Inani elincane labesifazane likhetha ukubelethela ekhaya, ekhaya, nombelethisi. Ukuzalwa ekhaya kuhamba kanjani? Ingabe kuyingozi kunokubelethela esibhedlela? Odinga ukukwazi mayelana nokuzalwa ekhaya.

Ukwesaba ukuphucwa esinye sezikhathi ezinhle zokuphila kwabo, isifiso sokubelethela umntwana wabo endaweni yakhe, ukuphila isikhathi sokuzalwa noyise kanye nombelethisi... Nazi izizathu ezichaza ukukhethwa komama bakusasa ukubelethela ekhaya. Bambalwa kakhulu ngenani: ngaphansi kuka-1% wabantwana abazalwa eFrance.

Ubani ongabelethela ekhaya?

Ukuzalwa ekhaya kuwukuzalwa okuhleliwe kwasekhaya. Ngaphezu kwesifiso sabazali, izimo eziningana kufanele zihlangatshezwe:

• Umama kufanele ukuthi ubenesimo esihle sempilo ngaphambi kokukhulelwa (isibonelo, akukho shukela noma umfutho wegazi ophakeme)
• Ukukhulelwa kuhamba kahle kakhulu: asikho isifo sikashukela sokukhulelwa, umfutho wegazi ophakeme, ukopha ...
• Ukukhulelwa kwangaphambilini nokubeletha kufanele kuhambe kahle
• Ukukhulelwa ukukhulelwa kwe-singleton (ingane eyodwa) enengane eyodwa eveza ibheke phansi
• Ukuzalwa ekhaya kufanele kwenzeke phakathi kwamaviki angama-37 kuya kwangu-42.

Qaphela: Noma iyiphi i-pathology ngesikhathi sokukhulelwa kufanele iholele ekubonisaneni noma ukudluliselwa komunye uchwepheshe. Uma kutholakala isifo sikashukela sokukhulelwa noma umfutho wegazi ophakeme, ukulandelwa kwezokwelapha kuyisibopho. Iphrojekthi ye-DAA kumele iyekwe.

Owesifazane ofisa ukubelethela ekhaya uyaxwayiswa ngezingozi ezihilelekile futhi uyaziswa ngesidingo esingenzeka sokudluliselwa esibhedlela sokubeletha uma kunezinkinga ngesikhathi sokubeletha.

Ukuzalela ekhaya kuyingxenye yendlela yokweseka ebanzi: ngumbelethisi ofanayo okhululekile ozoqinisekisa ukulandelelwa kokukhulelwa nokubeletha, ukulandelelwa kokubeletha kanye nangemuva kokubeletha. Ababelethisi benkululeko abenza ama-DAA bafakwe ohlwini lweNational Association of Liberal Midwives (ANSFL).

Umbhangqwana ofisa ukulandelela ukukhulelwa kanye nokubeletha ekhaya kufanele uthole umbelethisi okhululekile owenza ama-DAA kusukela ekuqaleni kokukhulelwa. Uma kuhlangatshezwana nemibandela yokugunyaza i-DAA, umbelethisi uhlinzeka ngokulandelelwa komuntu siqu kuso sonke isikhathi sokukhulelwa, ukhona lapho ebeletha futhi uhlinzeka ngokulandelelwa kwangemva kokubeletha.

Qaphela: Inhlangano Kazwelonke Yababelethisi Benkululeko (i-ANSFL) isungule i-charter yokubeletha ekhaya.

Umbelethisi okhululekile uqinisekisa ukulandelelwa kokukhulelwa ngaphakathi kohlaka lokusekelwa komhlaba wonke. Lokhu kulandelela kuyafana nalokho okwenziwa udokotela noma umbelethisi: ukubonisana ngaphambi kokubeletha kanye nama-ultrasounds (okunqunywe umbelethisi). Umbelethisi ngaphakathi kohlaka lwe-AAD futhi uhlinzeka ngezifundo zokulungiselela ukuzalwa.

Lapho umama ozalayo eqala ukuzala, ubiza umbelethisi omlandelayo. Lokhu kuqinisekisa ukuba khona ngesikhathi sonke sokubeletha.

I-epidural anesthesia ayinakwenzeka ngempela (idinga udokotela obulala izinzwa). Umbelethisi anganikeza amamasaji ukuze aqede ubuhlungu bokufinyela.

Ukudluliselwa esibhedlela esiseduze sokubeletha kungenziwa ngezizathu zezokwelapha (isibonelo ingane esezinhlungwini) kodwa futhi uma ubuhlungu bungasekelwa umama noma uma abazali becela.

Ukuzalwa ekhaya: ukulandelela ngemva kokubeletha

Umbelethisi owabelethisa ekhaya uqapha owesifazane osanda kubeletha kanye nosana okungenani amahora amabili. Uyena owenza usizo lokuqala lwengane, futhi nguyena owenza ukulandelela ngemva kokubeletha kukamama nosana lwakhe, isonto lonke (ukuvakasha kwakhe kukhavwe yi-Social Security izinsuku ezingu-2).

Ukwenzeka kwesimo esiphuthumayo esisongela ukuphila (ukopha ikakhulukazi phakathi nokulethwa) kanye nezingozi ezihlobene nokubambezeleka kokudlulisa. Izingozi eziyinhloko zihlala zixhunyaniswa nezikhathi zokungenelela zezokwelapha ezinde. Ubungozi bukhulu kakhulu njengoba isakhiwo sesibhedlela sikude.

Ukuzalela ekhaya akunconyiwe yiKholeji Lodokotela Ababelethisayo baseFrance noma Odokotela Bezifo Zabesifazane noma Ikolishi Lababelethisi.