Limapereka zifukwa zotsatirazi:
- Olemala wa gulu loyamba kapena lachiwiri kuchokera kwa mkazi kapena mwamuna wake;
- kufa kwa msinkhu kwa mwamuna pa nthawi ya mimba ya mkazi;
- ngati mkazi kapena mwamuna wake ali m'ndende;
- ngati mkazi kapena mwamuna wake ali nzika zogwira ntchito za Russian Federation;
- ngati pali chigamulo cha khoti chokhudza ufulu wa makolo;
- chifukwa chakuti mkazi sali wokwatira;
- Kutha nthawi pamene ali ndi pakati;
- ngati mimba idachitika chifukwa cha kugwiriridwa;
- kukhala m'nyumba, kapena ku hostel, kusowa nyumba;
- ngati mkazi ali ndi udindo wa munthu wosamukira kwawo kapena wothawa kwawo;
- mabanja akulu (ngati ana 3 kapena kuposa);
- ngati pali mwana wolumala m'banja;
Zizindikiro zachipatala zochotsa mimba zimatanthauzidwa ndi Ministry of Health pa December 28, 1993. Mndandandawu uli ndi matenda monga mitundu yonse ya chifuwa chachikulu, kachilombo ka HIV kapena AIDS, syphilis, kupezeka kwa zotupa zam'mbuyo kapena zam'tsogolo, matenda aakulu a khansa, matenda a mtima, atsikana ang'onoang'ono kapena kutha kwa ntchito zobereka zobereka (kuyambira zaka 40 kapena kuposerapo). Ngati mayi wapakati ali ndi matenda omwe sali pa mndandanda, koma akhoza kuwononga thanzi la amayi kapena kuopseza moyo wa mwana wakhanda pamene ali ndi mimba ndi kubala, ndiye kuti kuthetsa kwa mimba kumangotengedwa payekha.
Zizindikiro zachipatala pofuna kuthetsa mimba mwa njira zowonongeka zimakhazikitsa ntchito muzipatala kapena m'makliniki opuma. Komitiyi ikuphatikizapo: dokotala wodziwa matenda a maganizo, dokotala wa apadera omwe ali ndi chidziwitso cha matenda a mkazi wapakati, mutu kapena dokotala wamkulu wa bungweli. Kuchotsa mwadzidzidzi kutenga mimba kwazinthu zachipatala ndi zapabanja kumabereka msanga. Mwana wakhanda ali kale wamoyo ndipo, ndithudi, amamva zonse (monga madokotala amavomereza, ana ena amafuula panthawiyi).
Zili choncho ku Russia monga, kubadwa komanso kubadwa. Izi zikutanthauza kuti sikuyenera kufotokoza zomwe zikutanthawuza kukhala chete, mawuwo amalankhula okha. Koma kodi kubadwa kumatanthauzanji? Imeneyi ndiyo njira yotulutsira mwanayo m'thupi mwathunthu, mosasamala kanthu za kutalika kwa mimba, ndipo kamwana ka msinkhu kameneka kamapuma komanso kumaonetsa zizindikiro zina za moyo (umbilical cord pulsation, palpitation ndi masewera olimbitsa thupi) atatha kugwira ntchito.
Ntchito zothandizira kuti mimba ikhale yosokonezeka ndi ziwonetsero zokhudzana ndi chikhalidwe, ikhoza kuchitidwa pokhapokha pokhapokha. Malire a chitetezo cha mazira ndi mazira a munthu ayenera kufotokozedwa mu lamulo lokhudzana ndi kutetezedwa kwa ufulu wobadwa, osati m'malamulo a deta.
Kuchotsa mimba kumapangidwa mwachindunji malinga ndi ndondomeko ya MHI m'mabungwe omwe apatsidwa chilolezo malinga ndi momwe ntchitoyi ingakhalire.
Mwamwayi, masiku athu ano, kuchotsa mimba, kutanthauza kuti kusokonekera kwa mimba yosafuna, kuli kofala komanso njira yowonekera: kawiri chiwerengero cha mimba kuposa chiwerengero cha ana.
Ndizomvetsa chisoni kuti anthu akuiwala kuti kuchotsa mimba ndi njira yowopsya yochotsera ana ake, omwe ndi achiwawa komanso achiwerewere. Nthawi zonse ndi umphawi, ngakhale iwo amanena kuti uyu si munthu, koma chabe "chidutswa cha thupi." Koma "chidutswa cha thupi" ichi Mulungu adapatsa moyo, womwe pambuyo pochotsa mimba, umapita kumwamba, ndikuyembekezera makolo ake kumeneko. Komanso njira iyi imabweretsa mavuto a maganizo mwa amayi omwe akukoka kupsinjika maganizo, kukhumba kukhala moyo, osasamala chilichonse, ndi zina zotero.
Ndipo funso lomalizira limene amayi omwe adafuna kuchita opaleshoni ngatilo ndiloopsa ngati kutha kwa mimba kumakhala koopsa? Mosakayikira, njirayi ndi yoopsa, chifukwa amayi amene avutika chifukwa cholephera kubereka sangathe kukhala ndi ana. Kuonjezera apo, panthawi yochotsa mimba, madokotala nthawi zambiri amatenga matenda, omwe ndi chifukwa chachikulu cha matenda a ziwalo zoberekera.
Choncho, ndikukulimbikitsani amayi onse asanakhale ndi gawo loyenera pa moyo wanga - ganizirani mosamala kuti simungadzipange nokha chifukwa cha moyo wanu wonse!