I thought that maybe since the clinic was quiet except for my one postpartum mom, I’d share some pictures of the clinic. They have a beautiful way of keeping things very simple. I have learned that simple is better… after all, babies come out without scads of equipment. The essentials like oxygen for mom or baby is always available. The birth carts are very uncomplicated. Big, clean, birth pad, some blue towels, a baby blanket, some gloves, some sterile gauze for looking for tears, a cord camp, scissors, gloves, bulb syringe, and Pitocin. That’s it.
Simple birth uncomplicates the process of birth in my mind. Being here has done several things for me. It has given me more knowledge and confidence. It has helped me with skills that I might not get to practice in the states. On the other hand, it has really made me see how much more I need to understand and just how many different ways there are to approach problems in labor and birth. (Each supervisior has a different approach to the same problem. Thing makes learning really interesting.)
Emergency management of hemorrhage, a baby with stuck shoulders or even true shoulder dystocia and a baby who is slow to respond and get going… these are regular occurrences here. It almost seems common to me now, but I have to remember that when I get home, I will see it much less… But I will know what to do!….
I really like how calm and ready for action the midwives here are. They seem to know what is going to work and when to transport. They have their perimeters, imposed by the hospital rules… and yet they do have some leeway if they think a mom can pull it off. Because of the high risk, under nourished, moms, we do transport a lot. High blood pressure, SROM over 12 hours, with no labor progress, babies not getting around the pubic bone (pushing for over 2 hours) or contracted pelvis and severe hemorrhage after placenta is out (1,500cc to 2,000cc ) are the most often reasons for transport. Also babies that are not breathing well or moms unable to cooperate with instructions are some other reasons.
This is the clinic enterance. 60 to 80 woman line up here 5 days a week to have their prenatals.
Here is the basic clinic. There are 6 single, wooden, beds in this room and then 2 beds out in the big area. Every bed is separated by curtains. Each cubicle has a single bed with a 2 inch plastic mattress, with a sheet and a flat pillow with case. A single sheet is for covering mom. A piece of heavy plastic covers the middle of the bed and is washed by the bana after the birth before they can go home. the room also includes a black 3 tired stand, and a white plastic chair. There are two birth carts, 2 oxygen tanks with tubing for mom and one for baby..That’s it. There are fans everywhere, as it get blazing hot in here! I don’t know how many births I have done with sweat dripping off my nose.
Here is the midwife’s area that we hang out in, between births. I sleep here, eat here and have in depth conversations about everything with my fellow midwives on shift. Rose and Anna are using my lap top getting their e-mail and I snapped a picture of them.
Here is the winner of the mellow baby award. Most little ones yell when I bathe them. This little guy seemed to like it. His daddy was giving him his bath. He was not a happy camper, though a few minutes later when I gave him his injections. He recovered quickly though. They named him Lorenzo Mari Talo
I have so many pictures, I just can’t wait to share them with all of you.
For now I will think about how to put them all in a logical order with text