We do have COVID-19 IgG/IgM Immunoassay rapid tests to fight the pandemic
0

Tu carrito está vacío

Heart Strings: Lessons in Being With Women part II

octubre 29, 2016

Heart Strings: Lessons in Being With Women part II

by Rachel Zaslow, Mother Health International (2nd in a two part blog)

I believe that when we remove midwifery from community, we risk losing midwifery altogether.

One day while we were acting out a birth scenario where a baby was extremely distressed at birth, we talked about how helpful it would be for the midwives to be able to count fetal heart tones. If a traditional midwife could determine in advance if a baby was in distress, she may be able to resolve the situation or have time to make a transfer. Without knowing how to count, how would a midwife learn to count heart tones? For those of us who learned to count diligently in elementary school, it is hard to imagine a world that is not ordered by numbers that correlate to days and times. The midwives shared that they track their menstrual cycles with a string of beads that is cycled to the moon. This way of knowing makes sense in an area where there is no electricity and women still bleed with the moon.

My partner midwife Olivia was with us at that meeting and she thought of the abacus. This is how the Heart String was dreamed up. We made a string of color-coded beads that midwives could use to assess fetal heart tones. For every heartbeat, the midwife ticks off a bead and then after 15 seconds (we use sand timers), look at what color bead they have landed on. White beads mean the FHT is too low. Green beads, FHT is in a range of normal. Red beads, the FHT is too high. We then developed protocols for what to do in instances where heart tones are too low or too high. The strings were almost immediately understood and used with great accuracy, because it is a way of understanding that correlates to traditional systems of knowledge. Over the last several years, we have used the Heart Strings with traditional midwives in several countries and have been overwhelmed with their success. Midwives who previously could not tell the difference between a high-risk mother and a low risk mother were able to make appropriate medical decisions prior to a bad outcome, thereby avoiding
catastrophe and saving lives. 

I still wonder if there is a way to honor ‘different ways of knowing’ when we think about education, especially in a community that is not our own? When we think critically about barriers to maternal and child health, we must understand the history and context of the places in which we stand and we must question methods that ‘bestow’ knowledge upon others. There is no one answer to the crisis that faces women around the world, but one thing I know for sure is that one on one care and support is not only achievable, it is imperative to good outcomes. We don’t need tons of money or fancy equipment. To stand with women, we must be ‘with women’. We need good old-fashioned, ‘hands on’ care. The kind that women give to other women. The kind that mothers give to their babies. The kind that nurtures and sustains. The kind that thrives on and in community.knowledge upon others. There is no one answer to the crisis that faces women around the world, but one thing I know for sure is that one on one care and support is not only achievable, it is imperative to good outcomes. We don’t need tons of money or fancy equipment. To stand with women, we must be ‘with women’. We need good old-fashioned, ‘hands on’ care. The kind that women give to other women. The kind that mothers give to their babies. The kind that nurtures and sustains. The kind that thrives on and in community.

Endnote: Dear reader, if you cite the HeartStrings, please give credit to the inventors at Mother Health International and to this page where you first read about it, Maternova. Remember that the HeartStrings are patented, and that this page, like every page on the web, has terms and conditions associated with its content and proper citation!

Dejar un comentario

Los comentarios se aprobarán antes de mostrarse.


Ver artículo completo

New preeclampsia risk-factor checklists to aid health care providers in identifying pregnant women who may benefit from prophylactic low-dose aspirin
New preeclampsia risk-factor checklists to aid health care providers in identifying pregnant women who may benefit from prophylactic low-dose aspirin

agosto 14, 2020

This past June, the Society for Maternal-Fetal Medicine (SMFM) published in the   American Journal of Obstetrics and Gynecology   a special statement on a collection of two new checklists they created to support health care providers in identifying pregnant women at heightened risk of developing preeclampsia, a major cause of maternal and perinatal morbidity and mortality. 
Ver artículo completo
Are multiple micronutrient supplements superior to the traditional iron-folic acid supplements taken during pregnancy?
Are multiple micronutrient supplements superior to the traditional iron-folic acid supplements taken during pregnancy?

agosto 04, 2020

It is common in low- and middle-income countries for women to experience micronutrient deficiencies as a result of poor diet. This becomes a particularly acute issue in pregnancy due to an increase in the nutrient requirements of both mother and fetus. Deficiencies in micronutrients like vitamin A, iron, iodine, and folate can negatively impact the health of both the mother and fetus.
Ver artículo completo
Studies suggest a potential direct and dose-response relationship between anemia and postpartum hemorrhage
Studies suggest a potential direct and dose-response relationship between anemia and postpartum hemorrhage

julio 20, 2020

Anemia is a concern in pregnancy and is usually addressed with iron supplementation. Its linkage to postpartum hemorrhage has been of concern because those who are anemic are likely to expire more rapidly once blood loss occurs.
Ver artículo completo
Noticias y actualizaciones

Regístrate gratis para obtener lo último en ventas, nuevos lanzamientos y más…

maternal and newborn health news