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Sexual and Gender-Based Violence
Published in Miriam Orcutt, Clare Shortall, Sarah Walpole, Aula Abbara, Sylvia Garry, Rita Issa, Alimuddin Zumla, Ibrahim Abubakar, Handbook of Refugee Health, 2021
Certain groups are more vulnerable due to the conditions of their shelter situation. Temporary shelters such as tents are difficult to secure, and potential targets – especially women and unaccompanied minors – are vulnerable to attack if they cannot block entry to their living space. Healthcare workers should advocate with the camp management to build more secure structures or move individuals they have identified as vulnerable into existing ones. Women or children who are the victims of domestic abuse should be moved into a designated safe space set up by the camp management or another organisation. Organisations with medical activities can provide a safe space for temporary shelter within the facility, such as the maternity ward in a hospital. When an individual is kept in the hospital facility, perpetrators can be told that the person has medical needs that necessitate hospitalisation if questions arise. Project coordinators should liaise with other actors to set up more permanent safe housing for vulnerable individuals in these situations.
What Promotes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
There’s joy in everything. I walk through the maternity ward and I see a mom breastfeeding her child and to me that’s joyful. Because I know she spent nine months worrying about that little thing in her arms. Likewise, I walk into a woman’s room who’s 72, has had a biopsy for cancer, and is waiting for us to take the cancer out. We perform the surgery, take out the cancer, and she’s “cured.” She needs postop care and chemotherapy, but we’ve given her another five years of living. That’s very rewarding.
Childbirth and Maternity
Published in Roger Cooter, John Pickstone, Medicine in the Twentieth Century, 2020
Elsewhere the culture of home births has taken a serious knock. Hospital delivery has been consistently mooted as safer (without proof of this), and as qualitatively better. By the 1920s and 1930s private nursing homes had become popular with the well-to-do, who saw them as offering higher standards and status. To give birth at home, especially with a midwife, was not the done thing. Many poor women, meanwhile, were eager to give birth in hospital where they also expected better care and a break from domestic work. In a study of working-class women in northern England, based largely on interviews, Elizabeth Roberts recorded the survival of fatalism, shame, stoicism, and traditionalism into the interwar period. Yet increasing numbers of these women also expected more and better professional help, whether in the form of a doctor or qualified midwife, and they began to demand pain relief and a hospital bed ‘in case something should go wrong.’ Their expectations were all too often not realized. Hospital birth could be miserable, the maternity ward far from restful. The eminent obstetrician Sir George Pinker, reflected that at the end of the 1940s: the labour ward and delivery room were archaic. The instruments were still boiled in a fish kettle, and the approach to patients was, frankly, dictatorial. Husbands weren’t allowed in, and visitors were deterred. The delivery of a baby was carried out almost mechanically, and pain-relief was minimal.6
Provider perceptions of lack of supportive care during childbirth: A mixed methods study in Kenya
Published in Health Care for Women International, 2022
Laura Buback, Joyceline Kinyua, Beryl Akinyi, Dilys Walker, Patience A. Afulani
Staff shortages not only affect timeliness of care but also attention and support necessary for respectful care. This sometimes leads to women being left alone or in care of non-clinical staff. Providers noted that when one provider was running several units or occupied with other duties, women in other units ended up waiting long or feeling neglected. For example, sometimes one clinical staff will be assigned to cover the outpatient, antenatal and maternity wards at the same time. This not only increases wait time for all, but also results in women in the maternity ward to be left in the care of support staff, who have to call the nurse when the woman is in the second stage of labor. This sometimes leads to situations where women birth their baby before the doctor or nurse arrives.
Capacity Building for Health Care Workers and Support Staff in Pediatric Emergency Triage Assessment and Treatment (ETAT) at Primary Health Care Level in Resource Limited Settings: Experiences from Malawi
Published in Comprehensive Child and Adolescent Nursing, 2022
Maureen Daisy Majamanda, Mtisunge Joshua Gondwe, Thomasena O’Byrne, Martha Makwero, Alfred Chalira, Norman Lufesi, Queen Dube, Nicola Desmond
During the development of training materials, there was delay in finalization of material as the technical working group was busy with other responsibilities. There were a number of training sessions for both support staff and health care workers as all could not be withdrawn from clinical care at once. Some sessions were delayed as they depended on trainers’ availability. The other challenge that is common in all PHC facilities is that most nurses are allocated to the maternity ward. As such, no nurse is allocated to the outpatient department (OPD). For this reason, despite being trained, most nurses did not practice emergency care. These challenges were addressed through conducting refresher training and allocating nurses to the outpatient department on specific days so as to ensure nurses retained skills while implementing ETAT.
President’s message
Published in Journal of Addictive Diseases, 2022
Marla D. Kushner, Kathryn Sprague
Understanding the motivation and barriers to pregnant women with OUD therefore is crucial to successful treatment. I can think of examples in my own practice where two women on Buprenorphine/Naloxone for their OUD were treated very differently when they presented to the hospital in labor. One was supported throughout her delivery and when her baby was born the baby was appropriately monitored and placed in her mother’s arms for skin-to-skin contact. The baby roomed in with her mother and breast fed and did extremely well. The mother was treated the same as any other mother on the maternity ward. The second mother was met with stigma as she entered the maternity ward. As soon as her baby was born, he was taken away to the nursery and started on morphine despite the baby not showing any signs of distress after he was born. He was in the hospital for is first 30 days of life. This was the hospital’s routine. After mom was discharged, she would return every day to see her baby and hold him but felt stigmatized and did not feel in the same way as other new moms when they came to visit their newborns.