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| Labour positions and labour support |
The last two days we spent doing our training with a group of 12 nurses from the hospital and 10 students in the SBA (Skilled Birth Attendant) training. We covered similar topics to the training in Mugu including labour and birth positions, 3 ways to deal with nuchal cord including the somersault manouver, APH and PPH management including manual removal of placenta and bimanual compression, breech, and Helping Babies breathe. We were fortunate that Rashmi from MIDSON was able to join us to teach some of the sessions, as well as the head nurse, Janaki, from the hospital. It was an enjoyable two days, although a bit exhausting. I fell easily back into my role of labouring living mannequin and got many compliments on my acting skills. Kristi also had a turn wearing the labour pants. Unfortunately there is now a 4th degree tear in the pants and they will need a significant repair before next session!
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Post hands and knees delivery by experienced nurse, Debi, in the photo controlled
cord traction after active management of 3rd stage. |
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Giving our own 'gift of love' to the participant who
scored highest on the blood loss quiz |
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| Helping Babies Breathe |
We spent a lot of time focusing on normal birth including different birth positions such as left lateral and slow delivery of the head (to reduce tearing), delayed cord clamping (to increase baby's blood supply and reduce risk of anemia), and not using suction on breathing or crying babies (because it is harmful and unnecessary). Our training was very well received. We got asked lots of good questions and we found it valuable to review and demonstrate and teach as it increased our own confidence in our skills as well. Throughout the training we had lots of requests for photos and today at the end we were presented with a tika and gifts of love from the Baglung nurses. We were a bit emotional over how wonderful it was. After that there were many many photos and I believe Cathy summed it up best when she said "What are we, in a wedding or something?"
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| Receiving tika and gift of love |
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| Teaching team with tika and gifts of love (L) |
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| All the participants |
Rashmi and Mickey both leave tomorrow. Rashmi back to Kathmandu and Mickey to an area affected by the earthquake where Cathy, Mickey and team went last year. His hope is to connect with a girl they met last year with severe anemia, to see how she is doing since her blood transfusions and new iron regime and to bring more iron. He will then head back to Canada. We are sad to see them go. Mickey has taken over the role of photographer since his arrival and I have appreciated not having to worry about taking too many photos. He also has an excellent sense of humour, we have had many laughs these past 2 weeks and we have learned many useful things from him, including how to play Hearts. :) Rashmi also has been a fun addition to our team and I have enjoyed learning from her and hearing her stories and it seems as if she just arrived and now she needs to go.
We also have never had our arms, legs and bottoms grabbed so much. ;) In Nepali culture it is very normal to grab the arms or bottoms or cheeks of your female friends. We take it as a compliment that our new nurse friends here feel so warmly towards us that they latch on to us the way they do with their friends here.
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| Our well loved women's health team |
Tomorrow we will head back to the hospital to attend more births!
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