txheem
Midwifery strike: vim li cas thiaj npau taws
Thaum qhov kev thov ntawm tus kws yug menyuam rov qab mus rau ntau xyoo, qhov kev tawm tsam tau pib thaum Lub Kaum Hli 16, 2013 nrog kev zaum hauv ntej ntawm Ministry of Health. Nws yog qhov tseeb thaum daim nqi kev noj qab haus huv pej xeem tau tshaj tawm tias qhov kev npau taws nce mus rau hauv kev tawm tsam. Tom qab ob peb lub rooj sib tham ntawm Ministry of Health, cov kws yug menyuam, ib feem ntawm Pawg Sib Koom Tes uas muaj ntau lub koom haum sib koom ua ke (nrog lub rooj sib tham loj coj los ua ke cov tub ntxhais kawm, tus kws saib xyuas menyuam yaus, tsev kho mob thiab cov kws tshaj lij), tseem tsis xav tias tsis mloog. "Peb yeej tsis tau thov, raws li tus kws yug menyuam, ntawm daim nqi kho mob pej xeem no. Thiab thaum lub chaw haujlwm tau txais cov neeg sawv cev tam sim no ntawm lub rooj zaum, peb pom tau tias cov kws yug menyuam tsis muaj nyob hauv qhov project no, "hais Elisabeth Tarraga, Tus Lwm Thawj Coj ntawm Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Hauv Tebchaws (ONSSF). Ib qho kev tawm tsam tom qab ntawd kis los ntawm Paris mus rau tag nrho Fabkis (nyob rau hauv ntau dua los yog tsawg dua heterogeneous txoj kev) nyob rau hauv daim ntawv ntawm ib tug indefinite strike.
Midwives' claims
Ua ntej, midwives thov qhov xwm txheej ntawm tus kws kho mob hauv tsev kho mob. Hauv kev xyaum, qhov no suav nrog kev sau npe tus kws kho mob hauv tsev kho mob raws li kev kho mob hauv tsev kho mob tib yam, piv txwv li, kws kho hniav lossis kws kho hniav. Tshwj xeeb tshaj yog vim qhov kev kho mob ntawm tus kws yug menyuam muaj nyob rau hauv txoj cai kev noj qab haus huv rau pej xeem tab sis tsis siv rau hauv tsev kho mob ib puag ncig. Lub hom phiaj, raws li Elisabeth Tarraga piav qhia hauv cov khoom, tsis yog tsuas yog pom cov txuj ci muaj txiaj ntsig zoo dua (nrog rau cov nyiaj hli siab dua) tab sis kuj kom muaj kev hloov pauv ntau dua hauv tsev kho mob. Midwives hais tias lawv muaj kev ywj pheej heev hauv lawv cov kev ua ntau yam nrog cov poj niam. Txawm li cas los xij, qhov tsis muaj xwm txheej kho mob thaiv lawv hauv qee cov txheej txheem, xws li qhib, ntawm lwm yam, ntawm physiological units. Cov ceg txheem ntseeg tsuas yog kev xav zoo li nws yog nyiaj txiag. Tab sis lawv qhov kev thov txuas ntxiv dhau lub tsev kho mob. Liberal midwives yog li xav ua tus tseem ceeb hauv cov poj niam txoj haujlwm noj qab haus huv thiab rau qhov no yuav tsum tau lees paub los ntawm cov xwm txheej ntawm thawj tus kws kho mob.. Thawj qhov chaw suav nrog txhua qhov kev tiv thaiv, kev tshuaj xyuas thiab kev saib xyuas tom qab rau tus neeg mob, tsis suav nrog kev mob hnyav, uas ua tau raws li cov txheej txheem ntawm qhov sib thooj thiab muaj. Rau lawv, cov poj niam yuav tsum paub tias lawv tuaj yeem sab laj tus kws saib xyuas menyuam yaus, uas feem ntau ua haujlwm hauv chaw ua haujlwm hauv nroog, piv txwv li smear. Liberal midwives xav kom raug lees paub tias yog ib txoj haujlwm kho mob ywj pheej uas saib xyuas kev saib xyuas kev xeeb tub, kev yug menyuam, tom qab yug menyuam thiab ua cov kws tshaj lij uas muaj peev xwm tsim nyog rau kev sib tham gynecological rau kev tiv thaiv thiab kev tiv thaiv.. “Tsoomfwv yuav tsum ua haujlwm ntawm txoj hauv kev tiag tiag rau poj niam noj qab haus huv. Tias peb tiag tiag txhais thawj qhov kev thov nrog tus kws kho mob thiab tus kws yug menyuam thiab qhov thib ob rov hais dua nrog cov kws tshaj lij ”, piav qhia Elisabeth Tarraga. Tsis tas li ntawd, qhov no yuav txo tau cov kws kho mob tshwj xeeb uas yuav tsum tau tswj cov kab mob pathologies, thiab txo lub sijhawm tos rau kev sib tham tiv thaiv yooj yim, nws hais ntxiv. Tab sis qhov ntawd yuav tsis txhais lub luag haujlwm rau tus poj niam mus ntsib tus kws yug menyuam dua li tus kws kho mob gynecologist. Tseeb tiag, cov xwm txheej ntawm thawj-resort practitioner tsis yog ib daim ntawv teev npe raws li ib tug tshwj xeeb referent. Nws yog qhov kev lees paub ntawm cov kev txawj tshwj xeeb rau kev sib tham tsom mus rau cov lus qhia thiab kev tiv thaiv dhau ntawm txoj cai kho mob.. "Nws yog hais txog kev muab cov poj niam muaj peev xwm xaiv qhov pom kev raws li cov ntaub ntawv tiav", tshaj tawm Elisabeth Tarraga. Nyob rau tib lub sijhawm, midwives sib ntaus sib tua rau kev txuas ntxiv ntawm cov txheej txheem kev sib koom ua ke, hauv tsev kawm qib siab, ntawm cov tsev kawm ntawv midwifery, thiab kev them nyiaj zoo dua ntawm cov tub ntxhais kawm interns (xws li lawv cov kev kawm 5 xyoos). Rau Sophie Guillaume, Thawj Tswj Hwm ntawm National College of Midwives of France (CNSF), kev sib ntaus sib tua midwifery tuaj yeem suav nrog hauv ib lo lus tseem ceeb: "visibility".
Midwives thiab kws kho mob tsis sib xws?
Cov poj niam cev xeeb tub xav hnyav ntau dua nyob rau hauv toj roob hauv pes uas yog gynecologists thiab obstetricians. Tab sis cov kws kho mob xav li cas? Rau Elisabeth Tarraga li rau Sophie Guillaume, lawv feem ntau nyob ntsiag to ua yeeb yam. Hloov chaw, lawv xav tias raug tso tseg los yog tsis lees paub los ntawm txoj haujlwm kho mob. Txawm li cas los xij, cov koom haum ntawm gynecologists thiab obstetricians tau hais thaum lub sijhawm tawm tsam. Rau Philippe Deruelle, Secretary General ntawm National College ntawm Fabkis Gynecologists thiab Obstetricians (CNGOF), lub zog khiav tawm ntawm chav thiab tau dhau los ua bogged, dhau lub hlis, hauv ntau qhov kev xav tau uas sib tsoo thawj cov lus. "Qee qhov kev thov yog raug cai thiab lwm qhov tsis yog," nws piav qhia. Yog li, piv txwv li, gynecologists thiab obstetricians tsis txhawb thawj qhov chaw, vim hais tias, rau lawv, nws twb tshwm sim los ntawm kev sib koom ntawm kev txawj ntse ntawm txawv practitioners uas yuav saib xyuas cov poj niam. Lawv tsis kam lees tias tus kws yug menyuam tau txais kev tshwj xeeb hauv kev taug qab ntawm tus poj niam, hauv lub npe, dua, ntawm kev xaiv dawb.. Tshwj xeeb tshaj yog txij li, rau Philippe Deruelle, nws tsis yog tsuas yog ib lo lus nug ntawm visibility. Nws piav qhia tias, hauv qee thaj chaw, muaj ntau tus kws kho mob gynecologist ntau dua li tus poj niam cev xeeb tub thiab rov ua dua, thaum lwm tus, tus kws kho mob ze tshaj plaws, thiab thawj qhov kev sib cuag txawm tias thaum cev xeeb tub, yog tus kws kho mob. “Lub koom haum yog nyob ntawm cov tub rog koom nrog. Txhua leej txhua tus yuav tsum muaj peev xwm los ua tus neeg ua yeeb yam ntawm thawj qhov chaw ", piav qhia tus Secretary General ntawm CNGOF. Niaj hnub no, Lub Tsev Kawm Qib Siab tau txiav txim siab tias Ministry of Health tau teb rau cov lus thov ntawm tus kws yug menyuam.
Kev sib ntaus sib tua midwifery yuav txuas ntxiv mus
Rau tsoomfwv, cov ntaub ntawv raug kaw lawm. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau tuav txoj haujlwm, dhau los ntawm nws tus thawj coj, Marisol Touraine, thaum Lub Peb Hlis 4, 2014, thiab tau ua ntau qhov kev thov rau tus kws yug menyuam. “Thawj qhov kev ntsuas: Kuv tsim cov xwm txheej kho mob ntawm tsev kho mob midwives. Cov xwm txheej no yuav yog ib feem ntawm kev pabcuam pej xeem hauv tsev kho mob. Kev ntsuas thib ob: cov kev txawj kho mob ntawm tus kws yug menyuam yuav raug txhim kho, ob qho tib si hauv tsev kho mob thiab hauv nroog. Kev ntsuas thib peb: yuav muab lub luag haujlwm tshiab rau cov kws yug menyuam. Qhov kev ntsuas thib plaub, tom qab ntawd: kev cob qhia tus kws yug menyuam yuav muaj zog. Thib tsib, thiab kev ntsuas zaum kawg, kev txheeb xyuas cov nyiaj hli ntawm cov poj niam yug menyuam yuav tshwm sim sai thiab coj mus rau hauv tus account lawv lub luag haujlwm tshiab, "yog li ntxaws ntxaws Marisol Touraine hauv nws cov lus hais rau lub Peb Hlis 4. Txawm li cas los xij, yog tias lo lus "kev kho mob" tshwm sim hauv cov lus ntawm tsoomfwv, rau cov kws yug menyuam ntawm Pawg Neeg, nws tseem tsis muaj. "Cov ntawv nyeem tau hais tias tus poj niam cev xeeb tub muaj peev xwm kho mob, tab sis qhov ntawd tsis txhais tau tias muaj xwm txheej rau txhua yam," khuv xim Elisabeth Tarraga. Nws tsis yog tsoomfwv txoj kev xav uas tseem nyob ruaj khov ntawm cov kev txiav txim siab. "Tam sim no cov txheej txheem kev cai lij choj tab tom ua raws nws txoj kev kawm, thiab cov ntawv lees paub txoj cai tshiab yuav raug tshaj tawm thaum lub caij nplooj zeeg," piav qhia tus kws pab tswv yim rau Minister. Tab sis, rau cov kws yug menyuam tau sib sau ua ke hauv Pawg Sib Tham, kev sib tham nrog tsoomfwv zoo li tawg thiab cov lus tshaj tawm tsis ua raws. "Txij li thaum Lub Peb Hlis 4, Marisol Touraine tsuas yog tham nrog cov koom haum hauv nruab nrab. Tsis muaj ib qho kev sawv cev ntawm Kev Sib Koom Tes, "piav Sophie Guillaume. Txawm li cas los xij, tsis muaj dab tsi ua tiav. "Muaj cov rooj sib tham, cov rooj sib tham dav dav, vim tias ib txwm muaj kev tsis txaus siab tseem ceeb", txuas ntxiv tus thawj tswj hwm ntawm CNSF. Nyob rau lub sijhawm no, txawm tias nws khiav tawm ntawm chav, qhov kev tawm tsam tseem txuas ntxiv thiab cov kws tu menyuam yaus xav rov qab los ntawm lub sijhawm ntawm ib xyoos ntawm kev txav mus los, thaum Lub Kaum Hli 16.