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«ʻO ka pale keiki ma ke ʻano he kauka lapaʻau maʻamau o ka hāpai ʻana", Noʻonoʻo iā Prisca Wetzel, ka pale keiki no ka manawa.
ʻO ka ʻaoʻao kanaka, nā mākau lapaʻau i koi ʻia a me ka hauʻoli o ka hānau ʻana i nā keiki i hoʻoikaika iā Prisca Wetzel e hoʻohuli hou iā ia iho i ka ʻoihana pale keiki, ma hope o ka makahiki mua o ka lāʻau lapaʻau. Ma waho aʻe o ʻelua a ʻekolu mau "kiaʻi" o 12 a i ʻole 24 mau hola i kēlā me kēia pule, ʻo kēia kahu hānai ʻōpio 27 makahiki, hoʻoikaika mau, hoʻonui i nā ʻōlelo hoʻohiki e hoʻoulu i kona makemake.
ʻO kahi misionari aloha kanaka no 6 mau pule ma Mali, e hoʻomaʻamaʻa i nā kamaʻāina, hoʻohui i kona hoihoi. Eia naʻe, paʻakikī nā kūlana hoʻoikaika kino, ʻaʻohe ʻauʻau, ʻaʻohe halepaku, ʻaʻohe uila… "ʻO ka hope, ʻo ka hoʻomaʻamaʻa ʻana i ka hānau ʻana ma ke kukui kukui a me ke kukui ana e kau ana ma ka lae he mea hiki ʻole," wehewehe ʻo Prisca. Wetzel. ʻO ka nele o nā mea lapaʻau, ʻaʻole hoʻi e hoʻōla i kahi pēpē i hānau mua, paʻakikī ka hana, akā naʻe. Akā ʻokoʻa nā manaʻo: ma laila, inā make ke pēpē i ka hānau ʻana, aneane maʻamau. Pili nā kānaka i ke ʻano. I ka wā mua, paʻakikī ka ʻae ʻana, ʻoiai ke ʻike ʻoe ua hiki ke hoʻōla ʻia ke keiki hou inā i hānau ʻia ma lalo o nā kūlana maikaʻi. ”
Hānau hānau: na ke ʻano e hana
Eia nō naʻe, hoʻomau ka ʻike i ka waiwai nui. "ʻO ka ʻike ʻana i nā wahine Malian e kokoke ana i ka hānau ʻana e hōʻea ana i ka ʻeke ukana o kahi moped, ʻoiai ʻelua mau minuke ma mua e hana mau ana lākou ma ke kula, he mea kāhāhā i ka wā mua!", ʻakaʻaka ʻo Prisca.
Inā ʻaʻole ʻino loa ka hoʻihoʻi ʻana, "no ka mea ua maʻa ʻoe i ka hōʻoluʻolu wikiwiki loa", ʻo ka haʻawina i aʻo ʻia mai kāna ʻike e mau nei: "Ua aʻo wau i ka liʻiliʻi o ka interventionist a me ka hana maʻamau e like me ka hiki." ʻIke loa, ʻo nā kumu o ka maʻalahi i hiki ai i ka hānau ʻana ke hana i ka lā i makemake ʻia, ʻaʻole mamao loa ia e hoʻomāʻona iā ia! "Pono mākou e ʻae i ka hana kūlohelohe, ʻoiai ʻo kēia mau mea e hoʻonui nui ai i ka hopena o ka ʻāpana cesarean."
He mea manawaleʻa ma Solidarité SIDA kahi āna e hana ai i ka pale ʻana me ka poʻe ʻōpio i loko o ka makahiki, ua hui pū ʻo Prisca me Crips (Regional AIDS Information and Prevention Centers) e komo i nā kula. ʻO ka pahuhopu: e kūkākūkā me ka poʻe ʻōpio i nā kumuhana e like me ka pilina me nā poʻe ʻē aʻe a me ʻoe iho, contraception, STIs a i ʻole ka hāpai ʻana i makemake ʻole ʻia. ʻO kēia mau mea a pau e kali ana e haʻalele i hoʻokahi lā…
Ma 80% o nā hihia, "maʻamau" ka hāpai ʻana a me ka hānau ʻana. No laila hiki i ka pale keiki ke mālama kūʻokoʻa. Hana ke kauka ma ke ʻano he loea no ka 20% o ka mea i kapa ʻia ʻo nā hāpai pathological. I kēia mau hihia, ʻoi aku ka like o ka pale keiki me ke kōkua olakino.
Ma hope o ka hānau ʻana o ke keiki hānau hou, ʻaʻole hoʻokuʻu ʻia ka makuahine ʻōpio ma ke ʻano maoli! ʻIke ka pale keiki i ke olakino maikaʻi o ka makuahine a me ke keiki, aʻo iā ia i ka hānai ʻana, ʻoiai ma ke koho ʻana i ke ʻano o ka contraception. Hiki iā ia ke hāʻawi i ka mālama postnatal ma ka home. Inā pono, e mālama pū ka pale keiki i ka hoʻoponopono perineal o nā makuahine ʻōpio, akā no ka contraception a me ka gynecological follow-up.
Mai ka manawa āu e koho ai i kāu keʻena hānai (keʻena pilikino a halemai paha), e hālāwai ʻoe me nā pale keiki e hana ana ma laila. ʻIke loa, ʻaʻole hiki iā ʻoe ke koho: ʻo ka pale keiki nāna e kūkākūkā iā ʻoe, ʻo ia ka mea ma ka lā o kou kipa ʻana i ka hale hānai. E like nō ia i ka lā o kāu lawe ʻana.
ʻO kahi koho: koho i ka pale keiki liberal. Mālama kēia i ka ka nānā ʻana i ka hāpai ʻana holoʻokoʻa, mai ka haʻi ʻana o ka hāpai ʻana a hiki i ka hānau ʻana, ʻo ia hoʻi ka hānau ʻana. ʻO kēia ka mea hiki ke makemake i ka hoʻomau, ka hoʻolohe a me ka loaʻa. Ma luna o nā mea a pau, ua hoʻokumu ʻia kahi pilina hilinaʻi maoli ma waena o ka wahine hāpai a me ka pale keiki i koho ʻia.
A laila hiki ke hānau ʻia ma ka home, ma kahi kikowaena hānau a ma kahi haukapila. I kēia hihia, ua hoʻolako ʻia kahi kahua ʻenehana halemai i ka pale keiki.
I ka wā hāpai, kono ʻia ʻoe e nīnau i ka palekeiki (ma ke keʻena hānai a i kāna keʻena) ma ka helu like me ke kauka maʻi, ʻo ia hoʻi hoʻokahi kūkākūkā prenatal i kēlā me kēia mahina a hoʻokahi kipa postnatal. ʻO ke kumukūʻai maʻamau no kahi kūkākūkā makuahine he 23 euros. Hoʻihoʻi hou ʻia ʻo 100% e Social Security. Kakaʻikahi ka nui o ka uku ʻana.
Mai 2009, kaʻana like nā pale keiki i kekahi mau mākau me nā gynecologists. Hiki iā lākou ke hāʻawi i nā kūkākūkā e pili ana i ka contraception (ka hoʻokomo ʻana i kahi IUD, ka ʻōlelo ʻana o nā huaʻōlelo, a me nā mea ʻē aʻe) a me ka pale gynecological (smears, pale i ka maʻi maʻi umauma, etc.).
He aha ka hana a ka pale keiki i ka wā hānau?
Mai ka hoʻomaka ʻana o ka hānau ʻana a hiki i nā hola ma hope o ka hānau ʻana o ke keiki hānau hou, kōkua ka pale keiki i ka makuahine hou a nānā i ka maikaʻi o ka pēpē. ʻO ka pilikia o ke kaʻa kaʻa i ka lawelawe, ʻo ia wale nō ke hala i hoʻokahi hola i ka wā hana (hiki i ka 12 mau hola ma ka awelika no ka pēpē mua). Nānā pū ʻo ia i ke kūlana o ka makuahine, mālama i kona ʻeha (epidural, massages, positions) a hiki i ka manawa hānau. ʻO 80% o nā hānau keiki e hele pū me nā pale keiki wale nō. I ka hānau ʻana, ʻo ka pale keiki ka mea hoʻokipa i ke keiki hānau hou a hāʻawi i ke kōkua mua. ʻO ka hope, i loko o nā hola ʻelua ma hope o ka hānau ʻana, ʻike pū ʻo ia i ka hoʻololi maikaʻi ʻana o ke keiki i ke ola "aerial" a me ka nele o ke koko i ka wā o ka hānau ʻana i ka makuahine.
Pehea na kane?
ʻOiai ka inoa equivocal, aia nā pale keiki kāne! Ua wehe ʻia ka ʻoihana iā lākou mai ka makahiki 1982. Hiki iā lākou ke kapa iā lākou iho he "palekana" akā ua hoʻohana mau ʻia ka inoa ʻo "midwife". A me ka ʻole o ka sexism, ʻoiai etymologically, "palekana" ʻo ia hoʻi "ka mea nona ka ʻike o ka wahine".
Midwife: he hana ma lalo o ke kaumaha
ʻOiai ʻokoʻa nā ʻano o ka hoʻokō ʻana i ka ʻoihana pale keiki, ʻaʻole kūpono nā kūlana hana, ma waena o ka hana kelepona, ka ʻike ʻole, etc.
E pili ana i kahi o ka hoʻomaʻamaʻa, he koho nā pale keiki! Ma kahi o 80% o lākou e hana nei i loko o kahi haukapila, kokoke i ka 12% makemake e hana i ka hana pilikino (hana pilikino a hui paha). ʻO ka hapa liʻiliʻi e koho i ka PMI (Maternal and Child Protection) a i ʻole kahi hana hoʻokele a hoʻomaʻamaʻa.
«ʻOiai ka ulu ʻana o ka ʻoihana, ua manaʻo ʻia nā palekeiki he mau kōkua i ke kauka. Eia nō naʻe, i ka hapa nui o nā hihia, lawe wale lākou i ka hānau keiki.“. Ua lilo ka koho ʻana i mea draconian (ma hope o ka makahiki 1 o ka lāʻau lapaʻau) a ʻo ka hoʻonui ʻana o ka papa i ʻelima mau makahiki o ke aʻo ʻana ʻaʻole i hoʻololi i ka noʻonoʻo ... honua.
He hoike a ka makuahine no kana pale keiki
He leka hoʻoneʻe mai kahi makuahine, ʻo Fleur, i ka pale keiki, ʻo Anouk, nāna i kōkua iā ia e hānau i kahi keiki kāne.
Midwife, he hana paʻakikī?
“Ma ka haukapila, ʻoi aku ka paʻakikī o nā mea paʻa. ʻOiai ka nele nui o nā palekeiki, ʻaʻole koke nā halemai hānai ma ke ʻano kanaka! He pilikia kēia i ka pilina a me ke kākoʻo hoʻomanawanui… ", wehewehe ʻo Prisca Wetzel, ka pale keiki. ʻAʻole ʻike ʻia mai nā pale keiki?