Lots of photos!
Trip Start Apr 21, 2013
32Trip End Jun 30, 2013
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I worked alongside Miriam sporadically today, coming and going depending what else was going on. Throughout the day she saw 17 women, for varying contraceptive or pregnancy advice. There weren't any appointments that were too out of the ordinary but I reflected on how I like her holistic approach to the care. She discusses diet and nutrition with all of the women, she tells them what their BMI is and explains what is normal. She also discusses drinking more water with all of them, and the need to drink clean water, which is not always an easy task
I also attended two antenatal appointments with the parteras. One woman had just seen the obstetrician and wanted to see the parteras because the baby was in the breech position. I was unsure why this was a problem, as the woman was only 6 months, 28 weeks pregnant, and the baby clearly had plenty of time to get into all sorts of positions over the next 3 months. The parteras however, covered the abdomen with oil and massaged the uterus and baby. They worked together and after about 10 minutes the baby was moved, and was heading in the correct direction. As there is so much time for the baby to move, I can't help but wonder if the benefits outweighs the risks of manipulating the uterus and baby in such a way! They also saw another woman who was 6 months pregnant, and seemed to be having some pelvic pain, which the parteras attributed to the baby having the cord around its neck. The two girls from the States were also in attendance today, and they tried to get more of an explanation about this, but Olga just said matter of factly that this explained the pain.
The girls then had a tour of the "garden", which is where the parteras grow all plants for the traditional medicines, alongside some fruits and vegetables. We had a delicious lunch, of vegetable soup, followed by rice with chicken, in a kind of sweet and sour sauce, that the parteras had made from scratch. In the afternoon, I continued working with Miriam, but I think everyone struggled to concentrate as the afternoon sun was intense and unforgiving.