20Nov

Opps, Did it Again

FILED IN Atlanta Life | Global Midwifery Comments Off

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 to be changed.  I’m not sure what happens to all the readers who were subscribed to the International Midwife blog…I’m so sorry if you are one and reading this now.

I was going to add some info about the trip (which is how I discovered the problem), but since I have spent the last hour correcting my mistake I need to direct my attention to other things and make it to class.  Updates on Tanzania will need to wait for now.

09Sep

What I’m reading

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image

The photo is sideways, but this is my latest read. Yes, it’s a little old- 1998 copyright. But my reproductive program management instructor recommended it, and I trust him. The book chronicles the global burden of disease from reproduction, and is an attempt to begin defining the scope of reproductive health. I already took a class that introduced me to the major indicators used in reproductive health, but I expect this will help me understand more about how to make measurements work, and to identify problems with published numbers. Of particulate interest is the inclusion of problems from the misuse of technology. I am eager to dive into this text.

21Aug

Another International Training Opportunity

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After a little digging I found Midwife International, another international training program for midwives. This one is open to would-be midwives and midwife preceptors from all faith backgrounds, however the time commitment is a bit longer.  I don’t have any experience with this organization, so be sure to let me know how it goes if you work with them.

14Aug

Heading to Tanzania

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This semester I have the privilege to do my clinical hours in a public hospital in Tanzania. What a fabulous way to end this part of my journey!

Knowing that I have not yet been in the country for two weeks, you might be wondering what I’m thinking.  Knowing that I actually do have classes three days a week, and that a trip to Tanzania will take at least two weeks, you might have decided I’m crazy.  I admit, it is possible I have made a terrible decision. It is also possible this will be the most fabulous opportunity I have had yet.

At present I have managed births in a birth center, a public hospital and a private hospital in the United States. I know I am interested in working with HIV+ women and I know I want to continue to build midwifery in Sub-Saharan Africa.  Having a few births in a public hospital in Tanzania might just be the piece on my resume that opens the door to amazing opportunities – a clinical trip to complement the teaching trips I have done.  I know I am ready for the differences in culture and practice, because I just spent six weeks in Honduras learning to work in a poor, public health system.

Some of you are wondering, “How do I do this?!?”  I am working through an organization call Life Reach, a division of Youth With a Mission (YWAM).  It is a Christian service organization, and this trip is what is known as a mission trip.  It is a little different from most mission trips because the organizers have created a system where midwife students will be safe to practice under experienced preceptors.  Why would they do all that work?  Because their goal is to train midwives who are capable of functioning in poor countries with the hope that they will continue to do so.

Because of the nature of this program, I think attendance is limited to Christians.  However, for those readers who are not Christian or who are but prefer not to travel on a mission team, there are other short term student midwife service-learning opportunities listed in the Natural Childbirth Directory.

For those who think the Life Reach Program might be a good fit, you can find information about future trips here: Life Reach International.

13Aug

My Life in Limbo

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For the last two weeks, this has been keeping me in limbo:

Western Digital WD Scorpio Black 750 GB SATA 3 GB/s 7200 RPM 16 MB Cache Internal Bulk/OEM 2.5-Inch Mobile Hard Drive

What you see is a laptop harddrive. The exact make and model of the harddrive that was once in my laptop and is once again in my laptop.  It’s what you can’t see that makes all the difference.

The harddrive is the location of every bit of information on a computer.  Every powerpoint presentation I took notes on in class.  Every paper I wrote.  Every customer who bought books. Every piece of data for my theses, including the preliminary maps, every journal article and its review sheet and citation already entered into EndNote. This is what makes what I did so painful.

I worked on my laptop while it was plugged in.  I use the term worked loosely, because really I had gotten bored with working and was listening to music and playing games when it happened.  The power fluctuated — as it so commonly does in Santa Rosa de Copan. Ugh.

I think the data is fine, the computer kept working (although it did act as if it were drunk) after the incident. Unfortunately, reboot was NOT the right answer because the boot sector no longer existed. No bootable harddrive – no problem.  All I have to do is plug it in as a slave drive and my data can be transferred (yes, I am a computer nerd). Except it couldn’t be read as a slave drive.

I am confessing all this for a purpose – I want you to back up your data.  You see, this was my only copy of both master’s programs, the only copy of my business financial data and even the only copy of my thesis.  I KNEW there was a good chance working in Honduras would crash my machine and even had it on a list to do a full backup before I left.  But I got busy, and it didn’t happen.  This is me kicking myself.

The computer is restored with a fresh hard drive. I don’t yet know if the data is salvageable.  A repair company is rebuilding the harddrive with a new read/write head and if it works it will set me back $2000 – a BIG chunk of my fall loans that should be covering living expenses.  If it doesn’t work, I will probably need to put off graduation until May.  Neither option is very appealing. Right now I can only wait to find out what my life will look like for the next few months.

Go back up your data – NOW!

24Aug

Meeting the new midwives

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The school of public health arranges a luncheon for all the dual degree candidates each fall.  It allows those of us from different programs to meet each other.  By far, the largest number of dual degree candidates is from the medical school (they have 26 this year), and most of them are in the epidemiology department.  But there are other candidates from the physician’s assistant school, business school, law school, last year I had a class with a dual degree from the school of theology and this year I meed a dual candidate from the physical therapy school. This year, there are 11 MSN/MPH candidates in residence in the school of public health.  Four of us are student midwives also in the department of global health.

I remembered last year when one of the second year MSN/MPHs told me the dual nurses are almost always global health or BSHE (short for behavioral sciences health education). She was right.  Of the eleven of us, one is BSHE, one is health policy and management, one is epidemiology and nine are global health.  Perhaps it is because nursing is so public health focused to begin with, the nurses tend not to feel the need for the public health school unless they want to become involved in international work.

The MSN/Global Health candidates I met have amazing international experiences already, before any of them step into their first global health class.  It brings me back to the question I frequently get about how a person becomes involved in global midwifery. Honestly, it isn’t the same for everyone.  In our small group of nurses we had international volunteers with MSF and peace core.  We also had military nurses and some involved in domestic care of under-served populations.  My point is, not one of these nurses was involved in the short-term medical missions most people expect to be able to do in midwifery. Global nursing, and global midwifery, is really more of a calling than a hobby.

While I’ll see these students around the public health school, I won’t see them in the nursing school…yet.  The program has just changed (quite wisely) to require the year of public health before beginning the nursing program.  So next week I’ll have the opportunity to meet the new group of first year midwifery students.  It is hard to believe that by the end of this semester half of my class will be finished, ready to take their certifying exam and practicing as midwives.  Honestly, it went so fast.

10Aug

My Midwifery Heart

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I am back from Nairobi, which was an amazingly eye-opening experience.  Check out the Birth in Central Africa blog for highlights and photos from the trip.

I took my last final exam of the semester and will be using the next week to get the business back in order before I dive into more school work. I’ve cleaned out my twitter, rearranging the way I see my feeds.  I’ve set up charts to ensure I am posting when I think I am for the Facebook pages.  I’m even working on the finances–my least favorite job.

But getting my work done has it’s advantages.  For example, I just found this section on one of my favorite websites, the Childbirth Connection.  When I entered the world of birth, I thought the biggest problem was the overuse of interventions. As I have grown and learned, I have found myself more and more pulled to the problem of health disparities. Not only in the United States, but around the world.  This is why I am combining an MPH with my midwifery degree–so I can be part of the solution to these problems.

What draws you to the world of Midwifery, and how has it changed as you have grown and learned?

26Jul

International Doula

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Tomorrow I am off to Nairobi to help a friend as she trains doulas. Very excited to participate, and you can follow the story at the Birth in Central Africa blog, even though Nairobi isn’t central.

As part of our issues in midwifery class each student midwife had to present on a topic of current interest to midwives.  I chose the Partnership for Maternal, Newborn & Child Health. I felt confident before the presentation, but 15 minutes goes fast and I’m not sure I did a good job of explaining everything.  If you are interested in global midwifery (and missed my presentation in class today ;-)  check out their website to see what the member organizations are doing.

09Jul

Improving Maternal Health

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I know I have been busy, and believe me when I say I have a long list of information I would love to be sharing on this blog.  I have been spending this summer away from home – literally.  I started by attending the ACNM conference in San Antonio, TX.  I had a week or two of class and then spent two weeks working at a Farm Worker health program coordinated through my school.  Fabulous experience, but not easy to keep up with six classes when you have been gone  three of the six weeks of classes!  July is spent in class two days a week and on call at the birth center the other five.  And in just three weeks I’ll have finished my final exams a week early so I can spend 10 days in Kenya assisting at a doula training.  I’ve learned to love coffee.

So, I promise as soon as I complete all the assignments (this seems to be a report and presentation semester rather than a testing semester) I will start uploading more information than you ever wanted. But today, in researching my presentation on ending maternal mortality around the world I found something too good not to share.  It is full online access to the annual maternal and child health epidemiology conference.  I know not everyone wants to become a midwife because of global issues, but if you are one who does this free content will be a great way to become familiar with information you need to know.

Check out the link here: 16th Annual Maternal and Child Health Epidemiology Conference

Enjoy!

23Sep

More Resources for Global Midwifery

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I realize that not every midwife is interested in epidemiology. So I thought I would balance yesterday’s resource with a more practical, clinical resource. It is the Hesperian Foundation’s Book for Midwives. Even if you never plan to work in a developing country, this book is worth reading twice.

What I find most appealing about the book is the way it teaches simple, low cost solutions to identify health problems. It also does a great job of differentiating the normal from the problem. Best of all, it is written for individuals without medical training. That makes it a great first midwifery book.

When a family seeks information from me about giving birth unassisted, I always recommend they become familiar with this book. I like the tools shared in the book that any family can use to make decisions. I also appreciate the way the book is written without leaving the reader feeling birth is a disaster waiting to happen. This makes the book culturally acceptable to families who would dismiss other educational materials written from a “fear” perspective.

You can download a free copy of the book, but I recommend purchasing the book not only to have a hard copy to study, but also to support the work of the Hesperian Foundation. When you become familiar with the Book for Midwives, you can begin to explore the other books to learn even more low-tech, low-cost tricks to help families maintain their health.

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