Report to the Ministry of Health, RDC
From the Training of Midwives, Birthing Naturally
Wednesday, August 8, 2008
We have conducted an eight day intensive training for 52 women from the villages of Nangezi, Uvira, Bukavu, Mwenga and Shabunda. Also at the training were representatives from Burundi and Rwanda.
The women have been instructed in:
- Prenatal Nutrition
- Basic Pre-natal Health Assessment
- Identification of Danger Signs in Pregnancy
- Emergency Transport Planning
- Providing Comfort to Mothers During Labor
- Signs of Danger During Labor
- Labor Assistance in Health Centers
- Emergency Labor Procedures
- Care of Mothers in the Post-Partum
- Identifying Problems in the Post-Partum
- Breastfeeding Assistance
- Natural Family Planning Techniques
After having tested the women, we find them to be competent at the preliminary training level. We feel the women will be an asset to their communities through educating families, providing labor assistance and support in health clinics and providing post-partum education and support.
As this training was an introduction to pregnancy, birth and postpartum without practical experience, we recommend the women not be required to provide labor assistance without supervision until such time as both the medical staff and the midwife feel confident in the midwife’s ability.
Because the communities of Mwenga and Shabunda have limited access to health centers, we recommend the midwives from these regions be offered additional training as per the World Health Organization standards for Skilled Birth Attendants in remote areas.