Providing valuable education and resourses

by Mary Evans

In November/December of 2015, I had the opportunity to work as a volunteer doula for Dar a Luz Honduras in three public hospitals in three different cities. In each labour and delivery department, I was welcomed by the staff and was able to participate in all aspects of labour, birth and immediate postpartum. It was very evident that Dar A Luz had been present in all three hospitals. There were posters about their ‘Campaign For Respectful Birth’ and reminders on the walls about protecting the perineum and avoiding the use of fundal pressure. In one hospital, there were curtains supplied by Dar a Luz which could be closed in order to give labouring women some privacy. In another hospital there were sheets provided by Dar a Luz because there often were not enough sheets for labouring mothers to lie on or under.

I was able to be part of a workshop Continue reading

Hospital Atlantida Gets a Peanut Ball

by Angela Chromik

Dar a Luz recently introduced a Peanut Ball to the staff and birthing mothers at the Atlantida Hospital in La Ceiba. Nicknamed the “cacahuete” (which is peanut in spanish), the common birth tool brought curiosity and smiles to the staff. The peanut ball is especially helpful within the hospital at La Ceiba.

The peanut ball is regularly used when a woman has had an epidural or is too exhausted to move around. In Honduras epidurals are not available in public hospitals, but a peanut ball provides a great support when a woman is on bedrest during labor.

Continue reading

Gifts for Mothers and Nurses

Christmas Presents from Shawna

Silvia and Shawna with the gifts that Shawna brought for the nurses in one of the hospitals. Thanks again Shawna for all the wonderful support you gave to women in the hospitals.

In December 2014 we were able to deliver gifts of baby clothes to women in the maternity wards of the hospitals in Tegucigalpa, La Ceiba, and Santa Rosa de Copan. It was especially nice this year to have gifts for the nurses as well!

Doula Workshop for Nurses

by Zoe Paterson

Just before Christmas this year we organized a doula workshop for Doula Training San Felipenurses of the maternity ward of San Felipe Hospital in the capital, Tegucigalpa. This doula workshop was specifically designed by Dar a Luz for nurses working in Honduran hospitals.

A huge thank you to our wonderful friend Anna who taught the class, and brought with her an enormous amount of much-needed medical equipment, and other supplies. Anna stayed for two weeks (over Christmas!) to support laboring women, and to support the nurses’ new skills. A peanut ball, birth ball, pelvis model and baby model have also been donated to the maternity ward.

The Honduran government often does not have the money to adequately pay nurses, let alone pay for labour support staff. In the public hospitals where Dar a Luz works, family members are not allowed to accompany women in labour into the ward, which makes it all the more important that nurses be given the opportunity to learn a supporting role.

Over the four days of the course Anna taught doula essentials that can be combined with regular nursing care to offer a more rounded medical and emotional experience to labouring women. She was able to teach massage for pain reduction, breathing techniques, positions for easier labour, ways to create trust and connection, and introduced and donated birth balls and peanut balls for the hospital’s use. The nurses were able to practice their new skills immediately with the women in labour at the hospital.

Education makes all the difference here in Honduras, and Sylvia is currently planning another trip to Tegucigalpa, this time for a more in-depth seminar for all the nurses of the maternity ward.

Delivering Shoes

by Suzanne Elkind  12/27/14

GummistiefelToday we took the ninety pairs of shoes I collected from the Cambridge Montessori School to different Honduran children.   The first kids were a single mother and her four kids.  The mother has a mental disability and is unable to work.  The neighbors say she is crazy but Catalina, the household helper of Sylvia describes her as “different”. The mayor gifted the land that she lives on.  Missionaries made the house.   She begs at the neighbors for food and her younger child is 1-month old.  According to Sylvia, now that she has four children she is eligible for a free tubal ligation.  We were able to find shoes for all three of her kids.  They were all so delighted to have new shoes.  Some neighborhood children also appeared and we found shoes for them as well.  The older neighbor even found a pair of kids rain boots that fit.  She was beaming as she works in the fields and has only flip-flops.

schuhe2Our next stop was the poor suburb of La Ceiba, Buffalo.  One of Sylvia’s friends brought us 25 children in need for shoe fitting.  We found shoes for all but 5 of the children.  At this point, we had run out of the bigger sizes and the look of disappointment on these girls faces was heart wrenching.  I just went to the grocery store and bought some croc like shoes in a bigger size hoping to find something for one girl in particular.  Her shoes were much too small on her feet and she had the saddest expression on her face.

We then went to another suburb and tried to find shoes for another twenty kids.  We started with ten children but very quickly word spread and all the neighborhood kids arrived.   Continue reading

Activities of the last three months

The last three months has been full of activities. Besides the continuing doula/labor support provided by us to the women in public hospitals, there has been seminars  and workshops. We could reach to drop down the episiotomy rate in one of the hospitals from 80% to almost 20%, and we could almost stop, in collaboration with a local gynecologist,the highly used fundus pressure method (60%) in one of the hospitals.

We had several seminars over respected birth in different hospitals. We kept on our work with the midwives, and we hold several childbirth education classes. Thanks to everybody who has been involved to make this happen!

 

 

 

 

 

 

Our One to One Midiwife Training in the Mountains

The rainy season is coming soon. In the mountains close to la Ceiba, there are a lot of small communities, which often will be cut off from the next hospital during the rainy season, as the rivers can raise so high and, as there is no bridge, there is no way to cross it.

 

 

For this reason often pregnant women close to their due date, or women in labor, get trapped in the mountains, which caused in the last years maternal and newborn death, as the local traditional midwives have become very old, and are often not any longer able to assist with their life long experience. Besides of this they often has not been prepared for emergency situations, as a baby which does not breath after birth or a sudden upcoming hemorrhage of a women.

Midwives ‘parteras’ in Honduras do often not get any formal training.
The tradition of passing the knowledge down to the next generation is almost dying out. Continue reading

El Parto Respetado/ Respected Birth

cake parto respetado television crewsLast month we were also able to start and support a Respecting Birth Campaign in the public hospital of La Ceiba: the influence  of the enviroment during childbirth, avoid episitomies, stop kristeller (fundul pressure) and YES to protect the perineum! Many key members of staff of the hospital attended the presentation this morning given Silvia and the highly respected ginecologist Dr. Diaz Solano. Silvia spoke over respected birth and Dr. Diaz gave a presentation to stop Kristeller (fundul pressure), how to avoid episiotmoy and perineal reperation. Televsion crews turned up, and we were happy to offer everyone a slice of the beautiful Respecting Birth Cake.