Ua hoʻolaʻa kēia palekeiki i kāna ʻoihana e kōkua i nā wahine i nā wao akua mālama makuahine

Anter

• Pehea wau i hoʻomaka ai i ka lawelawe ʻana i nā kaiāulu
• Ke ʻike nei i ke kaʻe o ka pilikia
• Pehea e kōkua ai nā ʻāpana mālama ola kino i nā wahine ma D.C.
• No ke aha e kū nei nā kūlana olakino mālama makuahine, a he aha e hana ai e pili ana iā lākou
• Nānā no

Holo ka pale keiki i koʻu koko. ʻO koʻu kupuna wahine a me koʻu tūtū wahine he mau palekeiki i ka wā i hoʻokipa ʻole ʻia ka poʻe ʻEleʻele i nā haukapila keʻokeʻo. ʻAʻole ʻo ia wale nō, akā ʻoi aku ka nui o ke kumukūʻai o ka hānau ʻana ma mua o ka hiki ke loaʻa i ka hapa nui o nā ʻohana, ʻo ia ke kumu i makemake nui ai nā kānaka i kā lākou lawelawe.

Ua hala he mau makahiki he nui, akā mau ka ʻokoʻa o ka lāhui i ka mālama olakino makuahine - a mahalo ʻia wau e ukali i nā kapuai o koʻu mau kūpuna a hana i kaʻu ʻāpana i ka hoʻopili ʻana i kēlā āpau i kahi mamao loa.

Pehea wau i hoʻomaka ai i ka lawelawe ʻana i nā kaiāulu

Ua hoʻomaka wau i kaʻu ʻoihana ma ke olakino wahine ma ke ʻano he kahu hānai makuahine e kālele ana i ka hana a me ka hānau ʻana. Ua hana wau i kēlā no nā makahiki he nui ma mua o ka lilo ʻana i mea kōkua i ke kauka i ka maʻi hānau a me ka wahine. ʻAʻole naʻe ia a hiki i ka makahiki 2002, ua hoʻoholo wau e lilo i palekeiki. ʻO kaʻu pahuhopu ka lawelawe mau ʻana i nā wahine i nele, a ua lilo ka palekeiki i alanui nui loa i kēlā. (ICYDK, he palekeiki he laikini a hoʻomaʻamaʻa mālama mālama ola me ka mākaukau a me nā mākau e kōkua i nā wahine i nā hāpai maikaʻi olakino, hānau hānau kūpono, a me nā hoʻopulapula postpartum kūleʻa i nā haukapila, nā wahi mālama ola, a me nā home pilikino.)

Ma hope o ka loaʻa ʻana o kaʻu palapala hōʻoia, hoʻomaka wau e ʻimi i nā hana. I ka 2001, ua loaʻa iaʻu ka manawa kūpono e hana ma ke ʻano he palekeona ma ka Haukapila Mason General ma Shelton, kahi kūlanakauhale kuaʻāina loa ma Mason County ma ka mokuʻāina ʻo Wakinekona. ʻO ka heluna kanaka kūloko i kēlā manawa ma kahi o 8,500 poʻe. Inā wau e lawe i ka hana, e lawelawe ana au i ke kalana holoʻokoʻa, me hoʻokahi ob-gyn ʻē aʻe.

I koʻu noho ʻana i ka hana hou, Ua ʻike koke wau i ka nui o nā wahine i makemake nui i ka mālama - inā paha e aʻo ana i ka mālama ʻana i nā kūlana preexisting, ka hānau hānau kumu a me ka hoʻonaʻauao hānai, a me ke kākoʻo olakino noʻonoʻo. I kēlā me kēia manawa, ua hana wau i mea e hāʻawi ai i nā makuahine e kali nei i nā kumuwaiwai he nui i hiki. ʻAʻole hiki iā ʻoe ke maopopo inā e hoʻomau nā mea maʻi i kā lākou loiloi prenatal ma muli o ke komo ʻana i ka haukapila. Pono wau e hana i nā pahu hānau, aia nā lako no ka hānai palekana a me ka maʻemaʻe (i.e.gauze pads, mesh undies, clamp for the umbilical cord, etc.) ina wale no e manao ana ua koiia na makuahine e haawi ma ka hale no ka mea, ka mamao loa i ka halemai a i ole ka nele o ka inikua. Hoʻomaopopo wau i hoʻokahi manawa, aia kahi avalanche i kumu i hoʻohenehene ʻia nā makuahine he nui i ka manawa e hāʻawi ai - a ua mākaukau kēlā mau lako hānau. (E pili ana: Loaʻa a kākoʻo i nā kumuwaiwai olakino noʻonoʻo no Black Womxn)

ʻO ka manawa pinepine, ʻike ka lumi hana i nā lohi nui. No laila, inā makemake nā mea maʻi i ke kōkua pilikia, koi pinepine ʻia lākou e kali no nā manawa lōʻihi, kahi e hoʻoweliweli ai i ko lākou ola - a inā ʻo ka laulā o ka ulia pōpilikia ma ʻō aku o ka hiki i ka haukapila nā mālama maʻi, pono mākou e noi i kahi helikopa mai ka nui aku nā halemai ma kahi mamao aku. Hāʻawi ʻia i ko mākou wahi, kali pinepine mākou i ʻoi aku ma mua o ka hapalua hola e loaʻa ai ke kōkua, a i kekahi manawa ua lohi loa.

ʻOiai i nā manawa hōʻeha puʻuwai, ua ʻae kaʻu hana iaʻu e ʻike maoli i kaʻu poʻe maʻi a me nā kūpina e kāohi i ko lākou hiki ke kiʻi i ka mālama olakino e pono ai lākou. Ua ʻike wau ma laila nō kahi aʻu i manaʻo ai. I loko o koʻu mau makahiki ʻeono ma Shelton, ua hoʻomohala au i ke ahi no ka lilo ʻana i mea maikaʻi loa i hiki iaʻu ke hana ma kēia ʻoihana me ka manaʻolana e kōkua i nā wahine he nui e hiki iaʻu.

Ke ʻike nei i ke kaʻe o ka pilikia

Ma hope o koʻu manawa ma Shelton, ua lele au a puni ka ʻāina e hāʻawi ana i nā lawelawe midwifery i nā kaiāulu ʻoi aku ka nele. I ka 2015, ua hoʻi au i ka D.C.-metropolitan area, kahi aʻu i hele mua ai. Ua hoʻomaka wau i kahi hana midwifery hou, a ma lalo o ʻelua mau makahiki i ke kūlana, ua hoʻomaka ʻo DC i nā loli koʻikoʻi i ke komo ʻana i ka mālama olakino makuahine, ʻo ia hoʻi ma Wards 7 a me 8, nona ka heluna hui o 161,186, e like me DC Health Matters.

Ma hope iki: ua ʻike pinepine ʻia ʻo DC ma kahi o nā wahi weliweli loa no ka hānau ʻana o nā wahine ʻeleʻele i ka US ʻO ka ʻoiaʻiʻo, ua "koho ʻia ʻoi aku ka maikaʻi loa, a i ʻole kokoke paha i ka mea ʻoi loa, no ka make ʻana o nā mākua ke hoʻohālikelike ʻia i nā mokuʻāina ʻē aʻe, "e like me ka hōʻike o Ianuali 2018 mai ke Kōmike o ka Hoʻokolokolo a me ka Maluhia o ka lehulehu. A i ka makahiki aʻe, ua hōʻike hou ʻia ka ʻike mai ka United Health Foundation i kēia mea maoli: I ka makahiki 2019, ʻo ka nui o ka make ma ka makuahine ma D.C. he 36.5 make no 100,000 hānau hānau (vs. ka helu aupuni o 29.6). A ʻoi aku ka kiʻekiʻe o kēia mau helu no nā wahine ʻeleʻele me 71 mau make no 100,000 hānau hānau ma ke kapikala (vs. 63.8 ma ka ʻāina). (Related: Ua hoʻomaka wale ke kaikamahine a Carol i kahi manaʻo ikaika e kākoʻo i ke olakino makuahine ʻeleʻele)

He paʻakikī kēia mau helu i ka ʻai ʻana, akā ʻo ka ʻike ʻana iā lākou e pāʻani ana, ʻo ka ʻoiaʻiʻo, ʻoi aku ka paʻakikī. ʻO ka mokuʻāina o ka mālama olakino makuahine ma ke kapikala o ko mākou lāhui i lilo i mea ʻino loa i ka makahiki 2017 i ka wā i pani ai ʻo United Medical Center, kekahi o nā halemai nui ma ia wahi, i kāna keʻena obstetrics. No nā makahiki he nui, ua hoʻolako ʻia kēia haukapila i nā lawelawe olakino makuahine no nā kaiāulu ilihune a me ka hapa o Wards 7 a me 8. Ma hope o kēlā, Providence Hospital, kahi haukapila nui ʻē aʻe ma ia wahi, ua pani pū ʻia kāna hale hānau e mālama kālā, e hana ana i kēia wahi o DC he waonahele malama makuahine. Ua waiho ʻia nā tausani o nā makuahine e manaʻo nei ma nā kihi ʻilihune o ke kūlanakauhale me ka ʻole o ke komo koke ʻana i ka mālama olakino.

I ka pō, ua koi ʻia kēia mau makuahine e kali i nā wahi lōʻihi (hapalua hola a ʻoi paha) - kahi e hiki ai ke ola a make paha i kahi pilikia - e loaʻa i ka prenatal maʻamau, ka lawe ʻana, a me ka mālama postpartum. ʻOiai ʻo ka poʻe i kēia kaiāulu ua hoʻopaʻa pinepine ʻia i ke kālā. ʻAʻole hiki i ka hapa nui ke loaʻa mākaukau keiki no nā keiki i loaʻa iā lākou, e kāohi hou ana i ko lākou hiki ke kipa i ke kauka. Loaʻa i kēia mau wāhine nā papa hana koʻikoʻi (ma muli o ka hana ʻana i kekahi mau hana) e ʻoi aku ka paʻakikī o ke kālai ʻana i ʻelua mau hola no kahi manawa. No laila ke iho nei inā ʻaʻole paha e lele i kēia mau pale no ka nānā prenatal maʻamau he waiwai maoli ia - a ʻoi aku ka nui ma mua o ka ʻole. Pono kēia mau wahine i ke kōkua, akā i mea e loaʻa ai iā lākou, pono mākou e hana i ka hana.

I kēia manawa, ua hoʻomaka wau e hana ma ke ʻano he alakaʻi o Midwifery Services ma ke Kulanui o Maryland. Ma laila, ua hoʻokokoke ʻia mākou e Better Starts for All, he polokalamu ola kino makuahine ma ka honua me nā lawelawe e pili ana i ka lawe ʻana i ke kākoʻo, ka hoʻonaʻauao, a me ka mālama ʻana i nā makuahine a me nā moms-to-be. ʻO ke komo pū ʻana me lākou he mea pono ʻole.

Pehea e kōkua ai nā ʻāpana mālama ola kino i nā wahine ma D.C.

Ke hiki mai i nā wahine i nā kaiāulu kīnā ʻole e like me Wards 7 a me 8, aia kēia manaʻo "Inā ʻaʻole au i haki, ʻaʻole pono wau e hoʻopaʻa," a i ʻole "Inā e ola ana wau, a laila ʻaʻole wau" pono ʻoe e hele e kiʻi i ke kōkua." Holoi kēia mau hana noʻonoʻo i ka manaʻo o ka hana mua ʻana i ka mālama olakino pale, a hiki i ka hopena o nā pilikia olakino lōʻihi. He ʻoiaʻiʻo kēia i ka hāpai ʻana. ʻO ka hapa nui o kēia mau wahine ʻaʻole nānā i ka hāpai ʻana ma ke ʻano he kūlana olakino. Manaʻo lākou "no ke aha e pono ai iaʻu e ʻike i ke kauka inā ʻaʻole hewa kekahi mea?" No laila, kau ʻia ka mālama ola kino prenatal ma luna o ke ahi hope. (Related: He aha ke ʻano o ka hāpai ʻana i kahi maʻi maʻi)

ʻAe, hele paha kekahi o kēia mau wahine i kahi loiloi mua preniminary e hōʻoia i ka hāpai ʻana a ʻike i ka puʻuwai puʻuwai. Akā inā ua loaʻa iā lākou kahi keiki, a ua holo mālie nā mea, ʻaʻole paha lākou e ʻike i ka pono e kipa aku i kā lākou kauka i ka lua o ka manawa. A laila, hoʻi kēia mau wāhine i ko lākou mau kaiaulu a haʻi aku i nā wāhine ʻē aʻe ua maikaʻi ko lākou hāpai ʻana me ka loaʻa ʻole o ka nānā maʻamau, ʻo ia ka mea e hōʻemi ai i nā wahine hou aʻe mai ka loaʻa ʻana o ka mālama e pono ai lākou. (Pili: 11 mau ala e hiki ai i nā wahine ʻeleʻele ke pale i ko lākou olakino noʻonoʻo i ka wā o ka hāpai ʻana a me ka postpartum)

ʻO kēia kahi e hiki ai i nā keʻena mālama olakino kelepona ke hoʻololi nui loa. ʻO kā mākou pahi, no ka mea, kalaiwa pololei i loko o kēia mau kaiāulu a lawe pololei i ka mālama makuahine pono i nā mea maʻi. Ua lako mākou me nā pale keiki ʻelua, me aʻu iho, nā lumi hoʻokolohua kahi e hāʻawi ai mākou i nā hoʻokolohua prenatal a me ka hoʻonaʻauao, ka hoʻāʻo ʻana i ka hāpai ʻana, ka hoʻonaʻauao mālama hāpai ʻana, nā pana maʻi maʻi, kūkākūkā mana hānau, nā hoʻokolohua umauma, mālama pēpē, hoʻonaʻauao olakino makuahine a me ke keiki, a me nā lawelawe kākoʻo kaiaulu . Kū pinepine mākou ma waho pono o nā hale pule a me nā kikowaena kaiāulu i loko o ka pule a kōkua i nā mea e noi mai ana.

ʻOiai mākou e ʻae i ka ʻinikua, hāʻawi kālā ʻia kā mākou papahana, ʻo ia hoʻi hiki i nā wahine ke kūpono no nā lawelawe manuahi a hōʻemi ʻia paha. Inā he mau lawelawe hiki ʻole iā mākou ke hāʻawi, hāʻawi pū mākou i ka hoʻonohonoho mālama. ʻO kahi laʻana, hiki iā mākou ke kuhikuhi i kā mākou mau mea maʻi i nā mea hoʻolako i hiki ke lawelawe i kahi IUD a i ʻole implant control birth no kahi kumukūʻai haʻahaʻa. Pēlā nō no nā hoʻokolohua umauma hohonu (e noʻonoʻo: mammograms). Inā ʻike mākou i kahi mea kūpono ʻole i kā mākou hoʻokolohua kino, kōkua mākou i nā mea maʻi e hoʻonohonoho i kahi mammogram no ka uku haʻahaʻa e pili ana i kā lākou palapala hōʻoia a me kā lākou ʻinikua, a i ʻole nele. Kōkua pū mākou i nā wahine me nā maʻi e like me ka hypertension a me ka maʻi diabetes e hoʻopili me nā mea mālama ola e hiki ke kōkua iā lākou e mālama i ko lākou olakino. (Pili: Eia pehea e kiʻi pololei ai i ka kaohi hānau i kāu puka)

ʻO ka mea nui loa, ʻo ia ka hāʻawi ʻana o ke kaʻa i kahi hoʻonohonoho pili kahi e hiki ai iā mākou ke hoʻopili maoli me kā mākou mau maʻi. ʻAʻole wale ia e pili ana i ka hāʻawi ʻana iā lākou i kā lākou nānā ʻana a hoʻouna iā lākou i kā lākou ala. Hiki iā mākou ke nīnau iā lākou inā makemake lākou i ke kōkua no ka noi ʻana i ka ʻinikua, inā loaʻa iā lākou ka meaʻai, a i ʻole inā palekana lākou ma ka home. Ua lilo mākou i ʻāpana o ke kaiāulu a hiki iā mākou ke hoʻokumu i kahi pilina i kūkulu ʻia ma luna o ka hilinaʻi. He kuleana nui kēlā hilinaʻi i ke kūkulu ʻana i ka pilina me nā mea maʻi a hāʻawi iā lākou i kahi mālama mau, mālama maikaʻi. (Pili: No ke aha e makemake nui ai ka US i nā kauka wahine ʻeleʻele hou aku).

Ma o kā mākou ʻoihana mālama ola kino, ua hiki iā mākou ke wehe i nā mea pilikia no kēia mau wahine, ʻo ka mea nui loa ke komo.

Me COVID a me nā ʻōkuhi mamao kaiapili, koi ʻia nā mea maʻi i kēia manawa e hoʻopaʻa inoa i nā koho. Akā inā ʻaʻole hiki i kekahi poʻe maʻi ke hele kino i ka ʻāpana, hiki iā mākou ke hāʻawi i kahi kahua virtual e hiki ai iā mākou ke mālama pono iā lākou ma ka home. Hāʻawi mākou i kahi pūʻulu ola, hui pūnaewele me nā wahine hāpai ʻē aʻe ma ia wahi e hāʻawi i ka ʻike a me ke alakaʻi e pono ai kēia mau wahine. ʻO nā kumuhana o ke kūkākūkā me ka mālama prenatal, kaʻai olakino a me nā ʻano nohona, nā hopena o ke koʻikoʻi i ka wā hāpai, ka hoʻomākaukau no ka hānau keiki, mālama postpartum, a me ka mālama maʻamau no kāu pēpē.

No ke aha e kū nei nā kūlana olakino mālama makuahine, a he aha e hana ai e pili ana iā lākou

ʻO ka nui o nā lāhui āpau a me nā socioeconomic disparities i ka mālama olakino makuahine i nā aʻa o ka mōʻaukala. Ma nā kaiāulu BIPOC, nui ka hilinaʻi i ka ʻōnaehana mālama ola ma muli o ka ʻeha o nā keneturi i loaʻa iā mākou ma mua o ka wā o koʻu kupuna wahine. (Manaʻo: Henrietta Lacks a me ka hoʻokolohua Tusphegee syphilis.) Ke ʻike nei mākou i ka hopena o kēlā trauma i ka manawa maoli me ka kānalua a puni ka lāʻau lapaʻau COVID-19.

Ke paʻakikī nei kēia mau kaiaulu e hilinaʻi i ka palekana o ka lāʻau āpau ma muli o ka mōakāka o ka ʻōnaehana olakino olakino a hana pū me lākou. ʻO kēia kānalua kahi hopena pololei o ka ʻōnaehana ʻōnaehana, hoʻomāinoino, a me ka hoʻowahāwahā a lākou i alo ai ma nā lima o ka ʻōnaehana e hoʻohiki nei e hana pono iā lākou.

Ma ke ʻano he kaiāulu, pono mākou e hoʻomaka e kamaʻilio e pili ana i ke kumu nui o ka mālama prenatal. ʻO nā pēpē o nā makuahine i loaʻa ʻole ka mālama prenatal ʻekolu manawa (!) ʻOi aku ka liʻiliʻi o ke kaumaha o ka hānau ʻana a ʻelima mau manawa e make ma mua o ka poʻe i hānau ʻia e nā makuahine e mālama, e like me ka US Department of Human Health and Services. . Ua hoʻonele ʻia nā makuahine iā lākou iho i ka mālama kūpono e like me ka nānā ʻana i nā pilikia olakino hiki ke loaʻa ma o nā hoʻokolohua kino, nā loiloi kaumaha, nā hoʻokolohua koko a me ka mimi, a me nā ultrasounds. Nalo lākou i kahi manawa koʻikoʻi e kūkākūkā ai i nā pilikia ʻē aʻe e like me ka hoʻomāinoino kino a me ka waha, ka hoʻāʻo HIV, a me nā hopena o ka waiʻona, ka paka, a me ka hoʻohana ʻana i ka lāʻau lapaʻau i hiki ke loaʻa i ko lākou olakino. No laila ʻaʻole kēia he mea e maʻalahi.

Ma ke ano like, pono no ka ike maʻamau e hoʻomākaukau i kou kino ma mua o ka hāpai ʻana. ʻAʻole wale ia e pili ana i ka hoʻomaka ʻana i kāu wikamina prenatal a me ka lawe ʻana i ka waikawa folic. Pono ʻoe e olakino ma mua o ka lawe ʻana i ke kaumaha o ka hāpai keiki. Loaʻa iā ʻoe kahi BMI maikaʻi? Ua maikaʻi kāu pae hemoglobin A1C? Pehea kou kahe koko? ʻIke paha ʻoe i nā kūlana ma mua e kū nei? ʻO kēia nā nīnau a pau e nīnau ai kēlā me kēia makuahine iā ia iho ma mua o ka hoʻoholo ʻana e hāpai. He mea koʻikoʻi kēia mau kamaʻilio ʻoiaʻiʻo i ka wā e pili ana i nā wahine e loaʻa ana i ka hāpai ʻana a me ka hānau ʻana. (Pili: ʻO nā mea āpau āu e pono ai e hana i ka makahiki ma mua o kou hāpai ʻana)

Ke hoʻāʻo nei wau e hoʻomākaukau a aʻo i nā wahine e pili ana i ka mea i luna i koʻu ola makua āpau a hoʻomau e hana pēlā no ka hiki iaʻu. Akā ʻaʻole kēia kahi mea e hiki i kahi kanaka a hoʻokahi hui paha ke hoʻoponopono. Pono e hoʻololi ka ʻōnaehana a ʻo ka hana e pono ai ke komo i hiki ke manaʻo pinepine ʻole ʻia. ʻOiai i nā lā paʻakikī loa, ʻoiai, hoʻāʻo wau e hoʻomanaʻo i ka mea e like me kahi ʻanuʻu liʻiliʻi - ʻo ia hoʻi ke kūkā kūkā kamaʻilio ʻana me hoʻokahi wahine - hiki ke lilo i kahi lele i ke olakino a me ke olakino maikaʻi loa no nā wahine āpau.

Nānā no