Isithombe sithathwe ku-care-challenge.com
Siqale kuleli sonto ukujoyina umgubho we #WorldWorldBirthWeeks, noNati basitshele ukuthi inqubo yokusebenzisa izincomo ze-WHO ngokusetshenziswa kobuchwepheshe ngesikhathi sokuzalwa ibihamba kancane. Sikukhumbule ke lokho "Kungenzeka ukuthi ubheke okuthandwa ngabesifazane futhi unciphise ukungenelela", ukuze kuzuze umama nomntwana.
Ezinsukwini ezimbalwa kamuva, UValeria ususe ukuvala amehlo ngaleli qiniso: "abesifazane bathola ukuthotshiswa nokuzenzisa" ngomzuzu osondelene, osengozini futhi OBALULEKILE, njengokulethwa kwezingane zakhe. Uveze isikhundla se-lithotomy iningi lethu esike lazibona sikuso, futhi SIKE sabona kumabhayisikobho: ilele ematafuleni okudilivwa kwesinye isikhathi abukeka njengama-racks wokuhlukumeza. Akuyona ukuphela kwenqubo yesibhedlela engathiya inqubekela phambili yokulethwa okujwayelekile, kepha iqiniso ukuthi kunengqondo ukucabanga ngokuma okuqondile njengomgqugquzeli, ngoba amandla adonsela phansi akhetha ukusunduza kwengane ukulandela ngokwemvelo. Uma ufuna ukwazi kabanzi, ngizozicwilisa ngokwengeziwe ngale ndlela yokuzalwa.
Inothi elifushane: sifunda kokubhalwe ku-The Birth okwethu ukuthi: "Itafula lokulethwa lisungulelwe ukunethezeka kochwepheshe bezokunakekelwa kwempilo" (kahle, kwesinye isikhathi bakhetha isimo) ukulethwa. Futhi manje ngiyakumema ukuthi uzibuze ukuthi kungani ucabanga ukuthi ngokomlando abesifazane babelethe ezikhundleni ezinkulu ezingaphezulu noma ezingaphansi? Njengoba kuvela, ufinyeza futhi wandise umsele wokuzalwa (ngokuvumela ukuvulwa okukhulu kwamalunga), kusiza ukulethwa ngomzamo omncane, futhi kuvumela umama ukuthi acabange ngokuzalwa kwengane..
Ngakho-ke, ubuchwepheshe kanye nokwenza izinsimbi zokubeletha akuyona into enhle ngaso sonke isikhathi kulabo abazalayo (masingakhohlwa ukuthi yithina); kepha noma kunjalo, uNati usevele wakusho: Imayelana nokukwazi ukukhetha hhayi isikhundla kuphela, kepha zonke izici ezihlobene nalowo mzuzu obaluleke kakhulu. Ukusuka kobani abahamba nathi, kuye ekutheni sifuna ukudla noma ukuphuza, noma ukuhamba phakathi kwezingqinamba; ukushefa noma ilungelo lokukhamuluka uma sizizwa sikwenza (futhi ngaphandle kwanoma ngubani osivimbelayo).
Isikhundla esiqondile sithathwa njengokuhlala phansi, ukuhlala phansi noma ukuhlala phansi (ngamathanga esiswini)
Uma ngabe emakhulwini amaningi eminyaka sizalele sibheke phezulu, singakwazi ukukwenza.
UMnyango Wezempilo wasePeruvia, yanyatheliswa ngo-2005 indinganiso yezobuchwepheshe yokunakekelwa kokulethwa okuqondile. Kulo mbhalo kushiwo ukuthi kunokungaboni ngaso linye phakathi kwabasebenzi abahambela ukubeletha (odokotela ababelethisayo, ababelethisi) kanye nomama, njengoba lowo owayeqeqeshwe ukuba abe khona ngesikhathi umama ese-lithotomy, abokugcina benqaba ukusizwa ezikhungweni zezempilo, njengoba babekhetha ukubeletha babheke phezulu.
Lo mthetho uhloselwe ukufuna ukulingana phakathi kokunakekelwa kwemitholampilo kwanamuhla kanye nencazelo yesenzo somama. Ezweni laseAndes babekhona eminyakeni eyi-11 eyedlule (njengasemazweni amaningi asentshonalanga namuhla) ubufakazi bokuthi ukulethwa mpo kungokomzimba futhi kuyasiza.
Kungcono ukubeletha ngokuma? Engxenyeni elandelayo elandelayo sizohamba ngezinzuzo zalesi sikhundla. Ukuvuselelwa kwesayensi, kwesinye isikhathi kusenza sikholelwe ukuthi imikhuba yendabuko ayisasebenzi, noma ngabe ukusebenza kwayo sekufakazelwe. Kepha akusiwo umbuzo wokukhuluma ngamagama obuchwepheshe kakhulu, ngoba okubandakanyekile lapha ukuzala, into abesifazane abangakwazi futhi abakwaziyo ukuyenza uma sithemba imizimba yethu; futhi ukuthi ngalolu hlobo lwama-athikili (kuyadingeka, angisho ukuthi akunjalo) sifuna ukuthethelela okufanele kulungiswe kukodwa.
U-Engelman (ngo-1882), uchazwe kulo mbhaloUkuthi isikhundla esamukelwe ngabesifazane esibhekise kubo njengabokuqala sabavumela kanjani ukuthi bashintshe lapho befisa; njalo ugwema ukulala phansi; eyayinezinzuzo ezinkulu ekusebenzeni.
Igalari engezansi ikhombisa izithombe ezintathu zamaParthi aqonde mpo afakwe emifanekisweni ebaziwe noma imidwebo yempucuko ehlukile. Zitholakele ku-The Well Rounded Mama.
Ukuma mpo kungokwemvelo ngokwengeziwe.
La Umhlahlandlela wokunakekelwa okujwayelekile kokulethwa okuvela eMnyangweni Wezempilo, ifingqa ngale ndlela ubufakazi obuhambisana nokuba mpo kokulethwa: "Izikhundla ezime mpo noma ezihlangene zimataniswa (uma kuqhathaniswa ne-lithotomy) nesikhathi esifushane sesigaba sesibili somsebenzi, ukubeletha okusizwayo okumbalwa, amanani aphansi ama-episiotomi, njll."
Kepha eNtshonalanga sifuna ukukhombisa nokusobala, yize singakhohlwa ukuthi lokhu kungenxa yokwelashwa nokusetshenziswa kokubeletha: kusesekhona indlela yokuthi odokotela abaya ukulethwa banqabe ukuba namandla phezu kwalokhu okwenzekayo, banikeze ukuvelela komama. Ngaphandle kokubandlulula ukuthi, sisebenzise izakhiwo zesibhedlela, noma yisiphi isimo esibuhlungu singalungiswa ngokushesha.
Ngokuqondile, umsele wesitho sowesifazane sowesifazane kanye nesiqu sawo usendaweni engemuva ngokwengeziwe maqondana nendiza evundlile.. Ukuma okume mpo okuvame kakhulu kubonakala sengathi kuhleli (kunezihlalo ezikhethekile noma indle) noma i-semi-recumbent. Futhi njengoba umbono bekungaba ukuthi singakhetha izikhundla, kuzoba khona othile oqhoshayo, oguqile noma omile.
Isithombe sithathwe ku: partovertical.cl
Izinzuzo.
Ukwehla kwengane ngomsele wokuzalwa kuyathandeka ngamandla adonsela phansi; isibeletho asifaki ingcindezi emaphashini sisiza umama ukuba akhululeke. Umsebenzi ungathatha isikhathi esincane, ngoba njengoba kushiwo ngenhla, umsele uyancipha. Futhi, akudingeki ama-episiotomi amaningi, futhi izinga lezinyembezi liyancipha. Okungabalulekanga kangako umuzwa wenkululeko nokulawula ngenqubo abanayo omama, okuthinta ngqo ukwaneliseka kwabo.
Akudingeki sifunde ukuzala, ngoba sesivele sazi ukuthi singakwenza kanjani. Noma cha?
Kwenzekeni kithina ukuze senzelwe ukudlala indima ebonakalayo ezinhlelweni zokukhulelwa, zokubeletha kanye nokuncelisa, sikude kakhulu nemvelo yethu?
Ezinyangeni ezimbalwa ezedlule Ngifunde le ngxoxo nodokotela obelethayo uMichel Odent, esikwaziyo kokubili ngezincwadi zakhe ("Ingane iyisilwane esincelisayo", phakathi kwabanye), kanye nokufuna isidingo semvelo somama nezingane sokuhlala ndawonye ngemuva kokuzalwa. Njengoba ungacabanga (uma ungamazi) ungummeli wokubeletha kwemvelo, futhi akanqikazi ukuveza ubumbano lwenqubo yokuzalwa, njengembangela yezimo ezihlukumezayo kowesifazane nasenganeni yakhe.
Uthe kule ngxoxo ukuthi unomqondo: "umuthi uthambisa imithetho yokukhethwa kwemvelo", ngoba siphazamisa UMTHETHO OYISISEKELO osivumele ukuba senze ikoloni umhlaba ube yikholoni. Lo muntu uhlakaniphe kakhulu, ngoba unemibuzo eminingi kunezimpendulo (futhi ulwazi olomuntu obuzayo). Ingxenye enzima kakhulu ukuyifunda umusho okhuluma ngokulahleka kwamandla okuzala nokuncelisa izingane, ngenxa yokuncika ngokweqile emithini.
Futhi ukuqeda lesi sibuyekezo esifushane, u-Odent usikhumbuza (njengoba enzile kaningi) ukuthi umama kufanele azizwe ephephile futhi evikelekile ngesikhathi sokubeletha, idinga ubumnyama nokuthula; futhi lokho akudingi ukusekelwa, kubhekiswa kulo musho wokugcina ekulungisisweni kwamasculinization wokubeletha (futhi ngiyaqonda ukuthi kubhekisa kokubili ebukhoneni bomlingani wesilisa nasekungeneleleni kodokotela). Phew! Ukufunda i-Odent kuhlala kungikhathaza, ulungile.
Isiphetho ngukuthi thina bomama asizimisele ukugwema intuthuko yezokwelapha kunalokho, basivumela ukuba sibacele lapho kudingeka; kodwa futhi sibe nenkululeko ethe xaxa ngendlela esifuna ukuqala ngayo.