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Archive for the ‘Traveling Midwives’ Category

Coming Home

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 […]

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Learn to speak the language

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 […]

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Postpartum IUCD

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, […]

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Partograph

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 […]

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No photos?

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 […]

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At the hospital

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 […]

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At the airport

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 […]

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What happens to the women and children?

I have been watching the unfolding of tension in central Africa since before my visit in 2008.  Reports of rebels attacking villages.  Allegations of government corruption. Growing tensions between neighboring countries. This morning I found this article in my inbox: http://www.reuters.com/article/2012/09/03/us-burundi-rebellion-idUSBRE8820HP20120903 A group has officially declared war on Burundi. You may be accustomed to thinking about […]

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Poverty and Quality Care

I wanted to share a photo of the maternity in one of the public hospitals in Honduras. As you can see, the layout is a bit different from any hospital in the United States.     In this hospital, the women labor together in one room. When the head is on the perineum they are moved to the […]

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Photos from Honduras

I know planning for the next trip has started, but I wanted to share a few things from the Honduras trip. One of my jobs in Honduras was the training of traditional birth attendants in neonatal resuscitation.  An interesting and useful fact about fresh babies is that 9 out of 10 times when a baby doesn’t […]

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