Xa uceba ukukhulelwa, esinye sezihloko ezibalulekileyo engqondweni yakho kukuba izinto zibiza njani. Ngaphandle kokuba imali ayinamandla, mhlawumbi kufuneka ube nebhajethi yengane kunye nazo zonke izinto ofuna ukuzithengayo eziza ngokukhulelwa , ukuzalwa, kunye nabazali-iimpahla zokubeleka, isitya somntwana, ifenitshala yentsana, iindleko zonyango , kunye nokuninzi. Ngoko kuyaqondakala ukuba uyazibuza ukuba uninzi lweendleko ze-doula xa ucinga ukuba okanye ungasebenzisi i-doula.
Yintoni i Doula?
Igama elithi doula ligama lesiGrike elisetyenziselwa umkhonzi wesifazane. Ngelixa iqheleke libhekisela kwintombi eyanceda iintsapho ngexesha lokuzalwa komntwana, kukho i-doulas eninzi kunye nabesilisa. I-Doulas basebenzisa ulwazi, umzimba, kunye nenkxaso yemoya ukunceda iintsapho ngexesha lokuzalwa. Kukho kwakhona i-doulas postpartum, enyamekela iintsapho emva kokuzalwa komntwana.
Inkxaso yolwazi lithetha ukujonga iindlela ezahlukeneyo umntu ayenayo ngexesha lokukhulelwa nokuzalwa. I-doula inceda intsapho iqokelele ulwazi olongezelelweyo kumniki-nkonzo kunye neminye imithombo ukuze bakwazi ukwenza ukhetho olunolwazi malunga nokunyamekela kwabo. Icandelo lenkxaso yempembelelo yinto nje yokuzincama nokuzinzileyo kumntu osebenzayo kunye nentsapho yabo. Oku kunokuthetha ukunceda ukukhuthaza ukuphumla, ukubeka ithoni kwigumbi, okanye ukunceda intsapho ixoxe namanye amalungu eqela lezithintelo.
Inkxaso yenyama yinto abantu abaninzi abazi kwaye balindele kwi-doulas. Oku kuya kubandakanya ukuma kwezabasebenzi ukunceda umntu okhulelweyo ahlale ekhululekile kwaye ekhululekile kangangoko kunokwenzeka, kuquka ukunyakaza xa kucelwe kwaye kufanelekile. Kungabandakanya ukuhlaziya okanye ezinye izakhono zokuphumla kwinxalenye yecandelo.
Kusenokuthetha ukusetyenziswa kwezixhobo ezinjengophatho lwamanzi, i-rebozo, ibhola lokuzalwa, okanye enye yezixhobo ezininzi ezisebenzisa i-doula ukunceda intsapho eqhubayo.
I-Doulas baqeqeshwa yimibutho eyahlukeneyo ukuze bafunde izakhono eziyimfuneko ukunceda iintsapho kweli xesha elibi. Inhlangano endala kunazo zonke i-DONA International kwaye baqinisekisile abangaphezu kweshumi elinesibini lamawaka doulas kumazwe angamashumi amahlanu anesithandathu kwiminyaka engamashumi amabini anesihlanu. Kukho neminye imibutho efana neCAPPA kunye neToLabor eqinisekisa ukuba i-doulas yokuzalwa, nayo.
Inkxaso ye-doulas iya ngaphaya kwemibutho yokuqinisekisa. Amaqela afana neLamaze International nawo akhuluma ngexabiso leenkonzo zabasebenzi.
Kutheni Ufuna I-Doula?
Ukusebenzisa i-doula kuye kwaboniswa ukuba zinamalungelo amaninzi kuwe, iqabane lakho, umsebenzi wakho, kunye namava akho emva kokuphuma. Izifundo ezenziweyo zibonisa ukuba xa umntu okhulelwe esebenzisa i-doula banokuthi bafumane ukuzalwa kwesisu, kuncinci ukucela imithi yesifo okanye ifuna i-Pitocin. Kwakhona kubalulekile ukuba uqaphele ukuba abantu abanako ukulinganisa amava abo okuzalwa ngokungafanelekanga.
Umgca wenyani kukuba wonke umntu unethuba elingcono lokuphila enempilo xa i-doula isetyenziswe ngexesha lokubanjwa nokuzalwa. Idatha yokupapashwa ibonisa ukuba enye yezixhobo eziphambili zokuphucula iziphumo zabasebenzi kunye nokuhanjiswa kweziphumo kukuqhubeka kubasebenzi benkxaso, njenge-doula, "ukusuka ekukhuselweni okukhuselekileyo kokunikezelwa kweprayimari ezivela kwi-American College of Obstetricians and Gynecologists (ACOG). ) kunye noMbutho weNtsholongwane kaMntwana (SMFM).
Ngoko, unikezwe zonke iziphumo ezilungileyo, unokuzibuza ukuba uninzi lweendleko ze-doula.
Iindleko zeDoula zininzi kangakanani?
Umrhumo we-doula uya kufaka ixesha lokubeletha kunye nesethi yokutyelela okubekwa bucala kukunceda wena kunye ne-doula yakho ekhethiweyo ukuba nisene kunye nokuthetha ngokukhetha kwakho ukuzalwa kwakho okuzayo. Kukho ngokuphindaphindiweyo ukutyelela ukuhanjelwa, kodwa oku akufani ne-postpartum doula, ogcina ukugcina indlu, ukunyamekela umntwana kunye nezinye izinto ezifanayo ukukunceda.
Umrhumo we-doula uya kugubungela nokuzalwa, nangona ungaqiniseki ukuba uyazi ukuba i-doula yakho ichaza njani ukuzalwa. Ininzi ye-doulas ichaza ixesha lokuzalwa njengoko kukho naxa unesiqhelo esisoloko sinezinhlungu kwaye ufuna inkxaso ye-doula.
Ezinye i-doulas ziya kukhetha ukudibana nawe kuphela xa usebenza ngokusebenzayo kunye nendawo yakho yokuzalwa (isibhedlele okanye isikhungo sokuzalwa ). I-doulas encinci i-caps i-caps kwisixa esiza kuchitha ngaphambi kokuba iindleko zongezwe.
Xa sathetha noMelissa Harley, uMlawuli wezoBudlelwane boLuntu kwi-DONA International, yile nto athetha ngayo malunga neendleko ze-doula:
Imirhumo yeDoula iyahluka ngokubanzi, ngokuqhelekileyo isekelwe kwimimandla, imfundo kunye namava e-doula. I-DONA International iqinisekisile ngaphezu kwe-12,000 i-doulas enika iinkonzo ze-doula kwiinkalo zamanani amaninzi. ikhowudi yokuziphatha kunye nemigangatho yokusebenza ethi: 'Xa ubeka imirhumo, i-doula kufuneka iqinisekise ukuba ilungile, ingqiqo kwaye ihambelana neenkonzo ezenziweyo. I-doula kufuneka ichaze ngokucacileyo imali yakhe kumxhasi kwaye ichaze iinkonzo ezinikezelweyo, imiqathango yokuhlawula kunye nemigaqo-mboleko. "
Ihlawulwa njani loo ntlawulo?
Ukongeza kokwazi ukuba zininzi iindleko ze-doula, kubalulekile ukwazi ukuba umrhumo wenziwe njani. Intsalela inokuba yinto efanelekileyo ngexesha lakho i-doula liqhubeka ngefowuni yokuzalwa kwakho. Oku kungaba ngumxholo wesiqingatha kunye nehafu.
Ezinye i-doulas nazo zinokunika izicwangciso zokuhlawula. Oku kukuvumela ukuba welula imali ngokukhawuleza ixesha elide. Le nenye yeenzuzo zokufumana i-doula ngaphambili kwikhosi yokukhulelwa kwakho. Ngaloo ndlela ungakhokelela ekuzalweni, awuyi kuba neenketho ezininzi ze-doulas nje ngenxa yokufumaneka, kodwa uya kuba nexesha elide ukufumana imiba yokuhlawula.
Ezinye i-doulas ziya kuphazamisa, ngoko ke ukuba unamakhono, iinkonzo, okanye iimpahla ezinokuthi zifanelwe ukurhweba, kunokufanele ufumane inxalenye yemali yakho ye-doula ngokutshintshiselwa ezo nkonzo. Oku kunokuba yinto elula nje ngeenkonzo zokufumana abantwana okanye ezinzima njengendlela yokugcinwa kwemoto. Ngandlela-thile, unganqikazi ukubuza i-doula yakho ukuba ngaba nesakhiwo esilungele ukulungiswa.
Yintoni eya kwi-Fela yeMali?
Xa ubheka umrhumo we-doula, awukwazi ukuqonda konke okungena kuwo. Nantsi ukuphazamiseka kwezinye zezinto ezibandakanyiweyo.
1. Imfundo: Iqala ngokuqeqesha i-doula. Ingadla imali engaphezulu kweedola ezili-1000 ukuze ibe yi-doula phakathi koqeqesho, iiklasi, kunye nesatifikethi. Nangona kanye i-doula yakho iqinisekisiwe, kukho ukulungiswa kwakhona, okubandakanya ukuqhubela phambili iikhosi zemfundo, iinkomfa kunye nezinye iimfuno zemfundo.
Iindleko zokwenza ibhizinisithi: Iindleko zokwenza ibhizinisi, nokuba kungabikho kwendawo ebonakalayo, kunokubandakanya amakhadi ezishishini, izibonelelo kunye nezinto ezibonelelwe kubaxumi, isofthiwe okanye iifayili ezisetyenziselwa ukukunceda ukugcina iirekhodi kunye neefayili, iilayisenisi zobungcali ngaphaya kwelo isitifiketi kunye nokuvuselela, ukuhlawula iifizi zokuthumela iinkonzo, ukugcinwa kwemoto, iselfowuni okanye inkonzo ye-pager, ithala leencwadi, iwebhusayithi, njl njl.
Izinto ezibandakanya umsebenzi: Awukwazi ukucinga ngako kodwa ukuba i-doula yakho ikunikezela ngezinto ezifana nebhola lokuzalwa okanye izixhobo zokusikwa, zonke ezo zinto zibiza imali ephuma ephakamileyo. Kungenokuba yinto eninzi, kodwa idibanisa.
4. Ukunakekelwa kwabantwana: I-doula ingadinga ukuhlawula umntu ukuba anakekele abantwana babo ngexesha lokuqashwa kokubeletha okanye ngexesha lokuzalwa. Oku kungabandakanya ukuhlawula i-call-call call provider, oku kuthetha ukuba i-doula ihlawula imali yokunyamekela abantwana, nokuba ingaba ayisebenzisi.
5. Emuva phezulu: I-doula yokulondoloza ngumntu obonisa ukuzalwa kwakho kwi-doula yakho ayifumaneki. Oku kufuthi zigcinwe kwiimeko ezingaqhelekanga njengokuba i-doula yasekuqaleni ibe kwenye ukuzalwa okanye ukugula. Inkontileka phakathi kwakho kunye ne-doula yakho iya kuthetha malunga nokusetyenziswa kwe-doula yokulondoloza. Nangona kunjalo, imeko eqhelekileyo kukuba i-doula kunye ne-backla doula inesivumelwano esahlukileyo. Oku kuthetha ukuba i-doula yokulondoloza ingenza umrhumo omncinci nokuba ngaba iinkonzo zabo zisetyenzisiwe okanye ezingekho ngenxa yokuba isivumelwano sithatha ixesha kwikhalenda. Bangakwazi kuphela ukunyamekela ngokwenyama inani elithile labantu.
Kubalulekile ukuqonda nokuxabisa umsebenzi owenziwe ngu-doulas. UDoulas usebenza kanzima kumsebenzi onamaxesha angamaqhina, kungekhona ukuguquguquka, kwaye ufuna umsebenzi omzimba kunye nomoya. Inani leeyure apho i-doula ibeka kumxhasi ayinakulinganiswa ngokubhekiselele ekusebenzeni kwexesha elide labasebenzi. Kukho iiyure zokubeletha, iiyure ezichithwa kwifowuni, kunye neeyure ezithengiweyo kunye nomxhasi weposi.
I-Doula Fee Scholarships
Eminye i-doulas ingabonelela ngeengxowa-mali okanye ithathe inxaxheba kumaqela enza izikhuthazo ezikhethekileyo kwiintsapho ezihlangabezana neemfuno ezithile. Umzekelo unokuba ngumvuzo osisiseko, kodwa kunokuba kunokunceda uncedo lwabantu, njengemindeni yababaleki, intsha, iintsapho ezizala iintlobo ezithile okanye amanqanaba athile. Qiniseka ukuba ubuze ukuba le nto uyifunayo.
> Imithombo:
> Hodnett, ED. "Ubuhlungu kunye nokwaneliseka kwabasetyhini ngethuba lokubeleka: ukuhlolwa okucwangcisiweyo." Ngaba i-Obstet Gynecol 186 (i-Suppl Nature) 5: S160-172 (2002).
> Hodnett ED, iGates S, Hofmeyr G, Sakala C. Inkxaso eqhubekayo yabasetyhini ngexesha lokubeletha. I-Cochrane Database yeeNkcazo eziPhezulu 2013, Inkcazo 7. Ubugcisa. Inombolo: CD003766. INGXELO: 10.1002 / 14651858.CD003766.pub5
> Ukukhusela okukhuselekileyo kokunikezelwa kweprayimari eziphambili. Ukubambisana kweNkcazo yokuThutyana kweNkundla ye-Obstetric No. 1. Ikholeji yase-American College of Abstetricians kunye neGynecologists. I-Obstet. Gynecol. 2014; 123: 693-711.