essentialmidwifery

Birthy Thoughts by Jane E. Drichta and Jodilyn Owen

Kustom Dancing and Pranks on the Ward–Jodilyn June 30, 2011

Filed under: Jodilyn,Vanuatu — EssentialMidwifery @ 11:14 am
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I rearranged my day today so that I could participate in a conference call via skype for a board I’m on at home…I only had to redial 6 times so I have to consider that a success all things considered!  I forced myself to take a nap in the afternoon which was nearly impossible considering the ruckus that is this neighborhood at almost any given hour…usually not a problem since I am collapsing at the end of a long day.  I went in for the night shift and things were oddly tidy.  It turns out there was just one birth today so they spent the day cleaning and straightening up.  A few of the midwives were headed up to practice their Kustom Dance performance and I tagged along, wanting to see it.  I wound up jumping in and learning the dances with them, it was quite fun and involved the use of brooms (which are thin twigs tied together), a 2 foot tall speaker, and a few doctors as well.

I headed back to the ward after dance lessons were over and showed off my newfound skills to the night crew, who were either quite impressed or quite entertained.  Hard to say.  I helped out with some of the babies in the nursery, removed an IV from a postpartum mom, talked nice with the new mothers and their families and then sat at the desk with the midwives for a chat.

Suddenly there were noises of groaning and pushing coming from down the corridor.  Everyone stood up but I was closest so I did a trot around the doors to see what was going on and there was one of the senior midwives from the day shift in mock-labor.  She started jumping and clapping and laughing.  I found out later that she regularly pulls pranks after the night shift gets settled in.  Apparently she is quite skilled as the midwives told me they fall for it every time.

With everyone settled in we retreated to the lounge to watch TBV (Television Blong Vanuatu aka the local station).  We got the news, the sports, and the weather reports punctuated by public service announcements on a variety of topics.  Then came on a drama by the local kids community center for the arts, the troubled, the youthful masses yearning for direction and positive influences.  It was the perfect combination of Law and Order type mystery and action and sexually transmitted disease/domestic violence education.  That’s right, cops and robbers meet “use protection when you sleep with another woman instead of your girlfriend.”  I kid you not, that was the plot.  It was actually quite compelling television and very well acted.  So kudos to the kiddos who are involved in the performance arts instead of trouble!  There is the somewhat familiar character trait of yelling at the TV during the program here (familiar if you ever had the distinct privilege of watching TV with my grandmother).  I joined in the yammering and vociferously encouraged the teenage girl who had landed a job singing in the local bar to stay home like her parents were begging her to, because all that is out there waiting for her is “Chlamydia Chlamydia, Chlamydia!”  This got me approving looks and a slap on the back from the doc.

With only one baby arriving today, in a place that averages 16 per day, tomorrow is bound to be busy busy…and if not, I will grab a broom and practice my kustom dancing : )

 

A Smartly Dressed Man, Walking his Goat–Jane

Filed under: Jane,Uganda — EssentialMidwifery @ 8:05 am

We came upon this gentleman, on our walk to Shanti today. This was after we passed the gigantic cow, three undoubtably killer roosters, and the feast-for-flies snake carcass. The Ugandan people are so tidy. How they manage to walk these red dirt roads day after day and still remain dust free is completely beyond me. Heck, even the goats seem to manage it.

They are also friendly. Very friendly. No carefully cultivated Northwest ennui here. Greetings are ritualistic and can last several minutes. Every single person greets you with a large smile, asks how you are, tells you how they are, asks after your brother’s health, your sister’s husband;s roommate’s dog’s health. It can last minutes. Long, happy, sincere minutes. Its like Disneyland. Everyone is on their best behavior, but at that moment, its all real.

The kids are the best. The chase you down the road, screaming,” Muzungu! Muzungu! ” and won’t stop until you smile, shake their heads, and wish each and every one of them goodbye. I can see why Madonna wanted to take them all home with her. Some of them even kneel. Seriously. Its what I always imagined my life could be. We high five them and say a few jumbled up words in Ugandan, and life goes on.

I will say that I am very very pleased with the lack of intense poverty here. In this area, at least, there are no 80′s Ethiopian kids, with their big bellies and even bigger eyes. Everyone seems reasonably well fed and happy. There are many schools, even if they are not free.

We delivered the donated supplies to the midwives today. They were appreciative, but not overly so. They seemed a bit standoffish, which I guess I would be too if some muzungu walked onto my turf for a short time,and started rewriting our policy, lecturing us on obscure foreign practices, and generally tried to take over. I will have to really be careful and purposeful in my interactions with them.

Ugandans can be polite, but they are also blunt. Today I was asked if I were pregnant, if I was planning more children, if Anna was my only, if my husband still loved me, what his job was, what our religion is, and why it was that American women aged so much faster than Ugandan women. My daughter was also told that while she was beautiful now, it would only be a short time before she was fat like me. Oi. That’s laying it on a bit thick, Ladies.

NEWSFLASH:  I was about to publish this, but I have to share what ishappening to me right at this very minute!  I am sitting in Read Uganda, partaking in their very slow internet, when all of a sudden, I am hearing Dolly Parton’s “Jolene.”  Apparently, in the time I have been sitting here, a tent has been set up, microphones have been plugged in, and there is now an honest to goodness hoedown happening right outside.  People are a hootin’ and a’hollerin’, and it is just fantastic!  But the best part is, they have played “Jolene” three times now.  Oh b

 

 

Kasana Beats Seattle!- Jane

Filed under: Jane,Uganda — EssentialMidwifery @ 7:24 am
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I can already tell this trip is going to be all about the people. While the work here is absolutely vital, it is the so bound up in the personalities of those who live here, that is would be a huge disservice to try and separate them. Shanti Uganda is a new endeavor, not even two years old, and is just now beginning to live as a separate entity from those who created her. That she exists at all is rather amazing, as this gentle model of women centered care is hard to find anywhere, let alone in the wilds of central Uganda. Their goal has always been to keep the best of North American out of hospital midwifery care, the empowerment, the respect, the love, while operating within a strict medical framework straight out of 1950s Omaha. Its a paradox to say the least.

 

Anna and I walked down to Shanti this morning for Orientation, and to meet the midwives and staff. It was allegedly a 20 minutes walk, but our inability to follow a hand drawn map, coupled with the same beauty everywhere we turned, led to a much longer trek than we expected. I suppose there are worse things than a few miles of hike after a hugely long plane ride.

 

Shanti itself is absolutely gorgeous. The compound is made up of three buildings, one of which is the traditional circular thatched roof structure with no walls. Its exactly like the kind they have at Woodland Park Zoo! This is where the Woman’s Group makes jewelry and bags to sell. This micro-economic group is for HIV positive women, and enables them be self supporting and raise their families. Its a selective group, and the women have to go through a rigorous training program. Their stuff is gorgeous. I’m going to suggest they start making baby carriers, because us crunchy Seattle folks would pay a fortune for them.

 

The other two buildings are the same thick walled mud construction as our house. They are painted bright yellow, and have the most gorgeous stained glass inlays. All the woodwork, including the doors, and built in cabinetry are teak, stained a medium brown. The craftmanship is beyond anything I’ve ever really seen in a birth center. The two labor rooms are private, set off by themselves in one building, and the beds are huge. The other building houses the post partum beds, and also doubles as a clinic space. I’ll try to get some photos up soon, but, as I said before, there is a distinct lack of internet here, so this is easier said than done.

 

There are two Ugandan midwives on site at any given time. This is important. Its impossible for outside labor to sustain a venture such as this. It takes jobs away from the local economy, and is generally, I feel, a little colonialistic. Right now, things are a little slow, so I haven’t been needed for any actual hands on babymama work. Apparently, though there are five women in dates, so hopefully I’ll get to see some birth soon. This is definitely not a high volume birth clinic. Its more of a way of life.

 

Its also definitively not a student placement. These midwives are not teachers, and you are definitely expected to make yourself useful. Today Kristin and I sat down and came up with a list of projects for Anna and I to accomplish while we are here. She would like me to review their policy book, with an eye towards making it more motherbaby friendly. She would also like me to teach a workshop on water birth, and one on immediate postpartum care. Starting July 1, however, they will be a midwife short, so I will be spending all my time on call. Hopefully there will be some great birth stories to come out of that.

 

Anna is working with the Teen Group, doing some beautification projects, including making candles. She will also be working with the groundskeeper, Cato, harvesting the herbs. Oh yes, did I mention they have an organic garden? And that the place is run on solar power? And that they collect and reuse rainwater? If only Seattle was so green! I’m afraid Shanti Uganda has outdone us.

 

 

 

4AM Interlude-Jane

Filed under: Jane,Uganda,Uncategorized — EssentialMidwifery @ 7:15 am
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She rolls over, half awake, but wishing she wasn’t. Her body curls around mine, damp with sweat, and I gently wipe a few strands of hair from her mouth. We still fit. I wasn’t sure we still did, but we do.

 

 
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