Wednesday, May 27, 2015

That New Mother's Glow

I recently had the privilege of providing labor support and catching the baby of one our employees in the finance department at the nursing school. It came in the midst of a busy week and really a very busy day. Things were busy at the Nursing School with the seniors doing their final presentations (like a thesis but at the associate degree level). I had a teammate who had motorbike accident and hurt his knee, so we were in the process of trying to get him to Malaysia for MRI (no machine available here in this part of Indonesia). I was helping support an expat mom here in Indonesia who was having a miscarriage. And it was Ladies Bible Study night. As I wrapped up the work day Ibu (Mrs) Milka came to me with a few questions and asked if I thought she was going to be having the baby soon. After a quick exam on a set of chairs in our conference room I let her know the baby had dropped very low into the pelvis and had palpated a couple of decently strong contractions. I said based on that it could be tonight or several days still but I suspected it would be soon.

Just a few hours later I got a call from the maternity ward saying she had been admitted in labor and was asking for me. So I headed down to the hospital to do labor support and just be around in case she needed anything. It is always a bit awkward when your patients are friends and co-workers, because you don't really know how much care they want you to provide and how much they want you to see. When I walked into the labor ward though that all went out the window as she was obviously in transition. That is an overwhelming time for anyone and it didn't take me long to switch into midwife mode. With the first sign she was getting ready to push, I was the one checking her and then helping her get moved to the delivery room. I grabbed an apron and sterile gloves and as she moved her water broke and baby was crowing with the wave of water. A few minutes later Baby Gabriel joined us with a big cry. It wasn't long till we had her settled back in the ward with her baby where he nursed like a champ.

I took this picture shortly before I went home. Her look of joy and peace just stopped me. In the midst of the busyness it was good to stop and remember how beautiful a new mom looks. Gotta love that oxytocin!




Sunday, May 10, 2015

Happy Mother's Day - The Importance of Mom

It is Mother's Day again in the United States. A day of celebration, of remembering all the amazing things moms do, of attempts at breakfast in bed by husbands and kids, flowers and cards. It is also a tough day though for those women who are struggling with infertility, miscarriages, or the loss of a child. Remember them today and reach out to them and let them know you know they are hurting. 

Moms are important and that message was reinforced for me these past two weeks as a mom in our community passed away. She was the younger sister of the women who helps me in my house with laundry, cooking, and cleaning. That death has rippled through the community as her three kids (ages, 1, 5, and 7) have been sent to live with other family members. Now, they all have another child to feed, clothe, and pay the school fees for. The chances just increased dramatically that these children, especially the 1-year-old, will struggle and may not survive. These happens frequently across Indonesia after a mom dies. Moms are really important! 

To end on a happy note though I want to celebrate my mom! She and my dad recently visited and it was so good to see here and have some precious long conversations. I miss her a lot and I know the feeling is mutual! 

Happy Mother's Day Mom! 

The Birth of a New Teammate

I had the privilege recently of serving one of our new teammates as she gave birth to daughter #3. It didn't go exactly as either of us had hoped or planned but in the end it went well. So here is the story...

Katrina arrived in Indonesia pregnant with baby #3. The transition to a new country with a new language is tough enough and then she added to it two daughters not yet four years old plus being in her 3rd trimester with baby #3 and you have one brave and tough momma. So when labor started before her due date (which is very unusual for her!) she didn't feel ready and was really tired. We as a team knew this was going to be tough but we had set her up with an American woman to serve as her translator and doula during her time in the hospital but in recent conversation with team members it was decided it would be wise if I came down to be with them also. I could help around the house and with the kids etc plus be there for the birth. I was expecting to head down a few days before her due date and stay for at least a week but then the phone call came that she was in labor already I threw a few days worth of things in a bag and headed down. Although as the crow flies it isn't that far but because we are on different island it takes a 5-hour car trip followed by two flights each about 90 minutes long followed by another 1-hour car trip. In the end her contractions slowed back down though and we spent a couple of weeks hanging out. Contractions would come and go and there were several times we thought we were headed for the hospital but in the end they would fade away again.

We kept picking a day that would be good to have a baby, for example at the beginning of the break they had from language school and there were days we tried to avoid like the days Ash (dad and our driver to the hospital) needed to see the dentist. Finally, though miss Charlotte picked her own time. Katrina was 10 days past her due date and we were headed to the doctor's office the next day and most likely going to need to consider a pitocin induction, which neither of us wanted. So Katrina told her husband that she was going to be in labor by the time he got from language school at 4 pm. She had said this at least a dozen times over the last few weeks, so it didn't get much attention from Ash. But we had a plan as soon as he headed out the door, that involved her breast pump and more exercises to get baby in a good position for birth. She wasn't at that long before her water broke. No big gush just leaking with contractions, which were becoming more frequent and stronger. Ash came home to see her sitting on her ball with a towel and all of us watching a movie, so imagine his surprise when we told him we were almost ready to head to the hospital. So then there was lots of rushing around as we finished packing and getting the girls fed before taking them to a friend's house.

It is an hour plus trip to the hospital and poor Ash had his wife telling him to slow down because every bump hurt and the midwife telling him to get there fast. When were still 20 minutes from the hospital she was complete and pushing, which had this midwife making sure the gloves and some equipment were close. It was probably one of the longest car rides of my life and oh did I mention it was a brand new car!

We made it to the hospital though and there is nothing like the sound of a woman pushing to get people moving at a hospital, no matter what country that hospital is in! Somehow she got into a wheelchair and from there to the ER where they transferred to a gurney and then from there to the 5th floor delivery room, with a gloved and masked ER doctor at the ready in case baby decided to join us in the elevator. In the end though there was time and Katrina's doctor made it and with just a few pushes Miss Charlotte joined us sunnyside up (OP). Soon she was breastfeeding like a champ and thankfully proved to be a pretty calm baby, because now there are 3 kids under 4 years old in their house :)

So while I don't think either Katrina or I were fan of her doing most of the hard work of labor in the car, it all worked out in the end and we had a healthy mom and baby.

Headed home from the hospital