Page 24 - EMBRACE Book
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                               Cheap,Cambodia





                                                                                         accommodate the births at the health centre.
                               “I decided to be a midwife because I love this            But since ADRA has built this birthing centre
                               kind of work and because I wanted to help                 next to the health centre, I would say that about
                               ladies be safe during pregnancy and delivery.             90% of the women in the surrounding villages
                               When I was 18 years old I loved to follow and             are now having their babies at the birthing
                               help the traditional birth attendants (TBAs) in           clinic, which is much more sanitary for the
                               my village when they were delivering babies. I            mothers and the baby.
                               learned a lot from helping them and gained a
                               lot of experience.                                        The birthing clinic here also has a large
                                                                                         recovery ward where mothers can stay for 24
                               When the Khmer Rouge regime took over the                 hours after they give birth. That gives us the
                               country in 1975, I already had built up a                 opportunity to monitor both mother and baby
                               reputation for knowing how to deliver babies. I           for any complications after delivery. During this
                               was recruited to be a midwife and go and work             time we also have lots of time to do education
                               in the camps to help the women deliver their              with the mother on breastfeeding and good
                               babies. From that time up until now I would say           nutrition.
                               that I have delivered about 1,000 children.
                                                                                         When a woman arrives at the birthing clinic in
                               After the Khmer Rouge fell in 1979, I was                 labour, if she still has some time before birth,
                               recruited by the new government to continue               we will get her to take a shower. We will then                                                                                                                                                                                Photo: © 2019 ADRA | Frank Spangler
                               my work as a midwife. I went to Phnom Phenh               get her on the examination table and check her
                               for more training and then returned to the                blood pressure and other vital signs. We check
                               Preah Vihear province. In my training, I                  how far along she is, how much she is dilated,
                               learned more about nutrition for mother and               how far apart the pains are. If it is not time, we
                               baby, I learned about the warning signs of                get her to walk around a little. When she is
                               complications, and how to deal with                       ready we get her onto the birthing table, ready
                               complications both during delivery and after.             for delivery.

                               For many years the trained midwives in this               We are very thankful to ADRA and the people of
                               province have worked in competition with each             Canada for providing this birthing clinic and
                               other. But now it is much better. We are                  the equipment for our community, as well as
                               working together with the same goal of having             the training that we are now getting with the
                               communities of healthy mothers and babies.                EMBRACE program. The training has done a lot
                                                                                         to bring midwives and TBAs together. The TBAs
                               It used to be, even quite recently, that about            now have a new supportive role to play in their
                               50% of mothers would just have their babies in            villages that is really working together well
                               the village and not come to the health centre.            with the midwifery program in the province.”
                               There really was not even enough room to













                                                                                                                                                                                                                                               Photo: © 2019 ADRA | Frank Spangler                                     Photo: © 2019 ADRA | Frank Spangler
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