Meira Ablanque

Last April I was Meira's midwife - but almost didn't catch her baby (who is now 1 year old - see pic on the left) because I was in class and then came down and was doing a few baby checks (she was supposedly only 4cm) when i was called in quickly because "the baby was coming!" We only had time to introduce ourselves after the birth, but still managed to enjoy our time together for the 6 weeks following the birth when she came in for postpartum visits.

When I found out she was pregnant again, she was already 34 weeks along, and due right around the time I was leaving but I really wanted to try and be her midwife again, so I put my name on her chart (thus establishing continuity of care). However, she was on a different prenatal day and it turned out to be very complicated to change her to my team due to miscommunications...

I almost didn't persevere - almost said it was ok if she wasn't my patient, but in the end she was moved to my team, and i still was able to do 2 prenatals with her before she delivered. And they were good ones. Then, of course it was so much better for me to be with her during birth because we had the relationship established instead of a random midwife being assigned to her.

The birth was wonderful! She progressed through labor quite quickly, and breathed through the last hour allowing her to open completely (which is insanely difficult I am told!) and the birth happened slowly. We all knew her baby was big but since this was her fourth, we weren't worried - her last baby (the one I delivered) was 8.02lbs and this boy was 8.10lbs! (very big by Filipino standards!)

There was shoulder dystocia, but only for a minute and with help from my assistant/supervisor (Ate Susan) there were no complications sustained to the baby.

Look carefully at the picture to the side - Meira is not only nursing her own baby (on the bottom) but I brought in the baby of another mother (delivered a few hours previous) to breastfeed because his mother was at the hospital having been transported for something - she was such a trooper - I held the top baby up and she was the hero of the day!

Tacada Outing

Many of you know Rachel Tacada who has been a good friend of mine since the beginning of my time here - I delivered her baby - my 14th handle (I am at 90 now) and so this is one friendship that is hard to say goodbye to. I took Rachel and her sisters and sister in law out for lunch with their kids as part of my goodbye. It was alot of fun. We did lunch, then we went to the mall and set up an email/msn account for Rachel so that we can stay in contact even though I am going home! Yay.

Boat Trip

Many of the MMC staff went on a boat trip last Saturday and it was a good time to be sure! I knew it would most likely be my last time on the ocean like that for a very long time, so I took full advantage of it - soaking in the sun, and taking many pictures of the captivating beauty that is the ocean. So here are a few pics for you to enjoy. Believe me - I will be tormenting myself with them come this next year when it is 10 below F, and shockingly cold and I don't remember what the ocean looks like anymore having been in landlocked MN for too long :) Oh well - God has given me a great two years here - I can enjoy MN for a year or so as well right!?

July Update

Dear Friends and Family,

This will be the last email/newsletter you receive from me while I am still in the Philippines. My time here is quickly drawing to a close, and God is moving me forward with eagerness and anticipation for what the next year holds.

Last Friday was a big day – I took the final exam along with 5 other girls on my team and we all passed it with flying colors! Thank you so much to all those who were faithfully praying. I know that a huge part of the reason why I did so well was the prayers you all were offering up on my behalf for peace and retention of the things I had studied over the last two years. Later that day, I worked night shift, 10pm-6am with two of my teammates and my supervisor Sister Ermie. I caught the first baby which was a hard birth, and the baby was transported to the government hospital for respiratory distress (but praise God – he is doing great now, and I saw the whole family yesterday at a baby check up). Then, Tiffany caught a baby which went well and the birthroom got quiet. As I was finishing up with my first patient, Liza, two more patients walked in about to deliver. Laura (my other teammate) took one, and my supervisor asked to be skipped in rotation so that left me to catch my second baby of the night! This birth was beautiful, and there were no complications at all. In two years, I have now delivered 88 babies (and still counting until July 18!).

The weekend was spent at the beach with my girls – a time of remembering fun memories from the last 2 years spent together, and making new memories to remember in the following years. Then, early Monday morning we left the beach and returned to the city to run around getting ready for our graduation ceremony/celebration. It was a really nice time had by all with good friends and good food.

So now, we are done. Well, except that we all still need to pass the NARM board exam for midwifery in the USA – which I will take in August. So you can mark the date of August 20th in your calendars as another date that I will need your prayers yet again!

This next year I will serve as a volunteer mentor at Bethany College of Missions, where I graduated in 2005., This will give me the training I will need to successfully lead and mentor other girls who become overseas midwives when I return to the field again. During my time in the States I hope to attend some births on the side – so if you all know of anyone looking for a midwife, let me know! I am told mentoring at Bethany is a challenging role, and I look forward to growing and being stretched in an environment that is familiar to me, but in a role that will be new. I will have a great support system of Godly leaders to mentor me as I mentor young girls entering the program as missionaries-to-be.

I will be volunteering like I said – 40 hours a week, so if any of you feel lead to continue supporting me financially or start supporting me financially, to help cover basic life necessities, I would be so grateful. It would continue to be tax deductible through Voice In The Wilderness, the wonderful organization that has been making it possible to give donations tax deductible these last two years for me. If you have not yet joined my support team but are interested in doing so, please ask me for more information.

For those of you who like to follow my journeys through my blog, I will be continuing that, but under a new title after I start mentoring. When I get that set up I will let you know, until then, please continue to visit my blog at http://www.midwifejenny.blogspot.com/ for stories as I make the transition from life here in the Philippines to life back at home.

I will continue to write monthly updates even after I get home, but if you would rather not receive my updates, let me know and I will remove you from the list. Otherwise, if you know of anyone else who would like to receive my updates, please give them my contact information so I can add them.

Thank you for all that you have been for me these last two years, the support, financially, emotionally, spiritually have sustained me above and beyond my greatest expectations. I have grown into a midwife that will be able to reach more people for Christ as I go and minister to women physically and spiritually in a country desperately needing good maternity/baby care. Right now I am considering somewhere in Africa. Pray with me that God will open doors for that.

Much love,
Jenny

2 Babies on Friday night and 2 again on Tuesday!

Not only did I catch 2 babies today, but my last shift I also caught 2! My last shift was last Friday night with Tiffany and Laura (right before we went to the beach for the weekend). I was up first and caught a baby that was on her way out when I got there. Then, Tiffany caught one and then 2 active labors walked in together around 3am. Laura was taking care of the first one when the second walked in and she realized it was her labor from earlier that evening, so she switched to care for that one.

That left the G3 mom (who usually go fast!) without a midwife while Ate Ermie (our supervisor who was up next) woke up... While she was focusing, I got gloves on ready to assist, but I could tell Ate Ermie didn't really want to catch a baby and so when she didn't make a move to put gloves on and instead started charting, I asked if she wanted me to catch and she said yes so I could catch more before coming home! Haha. Ok. That was fine with me because my other birth by that point wasn't needing me as much as most everything was done there. So the first picture is of Tiffany's baby on the left, Laura's in the middle and one of my two on the right. My other baby was transported to the hospital right after birth due to complications and was admitted there. Both Tiffany and I had 5 lb babies and Laura had a 7 lb baby which is normal but looked so big compared to ours!

So then, today, I was not up first, Jane was - and the birthroom was actually empty, but all the beds were made up prepared for a busy shift - so I actually blame the shift before us for the busyness of that day :) Jane got a labor and my fully walked in minutes after hers. Mine delivered right away - G4 (4th baby) and it was a beautiful birth. I was alone for some of it while the others were helping with Jane's birth but it was so easy and beautiful. Jane's delivered some minutes after mine.

A labor came in for Ate Steph soon after but she wasn't active, we kept her for a while to manage her hypertension, but then ended up transporting her for hypertension. Soooo, another labor came in who was mine since the hypertension girl was still there, but soon Ate Steph took over and she was only 5cm so she labor watched her the rest of the shift. At first I was grateful to have more time to concentrate on my first birth, but I knew that it wouldn't be long (the way shift was going) until I got another fully.

Sure enough minutes later a taxi pulls in laying on the horn. I grabbed some gloves and ran out the emergency door to find the taxi driver frantically pointing inside saying "baby coming, baby coming!!!" I look in and barely see the girl who looks like she could be coming in for prenatals who is getting money out to pay for the ride. I laugh and say the baby isn't coming out, but the taxi driver is insistant and so I help the girl out and as soon as she stands up a strong contraction hits and she doubles over! Wow. So I 1/2 carry 1/2 support her as she stumbles into the clinic and we get a bed prepared for her. This is her first baby ( G1), so even though she is fully before 11am, she didn't have her baby until 12:22pm.

It was a long, exhausting pushing stage that I wasn't sure we would be able to do, I was afraid we would end up transporting her for exhaustion and failure to progress, but with alot of help from me, and alot of cooperation from her, we did get her baby out. We almost cut an episiotomy because we were sure she would tear pretty bad without it, but Ate Steph wanted me to cut it and I didn't want to so we argued about that for one contraction, waited for one more and then the baby was coming and out, and it wasn't needed! We still thought she tore, but to our shock and utter delight God totally spared her tissues! No tear at all! The baby was so small (another 5 pounder - both of my babies today were as well as last Friday), but for some reason it was so difficult to push, but all is well that ends well.

I didn't get home until 4pm (shift ends at 2pm) but considering the fact that I am completely done - no more assignments, no more tests (except the NARM in August) to study for, it wasn't a problem. So now I am up to 87. Anyone care to place bets on what my final baby count will be before I leave here? :)

Graduation!

Monday night was the big night - 6 of us girls who started our training in the fall of 2006 (which at times seems like forever ago, at times seems like yesterday) marched forward and received diplomas and congratulations as we officially (except we all still need to pass the NARM - so you can continue to pray for that, it will happen in August for me) became midwives with an Associate's Degree. God is so faithful - He brought us here and has strengthened and encouraged and made us effective witnesses for Him as we have learned the art of midwifery.

Beach Grad Party '08

For Graduation Weekend we were all not scheduled to work (or finagled the schedule to our liking) so that we were able to spend Saturday, Sunday and the very first hours of Monday at a beach celebrating. It was here that we found out that we all passed the final exam! How exciting!

We did many fun things - and these pictures are just a quick snapshot, so if you want to see more with more stories please see my photo album on facebook. Thanks!