IBAN: IT36M0708677020000000008016 - BIC/SWIFT:
ICRAITRRU60 - VALERIO DI STEFANO or
22-6
One of the most exciting classes
we have seen took place when an old
midwife from a neighboring village
came to the Ajoya clinic. She had come
with some questions of her own about
‘modern methods’ of midwifery. So
one of the instructors invited her to a
childbirth class for new health workers.
Together, the students and the midwife
explored what they knew, what she
knew, and what each still wanted to
learn. Together they drew up lists of
information and ideas that they could
share with each other (see below).
Not surprisingly, their ideas were not always in agreement. But each showed respect
for the other. The midwife invited the students to attend births with her. And the
students invited her to future classes.
EXAMPLES OF IDEAS AND INFORMATION THAT HEALTH
WORKERS CAN SHARE WITH TRADITIONAL MIDWIVES:
• Foods that will help make women
stronger during childbirth.
• How to check for anemia and
other danger signs during
pregnancy.
This way is
dangerous!
• When to refer a woman to a
hospital to give birth (before
WAIT,
DON’T
trouble starts, if possible).
PUSH!
• The importance of not sitting
on the mother or pushing on her
belly to get the baby out:
• The proper use of oxytocics (to control bleeding after birth, not to speed up
labor!).
• How to prevent tetanus of the newborn (with special emphasis on helpful and
harmful local traditions-see p. 184 of WTND, and p. 22-6 of this book).
• The need to hold the baby below the level of the mother until the cord is tied
(this provides the baby with extra blood and makes him stronger).
• The importance of putting the baby to the breast right after birth (to help control
bleeding and push out the placenta).
• The value of colostrum (the mother’s first milk) for the baby.
• The importance of urging mothers to breast feed, not bottle feed their
children
• Signs of danger and aspects of care for the newborn.
• The importance of the mother eating a variety of nutritious foods following birth
(and the danger of avoiding eggs, beans, meat, and fruit, as is the tradition in
some places).
• Ways for midwives who cannot read to keep records and to send information
with mothers or babies they refer to hospitals (see examples on page 22-7).
Static
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images)
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