Maternity Ward Observations: Midwifery Care in a Haitian Hospital
The sunny, steaming hot morning when I visited L’Hôpital Sainte-Thérèse in Hinche, Haiti, the maternity unit was overflowing with busy midwives checking charts and administering care, nurses-in-training in white and yellow uniforms obtaining requisite clinical hours, as well as a few obstetricians checking on patients. Of course, there were expectant mothers, mothers who had just given birth, and those who were being prepped to deliver their babies. Husbands and other family members milled about slowly, but deliberately, bringing food and water to their loved ones, or just sat on benches and waited.
In each of the maternity units – antenatal, postpartum, and labor and delivery – there was a bed for every woman. No expectant mother laid on the ground waiting for space. In fact, I even saw some empty beds. That is not always the case I was told. Some times of the month are busier than others, but each mother can be accommodated.
Some expectant mothers – many with swollen feet and ankles – walked around slowly outdoors in the sunlight angling for some type of momentary relief from the constant wave of contractions. Others laid in bed with worried eyes anticipating the incumbent pain they faced. When I visited labor and delivery, one mother’s screams were piercing and she wasn’t even pushing yet. Another woman was calm, smiled, and gave me a quick wave as I walked by despite her contractions. Midwives were attending to their care – calmly and respectfully.
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