Silent courage of mothers in rural Cambodia

Welcome to the March 2014 Carnival of Natural Parenting: Everyday Superheroes This post was written for inclusion in the monthly Carnival of Natural Parenting hosted by Hobo Mama and Code Name: Mama. This month our participants have talked about the remarkable people and characteristics that have touched their lives. Please read to the end to find a list of links to the other carnival participants... Nothing against workdays at the office. There’s something to be said for air-conditioned comfort when the blistering sun and uneven roads await activities that donors have pledged tax dollars for. Besides, all the preparatory, follow-up and administrative work is necessary. But fieldwork is where the action is - where meaningful … [Read more...]

Chlong tonle – the other side of the river is so far for some women in Cambodia

A woman died today after giving birth to a healthy baby boy. We came to the health facility and saw her just in time to see the life fade from her eyes after hemorrhaging in the ward where there were four midwives and an obstetrician on duty. Only one staff was attending to the patient at the time of death - a student midwife. The student claimed she told the staff, but they were busy with other patients. The staff corroborated this. The fact that there was no prioritization for the emergency case is testament to how dysfunctional the health sector still is, and how poor the capacity of health staff are that this is allowed to happen. There won't be a maternal audit, or changes to standard operating procedures, because this facility is not … [Read more...]

Living in Phnom Penh, Having a baby in Bangkok

Photo by Keith A Kelly CHOOSING THE HOSPITAL We work and live in Phnom Penh, and wouldn't feel comfortable with the specialists / facilities here in case of complications during delivery. The nearest city with internationally accredited care is Bangkok, so there we went at 35 weeks 6 days gestation, the latest we’re allowed to board a Thai Airways flight (with a fit-to-fly certificate from the doc). Most of Bangkok's well-known private facilities have high quality patient-oriented care and great customer service. They have translators, can take care of extending  visas, take the baby's passport photo (this isn't easy so do get this done at the hospital!), get the birth certificate officially translated and documented at the Ministry of … [Read more...]

“natural” birth animation

So these are the things I spend time on these days. Interesting animation of how the little tykie comes out. I find it interesting that the best options around here (Thailand) for a "natural" birth are so medically-oriented. Facilities have around a 70% caesarian rate. And I thought things were bad in the profit-oriented hospitals in the US! (edited title from "vaginal" to "natural" birth since several people seemed to dislike that!) … [Read more...]