No ke aha wau i hoʻoholo ai e lilo i Pro Bono hānau Doula

Anter

• ʻO kaʻu moʻolelo
• ʻO ka pilikia makuahine ma United States
• He aha ka hana ma aneʻi?
• ʻO ka hopena i kahakaha ʻia o nā doula i ka lumi hāʻawi
• Ke aʻo ʻana mai 2013 mai ka Ka Puke Pai o ka Perinatal Education
  
• ʻO ka hihia no ke kākoʻo mau no nā wahine i ka wā hānau - 2017 loiloi ʻo Cochrane
  
• He wā hope loa no nā doula a me nā makuahine
• E ʻike i kahi makepono a i ʻole pro bono doula
  

Hoʻopā ka olakino a me ke olakino i kēlā me kēia o mākou. ʻO kēia ka moʻolelo o hoʻokahi kanaka.

ʻO Groggy a me ka hapa-hiamoe, huli wau i kaʻu papa pō e nānā i kaʻu kelepona paʻalima. Ua hana ʻo ia i kahi kani kani cricketlike - kahi kani kani kūikawā aʻu e mālama ai no kaʻu mau mea doula.

Heluhelu ʻia ka ʻōlelo a Joanna: “Haki wale ka wai. Loaʻa nā liʻiliʻi liʻiliʻi. ”

ʻO 2:37 a.

Ma hope o ke aʻo ʻana iā ia e hoʻomaha, hydrate, pee, a hana hou, hoʻi wau i ka hiamoe - ʻoiai paʻakikī ka holo ʻana ke ʻike wau kokoke kahi hānau.

He aha ka manaʻo o ka haki o kou wai?

Ke haki ka wai makuahine koke, ʻo ia hoʻi ua haki kāna ʻeke amniotic. (I ka wā o ka hāpai ʻana, hoʻopuni ʻia a pēpē ʻia ka pēpē e kēia ʻeke, i hoʻopiha ʻia me nā wai amniotic.) ʻO ka maʻamau, ʻo ka ʻeke o ka haki wai kahi hōʻailona no ka kokoke o ka hana a hoʻomaka paha.

Ma hope o kekahi mau hola ma ka hola 5:48, kāhea ʻo Joanna e haʻi mai iaʻu ke hoʻonui nei kāna aelike a ke hana nei i nā manawa maʻamau. ʻIke wau ua pilikia ʻo ia i ka pane ʻana i kaʻu mau nīnau a ke ʻū nei i ka wā o ka ʻaelike - nā hōʻailona āpau o ka hana hana.

Hoʻopili wau i kaʻu ʻeke doula, piha i nā mea āpau mai nā aila kūpono i nā ʻeke luaʻi, a hele i kona keʻena.

Ma nā hola ʻelua e hiki mai ana, hana mākou me Joanna i nā hana hana a mākou e hoʻomaʻamaʻa ai no ka mahina i hala iho nei: hanu hohonu, hoʻomaha hoʻomaha, hoʻonohonoho kino, nānā ʻana, lomilomi, hōʻike waha, kaomi wai mai ka ʻauʻau, a me nā mea hou aku.

Ma kahi o ka hola 9:00, ke ʻōlelo ʻo Joanna ke manaʻo nei ʻo ia i ke kaomi pololei a me ka makemake e pahu, hele mākou i ka haukapila. Ma hope o kahi huakaʻi Uber atypical, hoʻokipa ʻia mākou i ka haukapila e nā kahu maʻi ʻelua e alakaʻi iā mākou i kahi lumi hana a me kahi keʻena lawe.

Hoʻokipa mākou iā pēpē Nathaniel ma 10:17 a - 7 paona, 4 auneke o ka hemolele.

ʻAʻole kūpono kēlā me kēia makuahine i kahi hānau palekana, maikaʻi, a me ka mana? ʻAʻole e kau palena ʻia nā hopena ʻoi aku ka maikaʻi i ka poʻe hiki ke uku.

ʻO kaʻu moʻolelo

I Pepeluali 2018, ua hoʻopau wau i kahi hoʻomaʻamaʻa hana hānau hānau he 35 mau hola ma Natural Resources ma Kapalakiko. Mai ka puka ʻana mai, ke lawelawe nei wau ma ke ʻano he naʻau manaʻo, kino, a me ka ʻike a me ka hoa i nā wahine haʻahaʻa loaʻa mua, i ka wā, a ma hope o ka hana.

ʻOiai ʻaʻole hāʻawi nā doula i ka ʻōlelo aʻoaʻo olakino, hiki iaʻu ke aʻo i kaʻu mau mea kūʻai aku i nā hana olakino, nā pae a me nā hōʻailona o ka hana, nā hana hōʻoluʻolu, nā kūlana kūpono no ka hana a me ka hoʻokuke ʻana, nā haukapila a me nā wahi hānau home, a me nā mea hou aku.

ʻO Joanna, no ka laʻana, ʻaʻohe ona hoa - ʻo ka makuakāne ma waho o ke kiʻi. ʻAʻohe ona ʻohana ma ia wahi. Ua lawelawe wau ma ke ʻano he hoaaloha mua a me nā kumuwaiwai i loko o kona hāpai ʻana.

Ma ka paipai ʻana iā ia e hele i kāna wā i hānau mua ai a kamaʻilio pū me ia e pili ana i ke koʻikoʻi o ka meaʻai a me ka papaʻai i ka wā hāpai, ua kōkua pū wau iā ia e loaʻa i kahi hāpai ʻoi aku ke olakino olakino.

ʻO ʻAmelika Hui Pū ʻIa ka helu ʻoi loa o ka make ʻana o nā makuahine i ka honua i kūkulu ʻia. Ua hoʻohālikelike ʻia me 9.2 i ke Aupuni Hui Pū ʻIA.

Ua makemake wau e komo i hope o ka noiʻi ʻana e pili ana i ka weliweli o ka mālama makuahine a me nā hopena i United States. ʻAʻole kūpono kēlā me kēia makuahine i kahi hānau palekana, maikaʻi, a me ka mana?

ʻAʻole pono e kau palena ʻia nā hopena maikaʻi aʻe i ka poʻe hiki ke uku.

ʻO kēia ke kumu e lawelawe nei wau i ka poʻe haʻahaʻa o Kapalakiko ma ke ʻano he doula manawaleʻa - kahi lawelawe i manaʻo nui ʻia e pono ai e hoʻomaikaʻi i nā ola o nā wahine a me nā keiki i ko mākou ʻāina. ʻO ia ke kumu e hāʻawi ai kekahi mau doula i ka maʻalahi a i ʻole kahi pālāki e pili ana i ka uku.

ʻO ka pilikia makuahine ma United States

Wahi a ka ʻikepili mai UNICEF, ua heleleʻi ka heluna make o ka honua ma kahi o ka hapalua mai 1990 a 2015.

Akā ʻo ʻAmelika Hui Pū ʻIa - kekahi o nā lāhui waiwai loa, ʻoi loa o ka honua - ke hele nei i ka ʻaoʻao ʻē aʻe i hoʻohālikelike ʻia me ke koena o ka honua. ʻO ia wale nō ka ʻāina e hana pēlā.

Loaʻa iā mākou ka helu ʻoi loa o ka make ʻana o nā makuahine i ka honua i kūkulu ʻia. Ua hoʻohālikelike ʻia me 9.2 i ke Aupuni Hui Pū ʻIA.

ʻO ke alo o kahi doula e alakaʻi i nā hopena hānau ʻoi aku ka maikaʻi a hoʻemi i nā kūpilikiʻi no ka makuahine a me ke keiki - ʻaʻole mākou he "ʻoluʻolu maikaʻi."

I loko o kahi hoʻokolokolo lōʻihi, ua ʻike ʻo ProPublica a me NPR ma mua o 450 o nā mea e kali ana a me nā makuahine hou i make mai ka makahiki 2011 mai nā pilikia i ala aʻe i ka wā hāpai a me ka hānau ʻana. Hoʻopili kēia mau pilikia, akā ʻaʻole kau palena ʻia i:

• cardiomyopathy
• hemorrhage
• huʻi koko
• nā maʻi maʻi
• preeclampsia

He aha ka hana ma aneʻi?

Ma hope o nā mea āpau, ʻaʻole kēia ka wā waena - ʻaʻole pono kahi mea kūlohelohe a maʻamau e like me ka hānau keiki e palekana loa hāʻawi ʻia i nā holomua i ka lāʻau o kēia manawa? I kēia lā, no ke aha e hāʻawi ʻia ai nā makuwahine i kumu no ka makaʻu i ko lākou ola?

Kuhi ka poʻe loea i kēia mau pilikia make - a ke kū nei i kahi kiʻekiʻe - ma muli o nā ʻano like ʻole i hiki ke hoʻohuli kekahi i kekahi.

• he mau wahine hou aʻe e hānau ana ma hope o ke ola
• hoʻonui i nā hāʻawi cesarean (ʻāpana C)
• kahi ʻōnaehana olakino paʻakikī, hiki ʻole ke kiʻi ʻia
• kahi piʻi i nā pilikia olakino olakino e like me ka maʻi kō a me ka momona

Ua hoʻomālamalama ka nui o ka noiʻi i ka mea nui o ke kākoʻo mau, he aha e pili ana i ke kākoʻo mai kahi doula kikoʻī, me ka hoa, ka ʻohana, ka pale keiki, a kauka paha.

Nui nā wahine hāpai - no ka lāhui, ka naʻauao, a me ka loaʻa kālā - ke kumu o kēia mau kumuhana. Akā ʻoi aku ka kiʻekiʻe o ka make make makuahine no nā wahine haʻahaʻa, wahine ʻeleʻele, a me nā mea e noho ana i nā kaiāulu. ʻO nā pēpē ʻeleʻele i ʻAmelika i kēia manawa ua ʻoi aku i ka ʻelua o ka make e like me nā pēpē keʻokeʻo (nā pēpē ʻeleʻele, hoʻohālikelike ʻia me 4.9 no 1,000 pēpē keʻokeʻo).

Wahi a ka ʻike make lehulehu mai nā Kikowaena no ka Makuahine a me ka Kāohi ʻana i ka maʻi, ʻo ka nui o ka make ʻana o nā mākua ma nā wahi nui nui he 18.2 no 100,000 hānau hānau i 2015 - akā ma nā kaona kaiāulu he 29.4.

Pono e ʻōlelo, aia ko mākou ʻāina i waenakonu o kahi weli, kahi maʻi ahulau koʻikoʻi a ʻoi aku ka makaʻu o kekahi poʻe.

Akā pehea e hiki ai i nā doula - nā ʻoihana nonclinical me 35 mau hola a ʻoi paha o ke aʻo ʻana, e like me aʻu - ke lilo i ʻāpana o kahi hopena i kēlā pilikia nui loa.

ʻO ka hopena i kahakaha ʻia o nā doula i ka lumi hāʻawi

ʻOiai ʻo ka ʻoiaʻiʻo he 6 pākēneka wale nō o nā wahine i koho e hoʻohana i kahi doula i ka wā hāpai a me ka hana ma ka ʻāina holoʻokoʻa, maopopo ka noiʻi: ʻO ke alo o kahi doula e alakaʻi i nā hopena hānau maikaʻi a hoʻemi i nā pilikia no ka makuahine a me ke keiki - ʻaʻole mākou he "maikaʻi" wale nō. -aia."

Ke aʻo ʻana mai 2013 mai ka Ka Puke Pai o ka Perinatal Education

• Mai loko mai o 226 mau makuahine ʻAmelika ʻAmelika a me nā makuahine keʻokeʻo (ʻano like nā makahiki a me ka lāhui i like i loko o ka hui), ʻaneʻane hapalua o nā wahine i hāʻawi ʻia i kahi doula hoʻomaʻamaʻa a ʻaʻole nā ​​mea ʻē aʻe.
• Nā hopena: Ua kūlike nā makuahine me kahi doula ʻehā manawa emi paha ka hānau ʻana o kahi pēpē i kahi kaumaha hānau haʻahaʻa a ʻelua manawa ʻike liʻiliʻi paha i kahi pilikia hānau e pili ana iā lākou iho a i kā lākou pēpē paha.

Ua hoʻomālamalama ka nui o ka noiʻi i ka mea nui o ke kākoʻo mau, akā ke kākoʻo mai kahi doula kikoʻī, me ka hoa, ka ʻohana, ka paleke, a me ke kauka ʻokoʻa?

ʻO ka mea e mahalo ai, ke kālailai ʻana i ka ʻikepili, ʻike ka poʻe noiʻi i ka laulā, ʻo ka poʻe i loaʻa ke kākoʻo mau i ka wā o ka hānau hānau ʻana, ʻike lākou i ka emi o ka makaʻu o ka ʻāpana C Akā ke hāʻawi nā kākoʻo i ke kākoʻo, lele koke kēia pākēneka i kahi hōʻemi.

Ua hoʻokuʻu ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists i kēia ʻōlelo kūkākūkā ma 2014: "Hōʻike ʻia nā ʻike i paʻi ʻia ʻo kekahi o nā pono hana e hoʻomaikaʻi ai i ka hopena o ka hana a me ka hāʻawi ʻana, ʻo ia ke kū mau o nā limahana kākoʻo, e like me kahi doula."

ʻO ka hihia no ke kākoʻo mau no nā wahine i ka wā hānau - 2017 loiloi ʻo Cochrane

• Loiloi: 26 mau haʻawina e pili ana i ka pono o ke kākoʻo mau i ka hana, hiki ke hoʻopili ʻia me ke kōkua doula. Ua komo nā haʻawina ma mua o 15,000 mau wahine mai nā ʻano ʻokoʻa a me nā kūlana.
• Nā hopena: "ʻO ke kākoʻo mau i ka wā o ka hana hiki ke hoʻomaikaʻi i nā hopena no nā wahine a me nā pēpē, e like me ka hoʻonui ʻia ʻana o ka hānau maʻamau ʻana, ka lōʻihi o ka hana, a me ka hōʻemi ʻana o ka hānau ʻana o ka caesarean, hānau hānau wahine, hoʻohana ʻia o nā analgesia, hoʻohana ʻana i ka analgesia āpana, ʻelima mau minuke helu Apgar, a me nā manaʻo maikaʻi ʻole e pili ana i nā ʻike hānau. ʻAʻole i loaʻa iā mākou kahi hōʻike o nā hōʻino o ke kākoʻo hana mau. "
• Haʻawina terminology hānau wikiwiki: ʻO "analgesia" pili i ka lāʻau ʻeha a me ka "Apgar score" pehea e loiloi ʻia ai ke olakino pēpē i ka wā hānau a ma hope koke iho - ʻo ke kiʻekiʻe ke helu, ʻoi aku ka maikaʻi.

Akā eia ka mea: Wahi a kēia anamanaʻo mai ka American Journal of Managed Care, nā wahine ʻeleʻele a me nā poʻe haʻahaʻa e makemake nui ʻia akā ʻaʻole hiki ke loaʻa i ka mālama doula.

ʻO ia paha no ka hiki ʻole iā lākou ke hoʻolimalima, noho i kahi wahi ʻāina me ka hapa liʻiliʻi a ʻaʻohe doulas, a i ʻole ʻike maʻalahi e pili ana i ia.

ʻAʻole hiki ke kiʻi ʻia ʻo Doulas i ka poʻe e pono maoli ana iā lākou.

He mea nui nō hoʻi e haʻi aku i ka hapanui o nā doula he keʻokeʻo, aʻo maikaʻi, wahine wahine male, e pili ana i nā hopena mai kēia anamanaʻo 2005 i paʻi ʻia i nā pilikia olakino wahine. (Hāʻule wau i kēia mahele.)

Hiki paha i kēia mau doula ke kūlike i kā lākou lāhui ponoʻī a me ka moʻomeheu - e hōʻike ana aia kahi pale socioeconomic hiki ke kākoʻo doula. Hiki i kēia ke hoʻokau i ka stereotype e hana ai nā doula i kahi leʻaleʻa froufrou i hiki i nā wahine keʻokeʻo waiwai ke loaʻa.

ʻAʻole hiki ke kiʻi ʻia ʻo Doulas i ka poʻe e pono maoli ana iā lākou. Akā pehea inā ʻoi aku ka laulā o ka hoʻohana ʻana i nā doula - keu hoʻi no kēia mau heluna kanaka haʻahaʻa - hiki ke pale i kekahi o nā pilikia ma hope o ka nui o ka make o nā mākua o ʻAmelika.

He wā hope loa no nā doula a me nā makuahine

ʻO kēia ka nīnau kikoʻī a ka mokuʻāina ʻo New York i manaʻo ai e pane ma o kāna papahana pilote i hoʻolaha ʻia, e hoʻonui ana i ka uhi ʻana o Medicaid i nā doula.

Ma New York City, ʻo nā wahine ʻeleʻele he 12 mau manawa e make ana mai nā kumu pili i ka hāpai ma mua o nā wahine keʻokeʻo. Akā ma muli o ka loiloi maikaʻi e pili ana i nā doula, lana ka manaʻo o nā luna kau kānāwai e hoʻopau ana kēia helu helu, a me ka hoʻonui ʻia o nā papahana aʻo prenatal a me nā loiloi ʻoi loa o ka haukapila.

E pili ana i ka papahana, kahi e hoʻomaka ai i kēia kauwela, ua ʻōlelo ʻo Kāpena Andrew Cuomo, "ʻAʻole pono ka makaʻu make makua e makaʻu i kekahi mea ma New York e kū pono i ke kenekulia 21. Ke hana ikaika nei mākou e wāwahi i nā mea pale e pale ai i nā wahine mai ka loaʻa ʻana o ka mālama prenatal a me ka ʻike e pono ai. "

I kēia manawa, ʻo Minnesota lāua ʻo Oregon wale nō nā mokuʻāina ʻē aʻe e ʻae i nā uku Medicaid no nā doula.

ʻO nā haukapila he nui, e like me ka Haukapila Nui ʻo Kapalakiko ma ka Bay Bay, i hana i nā papahana doula manawaleʻa e hoʻoponopono i ka pilikia.

Hiki ke hoʻohālikelike ʻia kekahi mea maʻi me kahi pro bono doula nāna e alakaʻi i ka makuahine prenatally, i ka wā hānau, a ma hope. Hiki i nā limahana manawaleʻa ke hana i nā hoʻololi o ka haukapila he 12 mau hola a hāʻawi ʻia i kahi makuahine hana e pono ai ke kākoʻo, malia paha inā ʻaʻole ʻo ia e ʻōlelo Pelekane mākaukau a i ʻole hōʻea i ka haukapila me ka ʻole o kahi hoa, ʻohana ʻohana, a i ʻole hoa aloha no ke kākoʻo.

Hoʻohui ʻia, ʻo ka Polokalamu Prenatal Homeless o Kapalakiko kahi mea kōkua ʻole e hāʻawi i ka doula a me ka mālama prenatal i ka heluna home ʻole o ke kūlanakauhale.

Ke hoʻomau nei wau e aʻo a lawelawe ma ke ʻano he doula, lana koʻu manaʻo e kau i kaʻu mau hana i kēia mau makaʻi makaʻu nui ma ka manawaleʻa ʻana me kēia mau papahana a me ka lawe ʻana i nā mea lawelawe pro bono e like me Joanna.

I kēlā me kēia manawa ke lohe nei wau i kēlā kani kani o ka ʻalekiko e kani ana mai kaʻu kelepona paʻalima i nā kakahiaka nui o ke kakahiaka, hoʻomanaʻo wau iaʻu ʻoiai hoʻokahi wale nō doula, ke hana nei wau i kaʻu ʻāpana liʻiliʻi e hoʻomaikaʻi ai i nā ola o nā wahine, a e kōkua paha e mālama i kekahi, kekahi.

E ʻike i kahi makepono a i ʻole pro bono doula

• ʻO Doula Radical
• ʻO Chicago Volunteer Doulas
• ʻO Gateway Doula Pūʻulu
• Polokalamu Prenatal Homeless
• Kumuwaiwai Kūlohelohe
• Nā hānau hānau
• ʻO ka papahana Bay Area Doula
• Nā Kūlana Doula Kihi

ʻO English Taylor kahi mea kākau olakino a olakino wahine ma Kapalakiko a me doula hānau. Ua hōʻike ʻia kāna hana ma The Atlantic, Refinery29, NYLON, LOLA, a me THINX. E hāhai i ka ʻōlelo Pelekania a me kāna hana ma Medium a i ʻole Instagram.