Ukhulelwe noma Unakekela Ingane Esanda kuzalwa Ngenkathi Ungenayo: Indawo Esheshayo Nokufinyeleleka Kwe-WIC¶

Ukukhulelwa noma ukunakekela usana olusanda kuzalwa ngenkathi ulele emotweni, uhlala etendeni, u-surfing, noma uzulazula ezindaweni zokukhosela eziphuthumayo kuyinkinga ephuthumayo yezokwelapha nokuphila. Ukukhulelwa ngaphansi kwezimo ezingavikelekile kwandisa kakhulu ingozi yokuqubuka kwe-placenta, i-preeclampsia, ukusikwa ngaphambi kwesikhathi, kanye nesisindo sokuzalwa esiphansi, kuyilapho usana olusanda kuzalwa luchayeka emoyeni obandayo wasebusuku, ukushisa kwasehlobo ngaphakathi kwemoto emile, noma imibhede yokuhlanganyela engaphephile ibhekana nezingozi ezisongela ukuphila ze-hypothermia, ukuphelelwa amanzi emzimbeni, kanye Nokungalindelekile Kokungalindelekile (I-ID Engalindelekile). Khona manjalo, omama abaningi abangenazo izindlu bagwema izibhedlela nezikhungo zezenhlalakahle ngoba besaba ukuthi ukudalula ukuntula kwabo izindlu kuzodala ukuthi iChild Protective Services (CPS) ikhiphe ingane yabo.

E-United States, e-Canada, e-United Kingdom, e-Australia, nakuyo yonke i-European Union, ubumpofu nokungabi nakhaya kukodwa akuzona izizathu ezingokomthetho zokususwa kwengane lapho umzali ematasa efuna indawo yokuhlala, ukunakekelwa kwezokwelapha nokondleka kosana lwakhe. Ukukhulelwa nokunakekela ingane engaphansi konyaka owodwa ubudala kuvula isigaba esiphezulu esingokomthetho esibalulekile sokubekwa ngokushesha kwendawo yokukhosela yomndeni, amavawusha e-motel, i-Presumptive Eligibility Pregnancy Medicaid, kanye nefomula yosuku olufanayo Lokuhlinzeka Ngesondlo Esikhethekile Kwabesifazane, Izinsana, Nezingane (WIC) kanye nezinzuzo zokudla ngaphandle kokudinga ikheli lomgwaqo eligxilile. Lo mhlahlandlela uhamba nawe isinyathelo ngesinyathelo ekutholeni indawo yokuhlala yokubeletha noma yomndeni ngokushesha, uvikela izinga lokushisa nokuphefumula kwengane yakho esanda kuzalwa namuhla kusihlwa, ukuthola ukunakekelwa kwamahhala kokubeletha kanye nefomula yosana, kanye nokugomela amalungelo akho angokomthetho esibhedlela ngemva kokuzalwa.

Yenza lokhu manje¶

1. Yiya esibhedlela esiseduze Uphiko Lwezabasebenzi Nokubeletha noma ushayele abezimo eziphuthumayo ngokushesha uma unokukhulelwa noma izimpawu zengozi ezisanda kuzalwa. Uma uzwa ukopha esithweni sangasese sowesifazane, uketshezi oluvuzayo, ikhanda elibuhlungu elibuhlungu noma ukushintsha kokubona, ukufinyela okuvamile ngaphambi kwamasonto angu-37, ukunyakaza kwe-fetus ukuncipha, noma uma usana lwakho luzizwa lugodola, izinga lokushisa le-rectal liba ngu-38.0 degrees Celsius noma lenqaba ngokushesha*38.0 degrees Celsius noma lenqaba ukuphefumula ngokushesha) (100.4). vuka ukuze uthole ukudla, shayela inombolo yakho yasendaweni yezimo eziphuthumayo (911 e-United States naseCanada, 112 kwi-European Union, 999 e-United Kingdom) noma uxhumane nathi izinombolo eziphuthumayo umkhombandlela. Ngaphansi komthetho wombuso we-EMTALA e-United States, izibhedlela kufanele zihlole futhi zizinzise noma ubani osizayo noma yimuphi usana olugulayo kungakhathaliseki umshwalense noma i-ID.
2. Dayela u-211 (US/Canada) noma uthinte ideski lezindlu lomkhandlu wakini (e-UK) futhi usho ngokusobala ukuthi ukhulelwe noma uphethe usana olusanda kuzalwa. Ungagcini ngokucela umbhede wendawo yokukhosela yabantu abadala. Isho ngokucacile: "Nginamasonto [Inombolo] ngikhulelwe / nginengane [Yobudala] enesonto elilodwa ubudala, futhi silala singenalutho namuhla kusihlwa. Ngidinga ukuthathwa okubalulekile ngokushesha Kwendawo Yokukhoselisa Umndeni, Ikhaya Lokubeletha, noma Ivawusha Yehhotela Lezimo Eziphuthumayo."
3. Ungalokothi ulale nengane esanda kuzalwa ngaphakathi kwesikhwama sokulala somuntu omdala, ngaphansi kwezingubo zokulala ezisindayo, noma endaweni efanayo nomuntu omdala esihlalweni semoto noma etendeni. Ukulala ndawonye ezihlalweni zemoto ezimpintshayo, ombhede obuncane, noma ngaphansi kwezingubo zokulala ezisindayo zasebusika kuyimbangela ehamba phambili yokuqunjelwa ngengozi nokubambeka kwezinsana ezingaphansi kwezinyanga ezingu-6 ubudala. Beka ingane emhlane wayo endaweni eqinile, eyisicaba, ehlukene (njengebhokisi le-bassinet eliphathwayo, ubhasikidi wepulasitiki ohlanzekile wokuwasha noma i-bassinet yenqola eqinile enephedi eliqinile eliqinile, noma i-Pack 'n Play) egqoke isaka lokulala eligqokekayo eligqokekayo eduze kwakho.
4. Ngena kunoma yimuphi umtholampilo wendawo we-WIC noma isikhungo sezempilo esiqeqeshwe yi-federal (FQHC) ukuze uthole ubisi lwefomula yosana, amaphampu webele, nezinzuzo zokudla ezikhulelwe ngaphandle kwekheli lasekhaya. Ngaphansi kwemithetho ye-USDA WIC yombuso, awukwazi ukwenqatshwa izinzuzo ze-WIC ngokuntula ikheli lomgwaqo elihlala njalo noma ibhilidi yensiza; imitholampilo iyazamukela izincwadi zokukhosela, amanothi esisebenzi sokufinyelela, noma ukuzidalula lapho ubuhlala khona izolo ebusuku.
5. Ungalokothi uhlambulule ubisi lwezinsana ngamanzi engeziwe ukuze wenze ikani lihlale isikhathi eside. Ukwengeza amanzi engeziwe othini lwengane oluyimpuphu noma oluwuketshezi kubulala ubuchopho bosana olusanda kuzalwa lwe-sodium nama-electrolyte, okubangela ukudakwa kwamanzi (hyponatremia), ukuquleka okunamandla, ukuvuvukala kobuchopho, nokufa emahoreni ambalwa. Hlala uhlanganisa ifomula nesilinganiso esinembile se-scoop-to-water ephrintiwe kulebula usebenzisa amanzi okuphuza aphephile, abilisiwe noma asemabhodleleni.
6. Bhalisa ku-Presumptive Eligibility (PE) Pregnancy Medicaid kanye ne-SNAP kunoma imuphi umtholampilo womphakathi noma esibhedlela namuhla. Ukukhulelwa kufaneleka ngokushesha abantu abahola kancane ukuthola usizo lwesikhashana lwe-Medicaid yosuku olufanayo (okuhlanganisa amaphesenti angu-100 okuvakasha kwangaphambi kokubeletha, ukubeletha, kanye nezinyanga ezingu-12 zokunakekelwa kwangemva kokubeletha) cishe zonke izimo eziphuthumayo ze-SN-AP eziphuthumayo ze-U.S.

flowchart TD
    A["Ukhulelwe noma Unakekela Osanda Kuzalwa Ngesikhathi Ungenayo"] --> B{"Noma Yimaphi Amafulegi Abomvu Ezokwelapha (Ukopha, Ukuncipha, Imfiva Yengane >= 38C / 100.4F, noma Ukukhathala)?"}
    B -->|"Yebo: Izimpawu Eziphuthumayo Zokubelethisa noma Ezisanda Kutholwa"| C["Shayela ku-911 / 112 / 999 noma Hamba Uqonde Esibhedlela ER / Labour and Delivery Ngaphansi kwe-EMTALA"]
    B -->|"Cha: Uzinzile Ngokwezempilo Namuhla ebusuku"| D{"Ulalaphi namhlanje ebusuku?"}
    D -->|"Emgwaqeni, etendeni, noma Emotweni"| E["Shayela ku-211 / I-Family Coordinated Entry / i-DV Hotline (1-800-799-7233) ukuze uthole Okubaluleke Kakhulu Kokubeletha / Ukubekwa Kwemotela"]
    D -->|"Kakade Ngaphakathi Kwendawo yokuhlala, iMotele, noma Imoto Ephephile"| F["Setha Ibhokisi Lokulala Lengane Eliqinile Eliqinile Elihlukile (Buyela Ekulaleni, Isaka Eligqokekayo, Izingubo Zokulala Ezingaqinile)"]
    E --> G["Ekuseni Ngokulandelayo: Hamba uye Ehhovisi Lendawo le-WIC kanye Nokunakekelwa Kwezempilo Komtholampilo Wabantu Abangenamakhaya"]
    F --> G
    G --> H["Bhalisa ku-Presumptive Pregnancy Medicaid, i-SNAP Esheshisiwe, futhi Uthole Ifomula Yamahhala / Iphakethe 'n Play"]

Amafulegi abomvu okubelethisa nawesana: nini ukuya ngqo esibhedlela¶

Lapho uhlala ngaphandle kwendawo yokukhosela ezinzile, izithiyo zokuhamba kanye nokukhathala ngokuvamile kubangela ukuthi abesifazane abakhulelwe nomama abasanda kuzalwa balinde isikhathi eside ngaphambi kokufuna usizo oluphuthumayo. Ngaphansi kwe-United States I-Emergency Medical Treatment and Labour Act (EMTALA), owesifazane onokufinyela uchazwa ngumthetho njengokuthi unesimo sezempilo esiphuthumayo esikhona okungekho mnyango wezimo eziphuthumayo esibhedlela noma iyunithi yezabasebenzi neyokubeletha engasijikisa.

Ukuthola indawo yokuhlala yokubeletha esheshayo, amavawusha ehhotela lomndeni, kanye nokuza kuqala kwezindlu¶

Izindlu zokukhosela ezijwayelekile zabantu abadala (amagumbi amakhulu avulekile anemigqa yamacansi yabantu abadala abangashadile) awaklanyelwe noma anikezwe ilayisense kubantwana abasanda kuzalwa kanye nomama abakhulelwe sekwephuzile. Uma ukhulelwe noma unakekela ingane, ufanelekela ukuthola ithrekhi yezindlu ehluke ngokuphelele, evikelekile kakhulu.

1. Ungaqala kanjani "Ukukhulelwa / Okubalulekile Komntwana" Ekungeneni Okudidiyelwe kamasipala¶

Emadolobheni amaningi kulo lonke elase-United States, Canada, United Kingdom, kanye ne-Europe, ukubiza ulayini wokuthatha indawo yokukhosela ovamile ngaphandle kokugcizelela ukukhulelwa kwakho noma usana olusanda kuzalwa kungaholela ekubekweni ohlwini lokulinda lwamasonto amaningi. Sebenzisa lezi ziteshi kanye namagama angukhiye:

• Ukungena Okudidiyelwe Komndeni / 2-1-1: Uma ushayela ku-2-1-1* noma uvakashela Indawo Yokungenela Yomndeni Edidiyelwe yesifunda sakho, yisho ngokushesha: "Ngikwi-trimester yami [yokuqala/yesibili/yesithathu] yokukhulelwa" noma *"Nginezingane ezisanda kuzalwa ezingavikelekile ezingaphansi kwezinyanga eziyi-12 zeDolobha lase-New York elineminyaka engu-12 ubudala." INDLELA ukuthathwa komndeni, Massachusetts EA Shelter Yomndeni, California County CalWORKs Homeless Assistance izinhlelo zamavawusha ehhotela, kanye ne-Toronto I-Central Family Intake) iqinisekisa ngokusemthethweni indawo yokukhosela yezimo eziphuthumayo yosuku olufanayo noma amavawusha e-motel kwabesifazane abakhulelwe kanye nemindeni enezingane, noma ukubeka izinsana ezingavikelekile phezulu kwevawusha yesimo esiphuthumayo.
• E-United Kingdom ("Isidingo Esibaluleke Kakhulu" Esisemthethweni ngaphansi kwe-Housing Act 1996 Isigaba 189): Ngaphansi komthetho wezindlu wase-UK, owesifazane okhulelwe nanoma ubani onezingane ezibondliwayo banesidingo esizenzakalelayo ** esingokomthetho esithi "Isidingo Esibalulekile"** sendawo yokuhlala. Uma ukhulelwe futhi ungenakhaya namuhla kusihlwa e-England, Wales, Scotland, noma Northern Ireland, ziveze e-Housing Options Department yomkhandlu wakho wendawo (noma shayela usonhlalakahle wabo wamahora angama-24 Wangaphandle Kwamahora Angasebenza Uma ngemva kuka-17:00) futhi ufune Isigaba 188 Sihlola Indawo Yesikhashana Yesikhashana isicelo sakho ngesikhathi sisasebenza.
• Izindawo Zokuhlala Zodlame Lwasekhaya (uma ubalekela uzakwethu ohlukumezayo): Uma ukungabi nakhaya kwakho kubangelwe ukubalekela uzakwenu onodlame, osongelayo, noma ophoqelelayo, shayela Inombolo Yocingo Kazwelonke Yobudlova Basekhaya (1-800-799-7233 noma umbhalo START ku 88788 e-US) noma ubone umhlahlandlela wethu ku udlame lwasekhaya ukungena endaweni yokuhlala nezingane kanye nezilwane ezifuywayo. Izindawo zokukhosela zodlame lwasekhaya zigcina amagumbi okulala ayimfihlo, angasese anemibhede, amanabukeni, kanye nefomula eqondiswe kwabasindile abakhulelwe kanye nomama abanezingane ezisanda kuzalwa.
• Izindlu Zokubeletha Ezinikelwe Nezindawo Zokubelethisa: Amakhulu ezinkulungwane ezingenzi nzuzo Amakhaya Okubeletha kanye nezinhlelo zezindlu zesikhashana zokubeletha (njengezinhlelo zasendaweni ze-Harvest Home, i-Covenant House Mother & Child zomama abasebancane abaneminyaka engaphansi kuka-24, Mary's Place, kanye ne-St. Vincent de Paul ezindlini zokubeletha) ezivumela abesifazane abakhulelwe ukuthi bahlale izinyanga ezingu-6 ngemva kokukhulelwa* nengane ekhulelwe* izinyanga ezingu-24* izindleko zero. Buza usonhlalakahle okhulelwe ngaphambi kokubeletha esibhedlela sakho noma isazi sezokudla se-WIC mayelana nohlu lwasendaweni lwababelethise abadluliselwe ekhaya.

2. Usizo lwesikhashana lwemali kanye namavawusha emotela (TANF / CalWORKs Izidingo Ezikhethekile Zokukhulelwa)¶

E-United States, uma ukhulelwe ungenazo ezinye izingane okwamanje, hlola imithetho yesifunda sakho esithi Usizo Lwesikhashana Lwemindeni Eswele (TANF) ehhovisi lezenhlalakahle lesifunda:

• Izifundazwe eziningi zinikeza Izidingo Ezikhethekile Zokukhulelwa (PSN) imali yesibonelelo ekhadini le-EBT eliqala ku-trimester yokuqala, yesibili, noma yesithathu, ngisho nangaphambi kokuba umntwana azalwe.
• Ezifundeni ezinezinhlelo ze-Usizo Lwabantu Abangenakhaya (HA) ezixhunywe ku-TANF (njenge-California's CalWORKs Temporary Homeless Assistance), owesifazane okhulelwe (kusukela ngedethi yokukhulelwa eqinisekiswa ngokokwelashwa ngenothi lasemtholampilo) ufaneleka izinsuku ezingu-16 ezilandelanayo zamavawusha aphuthumayo akhokhelwayo emotela/yehhotela kanye nosizo lwediphozithi yendlu yaphakade.

Ukulala okuphephile kwezinsana nokuvikelwa okushisayo ezimotweni, amatende, nezindawo zokukhosela¶

Imbangela eyodwa ehamba phambili yokufa kwezinsana eziphakathi kwenyanga engu-1 nonyaka ubudala iwu-klzzwxh:0003, okuhlanganisa I-Sudden Innt Death Syndrome (SIDS) kanye nokuminwa ngengozi nokuklinywa embhedeni. Lapho umama ephoqeleka ukuthi alale esihlalweni esingemuva se-sedan, ngaphakathi kwetende elibandayo lenayiloni, noma okhukweni oluwumngcingo lokukhosela, izindlwana ezivamile zasenkulisa ziyashoda, okudala izingozi ezimbi kakhulu ezidinga amasu okusebenza aqinile ensimini.

flowchart TD
    A["Ukulungiselela Ukuzalwa Okusanda kuzalwa Ukulala Emotweni, Etendeni, noma Indawo Yokufihla ikhanda"] --> B["Umthetho 1: Hlukanisa Indawo Eyisicaba Eqinile (Ungalokothi Uhlanganyele Isikhwama Sabantu Abadala, Isihlalo Semoto, noma Umbhede)"]
    B --> C["Setha i-Portable Pack 'n Play, i-Cardboard Baby Box, i-Stroller Bassinet, noma i-Rigid Laundry Basket"]
    C --> D["Umthetho 2: Buyela Ekulaleni Ku-Thin Firm Pad Ngeblankethi Engaxege, Imicamelo, noma Amathoyizi"]
    D --> E{"Liyini Izinga Lokushisa Le-Ambient?"}
    E -->|"Ubusuku Obubandayo"| F["Gqokisa Ingane Ngesaka Lala eligqokekayo + Nesigqoko (Ungalokothi Umboze Ubuso noma Sebenzisa Izifudumezi Ezivulekile)"]
    E -->|"Imini Eshisayo / Ebusuku"| G["Hlubula uye Esendlalweni Sikakotini Esodwa / Inabukeni, Phuma Elangeni/Emotweni, Ncelisa Ibele / Ifomula Njalo"]

Imithetho Emine Yokulala Okuphephile Okuphathekayo¶

Landela i-American Academy of Pediatrics (AAP) kanye ne- World Health Organization (WHO) imithetho yokulala ephephile eguqulelwe endaweni engavikelekile neyesikhashana:

1. Njalo beka ingane emhlane wayo njalo lapho ulala nasebusuku: Ungalokothi ulalise usana olusanda kuzalwa ukuba lulale ngesisu noma ngohlangothi.
2. Ungalokothi uvumele ingane ilale ubusuku bonke ibophele esihlalweni semoto esine-engeli, isithwali sosana, noma isihlalo sokuhamba.

1. Ungalokothi wabelane ngesikhwama sokulala sabadala, umbhede omncane wokukhosela, noma isihlalo sebhakede lemoto nengane: Abazali abakhathele abalele ezihlalweni zemoto ezimpintshana noma ngaphakathi kwesikhwama sokulala sasebusika bangakwazi ukugingqika kusana noma bavale ubuso bengane phezu komcamelo noma odongeni lwezikhwama zokulala.
2. Yakha "I-Portable Baby Box" ehlukile, eqinile eduze komzimba wakho:
   • Buza ihhovisi lakho le-WIC lendawo, usonhlalakahle esibhedlela, noma ithimba lokufinyelela emigwaqweni ukuze uthole i-mesh playard ephathekayo (Pack 'n Play) noma Ikhadibhodi Baby Box enesitifiketi.
   • Ukuthuthukiswa kwenkundla yezimo eziphuthumayo namuhla kusihlwa: Uma usemotweni noma etendeni namuhla kusihlwa ngaphandle kwebhesinethi ephathekayo, sebenzisa ubhasikidi ohlanzekile, oqinile ongunxande wokuwasha izingubo, isikhwama sokugcina sepulasitiki esisemaceleni aqinile (enesivalo esilahliwe futhi sigcinwe endaweni evulekile),inqola ephansi ekhishiwe* idrayivu* ekhishwe* isilawuli* esinamathiselwe* esinanyathiselwa ifenisha* Songa ithawula elincanyana, eliqinile noma iphedi legwebu eliyisicaba kahle ngaphansi eligoqe ngokuqinile ukuze lingakwazi ukunqwabelana, bese usetha ubhasikidi oqinile eduze kwesikhwama sakho sokulala noma ngaphesheya kwesitezi semoto esiyisicaba lapho ungakwazi khona ukungena futhi uthinte isifuba somntwana ubusuku bonke.

Ukugcina usana olusanda kuzalwa lufudumele esimweni sezulu esibandayo ngaphandle kwezingubo zokulala ezixekethile¶

Ngenxa yokuthi izingubo zokulala ezixegayo nemicamelo ngaphakathi kwebhokisi lokulala lomntwana zingavala ikhala nomlomo wosana olusanda kuzalwa futhi lubangele ukuminza, ungalokothi ubeke izingubo zokulala ezixegayo phezu komntwana olele. Sebenzisa izendlalelo zezingubo ezigqokwayo kanye nokufudumala kwesikhumba kuya kwesikhumba ngenkathi uvukile:

• Indlela yokugqoka ingane ebusuku obubandayo ("One More Layer Plus a Sleep Sack"): Gqokisa usana isambatho sikakotini esithokomele (i-onesie), isudi yoboya obufudumele obunezinyawo ezifudumele, amasokisi ngaphansi kwezingubo zokulala, futhi uzifake enguboya obugqokwayo noma isaka lokulala lengane encane elivalekile/ingubo yokulala engakwazi ukugqokwa shibilika phezu kobuso bengane).
• Bheka ingemuva lentamo noma esifubeni sengane ukuze uthole izinga lokushisa: Thinta iminwe emibili ngemuva kwentamo yengane noma esifubeni esingenalutho**:
  • Uma isifuba noma ingemuva lentamo lizwa kubanda, engeza olunye ungqimba olugqokekayo noma ubambe ingane isikhumba-esikhumbeni (ingane efake inabukeni nesigqoko esibekwe ngqo esifubeni sakho esingenalutho ngaphansi kwejakhethi yakho ngenkathi uphapheme futhi uhlezi phezulu).
  • Uma ingemuva lentamo yengane lijulukile, limanzi, noma lishisa, susa ungqimba ngokushesha; ukushisa ingane ngokweqile ngezingqimba zoboya bezimvu abaningi kakhulu endlini noma emotweni eshisayo kuyimbangela enkulu ye-SIDS.
• Ungalokothi usebenzise izifudumezi ze-propane, amakhandlela, noma izinjini zemoto ezingenzi lutho ezinombhobho ovalekile: Izingane zinamazinga okuphefumula asheshayo kanye ne-fetus hemoglobin ebopha i-carbon monoxide (CO) ngokushesha kunegazi lomuntu omdala; ukuvuza okuncane kwe-CO ngaphakathi kwetende noma emotweni kungaba yingozi kusana olusanda kuzalwa ngaphambi kokuba umama ezwe ubuhlungu bekhanda. (Bheka umhlahlandlela wethu ku Ukuphepha kwetende nokushisa kwe-tarp nokuvimbela i-carbon monoxide.)

Ukuvikela ingane esanda kuzalwa ngesikhathi samagagasi okushisa ehlobo¶

Izingane ezisanda kuzalwa azikwazi ukulawula izinga lokushisa lomzimba wazo ngokujuluka ngendlela efanele futhi zingahlushwa ukushisa ngaphakathi kwetende elifudumele noma imoto emile ngaphansi kwemizuzu eyi-15:

• Lahla amatende nezimoto ezipakiwe ngesikhathi sokushisa kwasemini: Chitha amahora aphakathi kuka-09:00 no-20:00 ngaphakathi *mtapo wolwazi womphakathi onesiphephetha-moya, isikhungo sezempilo somphakathi, inxanxathela yezitolo, noma isikhungo sokupholisa sikamasipala.
• Ungalokothi umboze isinqola ngengubo eyomile noma ngendwangu elangeni: Ukwendlala ngisho nengubo encane ye-muslin phezu kombhede wenqola kuvimbela ukugeleza komoya futhi kukhuphule izinga lokushisa langaphakathi ngo-8 kuya ku-10 degrees Celsius (15 kuya ku-18 degrees Fahrenheit). Sebenzisa isambulela esivuliwe noma i-clip-on canopy ene-airflow eseceleni, bese usula isikhumba somntwana ngendwangu yokugeza emanzi esivivi.
• Umthetho wokukhipha amanzi ezinsaneni ezingaphansi kwezinyanga ezingu-6 (Ubisi Lwebele noma Ifomula KUPHELA, AKUKHO manzi alula): Uma ingane yakho ishisa ngesikhathi se-heatwave, ncelisa ibele kaningi noma nikeza ukudla okuncane okwengeziwe kwefomula yezingane exutshwe kahle. Ungalokothi unikeze umntwana ongaphansi kwezinyanga ezingu-6 ubudala ompompi avamile noma amanzi asebhodleleni, njengoba amanzi angenalutho exuba i-sodium esegazini futhi abangele i-hyponatremic seizures.

Ukondla kwezingane okuphephile emgwaqeni: ukuncelisa ibele, ukufinyelela kwe-WIC, nokuhlanzeka kwefomula¶

Ukondla usana olusanda kuzalwa ngaphandle kukasinki wasekhishini, isiqandisi, noma isitofu kudinga ukunakwa okuqinile ekuphepheni kwamanzi nasekukhuleni kwamagciwane.

Ungabhalisa kanjani ku-WIC namuhla ngaphandle kwekheli eligxilile noma ibhili yokusetshenziswayo¶

E-United States, I-Special Supplemental Nutrition Programme for Women, Infants, and Children (WIC) isiza abesifazane abakhulelwe, omama abakhulelwe, kanye nezingane ezifika eminyakeni engu-5.

1. Umthetho Wesifunda (7 C.F.R. § 246.7) uyakwenqabela ukwenqatshwa kwe-WIC emindenini engenazindlu: Wonke umtholampilo we-WIC unenqubo "Ayikho Ikheli Eligxilile / Ubufakazi Bokungabi Nakhaya Bokuhlala". Uma ungenalo ibhili yokuqashisa noma yosizo, ungasayina ikhasi elilodwa Ukuzimemezela Kokungabi Nakhaya / Ukuhlala etafuleni le-WIC.
2. Ngokuzenzakalelayo "Ukufaneleka Kweholo Lokuhlanganisa" nge-Medicaid noma i-SNAP: Uma usuvele unekhadi le-Medicaid elisebenzayo** noma ikhadi le-SNAP EBT, uhlangabezana ngokuzenzekelayo nemfuneko yemali engenayo ye-WIC ngaphandle kokuletha ama-paystubs.
3. Cela "Iphakheji Lokudla Le-WIC Elingenamakhaya / Elingenasiqandisi": Tshela isazi sezokudla se-WIC: "Ngihlala emotweni / etendeni / motel ngaphandle kwesiqandisi noma isitofu." Ngaphansi kwemithetho ye-USDA, uchwepheshe wezokudla uzokwenza ngokwezifiso ikhadi lakho le-eWIC ukuze uthenge amabhokisi obisi e-UHT ahlala eshalofini, ibhotela, ibhotela, iyogathi, ibhotela i-tuna/ubhontshisi, isithelo, kanye ne-I-Ready-to-Feed (RTF) amabhodlela efomula yoketshezi esetshenziswa kanye*.

Ukuhlanzeka kwebhodlela lenkundla uma ungenawo usinki wasekhishini¶

Uma uncelisa ingane ngebhodlela ngaphandle kokufaka amanzi ashisayo ekhishini:

• Ungalinge uvumele ingane ukuthi iphuze ebhodleleni elahlala isikhathi esingaphezu kwehora eli-1: Uma ingane incela ingono yebhodlela, amagciwane adluliselwa emlonyeni angena obisini aziphindaphinde. Thela noma iyiphi ifomula engaqediwe emaminithini angu-60 ngemva kokuqala kokuphakela.
• Phatha amabhodlela ahlanzekile angu-4 ukuya kwangu-6 noma sebenzisa olayini bamabhodlela alahlwayo: Ukusebenzisa amabhodlela angcolile alahlwayo kunciphisa indawo engaphezulu okufanele uyikhuhle ezindlini zangasese zomphakathi.
• Amabhodlela okugeza ohambweni: Ungalokothi ubeke izingono zebhodlela lengane phansi kubheseni womphakathi wendlu yangasese. Phatha isitsha sokugezela sepulasitiki esihlanzekile esizinikele, insipho yesitsha, ibhulashi lebhodlela eligcinwe esikhwameni sikaziphu, kanye nojeke wegalani wamanzi okuphuza ahlanzekile. Geza wonke amabhodlela kanye ingono ngokushesha ngemva kokuncelisa ngaphakathi kubhavu wakho wepulasitiki, hlambulula ngamanzi okuphuza ahlanzekile, futhi womise ngomoya ethawulani lephepha ngaphakathi kwesaka elinezikhala. Ezinganeni ezisanda kuzalwa ezingaphansi kwezinyanga ezi-2, cela indawo yokukhosela noma isitolo esikuvumela ukuthi usebenzise isikhwama esisetshenziswa kabusha se-microwave-steam-sterilizer (esibulala amagciwane amabhodlela ngamasekhondi angu-90 ngo-60 mL wamanzi).

Ukuzulazula Emsebenzini Wesibhedlela Nokulethwa, Osonhlalakahle, Nezenhlalakahle Yezingane (CPS) ukwesaba¶

Isithiyo esikhulu esivimbela abesifazane abakhulelwe abangenamakhaya ukuba bathole ukunakekelwa ngaphambi kokubeletha ukwesaba ukuthi usonhlalakahle wasesibhedlela uzobiza Izinkonzo Zokuvikela Izingane (CPS / Umnyango Wezingane Nemindeni) futhi athathe usana lapho luzalwa ngoba umama akanalo ifulethi.

Ungawavikela kanjani amalungelo akho omzali kanye nokusebenzisana nosonhlalakahle wasesibhedlela¶

1. Ukuqonda umehluko ongokomthetho phakathi kobumpofu nokunganakwa kwezingane: E-United States, e-Canada, e-UK, nase-Australia, izimiso zezenhlalakahle zezingane zithi ukungabi nakhaya noma ubumpofu kukodwa akusho ukuhlukunyezwa noma ukunganakwa kwezingane, inqobo nje uma umzali ekwazi ukunakekela usana futhi amukela ukudluliselwa kwendawo yokukhosela ephephile. Kodwa-ke, isibhedlela asikwazi ukukhulula ngokusemthethweni usana olunezinsuku ezimbili ubudala uma umzali etshela udokotela wezingane ukuthi uthatha usana olusanda kuzalwa ukuze lulale eceleni komgwaqo namuhla ebusuku futhi wenqaba indawo yokukhosela yomndeni.
2. Ungaziveza kanjani njengomzali okhuthele, ovikelayo kusukela ngesikhathi ufika:
   • Funa ukunakekelwa kokubeletha kusenesikhathi futhi ugcine amarekhodi akho omtholampilo: Ngisho noma uqala ukunakekelwa ngaphambi kokubeletha ku-trimester yesithathu emtholampilo wamahhala Ukunakekelwa Kwezempilo Kwabangenakhaya noma i-FQHC, ufika E-Labour & Delivery nerekhodi elibhaliwe lokuvakasha ngaphambi kokubeletha, amavithamini okubeletha, kanye nekhadi le-WIC kufakazela abasebenzi basesibhedlela ukuthi ungumama oshadile oshadile.
   • Cela u-Perinatal Social Worker ngokushesha: Tshela unesi wakho owamukelwayo ukuthi: "Okwamanje ngihlala ezindlini zesikhashana / anginasiphephelo, futhi ngimatasatasa ngisebenza ukuze ngifakwe endaweni yokukhosela yomndeni noma eKhaya Lokubeletha ngaphambi kokuba ingane yami idedelwe. Ngingakwazi yini ukuhlangana noNontlalontle namuhla ukuze basize ukusheshisa ivowusha yethu yomndeni wezimo eziphuthumayo?
   • Bambisana nendawo yokukhosela yomndeni ephephile noma ukubekwa ekhaya lababeletha: Lapho usonhlalakahle esibhedlela eshayela inombolo yocingo yesikhungo somndeni wesifunda noma ikhaya lababeletha lasendaweni esuka esibhedlela (okuvame ukuvula ivawusha esheshayo **Ivawusha Yezimo Eziphuthumayo noma Umbhede Wokubeletha ** phakathi kwamahora angu-24), yamukela ukufakwa endlini ephephile ukuze udokotela wezingane akwazi ukuphuma nengane yakho.
3. Uma ululama noma ushikashikana nokusetshenziswa kwezidakamizwa ngesikhathi sokukhulelwa (Umuthi Wokusetshenziswa Kwe-Opioid Disorder / Izinhlelo Zokunakekelwa Okuphephile):
   • Ungalokothi uyeke ama-opioid noma utshwala kungazelelwe ngenkathi ukhulelwe emgwaqweni; Ukuhoxiswa kwe-opioid kungazelelwe kubangela ukufinyela okukhulu kwesibeletho, ukuphuma kwe-placenta, nokucindezeleka kwe-fetus.
   • Odokotela bokubelethisa batusa ukuthi Imithi Ye-Opioid Use Disorder (MOUD) ngesikhathi sokukhulelwa kusetshenziswa i-buprenorphine* noma i-methadone* enqunyiwe, eyenza umbungu uzinze futhi ugunyazwe I-American College of Obstetricians and Gynecologists (ACOG) kanye ne SAMHSA.
   • Ngaphansi koMthetho kahulumeni othi I-Child Abuse Prevention and Treatment Act (CAPTA), lapho umntwana ezalwa evezwe ku-MOUD enqunyiwe, isibhedlela kanye nesifundazwe senza "Uhlelo Lokunakekelwa Okuphephile" olusekelayo oluxhuma umama nosana nezinhlelo eziyisipesheli Zokwelashwa Kwendawo Yokuhlala Yengane (lapho ingane yakho ihlala nawe ngenkathi uthola ukunakekelwa nezindlu). Cela umtholampilo wangaphambi kokubeletha ukuthi udluliselwe emtholampilo okhethekile othi Ukusetshenziswa Kwezidakamizwa Zokubeletha ekuqaleni kokukhulelwa.

Uhlu olubalulekile lokukhishwa esibhedlela ngaphambi kokuphuma ewodini lababelethayo¶

Ngaphambi kokuthi uphume esibhedlela nosana lwakho, qinisekisa ukuthi usonhlalakahle kanye nabahlengikazi ewodini yababeletha bakusiza ukuthi ugcwalise yonke into kulolu hlu:

• Isicelo Sesitifiketi Sokuzalwa Nenombolo Yokuphepha Komphakathi (noma I-SIN / Inombolo Ye-NHS) sisayinwe: Gcwalisa ishidi lokusebenza lesitifiketi sokuzalwa esisanda kuzalwa bese uqoka ibhokisi ukuze ukhiphe Ikhadi Lokuvikeleka Komphakathi. Buza ngokucophelela ukuthi yiliphi ikheli leposi ongalifaka efomini: ungalokothi ubeke indlu endala lapho uxoshwe khona; sebenzisa ikheli lakho lemeyili elisemthethweni lendawo yakho yokukhosela, ikheli lesihlobo, noma incwadi yeposi yabangenakhaya (bona ukushintshwa kwe-ID yesimo esiphuthumayo nekheli leposi elingenalo ikhaya).
• Usana olusanda kuzalwa lwengezwa ngokuzenzakalelayo ku-Medicaid (Okubhekwa Kungumsebenzi Osanda Kuzalwa): Ngaphansi komthetho wenhlangano (42 U.S.C. § 1396a(e)(4)), noma iyiphi ingane ezalwa umama ekhavwe yi-Medicaid ngosuku lokubeletha ifaneleka ngokuzenzakalela ukuthola usizo olugcwele lwe-Medicaid onyakeni wokuqala wokuphila. Qinisekisa ukuthi umeluleki wezezimali ukhipha inombolo yesikhashana ye-Medicaid yengane yakho ngaphambi kokuthi uhambe.
• Isihlalo samahhala semoto yezingane ezisanda kuzalwa kanye ne-bassinet ephathekayo / Pack 'n Play: Buza usonhlalakahle wasesibhedlela Uhlelo lwabo lwamahhala Lokusabalalisa Izihlalo Zezimoto Zasesibhedlela kanye Nenkundla Yemidlalo Ephathwayo Yokulala Okuphephile.
• Isiqiniseko esibhaliwe sokuhlolwa kwesisindo sezingane samahora angu-48 kanye ne-jaundice: Yonke ingane esanda kuzalwa ekhishwe esibhedlela kufanele ibonwe emtholampilo wezingane kungakapheli amahora angu-24 kuya kwangu-48 ukuze kuhlolwe i-jaundice esanda kuzalwa kanye nokuncipha kwesisindo. Iba nencwadi yomhlengikazi ngaleso sikhathi esikhungweni FQHC / Isikhungo Sezempilo Somphakathi esiseduze futhi uhlele ukugibela I-Medicaid Non-Emergency Medical Transport (NEMT) ukuze wena nosana nibuye niye lapho.

Imibuzo evame ukubuzwa¶

Ingabe ukuya esibhedlela, ihhovisi le-WIC, noma indawo yokukhosela yomndeni kuzobangela ukuthi Izinsizakalo Zokuvikela Izingane (i-CPS) zingithathe usana lwami ngoba anginandlu?¶

Cha, ukufuna ukunakekelwa kwangaphambi kokubeletha, ukubhalisa ku-WIC, noma ukucela indawo yokukhosela yomndeni ngoba awunandlu akubangeli ukuthi i-CPS ikhiphe ingane yakho. Imithetho yezenhlalakahle yezingane kulo lonke elase-United States, e-Canada, e-United Kingdom, nase-Australia ihlukanisa ubumpofu nokungabi nakhaya nokuhlukunyezwa kwezingane noma ukunganakwa. Ukucela ngokugcwele usonhlalakahle esibhedlela noma umxhumanisi we-211 we-Itake umbhede wendawo yokukhosela yomndeni, ukubekwa ekhaya labakhulelwe, noma ivawusha ye-motel yezimo eziphuthumayo kubonisa amandla okuvikela okuba umzali; ukungenelela kwezenhlalakahle yezingane kwenzeka kuphela uma umzali enqaba zonke izinketho zokukhosela zasendlini eziphephile futhi ephikelela ekuthatheni usana oluntekenteke emgwaqeni ongaphephile esimweni sezulu esibi kakhulu, noma uma kunokunganakwa kwezokwelapha okungalashwa.

Ngingathola amanabukeni amahhala, okosula, nezingubo zezingane uma i-SNAP (izitembu zokudla) ne-WIC zingawambozi amanabukeni?¶

Nakuba amakhadi e-SNAP EBT kanye ne-WIC emboza ukudla nefomula yezinsana esikhundleni samanabukeni, isifunda ngasinye sinabalingani be-National Diaper Bank Network, Izikhungo Zezinsiza Zokukhulelwa, Ukunakekelwa Kwezempilo kwemitholampilo yezingane ezingenamakhaya, kanye nezahluko zika-St. Vincent de Paul ezisabalalisa amanabukeni amahhala asanda kuzalwa, okosula, ama-onesies, namasaka okulala agqokekayo ngaphandle kokudinga i-ID noma ukucwaninga kwemali engenayo. Uma ubhalisa ohlelweni losizo lwemali lwe-TANF lwesifunda sakho (olufanelekela ukuluthola lapho kuqinisekiswa ukukhulelwa noma ukuzalwa kwengane), izifundazwe ezimbalwa zifaka Isibonelelo Senzuzo Yanyanga zonke esizinikele ngasohlangothini lwemali lwekhadi lakho le-EBT.

Ngilugcina kanjani ubisi lwebele olumpontshiwe noma ifomula yoketshezi evuliwe iphephile uma ngingenaso isiqandisi?¶

Ubisi lwebele olusanda kuvezwa lucebile ngamasosha omzimba alwa namagciwane futhi lungahlala ngokuphepha ekamelweni lokushisa (kufika ku-25 degrees Celsius / 77 degrees Fahrenheit) kuze kube amahora angu-4 ngaphandle kwesiqandisi (noma amahora angafika kwangu-24 ngaphakathi kwesikhwama sokupholisa esifakwe i-cooler esinamaphakethe eqhwa afriziwe). Ngokuphambene, ifomula ewuketshezi e-Ready-to-Feed evuliwe noma ifomula eyimpushane exubene iqukethe amasosha omzimba ayiziro: ingahlala ezingeni lokushisa elivamile amahora angu-2 uma ingakathintwa, futhi kufanele ilahlwe lingakapheli ihora eli-1 lapho umlomo wengane usuthinte ingono yebhodlela. Uma uhlala ngaphandle kwesiqandisi, beka phambili ukuncelisa ibele ngokuqondile noma ucele i-WIC ukuthi ikuphe amabhodlela efomula anguketshezi angama-2-ounce noma angu-8-ounce single-serving Ready-to-Feed ukuze uvule kuphela lokho okuphuzwa ingane ngesikhathi sokuncelisa kanye.

Yini okufanele ngiyenze uma ngisikwa kanzima noma amanzi ami esanda kuqhuma etendeni noma emotweni futhi ngingenayo indlela yokuya esibhedlela?¶

Shayela inombolo yakho yasendaweni yezimo eziphuthumayo (911, 112, noma 999) ngokushesha futhi utshele othumayo indawo yakho noma umgwaqo oseduze nawe futhi usho ukuthi amanzi akho aphukile noma umatasatasa. Abezimo eziphuthumayo baphatha izinsiza zokubelethisa eziyinyumba kanye nezingubo zokulala zokufudumeza izingane ukuze zikuyise esibhedlela esiseduze Uphiko Lwezabasebenzi Nokubeletha noma ubelethele umntwana ngokuphepha ngaphakathi kwe-ambulensi eshisayo uma sekuseduze ukuzalwa. Vula umnyango wemoto yakho noma uvule ithoshi lefoni yakho ngaphandle kwetende lakho ukuze abasebenzi be-ambulensi bakubone ngokushesha.

Imithombo ihloliwe¶

• I-American Academy of Pediatrics (AAP, United States): Izincomo Ezibuyekeziwe Zango-2022 Zokunciphisa Ukufa Kwezinsana Endaweni Yokulala.
• I-U.S. Umnyango Wezolimo (i-USDA) Isevisi Yokudla Nokudla Okunomsoco (United States): 7 C.F.R. Ingxenye 246 (Okuhlukile Kokuhlala Kwe-WIC Kwabafake izicelo Abangenamakhaya kanye Namaphakheji Okudla Okuthungelwe).
• Ikolishi LaseMelika Lodokotela Ababelethisayo Nodokotela Bezifo Zabesifazane (ACOG, United States): Ukunakekelwa Kwezempilo Kwabantu Abakhulelwe Nabangemva Kokubeletha Ababhekene Nokungabi Nakhaya.
• Izikhungo Zezinsizakalo Ze-Medicare & Medicaid (CMS, United States): Ukufaneleka Okugabadelayo Kwabesifazane Abakhulelwe, Kuthathwa Ukufaneleka Kwe-Medicaid Esanda kuzalwa (42 U.S.C. § 1396a(e)(4)), kanye Nokuvikelwa Kwezabasebenzi Okusebenzayo kwe-EMTALA.
• Ukunakekelwa Kwezempilo Kazwelonke KoMkhandlu Wabantu Abangenamakhaya (NHCHC, United States): Iziqondiso Zomtholampilo Zokunakekelwa Kokubeletha kanye Nokuzulazula Kwezinhlelo Zezenhlalakahle Yezingane.
• I-UK Ministry of Housing kanye ne-NHS (United Kingdom): Housing Act 1996 Isigaba 189 (Isidingo Esibalulekile Esingokomthetho) kanye Nomhlahlandlela Wokulala Okuphephile we-Lullaby Trust.

Iziqondiso ezihlobene¶

• Ukusinda okungenazindlu kanye nokuzama kwesimo sezulu esibi kakhulu
• Ukungena kwendawo yokukhosela yodlame lwasekhaya nezingane nezilwane ezifuywayo
• Izinzuzo zomphakathi: SNAP, EBT, Medicaid, nosizo olujwayelekile ngaphandle kwekheli
• Ukungabi nakhaya okungazelelwe: amahora okuqala angama-48 nendawo yokukhosela yezimo eziphuthumayo
• Ukulala emotweni yakho ngokuphepha kanye ne-stealth parking triage
• Izinombolo eziphuthumayo