Wednesday, June 20, 2012

Home Visits

Yesterday Anie, Suzie and I went out to do a couple of home visits to my patients. We had a three day visit, a four week visit, and an eight week visit.

Little Zeek is such a cutie!
And his mama really loves him!

My four week postpartum patient lived the closest, so we went there first. She lives just down the street from the clinic and I couldn't figure out for the life of me why she never came for any of her postpartum visits when she lived so close! Well, it turns out that she watches two additional kids (she has a three year old, a one year old, and her baby) all day while their parents are at work because there is no one else to watch them. I wish I'd known that, because I would have made more of an effort to find her house earlier. But both Clair and her little boy, Zeek are doing great! They look happy and healthy. The only concern I had was her stress levels with all those kids around, and the fact that she is doing mix feeding. So often here you hear the women say that they don't have enough milk because the baby cries all the time or after feedings, or because someone in her family tells her that she doesn't have enough. They'll give their baby a bottle which means he's not sucking as much which means that her body slows down production which results in not having enough milk! They are creating the problem they think they have. It's a bit frustrating sometimes. Anyway. I encouraged her to only do pure breastfeeding and drink some jackfruit leaf tea if she really feels she doesn't have enough milk. 

Yeuja is such a wonderful mama!

Isn't Rowen Jake a handsome little guy?


Rowen Jake with his Lolo Jacob!

Our next stop was to see my three day postpartum patient. Yeuja had a REALLY great birth, though she'll tell you she thought she was going to die in labor. During transition she was pretty frantic, but focused well with constant instruction. And when she started to push, she did beautifully, giving
small pushes which allowed her tissue to stretch. It was so beautiful, I just love births like that! Anyway, both her and her son, Rowen Jake are doing great. She is a bit tired, but says she feels good. She is doing pure breastfeeding and enjoying her sweet boy so much. :) The unique thing about this family is that Yeuja's grandfather married a younger woman not too long ago. They had a son, Jacob, who is now 9 months old. So, Jacob is Rowen Jake's great uncle! HA! Here in the Philippines they don't have a word for great uncle, so they just call him lolo, which means grandfather. Does it make anyone else think of the song, "He's his own grandpa?"

They are such a cute little family. :)

Little Alvin James...He's getting so big!
Finally we made our way down to Laya. I'm sure you remember my entry about my backwards baby. This is the one we were going to visit. Anie and I had planned MANY times for weeks to go visit them, but each time we had it planned, one of us would have a birth or something. Jane hadn't come for any of her postpartum checks and I felt bad that we hadn't made it down there yet. When we got there she told us about her mastitis (breast infection). She'd gone for a doctor check a week and a half ago because it got so bad. She had a wound about the size of a half dollar that was healing. The doctor had given her antibiotics which she'd just finished. We told her to go for a followup check the next day. The doctor told her not to breast feed on the infected breast, but she had been pumping from it. We told her its better to feed from both sides, and to ask the doctor when she can feed from that side again. I felt really bad that I hadn't made more of an effort to visit her earlier. If I had, than maybe the infection wouldn't have gotten so bad. But other than the infection, her and her sweet little Alvin James (named after my grandpa Al) are doing well. Alvin looks really good and his mama seems happy. I was glad I was finally able to get down there to visit them. :)
All in all, it was a good morning of visits. I always struggle with doing home visits, thinking, "I'd rather just stay home, it's too hot." But once I'm out and doing the visits I love it and wonder why I don't do it more often. :)

Monday, June 18, 2012

Morning Prayer

Thank you for a quiet morning, for good coffee to sip as I enjoy the birds at the window, listening to their song of praise to you. Thank you for the cool breeze to savor, knowing it will be hot later, but enjoying it now. Thank you for this joy that is welling up within my soul.
As I prepare for my day, I ask that you help me to keep this joy with me. Help me not to get caught up in the things I need to do and forget to bring you praise in each moment. Help me to ready my soul for the day as I ready my face and hair.
I pray that the women I serve during prenatals today can see the joy that you have given me. Help me to use each moment to shine your light into their lives. As we listen to their baby's heartbeat and feel the position of their baby, I pray that you keep me sensitive to their spiritual heartbeat and movements towards you. Use me to reach these women today, allow me to be your hands, your voice.
As I do life with my housemates, I ask that you help me to be a servant, always willing to help where ever needed, without a grumble or mumble on my tongue or in my heart. Help me to see each of them through your eyes, overlooking their faults and seeing through to their inner beauty. I pray that I can be an encouragement to them and that you draw them closer to you today.
Help this house to be filled with your grace and peace. Help me to remember that it begins with me...if I desire others to have grace with me, that I must first show them grace, without expecting it in return.
Thank you for a beautiful day. I love you Jesus.

Wednesday, June 13, 2012

Marjorie and Family

One part of my job that I absolutely love is when I take a continuity patient. Some of my regular Tuesday prenatals I feel somewhat close to as they come month after month, but it's not the same as when you know YOU are their midwife. Marjorie is one of those patients. Now, I have to admit that I originally took her as a cont because I liked her kids. Not to say that I didn't like her as well; on the contrary, she was really sweet and I liked her too, but it was her kids that I was really drawn to.
She brought her daughter and son with to her first prenatal. When we went to check her baby, I had them come with (many times the kids just wait in the admitting area as we check the baby, though I really like to involve all of the family). As I checked the baby's position s/he started to move, poking a little elbow out as if to say, "Hey! I'm trying to sleep in here...stop poking at me!" I quick had the kids put their little hands on their mamas belly and watched their faces as they felt their little brother or sister move inside. And then when I found the heart beat using the fetoscope I first let Marjorie listen and then gave each of the kids a turn. They were so excited to here his/her heartbeat. :) It was during this time that I decided to take her as a continuity patient.
Marjorie is due at the beginning of July and each time she comes I get more and more excited for her birth. Her daughter (the older of her two kids) would like to be there for the birth and I hope that all goes well so that she is able to see her new little baby come into this world.
This last week both her kids came for her prenatal checkup as well as her husband. I was happy to see them all and decided to take some family pictures. They were really cute and the pictures turned out pretty good. I've included my favorites here, I hope you enjoy them! :)


Monday, June 11, 2012

Equiping a Birth Bag

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