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Nadene commented on Postpartum interventions

Kate, our website is http://www.midwivesforhaiti.org
The only training that volunteers get is a notebook that lists our protocols, instructions on how to fill out the patient charts, and notes from previous volunteers. They are always accompanied by a translator familiar with the community of the patient. There are 3 postpartum midwives in
the hospital who received about 6 weeks of training in postpartum assessment of mothers and babies in addition to the one year training on skilled birth attendance they received after getting a nursing diploma. The 6 weeks of training was done by an American nurse with 24 years of mother-baby nursing experience. Charts were developed and education topics are a part of it. They have been seeing as many patients as possible before discharge for the last 3 years. These 3 are the ones who give us the names and phone numbers of patients they think are at risk. But the postpartum home visit program is new and we do not have funding for Haitian staff to do it so it is only getting done when volunteers are available. If we were able to hire a few midwives to do the home visits, they would get a similar training to that that the hospital postpartum midwives received.