We finished our time in Gracias promoting respectful maternity care by running a practical session with the labour and delivery nurses. Silvia demonstrated simple techniques that could be used despite the nurses being incredibly busy! We also donated two birthing balls and a peanut ball. Leah, one of our volunteers, will stay in Gracias for another week to continue our work, implement new techniques and train the nurses- we will miss her! We also discussed bringing a vertical birth chair to this hospital. Our main focus at the moment is to stop Kristeller maneuver during birth, reduce the high episiotomy rate and to stop the manual removal of blood clots after birth.