Umbelethisi uchwepheshe wezokunakekelwa kwezempilo ofanele kakhulu ukusiza ukulethwa okujwayelekile. Lokhu kuncishisiwe ekumenyezelweni kweWorld Health Organisation yaseFortaleza yango-1985, futhi ngaphezu kwakho konke, kulandela lokhu ngokuqonda. Lesi sitatimende sathi: ukuqeqeshwa kwababelethisi abasebenza kahle noma ababelethisi kufanele kukhuthazwe. La qaphela ngesikhathi sokukhulelwa okujwayelekile, ukubeletha kanye ne-puerperium kufanele kube umthwalo walomsebenzi.
Si ukulethwa kuqhubeka ngokujwayelekile, umbelethisi kufanele kube nguyena kuphela ochwepheshe ukubhekelela owesifazane obelethayo. Sikhuluma ngababelethisi ngoba lo msebenzi ngokwesiko bekungumsebenzi wabesifazane, kepha baya ngokwanda abesilisa abawujoyinayo nsuku zonke.
Iyini indima yombelethisi ngesikhathi sokubeletha
Kuwo wonke umsebenzi umbelethisi kumele abe sesimweni sokuxwayisa, kanye nowesifazane, nomlingani wakho, uma ubufuna. Umbelethisi, noma umbelethisi, owaziwa ngaleli gama, kufanele angenelele kuphela, noma abhekise kudokotela wezifo zabesifazane, lapho kudingeka.
Ngesikhathi sokubeletha, umbelethisi unakekela inhlalakahle kamama kanye neyombungu. Nakekela isimo somzwelo esijulile owesifazane adlula kuso. Ifilosofi yombelethisi igxile eqinisweni lokuthi ukukhulelwa nokubeletha kuyizinto zemvelo zokuphila. Indima yombelethisi ukusiza ngaphandle kokugxambukela.
Izifundo ezahlukahlukene ziyakuqinisekisa lokho imiphumela iba mihle futhi yanelise lapho ukulethwa kuhanjelwa ngababelethisi, kunangesikhathi lapho odokotela besifazane bekwenza, ngoba bathambekele ekungeneleleni ngokungadingekile kaningi. Ngakho-ke, indima kadokotela wezifo zabesifazane, udokotela wezifo zabesifazane, ekulethweni okujwayelekile kufanele ibekelwe ukutholakalela ukuhlinzeka ngezinsizakalo uma kudingeka umbelethisi.
Ukuthembana phakathi kowesifazane nombelethisi
Enye yezindima ezibalulekile zombelethisi ngesikhathi sokubeletha ukukhuthaza owesifazane, nomndeni wakhe, ngesikhathi sokubeletha, ngesikhathi sokubeletha nangezigaba zakamuva. Ukuthuthukisa lo msebenzi Isimo sokwethembana nokuzola phakathi kombelethisi nomama kubalulekile.
Kunezimo ezithile ezibhekwe ngumbelethisi ukusungula lokhu kuthenjwa, nokuthola ukuxhumana okusebenzayo. Kulokhu kunconywa yamukela umuntu siqu nokubingelela okuzonciphisa ukukhathazeka, ukwesaba kanye nengcindezi okuhlangenwe nakho ngabesifazane abaningi. Lokhu kuzosiza ukubheka izithiyo zolimi.
Umbelethisi uzosiza owesifazane ukuthi abone igumbi lokuhlanza njengendawo yangasese. Kuzomsiza ukuvumelanisa imvelo nezidingo zakhe, axoxe ngohlelo lwakhe lokuzalwa, uma owesifazane enalo. Kufanele usebenzise imibuzo evulekile futhi engaqondisiwe ukuthola ukuthi uzizwa kanjani, okukhuthaza inkululeko yakho yokuhamba nokukhuluma ngokomzwelo. Imayelana nokuhlonipha isidingo sikamama sokungazizwa ubonwa noma wahlulelwa.
Iqhaza lombelethisi lapho ebeletha
Indima ebalulekile yombelethisi ngesikhathi sokubeletha ukukhombisa ukwesekwa, ukuqonda nokuzethemba emandleni abesifazane ukubhekana nalo msebenzi. Kunconywa ukuthi kuhlolwe ulwazi owesifazane analo ngezindlela zokudambisa izinhlungu. Omunye wemisebenzi yawo ukukunikeza imininingwane nezeluleko ezikuvumela ukuthi ukhethe lezo ezifanela umama.
Ukwenza uhlu, kungashiwo ukuthi laba ngababo imisebenzi ethile, esibhedlela:
- Uthola owesifazane okhulelwe lapho efika esibhedlela.
- Lapho kuqala ukubeletha, uphethe ukwamukela umama wesikhathi esizayo futhi amyise egumbini lokuhlanza. Uzokunakekela ngesikhathi sokunwebeka.
- Kuzobhekela nokwazisa odokotela uma kwenzeka ukuthi kuvela izinkinga noma izehlakalo ezingalindelekile enqubweni yokuhluza.
- Kuphethe ukuxhumana noma ukweluleka i-anesthetist, uma umama ecele i-epidural. Njalo ngesikhathi esifanele, hhayi ngaphambi noma ngemuva.
- Ilawula ukunwetshwa nesimo sengane ngokuqapha ingane.
- Owesifazane okhulelwe udluliselwa egumbini lokubelethisa.
Umatron unakekela owesifazane ngesikhathi sokubeletha futhi angakwazi ukuhlanganisa i-episiotomy.