Sunday, July 20, 2008

Heartbreak of Ethiopia


So the 20th was our first day in the hospital. We got a tour of the whole hospital and then a more detailed one later from one of the RN’s who does deliveries. The OB and woman’s ward are all in one large room with some small dividers. The RN who is in charge of the ward took us around and told us about all the cases and it was so sad to hear some of them. One woman had come in with a ruptured uterus and the baby dead and to have a hysterectomy. She was so depressed about it that she had psychosis and was refusing food and drink, so looked terrible. To make matters worse she was in a bed next to a woman with a baby. The woman did have one other child and I suggested that they bring the child to her to help her but they said that the child was to far away. They were able to more her to a private room on another ward to get her away from the other mothers an infants. But another mother who lost her baby at 3days old for reasons I was not able to gather was right between to mothers and infant, and often I would look over to her and she would be crying and just watching the mothers nurse there babies. I was just heart breaking.

Linda and I missed a birth during lunch because they were unable to get a hold of us, we are trying to fix that problem. But when we came back we helped her start breastfeeding. She had a 2kg infant and the RN who delivered her gave her a large episiotomy. So you can tell the people here need some training. Linda and I were put on the schedule for the 20th from 4-9pm because there was not midwife on and only 2 nurses for over 20 pts. The language barrier is very hard. One of the RN did speak very little English but it was still very hard. Because Linda and I did not really have anything to do because there was no laboring pt at the time we decided to clean, and boy did it need it. There was dried blood on the labor beds and delivery beds and dried mec on the scale and wall. So we scrubbed with rags and toothbrushes. We also organized the delivery room and all the supplies because you could not find anything and nobody new what supplies they even had. While Linda and I were organizing all of a sudden a woman was carried in by 4 or so men and put on the delivery table, she was complete and pushing. Linda told me to quick put on some gloves and she with me helping delivered the baby, in less than 10 min. The baby did have thick mec all over him but had agars of 8/9. The woman did well this was her 4th baby, and after about 15 after delivery she had to get up and walk to the ward to her bed, leaving bloody foot prints all the way. Then the nurse came in with mops made of rags and sticks and moped up the blood. Later we went out to check on the woman and ask if anyone a checked her fundus and no one had at it was almost 1 ½ hrs later. It was then checked and everything was good. There was blood everywhere because they just put a rag between their legs to catch the blood. I guess you use what every to got.

We also got a new admit to the med/surge ward of a middle aged woman with a compound fracture and both bones broken in her arm. The Dr. was called but he was in a he market and so we could not get a hold of him. So this woman already at 12hrs post the break just had to wait with her compound fracture for the Dr. to come at some time. He had still not come we left from our shift. So you can see the needs are great and I hope that as time goes on and the nurses let us do more and we will be able to make more of a difference and help more people. Please continue to pray for us and the people here that we will be able to use our supplies and skills to the best.
Well hope you enjoy this little peek into the life here at Gimbie and what we are doing.

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