Nyamukuta Vakatsaurira Basa Ravo Kubatsira Vanhukadzi Mumajecha Ekutarisira Vanamai

Zvemukati

• Matangiro Andakaita Kushumira Nharaunda Dzisina Basa
• Kuziva Hukuru hweDambudziko
• MaBatsiro eMafambisirwo Ezveutano Vepahara Ari Kubatsira Vakadzi MuD.C.
• Nei Misiyano Yekuchengetedza Utano Hwaamai Kuripo, uye Zvekuita Nezvazvo
• Ongororo ye

Nyamukuta anomhanya muropa rangu. Ivo mbuya nasekuru naambuya vangu vaive vananyamukuta pakadzoka apo vanhu vatema vaisagamuchirwa kuzvipatara zvevarungu. Kwete izvozvo chete, asi mutengo wakakura wekubereka waipfuura zvaigona kukwaniswa nemhuri zhinji, ndosaka vanhu vaida rubatsiro rwavo zvakanyanya.

Makumi emakore akati wandei apfuura, zvakadaro kusiyana kwemadzinza muhutano hwemadzimai kunoenderera - uye ndinokudzwa kutevedzera tsoka dzamadzitateguru angu uye kuita chikamu changu mukuvhara iwo mukaha zvakanyanya.

Matangiro Andakaita Kushumira Nharaunda Dzisina Basa

Ini ndakatanga basa rangu muhutano hwevakadzi semukoti anochengeta amai ndichitarisa pabasa nekubereka. Ndakaita izvozvo kwemakore ndisati ndava mubatsiri wachiremba muzvirwere zvokuzvara nevakadzi. Zvisinei, muna 2002 ndipo pandakasarudza kuva nyamukuta. Chinangwa changu chaigara chiri chekushandira vakadzi vanoshaya, uye nyamukuta yakave nzira ine simba kune iyo. (ICYDK, nyamukuta ane rezinesi uye akadzidziswa mupi wezvehutano ane hunyanzvi uye hunyanzvi hwekubatsira vakadzi kuti vave nenhumbu dzine hutano, kusununguka kwakanaka, uye kubudirira kupora mushure mekusununguka muzvipatara, nzvimbo dzehutano, pamwe nemudzimba dzevanhu.)

Mushure mekugamuchira chitupa changu, ndakatanga kutsvaga mabasa. Muna 2001, ndakawana mukana wekushanda sanyamukuta paMason General Hospital muShelton, guta rokumaruwa zvikuru muMason County mudunhu reWashington. Vagari vemunharaunda panguva iyoyo vaive vanhu vangangoita zviuru zvishanu nemazana mashanu. Kana ndikatora basa racho, ndinenge ndichishandira dunhu rese, pamwe chete neumwe ob-gyn.

Sezvo ndakagara mubasa idzva, Ndakakurumidza kuona kuti vangani vakadzi vaive vachida kutarisirwa zvakanyanya - kungave kuri kudzidza kugadzirisa mamiriro akange aripo, kuzvara mwana uye dzidzo yekuyamwisa, uye tsigiro yehutano hwepfungwa. Panguva yega yega musangano, ndakazviita chinangwa chekupa vanotarisira amai vane zviwanikwa zvakawanda sezvinobvira. Iwe haungambove nechokwadi kana varwere vaizoenda kunoenderana nekutariswa kwavo kwepamuviri nekuda kwekungosvika kuchipatara. Ini ndaifanirwa kugadzira makitsi ekuberekesa, ayo ane zvekushandisa kuitira yakachengeteka uye yakachena dhirivhari (i.e.gauze mapedhi, mesh undies, simbi yemubilical tambo, nezvimwewo) kuitira kuti vangatarisira kuti mama vanomanikidzwa kuendesa kumba nekuda kwekuti, taura, kureba kuchipatara kana kushayikwa kweinishuwarenzi. Ndinoyeuka imwe nguva, pakanga paine mhirizhonga iyo yakakonzera kuti vazhinji mama-to-be vatore chando mukati kana yave nguva yekuendesa - uye idzo dzekuberekesa dzakapinda dzakabatsira. (Inoenderana: Inowanika uye Inotsigira Mental Health Resources yeBlack Womxn)

Kazhinji, imba yekuvhiya yaisangana nekunonoka kukuru. Saka, kana varwere vachida rubatsiro rwechimbichimbi, vaiwanzomanikidzwa kumirira kwenguva yakareba, izvo zvinoisa hupenyu hwavo panjodzi - uye kana kukura kwechimbichimbi kwaipfuura kugona kwechipatara, taifanira kukumbira helikopta kubva padiki zvipatara zviri kure. Tichifunga nzvimbo yedu, isu kazhinji taifanira kumirira inopfuura hafu yeawa kuti tiwane rubatsiro, izvo dzimwe nguva zvaipedzisira zvichinonoka.

Nepo dzimwe nguva zvichishungurudza, basa rangu rakanditendera kuti ndinyatsoziva varwere vangu uye zvipingamupinyi zvinotadzisa kugona kwavo kuwana hutano hwavanoda uye hwakakodzera. Ndakaziva kuti apa ndipo chaipo pandaifanira kunge ndiri. Munguva yemakore matanhatu ndiri muShelton, ndakagadzira moto wekuve kugona kwese kwandaigona kuve pabasa iri netariro yekubatsira vakadzi vazhinji sezvandaigona.

Kuziva Hukuru hweDambudziko

Mushure menguva yangu muShelton, ndakatenderera nenyika yese ndichipa masevhisi ehunyamukuta kune dzimwe nharaunda dzisina kuchengetedzwa. Muna 2015, ndakadzokera kunzvimbo yeD.C.-metropolitan, kwandakabva. Ndakatanga rimwe basa rehunyamukuta, uye asingasviki makore maviri pachigaro, D.C. akatanga kutarisana neshanduko huru mukuwana rubatsiro rweutano hwaamai, kunyanya muWadhi 7 ne8, idzo dzine huwandu hwevanhu vanosvika 161,186, maererano neD.C. Health Matters.

Kashure kadiki: DC yagara ichizivikanwa seimwe yenzvimbo dzine njodzi kuti vakadzi veBlack vasununguke muUS Muchokwadi, yakatove "yakaiswa pachinzvimbo chakaipisisa, kana padyo neakaipisisa, parufu rwaamai kana ichienzaniswa nedzimwe nyika, "sekutaura kwaJanuary 2018 mushumo kubva kuKomiti yeVatongi uye Yekuchengetedza Ruzhinji. Uye gore rinotevera, data kubva kuUnited Health Foundation rakawedzera kuratidza chokwadi ichi: Mu2019, huwandu hwekufa kwemadzimai muD.C hwaive 36,5 kufa pavanhu zviuru zana vanozvarwa (vs. chiyero chenyika che29.6). Uye aya mareti aive akakwirira zvakanyanya kune vakadzi vatema vane makumi manomwe nevatanhatu vakafa pavanhu zviuru zana vanozvarwa muguta guru (vs. 63.8 munyika). (Zvakafanana: Mwanasikana waCarol Achangotangisa Chirongwa Chine Simba Chekutsigira Utano Hwaamai Vatema)

Nhamba idzi dzakaoma kugaya, asi kudziona dzichitamba, pachokwadi, kwaitonetsa. Mamiriro ehutano hwaamai muguta guru renyika yedu akawedzera kuipa muna 2017 apo United Medical Center, chimwe chezvipatara zvikuru munzvimbo iyi, yakavhara wadhi yayo yevanozvara. Kwemakumi emakore chipatara ichi changa chichipa rubatsiro rweutano hwemadzimai panguva yekusununguka kunharaunda dzinonyanya kutambura uye dzisina rubatsiro dzemuWadhi 7 ne8. Zvichitevera izvi, chipatara cheProvidence, chimwe chipatara chikuru munharaunda iyi, chakavharawo wadhi yacho kuitira kuchengetedza mari. yeDC gwenga rekuchengetedza amai. Zviuru zvevanaamai vakatarisira mumakona evarombo eguta vakasiiwa vasina kuwana rubatsiro rwehutano nekukurumidza.

Usiku ihwohwo, amai ava vanotarisira vakamanikidzwa kufamba madaro marefu (hafu yeawa kana kupfuura) - izvo zvinogona kuve hupenyu kana kufa mune yekukurumidzira - kuti vagamuchire prenatal, kubereka, uye mushure mekusununguka. Sezvo vanhu munharaunda iyi vachiwanzova nenhamo yemari, kufamba kunoparira mhinganidzo huru kuvakadzi ava. Vazhinji havagone kuve nechengetedzo yevana inowanikwa zvirinyore kune chero vana vangave vatove navo, zvichiwedzera kutadzisa kugona kwavo kushanyira chiremba. Vakadzi ava vanowanzova nehurongwa hwakaoma (nekuda kwe, toti, kushanda mabasa akati wandei) izvo zvinoita kuti kuvezwa kwemaawa mashoma ekusangana kwakatonyanya kunetsa. Saka zvinosvika pakuti kana kusvetuka zvese izvi zvipingamupinyi zvekutarisa prenatal kutarisa-kwakakosha chaizvo - uye kazhinji kazhinji kwete, kubvumirana hakuna. Vakadzi ava vaida rubatsiro, asi kuti tiwane izvozvo kwavari, taifanira kuwana hunyanzvi.

Munguva iyi, ini ndakatanga kushanda semutungamiriri weMidwifery Services kuYunivhesiti yeMaryland. Ikoko, takasvitswa neBetter Starts yeVose, iri-pasi, chirongwa chehutano hwemadzimai nhare nemasevhisi ane chinangwa chekuunza rutsigiro, dzidzo, uye kuchengetedza kuna vanamai navanamai. Kubatanidzwa navo kwaive kusingaite.

MaBatsiro eMafambisirwo Ezveutano Vepahara Ari Kubatsira Vakadzi MuD.C.

Kana zvasvika kumadzimai ari munharaunda dzisina kuchengetedzwa dzakadai seWadhi 7 ne8, pane pfungwa iyi "Kana ndikasatyoka, handidi kugadziriswa," kana "Kana ndiri kupona, saka ini handidi" handifanire kuenda kunotsvaga rubatsiro." Aya maitiro ekufunga anodzima pfungwa yekuisa pamberi pekuchengetedza hutano hwekudzivirira, izvo zvinogona kutungamirira kune akaurayiwa ehutano hwenguva refu matambudziko. Izvi zvinonyanya kuitika mukuzvitakura. Vazhinji vevakadzi ava havaoni kubata pamuviri sehutano. Ivo vanofunga "sei ndaizofanira kuona chiremba kutoti chimwe chinhu chakanyanyisa kutadza?" Naizvozvo, kutarisirwa kwehutano hwepamuviri kwakakodzera kunoiswa pamoto wekumashure. (Yakabatana: Chii Chakaita Kuva Nemimba Muchirwere)

Ehe, vamwe vevakadzi ava vanogona kuenda kunovhenekwa prenatal prenatal kamwe kuti vasimbise nhumbu uye voona kurova kwemoyo. Asi kana vakatove nemwana, uye zvinhu zvikafamba mushe, vangangotadza kuona kukosha kwekushanyira chiremba wavo kechipiri. Zvino, vakadzi ava vanodzokera kunharaunda dzavo vonotaurira vamwe vakadzi kuti nhumbu yavo yanga yakanaka vasina kuongororwazve, izvo zvinokanganisa vamwe vakadzi kubva mukuwana rubatsiro rwavanoda. (Yakabatana: 11 Nzira dzeVatema Vakadzi Dzinogona Kudzivirira Hwavo Hwepfungwa Hwepfungwa Panguva Yepamuviri uye Postpartum)

Apa ndipo panogona kuita mutsauko mukuru. Bhazi redu, semuenzaniso, rinotyaira chaimo munharaunda idzi uye rinounza zvakanyanya-kudiwa kwehunhu hwakanaka hwevabereki zvakananga kuvarwere. Isu takashongedzerwa navananyamukuta vaviri, kusanganisira ini, makamuri ebvunzo kwatinopa bvunzo dzepamberi pedzidzo, kuyedzwa kwepamuviri, dzidzo yekuchengetwa kwepamuviri, kurwara nefuruu, kubvunza nezvekuberekwa . Isu tinowanzo paka kunze chaiko kwemachechi nenzvimbo dzemunharaunda mukati mevhiki uye tinobatsira chero munhu anozvikumbira.

Kunyangwe isu tichitambira inishuwarenzi, chirongwa chedu chinopihwawo mari-zvinoreva kuti vakadzi vanogona kukodzera kupihwa mahara kana kudzikiswa masevhisi nekutarisirwa. Kana paine masevhisi atisingakwanise kupa, isu tinopawo kurongeka kwekutarisira. Semuenzaniso, tinogona kuendesa varwere vedu kune vanopa vanogona kupa IUD kana yekumisikidza yekuzvara nemutengo wakaderera. Izvo zvinoenda kune yakadzika-bvunzo bvunzo (funga: mammograms). Kana tikawana chimwe chinhu chisingaenzanisike pabvunzo dzepanyama, isu tinobatsira varwere kuronga mammogram yakaderera kusvika pamutengo zvichibva pakukodzera kwavo neinishuwarenzi, kana kushayikwa kwayo. Tinobatsira zvakare madzimai ane zvirwere zvagara zviripo zvakaita sehypertension neshuga kuti vabatane nevarapi vehutano vanokwanisa kuvabatsira kuti vadzore hutano hwavo. (Yakabatana: Heino Maitiro Ekutora Kuberekwa Kununurwa Kunze Kumusuwo Wako)

Chinhu chakanyanya kukosha, zvakadaro, ndechekuti bhazi rinopa mamiriro epedyo kwatinokwanisa kubatana nevarwere vedu. Izvo hazvisi zvekungovapa kutarisa kwavo uye kuvatumira munzira yavo. Tinogona kuvabvunza kana vachida rubatsiro kunyorera inishuwarenzi, kana vachikwanisa kuwana chikafu, kana kana vachinzwa vakachengeteka kumba. Isu tinova chikamu chemunharaunda uye tinokwanisa kutanga hukama hwakavakirwa pane kuvimba. Kuvimba uku kunoita basa rakakura mukuvaka hukama nevarwere uye nekuvapa rakasimba, remhando yepamusoro. (Yakabatana: Nei iyo U.S. Inoshuvira Inoda Vazhinji Vatema Vakadzi Vanachiremba)

Kubudikidza nechikamu chedu chekuchengetedza hutano, takakwanisa kubvisa zvipingamupinyi zvakawanda kune vakadzi ava, chikuru chiri kuwana.

Iine COVID uye nhungamiro yekuparadzanisa munharaunda, varwere vave kudiwa kuti vagonese kusetwa zvisati zvaitika, kungave kuburikidza nefoni kana email. Asi kana vamwe varwere vasingakwanise kuuya kuchikamu, isu tinokwanisa kupa chikuva chinotibvumidza kuvachengeta pamba chaipo. Isu zvino tinopa nhevedzano yehupenyu, online mapoka mapoka nevamwe vakadzi vane pamuviri munzvimbo iyi kuti vape ruzivo uye nhungamiro inodiwa nevakadzi ava. Misoro yenhaurirano inosanganisira kuchengetwa kwevana vasati vasununguka, kudya kunovaka muviri nemaitiro emararamiro, zvinokonzeresa kushushikana mupfungwa panguva yekuzvitakura, kugadzirira kusununguka, kutarisira mwana mushure mekusununguka, uye kuchengeta mwana wako.

Nei Misiyano Yekuchengetedza Utano Hwaamai Kuripo, uye Zvekuita Nezvazvo

Mazhinji mutsauko wedzinza nehupfumi pamwe nehutano muhutano hwemadzimai vane nhoroondo dzezvakanyorwa. Munharaunda dzeBIPOC, mune kusavimbana kwakadzama kana tasvika kuhurongwa hwekuchengetedza hutano nekuda kwekusagadzikana kwemazana emakore kwatakasangana nako kare isati yasvika nguva yaambuya vangu. (Funga: Henrietta Inoshaya uye iyo Tuskegee syphilis kuyedza.) Tiri kuona mhedzisiro yekutambudzika panguva chaiyo nekuzeza kwakatenderedza mushonga we COVID-19.

Nharaunda idzi dziri kuomerwa nekuvimba nekuchengetedzeka kwejekiseni nekuda kwenhoroondo yehurongwa hwekuchengetedza hutano hwekusabuda pachena nekudyidzana navo. Kuzengurira uku mhedzisiro yakananga yerusaruraganda, kushungurudzwa, uye kuregeredzwa kwavakasangana nako nehurongwa hwave kuvimbisa kuzviita nemazvo.

Senharaunda, tinofanira kutanga kutaura pamusoro pekuti sei kuchengetedza kwepamuviri kwakakosha. Vacheche vevanaamai vasingatarisirwe vasati vasununguka vane mukana wakapetwa katatu (!) wokuva neuremu hushoma uye vane mukana wekufa nekashanu pane vanoberekwa naamai vanozorapwa, maererano neUnited States Department of Human Health and Services. . Vanamai vacho pachavo vanobviswa kutarisirwa kwakakosha kusanganisira kuongorora zvinogona kuitika matambudziko ehutano kuburikidza nemuedzo wepanyama, kuyerwa kwehuremu, kuongororwa kweropa uye weti, uye kuwanda. Varikushaya mukana wakakosha wekukurukura zvimwe zvingangoitika zvakadai sekushungurudzwa mumuviri uye nemuromo, kuongororwa kweHIV, uye zvinokanganisa doro, fodya, uye kushandisa zvinodhaka zvisiri pamutemo zvinogona kuve pahutano hwavo. Saka ichi hachisi chinhu chinofanira kutorwa zvishoma.

Nenzira imwecheteyo, inofanirwawo kuve ruzivo rwakajairika kuti unofanirwa kugadzirira muviri wako usati wabata pamuviri. Hazvisi zvekungotanga mavhitaminzi ako epamuviri uye kutora folic acid. Iwe unofanirwa kuva nehutano usati watora mutoro wekutakura mwana. Iwe une BMI yakanaka here? Hemoglobin yako A1C mazinga akanaka here? Uri sei BP? Iwe unoziva nezve chero pre-iripo mamiriro? Iyi mibvunzo yese yaifanira kunge ichibvunzwa naamai vese vasati vafunga kubata pamuviri. Idzi hurukuro dzekuvimbika dzakakosha kwazvo kana zvasvika kune vakadzi vane nhumbu dzakanaka uye nekusununguka. (Yakabatana: Zvese zvaunoda Kuti Uite Mugore Usati Wabata Pamuviri)

Ndanga ndichiedza kugadzirira nekudzidzisa vakadzi pamusoro pehupenyu hwangu hwese hwevakuru uye ndicharamba ndichidaro kwenguva yakareba sezvandinogona. Asi ichi hachisi chinhu chinogona kugadziriswa nemunhu mumwe kana rimwe sangano. Iyo sisitimu inoda kuchinja uye basa rinofanirwa kupinda mukati rinogona kunzwa risingakundike. Kunyangwe pamazuva akaomesesa, zvakadaro, ini ndinongoedza kurangarira kuti izvo zvingaratidzika sedanho diki - kureva kuti kubvunza prenatal nemukadzi mumwe - zvinogona kuve kusvetuka kune hutano hwakanaka uye hutano hwevakadzi vese.

Ongororo ye