Paunenge uri kuronga kubata, chimwe chezvinyorwa zvakanyanya mupfungwa dzako ndezvokuti zvinhu zvinodhura zvakadini. Kunyange kana mari isiri yakasimba, zvichida unoda kuva nebhadhiro yemwana uye zvinhu zvose zvaunoda kutenga zvinouya nekuzvitakura , kuberekwa, uye kuberekwa-zvipfeko zvekuberekwa, mwana mahara, fesheni yemwana, kushandiswa kwepabonde , nezvimwewo. Saka zvinonzwisisika kuti iwe ungashamisika kuti zvinoda sei doula paunofunga kana usingashandisi doula.
Chii Chinonzi Doula?
Izwi doula ishoko rechiGiriki iro rinoshandiswa kumushandi wevakadzi. Kunyange zvazvo kazhinji kacho kunoreva musikana anobatsira mhuri panguva yekuzvarwa kwechecheche, pane madhonal ano akawanda uye ari varume. Doulas shandisa ruzivo rwemashoko, rwemuviri, uye rwepfungwa kubatsira mhuri panguva yekuzvarwa. Iko kunewo postpartum doulas, uyo anotarisira mhuri mushure mokuberekwa kwechecheche.
Kutsigirwa kwemashoko kunoreva kutarisa zvakasiyana-siyana izvo munhu aine panguva yekuzvitakura nekuberekwa. Iyo doula inobatsira mhuri inounganidza mamwe mashoko kubva kune avo vanochengeta uye mune dzimwe nzvimbo kuitira kuti vagone kuita chisarudzo chakanaka pamusoro pekutarisira kwavo. Iko kunotsigirwa mupfungwa inongova kungova kugadzikana uye kuvepo nguva dzose kune munhu anoshanda uye nemhuri yavo. Izvi zvinogona kureva kubatsira kubatsira kukurudzira kunakidzwa, kuisa inzwi mukati mamuri, kana kubatsira mhuri kutaurirana nemamwe nhengo dzemauto anovhiringidzika.
Kutsigirwa kwenyama ndeyevanhu vakawanda vanoziva uye vanotarisira kubva ku doulas. Izvi zvinosanganisira kushanda kwebasa kuti ubatsire munhu ane pamuviri agare akasununguka uye akasununguka sezvinobvira, kusanganisira kufamba kunodiwa uye zvakakodzera. Inogonawo kusanganisira kushambadzira kana humwe unyanzvi hwekuzorora pane chikamu chechiremba.
Zvinogona kureva kushandisa zvishandiso semvura inonzi therapy, rebozo, bhorosi yekuberekwa, kana imwe yezvimwe zvinhu zvakawanda izvo doula inoshandisa kubatsira mhuri inoshanda.
Doulas vanodzidziswa nemasangano akasiyana-siyana kuti vadzidze unyanzvi hunodiwa kubatsira mhuri munguva ino yakaoma. Sangano rekare kudarika DONA International uye vakanyatsozivikanwa kupfuura gumi nezviviri nemazana doulas munyika makumi mashanu nematanhatu mumakore avo makumi maviri nemashanu. Kune mamwe masangano akaita seCAPPA uye ToLabor anozivisa kubereka doulas, zvakare.
Rutsigiro rwe doulas runoenda kunze kwekusimbisa masangano zvakare. Makira akafanana neLamaze International anotaura zvakare pamusoro pekukosha kwekutsigirwa kwebasa.
Sei Unoda Doula?
Kushandisa doula kwakaratidzwa kuva nezvikomborero zvakawanda zvewe , shamwari yako, basa rako, uye rako rekudzidza shure. Zvidzidzo zvakaitwa zvinoratidza kuti kana munhu ane pamuviri anoshandisa doula ivo vanowanzove nekuberekwa kwevakadzi, vashoma kukumbira mishonga inorwadza kana kuti vanoda Pitocin. Zvakakoshawo kucherechedza kuti vanhu havakwanisi kuverenga maitiro avo ekuzvarwa patsva.
Chinonyanya kukosha ndechokuti munhu wose ane mukana wakanaka zvikuru wekuve nehutano apo doula inoshandiswa panguva yebasa nekuberekwa. "Nyaya yakadhindwa inoratidza kuti imwe yezvinonyanya kushandiswa pakuvandudza kushanda uye kubhadhara zvinokonzerwa nekuvapo kwevashandi vekutsigira, zvakadai seka doula," kubva kudziviriro yakachengetedzwa kwekutanga kwekusununguka kubva kuAmerican College of Obstetricians uye Gynecologists (ACOG) ) uye Society for Maternal Fetal Medicine (SMFM).
Saka, kupa zvose izvi zvakanaka, unogona kushamisika kuti zvakadini doula mari.
Kuda Kwakawanda Kunoda Zvakadini?
Mari yekodha inowanzova yakavhara nguva yekusununguka uye nguva yekushanyira yakatarwa kuti ikubatsire iwe pamwe nekodha yako yakasarudzwa kuti uzive mumwe nomumwe uye utaure pamusoro pezvisarudzo zvako zvekuzvarwa kwako kuchauya. Kune dzimwe nguva zvakare kushanya kwekufamba kwekuvhara, asi izvi hazvisi zvakafanana ne postpartum doula, anoita imba yekudzivirira, kuchengetwa kwevana, nezvimwe zvinhu zvakafanana kubatsira.
Iyo doula mari ichavharawo kuberekwa, asi iva nechokwadi chekuziva kuti yako doula inotsanangura sei kuberekwa. Izvo zvakawanda zve doulas zvinotsanangura nguva yekuberekwa sepo pose paunenge uine nguva dzose, zvinorwadza uye zvinoda doula kutsigirwa.
Vamwe doulas vangada kukubatanidza chete kana iwe uri mubasa rekushanda uye panzvimbo yako yaunoda kuberekwa (kuchipatara kana kuberekwa ). Rimwe shoma rinoshambadza rine mavharesi pahuwandu hwenguva yavanoshandisa vasati vawedzera mari inowedzera.
Apo patakataura naMelissa Harley, DONA International's Public Relations Director, hezvino izvo zvaakataura pamusoro pekuti zvakadini doula inodhura:
"Mari yeDoula inowanzosiyana, inowanzoenderana nenharaunda, dzidzo, uye ruzivo rwe doula." DONA International inopupurira kupfuura 12,000 doulas inopa doula mazano kune zvakawanda zvekutengesa mari. purogiramu yemitemo uye mitemo yekuita iyo inoti: 'Pakugadzirisa mari, doula inofanira kuva nechokwadi chokuti yakarurama, inonzwisisika uye inofanana nemabasa anobatanidzwa.A doula inofanira kujekesa mari yake kune mutengi uye kurondedzera maitirwo akapiwa, mazwi okubhadhara uye mitemo yekudzorera. "
Mari Inobhadharwa Sei?
Mukuwedzera pakuziva kuti zvakadini doula zvinokwidza, zvinokosha kuziva kuti mari yacho yakagadzirwa sei. Zvasara zvingave zvakakodzera panguva iyo doula yako inopfuurira inoshevedza kuberekwa kwako. Izvi zvinogona kuva hafu nehafu yenguva nemari.
Vamwe doulas vanogona kupawo zvirongwa zvokubhadhara. Izvi zvinokubvumira kutambanudza mari yacho kwenguva yakareba. Ichi ndicho chimwe chezvibatsiro zvekuwana doula kare munguva yekubata kwako. Neichi chinotora nguva refu kusvika pakuberekwa, iwe hauzovi nemamwe maitiro e doulas chete nekuda kwekuwanikwa, asi iwe uchava nenguva yakareba kuti uone nyaya dzekubhadhara.
Dzimwe doulas dzichagadzirisawo, saka kana iwe uine unyanzvi, mabasa, kana zvinhu zvingave zvakafanirwa nekutengeserana, zvingave zvakakosha chikamu chemari yako ye doula mukutsinhanisa yezvibasa. Izvi zvingava chimwe chinhu chakajeka sekushandira kubasa kana kuti zvakaoma sekugadzirisa motokari. Chero nzira, usanonoka kubvunza doula yako kana vane sarudzo munzvimbo yekugadzirisa.
Chii Chinopinda Muhomwe yaDoula?
Paunotarisa chepa, unogona kusanzwisisa zvose zvinopinda mazviri. Heano kuputsika kwezvimwe zvezvinhu zvinosanganiswa.
1. Dzidzo: Inotanga nekudzidziswa iyo doula inogamuchira. Inogona kudhura mari inopfuura $ 1000 kuti ive doula pakati pekudzidzisa, makirasi, uye chiyeuchidzo. Kunyangwe kamwe yako doula yakavimbiswa, pane kugadziriswa, izvo zvinosanganisira kupfuurira dzidzo dzemitemo, misangano, nezvimwe zvinoda kudzidziswa.
2. Mari yekuita Bhizinesi: Mari yekuita bhizinesi, kunyange kusina nzvimbo yepanyama, inogona kusanganisira makadhi emabhizimisi, zvipo, uye zvigadzirwa zvakapiwa kune vatengi, software kana mapurogiramu anoshandiswa kubatsira kuchengeta zvinyorwa uye mafaira, zviremba zvezveseri kupfuura iyo chiyeuchidzo uye kugadziriswa, kuverenga mari yekutsvaga mabasa, kutarisira motokari, foni kana kuti pager service, bhareji rekukweretesa, webhusaiti, nezvimwewo.
3. Zvinhu zvine chokuita nezvinhu: Unogona kunge usina kufunga nezvazvo asi kana doula yako inokupa zvinhu zvakadai sebhokisi rekuberekwa kana kuti zvigadzirwa zvekusimbisa, izvo zvose zvinodhura mari iri kubuda muhomwe yavo. Izvo zvingasava zvakawanda, asi zvinowedzera.
4. Kuchengetwa kwevana: A doula inogona kubhadhara mumwe munhu kuti atarisire vana vavo pavanenge vasati vaberekwa kana pakuzvarwa. Izvi zvinogonawo kusanganisira kubhadhara pa-inonzi callcare provider, zvichireva doula kuripa mari yekuchengeta vana, kunyange kana vasingashandisi.
5. Kudzoka Kumusoro: Chekuchengetedza doula ndiye munhu anoratidza kusvika pakuberekwa kwako pasina mukana wako doula haisipo. Izvi zvinowanzochengeterwa mamiriro asina kujairika akaita saiyo yepakutanga doula pane imwe kuberekwa kana kunzwa kurwara. Chibvumirano pakati pako uye doula yako chichataura nezvekushandiswa kwekuchengetedza doula. Zvisinei, chinonyanya kuitika ndeyekuti doula uye kumashure doula vane chibvumirano chakasiyana. Izvi zvinoreva kuti kuchengetedza doula kunogona kuita mari shoma kana kuti kwete mabasa avo anoshandiswa nokuti chibvumirano chinotora nguva mumakarani. Vanokwanisa chete mumuviri kutarisira nhamba yakatarwa yevanhu.
Zvakakoshawo kunzwisisa nekukoshesa basa iro doulas rinoita. Doulas anoshanda zvakaoma mubasa rine maawa mashoma, kwete kunyanya kushanduka, uye inoda basa rakawanda remuviri uye remanzwiro. Nhamba yeawa iyo doula inopinda mumuteereri haisi kuongororwa chete maererano nekushanda kwenguva yakareba yebasa. Panewo maawa ekuberekwa, maawa anoshandiswa pakushevedza, uye maawa anoshandiswa neavo vanotevera postpartum.
Doula Chee Scholarships
Mamwe mashoma doulas anogonawo kupa zvikoro kana kuti kutora muzvikwata zvinokurudzira zvakanyanya kumhuri dzinosangana nezvimwe zvinoda. Muenzaniso unogona kunge uri wekuwana mari, asi panogonawo kuva nehuwandu hwehuwandu hwevanhu, semhuri yevapoteri, vechidiki, mhuri dzinobereka nemamwe mapurogiramu kana kune mamwe mazinga emari. Iva nechokwadi chekubvunza kana ichi chinhu chaunoda.
> Sources:
> Hodnett, ED. "Kutambudzika uye vakadzi kugutsikana nekuziva kuberekwa: kuongorora kwakarongeka." Am J Obstet Gynecol 186 (5 Suppl Nature): S160-172 (2002).
> Hodnett ED, Gates S, Hofmeyr G, Sakala C. Kuwedzera rubatsiro rwevakadzi munguva yekuberekwa. Cochrane Database yekuongorora kwakarongeka 2013, Nyaya 7. Art. Kwete: CD003766. DOI: 10.1002 / 14651858.CD003766.pub5
> Kuchengetedzwa kwakachengeteka kwekutanga kushandiswa kwekutora. Obstetric Care Consensus Nha. 1. American College of Zvipfeko uye Gynecologists. Obstet. Gynecol. 2014; 123: 693-711.