzo iyi nesarudzo, ndakaita sarudzo iyi nekuda kwekukosha. Chokwadi ndechekuti, ndinotenda pasina mumwe munhu anondimiririra ndingadai ndakakuvadzwa kana kutarisana nerufu.Kuva nemunhu anoziva mumba uye nehanya neni zvakanyanya pamoyo kwakaita mutsauko mukuru.
Makore gare gare, ndakazvipira kuve munhu anotsigira shamwari yangu panguva yepamuviri pake, ndichiziva kuti zvakandibatsira zvakadii. Mushure mekupupurira nzira dzese dzaakaitwa asingaonekwe mukati merwendo rwake rwekuzvarwa, mibvunzo yakaita sekuti "Chii chandingaite?" uye "Ndingadzivirire sei izvi kuti zvisaitike zvakare" zvakatenderera mumusoro mangu.
Ndakafunga ipapo kuti mhuri yangu, shamwari, nenharaunda vagare vaine mumwe munhu ikoko anovatsigira nekuvamiririra panguva yavo yepamuviri. Ndakafunga kuve doula.
Izvo zvakaitika makore 17 apfuura. Rwendo rwangu rwe doula rwanditungamira mumakamuri mazhinji ezvipatara, nzvimbo dzekuzvarwa uye dzimba dzekugara kutsigira nguva inoera yekuzvarwa. Ndakafamba nemhuri kuburikidza nerwendo rwavo rwekuzvitakura uye ndikadzidza kubva pakurwadziwa kwavo, rudo, kushungurudzika, uye nematambudziko.
Kana ndichifunga zviitiko zvese zvakatsungirirwa nenharaunda yevatema - hunhu hwetsika, nyaya dzekuvimba, kushungurudzika kusingatarisirwe, uye kushushikana kwatinosangana nako muhupenyu hwedu - zvinonetsa kupa mhinduro imwe chete. Misiyano mukutarisirwa kwehutano imhedzisiro yenyaya hombe dzemagariro. Asi pane chinhu chimwe chinoguma nezvakanaka zviripo mubhodhi.
Kugadzira doula kuchengetedza zvirinani zvinogona kubatsira kuvandudza hutema hutano hwaamai pakubata uye pakubereka.
Vakadzi vatema vane 36 muzana vane mukana wekuva neC-chikamu kupfuura vakadzi vorumwe rudzi, akadaro mumwe. Kuchengetwa kwepamuviri doula kunopa vakadzi rutsigiro rwepamberi pekuzvara, kunopa mumiriri wekusununguka mukamuri, uye, maererano neongororo ya2016 yezvidzidzo, yakaratidzwa kudzikisa maC-chikamu chikamu.
Center for American Progress yakashuma pane ichangobva kuitika nyaya kubva kune rimwe sangano risingabatsiri muWashington DC iro basa rayo ndere kutsigira vanaamai vevara. Vakaona kuti apo vakadzi vane mari shoma uye vashoma vakapihwa tarisiro yemhuri kubva kunanyamukuta, doula, uye nyanzvi yekuyamwisa, vaive zero zero vacheche uye kufa kwaamai, uye 89 muzana vakakwanisa kutanga kuyamwisa.
Zviri pachena kuti kupa vakadzi vatema nerutsigiro mukuzvitakura uye mushure mekubereka kunowedzera mikana yavo yekuzvara kwakanaka kune vese amai nemwana.
Zvigadzirire
Chokwadi ndechekuti haugone kudzora zvinozoitwa kana kuyedzwa nemumwe munhu, asi unogona kugadzirira. Kuziviswa nezvetsika yenzvimbo yaunosarudza kuzvarwa yakakosha. Kunzwisisa marongero nemaitiro zvinokuita iwe murwere ane ruzivo. Kuziva nhoroondo yako yekurapa uye chero zvinopesana zvinogona kupa rugare rukuru rwepfungwa.
Kusimbisa nekusimbisa masisitimu ako ekutsigira kunopa pfungwa yekumisikidza. Kunyangwe iwe uchihaya doula kana nyamukuta kana kuunza nhengo yemhuri kana shamwari kuendesa, ita shuwa kuti iwe neyako system yekutsigira muri papeji imwechete. Kutarisa mukati mepamuviri pese kunoita mutsauko!
Chekupedzisira, wana kugadzikana kuzvimiririra iwe pachako. Hapana anokwanisa kukutaurira sezvaungaita. Dzimwe nguva tinozvisiira kune vamwe kuti vatidzidzise pane zviri kuitika zvakatikomberedza. Asi isu tinofanirwa kubvunza mibvunzo uye kubata mitsara ine hutano kana zvasvika pamiviri yedu uye zviitiko zvekuzvarwa.
Hutema hwaamai uye hwehupenyu hwehusiku hunokanganiswa nezvinhu zvakawanda. Kuva nechikwata chakasimba chekutsigira kuberekwa icho chinoiswa muzvibereko zvakanaka zvemhuri yako kwakakosha. Kugadzirisa systemic kusarongeka uye kusakwana mutsika kunofanirwa. Kuona kuti madzimai emarudzi ese vane mukana wekufunga zvine hungwaru, kuchengetedzwa kwakazara kunofanirwa kuve pamberi.
Ndinoshuva kuti dai nyaya yangu yanga isingawanzoitika, kuti vakadzi vanoita seni vaibatwa neruremekedzo, chiremerera, uye nehanya pavanosununguka. Asi isu hatisi. Kwatiri, kuzvarwa inyaya yehupenyu kana kufa.
Jacquelyn Clemmons ane ruzivo kuberekwa doula, yechinyakare postpartum doula, munyori, muimbi, uye podcast inomiririra. Iye anofarira zvekutsigira zvizere mhuri kuburikidza nekambani yake yeMaryland-based De La Luz Wellness.