I should never work on the website when I’m tired.  Last night I crashed the International Midwife blog by selecting to install an update that was only a BETA and was not compatible with my webhost.  Opps. The blog became a lost cause, with no way to revert to the previous version.  To make matters worse, the coding messed up the other blogs making them unaccessable. No, I didn’t really have time for a problem this week.  I am, however, clever.  I exported the posts and imported them here.  So now this blog is a bit mixed, and the links on the website need toRead More →

I made it back to Atlanta safe and sound last night, and fell asleep on the couch before 9 pm.  This has been the hardest trip for me in terms of time-change.  It took me a few days in Dar es Salaam to actually sleep through the night, and here I am on the other end struggling to stay up past 7.  On the flip side, getting up early this morning gave me time to make breakfast for the family.  I haven’t downloaded photos yet, and can’t really spend too much time on the blog this week because I need to make up all theRead More →

I broke one if my rules by agreeing to do births in Tanzania- I agreed to work in an environment where I couldn’t really communicate with the women. If I cannot communicate, I am very little help. Actually I can be worse than little help because asking questions takes too long, I cannot get good information from the women and if I am in a situation with an immediate need I can’t let those around me know. It us very American to assume the entire universe speaks English. While I don’t doubt there are English speakers in every country, they will tend to be yourRead More →

One of the cool things I get to learn about here is post parting IUDs. In the US, you would wait for the checkup to insert at six weeks or later – the US had a fairly high postpartum follow up rate and the expulsion rate for IUDs is higher when done postpartum. In Tanzania, the postpartum IUD makes sense, and the mother only needs to return to trim the strings.  I had seen one in Honduras, and I could have seen two today if I hadn’t been helping a primpip push (trying to avoid an episiotomy and fundal pressure). I still have a fewRead More →

One of my learning goals while in Tanzania is the partograph. It is a visual representation of the labor that allows you to identify problems quickly. The biggest struggle to learning to use this tool is the reality of Tanzsnisn hospital birth. There are too many women and not enough staff, so the partographs don’t always get filled out. Women don’t enter the labor ward until they are 7 cm or more dilated, which doesn’t leave much time for completing a partograph, and nearly impossible without the information that was never written down from previously in the labor. Despite the real life problems, I amRead More →

I was asked by several people to get lots of photos. I can’t feel good about doing that. My first problem is that when I work with a woman, I can’t really communicate well with her. This means she can’t really give me permission to take her photo to share in this way. My second problem is that it is almost impossible to take a photo in the hospital without getting patients in the picture. The women in the maternity wear only kongas, which ate tied loosely and lowered to breastfeed, or used as a bed cloth leaving the woman fully exposed. Either way, notRead More →

I’ve spent four days at the hospital. It is a busy place, and seems understaffed and as if the maternity has been squeezed into too small a space. I’m learning their routines, and getting faster at my planning and doing. It felt good to be in control of a birth today – and for a little two kilo boy. He wad the second baby I’ve had with tachypnia without nasal flaring, grunting, retractions or off color. The first I blame on too vigerous suctioning from the nurse. But this little guy stumped me. I was using all my good patho study to figure it out.Read More →

I’m afraid I’m not adjusting well to the time difference on this trip.  I’ve been struggling with headaches, and found it just as difficult to sleep last night as I did in Honduras.  I’m hoping .it will get better. Today was my orientation at the hospital – and since it was a quiet day (meaning not much staff) I attended my first birth.  Having so many clinical sites and so many preceptors has prepared me for the first couple births with a new midwife – when you are not sure what she is expecting of you, and you don’t really know what the set-up isRead More →

I’m at the airport with a bording pass, which has been no small feat given recent weather events. I will arrive in Tanzania a day later than expected, but the delay gave me a wonderful night with an old friend and a much needed chace to sleep and destress. I don’t think I realized how crazy my schedule had been over the past few weeks, or how exhausted I was. Starting the journey yesterday would have been a disaster, and honestly I dreaded the trip so much more than I desired it. Truth is, I shouldn’t be a good traveler. I get car sick. IRead More →