Showing posts with label Placenta. Show all posts
Showing posts with label Placenta. Show all posts

Tuesday, February 18, 2014

Life as a home-birth midwife

I had been feeling that there would be a birth on Valentines day, with the full moon and all. But there wasn't. So here it was the day after, my head stuffy and nose running. It was 9pm and I was looking at a bottle of Benadryl:  should I or shouldn't I? I debated. The misery of my runny nose won and I reasoned that the chances were unlikely that I would be called as I tipped back the 2 tablespoons and envisioned a full nights rest. 

A pile of blankets on my bed, Call the Midwife novel in hand, I snuggled down for a lovely nights rest. With the help of the book and Benadryl, I soon could no longer keep my eyes open and flipped off the light. Sweet wonderful sleep, surely I will feel much improved in the morning I thought as I drifted off to dream land. 

Not even 40 minutes later my phone rings. Surely not I think, but I know. Sure enough it is Kathi and she says a mother is in labor and I need to come. I have to confess, it doesn't matter how much I love something that first step forward is hard to take. As I said OK, I'm coming and hung-up the phone, I looked at my cozy, warm bed and saw my dreams of a wonderful night’s sleep vanishing before my eyes. 

About 10 minutes later I was pulling out of my drive way into the night. It was 10:45pm. My GPS told me I would reach my destination in an hour. As I turned onto the main road, from the little side road, for some reason I didn't use my blinker or come to a complete stop - there was no one in sight. What is the point right? Shortly after I turned, I saw red and blue lights in my rearview window "oh crap" I said as I pulled over. "do you know why I pulled you over?" the officer asked,  I stammer that I am a midwife on my way to a birth as I handed him my license and registration. This is my second time being pulled over since returning from the Philippines, but only my 4th time in 14 years. I pray he will have mercy on me and not give me a ticket. He comes back and thankfully only gave me a warning. Whew!  

One huge difference between being a midwife here vs in the Philippines, is that in the Philippines the women came to us and here we go to them. I love both, but there is something extra exciting about driving through the night to a birth. Thankfully the roads were dry and I made good time. I had never been to this family’s home before and had only met the mother once. She told me their house is a little confusing to find, but I stored her instructions in the back of my mind. As I parked my car in an empty parking lot, I looked over in the direction where the GPS says the house is, there are many homes. What is the worst that can happen I think:  go to the wrong house at midnight. Thankfully her directions come flooding back and I made my way to the correct house. 

When I opened the door, I could see my fellow midwife across the room and the mother laboring in a birth tub. It is quiet and the lighting is dim. I headed back and say hi to everyone. The mother sounds transitional and I quietly and quickly helped set up the needed supplies for the birth. I am the assistant, so I lingered more in the back shadows. Shortly after I arrived, the couple’s  little girl, about 6,  woke up and came to watch. She is quiet, content and doesn't appear worried at the noises and strange movement coming from her mother. She just watches and helps offer her mom water. It is sweet. 

About an hour after I arrived, her water breaks and we know the baby will come quickly now. Sure enough, with mom kneeing in the tub, and only about two pushes, her baby girl comes sliding into the world. Beautiful!  I tried to remember to chart what was happening. Time seems to stand still at the moment of birth and I too want to stand still. But I have a job to do and I must record what is happening and make sure both mom and baby are OK. I love all aspects of being a midwife and the care that I give, but for me the moment of birth is like the icing on the cake. 

After a few moments the mom looked to discover if she has a boy or girl. She states "a girl, just like I thought".  The husband looks surprised and has to ask twice if she is sure. They already have one boy and one girl, but he was obviously hoping for a boy.  He smiles and says to his little son in his arms "I guess we are out numbered now". 

The 3 hours after the birth went quickly as we helped make the family comfortable and monitor mom and baby. They are doing great and soon we are putting on our boots and coats and heading back into the darkness. It is snowing when I leave.  I yawned and decided that I needed to find some coffee before I make the journey home. Meijer is just down the road and it is open 24hrs. I head there, it is 3:30am and they are busy restocking the store. I quickly bought my coffee drink and am soon on my way home. The snow was softly coming down, the darkness surrounds me and I am tired. I change the radio and sing sleepily along to the songs. It is hard to stay awake. But I finally make it home, back to the bed I left many hours ago and snuggle down until the sunshine comes beamingin my window a few hours later. 


Friday, February 24, 2012

Art & Creativity

One of my recent assignments was Art & Creativity. There was various parts to the assignment, one of which was doing a art project. Below are pictures of what I did :


Crochet Placenta

Complete with membranes 

Uterus & cervix 

I would make some changes to my next ones, but I am pretty happy with the results
I had fun doing this project. I found a pattern for the uterus, but made up the placenta. I would make some changes to my next set. I would to make a compete set (click on link below for example) and eventually try selling some. Birth teaching set 

Sunday, November 20, 2011

Meet the boyfriend

OK, so maybe boyfriend isn't the right name.  But the Nokia cell phone had to be called something.  I have moved onto the list of being primary midwife and when my name hits the top of that list I get the clinic phone aka boyfriend.  The little black Nokia is with me 24/7 until a woman in labor texts and comes in, then I hand the phone to the name under mine.
At this moment he is laying beside my computer as I type, if I move somewhere else he'll hang around my neck or be put into my pocket.  Come night time he shares my pillow right next to my head.  Last night was my first night of being on call and knowing at any moment it could go off.  I slept restlessly, afraid I was going to miss it ringing.  It is common I hear for midwives on call to dream of having missed the phone going off and having to rush to a birth.  While I didn't dream about that, I did have a dream about a spider and somehow it had a connection to the phone going off and I found myself half asleep looking for a spider on the wall.  Weird.  I also woke up multiple times during the night to check and see if I had missed a text.  I could have slept soundly all night, because no one texted
It is now 4pm in the afternoon and I am still waiting for someone to text they are coming.  This is my first time having the clinic phone.  Which means when someone texts in, it will be my first time as primary midwife, which means I am waiting to catch my FIRST baby!  I am pretty excited :)   

Sunday, October 16, 2011

A day in the life of a midwifery student

My pillow is so comfortable, the fan is cooling me enough that I can cozy up with a sheet.  I am comfortable and I am sleeping.  Creak, the door opens, "Tianne, Tianne, she's pushing" "what? Oh, OK, I'm coming"  Its 1am and I am slipping out of bed.  I pull my hair back and quietly walk down stairs and into the birth room.
The laboring woman may or may not notice that I have entered the room.  She is busy concentrating on pushing her baby out.  The room is busy with activity, her midwife is sitting at her feet encouraging and guiding her.  Her birth partner is at her head, wiping her sweat, holding her hand, saying encouraging words or even sitting behind her and supporting her as she pushes.  The birth assistant is in-between, helping in whatever way is needed and there is someone sitting off to the side charting everything as it happens.  I jump in where I can, giving the women sips of water, handing things to the midwife, taking over charting or just standing back to observe.  Depending on how hard I was sleeping varies on how long it takes me to become coherent in the birth room.
 Everyone woman is different, I have entered the room just as the baby has slipped into the world or sometimes the pushing stage lasts over an hour.  It is a beautiful, yet intense time.  I often feel overwhelmed, as I am still very much in the learning stage and often feel helpless in knowing what to do.  Yet little by little I learn more and with each birth I attend I become move involved.  The other day I cut my first cord and in a few months I'll be catching my first baby.  They say you never feel ready, it is just something you have to do.  I am excited for the day I start catching, yet I think it is true, I will probably never feel ready.
From 1-3 hrs after getting up for a birth I am normally back in bed.  My mind is buzzing, I am so tried, yet sleep is hard to come.  Finally, I slowly doze off only to awaken a few hours later as the sun starts to heat up the room.  Again a slid off my top bunk and head down stairs.  I inquire about the new baby and pour myself a cup of tea.  With my Bible in hand I head out to the kiosk (thatch covered gazebo).  As I open God's word, I try to soak it in but my mind is fuzzy and I normally end up just sitting quietly before Him.  Telling Him that I just can't do this without Him.
After about an hour I come back in.  I have an assignment due in a few days and that one huge question is hanging over my head.  With a pile of books, my computer and a fan blasting on me, I get to work.  Asking God to give me the wisdom and the strength that I need.  It is not easy for me and yet God gives me what I need to push through each day.  He is my strength when I have none, He is my reason for pushing on and pressing through.
I am reading a book, "The Practice of the Presence of God", by Brother Lawrence.  In it he talks about making the love of God the end of all his actions, making everything he does for God, doing everything out of love for God and that our only business is to love and delight ourselves in God.  I am reading the book slowly and letting the words soak into me.  When I am frustrated, tired or complaining I ask myself "am I doing this out of love for God?"  If I am doing everything for Him, I know that can delight in the book work just as much as I do the hands on portion of school.  It is a discipline to learn to rejoice in all things, when you feel pushed to the limit or even beyond the limit and yet out of love for Jesus I desire this discipline of rejoicing in all things and doing every act of my day, from praying with a pregnant women to cleaning the bathroom out of love for God! 

Monday, April 18, 2011

Need and opportunity


For this weeks blog I want to give you an idea of the need and opportunities of being a trained Christian midwife.     

For every woman who dies in childbirth, around 20 more suffer injury, infection or disease – approximately 10 million women each year.  Most of these deaths are avoidable and could be prevented by having a trained birthing attendant available.
Every minute, at least one woman dies from complications related to pregnancy or childbirth – that means 529,000 women die every year according to the World Health Organization.

'While motherhood is often a positive and fulfilling experience, for too many women it is associated with suffering, ill-health and even death. The major direct causes of maternal morbidity and mortality include haemorrhage, infection, high blood pressure, unsafe abortion, and obstructed labour.'

A big part of Newlife's vision is to train and equip interested students to start their own birthing centers in other third-world countries. Our midwifery program will provide each graduate with the necessary skills and knowledge to practice anywhere in the world. Being a midwife opens many doors to countless opportunities.

Our school mission and vision has been cast after spending more than a decade advancing this perspective.
We strongly believe that a trained Christian midwife has the capacity to be a signifiant agent in serving the World Christian Movement. Our strategic vision is to see our graduates use their new skills to access places around the world where she is fully capable of transcending barriers to the Gospel message.
The world is changing every day and doors are closing to the typical western missionary. However, those doors remain very open to health care specialists especially in light of the global challenges of inadequate maternal and newborn health care.
The beauty of midwifery within the context of cross-cultural Christian missions is simply this; there are no cultural, religious or political barriers to expressing the compassion and mercy of Jesus Christ demonstrated through the hands of a Christian midwife. This reality is enhanced by the simple fact that it extends out to the family of the midwife's patient and subsequently grants access of her Christian witness into the patient's home. This exact story has been played out tens of thousands of times here in the Philippines involving our midwife students and their patients.
A Christian midwife is undoubtedly a viable cross-cultural missions commodity. Our mission is to serve as a catalyst to see that vision come to fruition!

taken from: http://www.midwifeschool.org/about_mission.htm click on the link to read more

Statistics from two African countries in AIM's Central Region  

 Indicators
Northern Sudan2015 TargetSouthern Sudan2015 Target
Maternal mortality ratio (per 100,000 live births)
638
1341,9891680
Birth attended by skilled health staff
57%
90%
10.2%
-
Contraceptive prevalence rate (current use)
7.6%
-
4.7%
-
Adolescent birth rate (12-14) years
-
204/1000
-
Antenatal care coverage (at least one visit and at least four visits
70%
-
16%
-




 Indicators
Northern Sudan2015 TargetSouthern Sudan2015 Target
Under-5 mortality rate (per 1,000)
102
4138183
Infant mortality rate (per 1,000 live births)
71
53
131
-
One-year-olds immunized against measles
85%
100%
20.2%
-

taken from; http://www.sd.undp.org/mdg_fact.htm


Infant mortality rate in Central African Republic 

Total: 85.63 deaths/1,000 live births
Male: 92.44 deaths/1,000 live births
Female: 78.61 deaths/1,000 live births (2006 est.)
taken from; http://en.wikipedia.org/wiki/Demographics_of_the_Central_African_Republic