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| Laurie with the Stethocope D'Oro |
Our team today conducted our 2nd day in Chicaman/Uspantsan teaching and learning from our medical and nursing colleagues.. Besides a
fantastic playlist of music the material focused on patient risk assessment
using the AIEPI classification framework (red-yellow-green) for women
presenting in labor and then shifted to care of the newborn immediately after
delivery, the first 90 minutes and “warning or danger signs”.
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| High Risk Pregnancy "Lisa" presenting in labor with a breech baby |
Lisa and Dana led
the intrapartum risk assessment piece with both a lively discussion and then
role play with each of them role playing a high risk pregnancy with
participant.
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| Dana being evalauted by Dr Mario for Pre-Eclampsia |
It was done in Dinamica style with the canasta caliente (hot basket) to music
of Ricardo Arhona (Guatemala’s own singer songwriter extraordinaire) All of the
participants did well in their care of these high risk women!
The rest of the day focused on care of the newborn care. Dana
told aa somber story of an infant who could not be resuscitation due to lack of
attention. We reviewed Guatemala mortality statistics and stressed that over 60%
of under 5-year old mortality is due to newborns who die in the first 28 days
of life. Child mortality reduction must focus on care of the newborn, especially
in the first 48 hours of life
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| My Helpful Translating Partner Kyle of MTI |
After each did a simulated birth: the training manual focused
our teaching on the steps of essential newborn care – drying infant, placing
skin to skin, delayed cord clamping and supporting initiation of breast
feeding. It was wonderful to see how the participants already are valuing and
universally adopting these practices which only in the past 5 years have been
common and recommended practice in the US.
After another playful dinåminica featuring the music of
Bruce Springsteen (Born in the USA of course) and the hot cabbage, we moved
into the next 90 minutes of attention to the infant, the importance of the
maintaining skin-to-skin contact and monitoring. This was done in small groups
of two with one instructor and some very helpful translators in Kyle, Gia,
Carrie and Bianca. 
Lisa and Dana did get yet another dance lesson, this time
another salsa dance that included the wave to the tune of El Pescador by Los
Lobos. Everyone with swinging hips and moving to “el ritmo”.
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| Dr. Cristobal as a "Mom"needing to provide additional skin-to-skin time for her baby's low temp |
The last sessions of the day focused on warning signs of ill
newborns and treatment strategies based on risk stratification. We finished with
a group “sick infant lottery” to the Rolling Stones “Paint it Black”.
All
participants randomly selected a “case” from the basket if the music again
stopped in their hand. Each was given the information of the infant’s condition
and then discussed their diagnosis, risk assessment and treatment plan with us.
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| The Canasta Caliente and Efra Michaela with her newborn ill infant |
We finished the afternoon on schedule and posed for this
group photo on the roof of the hotel. We have gotten to know these very
intelligent, committed, thoughtful and funny health care workers these past two
days and admirer them greatly. Tomorrow we will focus on neonatal resuscitation
and appreciate Providence lending us their infant model, bags and masks to teach help teach these techniques.
We are very grateful for this wonderful opportunity PHI and
MTI have provided us. Now its time to get some sleep.
Sueños Dulce – Sweet Dreams
Roberto “El Loro” Gobbo
Thanks for the thoughtful and informative update on your activities... really enjoy the blog and photos!
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