International Midwife Day; Kampala Hospital Offer Free Medical Services To Pregnant Women, Call Father's To Help Their Pregnancy Partner.

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International Midwife Day; Kampala Hospital Offer Free Medical Services To Pregnant Women, Call Father's To Help Their Pregnancy Partner.

SUMMARY: Nurses and midwives play a vital role in providing health services; “These are the people who devote their lives to caring for mothers and children; giving lifesaving immunizations and health advice; looking after older people and generally meeting everyday essential health needs. Often, the first and only point of care in their communities.”

As the world geared up to celebrate the International Day of the Midwife (May 5th) and the International Day of the Nurse (May 12th), This year is being celebrated under the theme, “Follow the Data: Invest in Midwives”. The day coincides with the launch of the 2021 State of the World's Midwifery, Developed by UNFPA, the UN sexual and reproductive health agency, World Health Organization (WHO) and International Confederation of Midwives (ICM). The underlined key issues includes; policy recommendations to improve sexual, reproductive, maternal, newborn and adolescent health service delivery.

Leah Chelsea Kamau, the head of nursing Kampala Hospital in exclusive interview with this website said that, it's indeed a pleasure as Kampala Hospital to join the entire world to cerebrate and recognized the nursing and midwife day amidst Covid-19 pandemic.

“Celebrate the work for nurses and midwives, highlight the challenging conditions they often face and advocate for increased investments in the nursing and midwifery workforce.” Leah Chelsea Said. Adding that we need to look at data, what midwives do, as they play a key role in preventing a preventable death that occur during Pregnant and child birth.

Leah Chelsea Kamau, Head of nursing Kampala Hospital.

Leah adds that the aim is to improve the outcome of maternal and child death. "If we to reduce maternal and child death, we need to invest in midwives, areas of training, midwife who's trained in managing neonatal emergency, if they're able to identify emergency and study the interventions at that level which will help to prevent that death" Said Leah Chelsea.

She noted that's includes when the baby immediately gets some complications that don't even intended but the trained midwife will be able to apply those interventions that are needs to immediately and save the life of baby. However let us invest in midwives in terms professional, technologies that reduce their physical work force. "As Kampala Hospital, during the Covid-19 pandemic we have managed to come out with mobile clinic to reach out all our mother's and able to save them deliver in a situation of no transportation". Said Leah Chelsea.

CHALLENGES THAT ARE FACED BY MIDWIVES

According to Leah Chelsea, staffing is one of the challenges that faced by midwives world wide. We really need to improve and when you look at the data, what we want and the out come, if we are to improve on midwives coverage not only in public setting but also in private setting to be able to achieve the sustainable development goals that we want to achieve. 

"Staffing is the pivot to hold, things to use and I appeal for support especially the government if they can be able to partner with private hospital's (Kampala Hospital) in mother care and babies, to help and reduce on costs hence to achieve healthcare for all". Said Leah Chelsea

WHAT ARE THE STATISTICS

“We now know that achieving universal health coverage through midwifery continuity of care could prevent 67% of maternal deaths and 64% of newborn deaths by 2035". Said Leah Chelsea. Meanwhile the 2021, focus on the changes and innovations in nursing and how they will ultimately shape the future of healthcare. As the largest healthcare profession, nurses should play an integral part in planning the future of healthcare.

COURSE MATERNAL HEALTH

Accordingly to Irene Mugide, the senior midwife Kampala Hospital in Uganda, mothers are dying at an alarming and increasing rate. In Uganda, one woman out of every 49 will die of a maternal complication related to pregnancy or delivery.

However women in rural Uganda face multiple barriers to accessing critical routine and lifesaving maternal health care. The barriers fall into the Three Delays Model, delay in deciding to seek care, delay in reaching care for example transportation and lack of road infrastructure, and delay in receiving adequate and appropriate care e.g. lack of skilled birth attendants.

Irene Mugide, senior midwife Kampala Hospital

"The leading causes of maternal death are hemorrhage, eclampsia high blood pressure, unsafe abortion, and infection. All of these causes of death are largely preventable. What makes the Three Delays Model so important is that with appropriate medical care, the vast majority of these deaths would not occur. This model addresses the barriers to accessing lifesaving treatment by outlining where each barrier may occur. Central to this model is the practice of encouraging women to seek care as soon as possible, in order to ensure survival". Mugide told this website.


HOW TO MANAGE THEM

Some of the interventions include; Managing maternal anaemia with iron preventing and managing post-partum haemorrhage,
immediate thermal care for newborns extra support for feeding small and preterm babies,
antibiotics for the treatment of pneumonia in children.

"What is new," says Irene Mugide, Newborn, Child and Adolescent Health, "Is putting together information in a different way and building consensus among physicians, scientists and professional organizations to lay out an evidence-based path to help women before, during and after birth and their children. Everyone now agrees on the 56 essential interventions."


TIP'S FOR PREGNANT WOMEN

Christine Nambatya, the senior nurse Kampala Hospital said that in regard to cerebrate the international world midwife day, pass on some tip's on how mother's can do to to try and reduce the high materity rate.

"Come for antnental visit as the ministry of health advise at least eight time's, as soon as  mother's realized they could have get Pregnant they should come for the antnental visit at least by the twelve weeks and they should come to hospital every month to see their midwives.

She say's, at Kampala Hospital have a program of calling back mother's who's come for antnental to see how they are fairing and remind them their appointment. 

"In case a mother missed, we still follow up to home and encourage them the time for hospital, follow the guidelines of midwife and anything don't understand, let them feel free come back to hospital". Said Nambatya

CALL FOR FATHER'S 

"We encourage father's to always support the mother's, come with them at antnental visit and hear from the midwives, what you able to remind them incase they forget to take their dugs and also to follow up back to hospital. For the mother's too, it's very important when they are Pregnant you already physically stressed, the support for your partner will do a great deal in helping them save through the nine months comfortably and even the time for birth, that support plays a very important role in the mother's mental health and we all know that health is not just absence of disease but also a mental state counts". Nambatya advised. Adding that as we encourage mother's and their Partner, in Kampala Hospital it's a fist come, first save but actually when you check with government hospital when mother's comes with their Partner gets a first priority.

THE FREE SERVICES DURING THIS DAY.

On this day of international world midwife, Kampala Hospital offered free midwife antnental clinics, cancer breast clinics, family planning clinics as well as counselling  and guiding, tell a friend and friend to tell a friend's to pass by at Kampala Hospital from today up to Friday 7th of April.

THE PATIENT'S CALL.

Nalubega Shadiah on behalf of deliverance mother's at Kampala Hospital a head of this day appreciated the hospital Service cares from the three months start up to birth.

Nalubega Shadiah (middle) on behalf of mother's Kampala Hospital.

"I have been coming here 'Kampala hospita' whenever they told me, after two weeks, one month followed the midwife prescription, now my baby is just for one day and my advice to all mother's out there it's very important always to visit hospital not only for a baby but also for your personal health" Said Nalubega.

Dr. Paul Muwanguzi the gynaecologist Kampala Hospital Said that the high materity rate in Uganda is still an acceptable, 368 death to every 100,000 live birth according to the last report.

Muwanguzi continues that, Uganda is a big country with a very young population with a very high fertility rate and with a very few health worker's, when it comes to skilled birth attendence. This is what makes different, when a woman is Pregnant and she goes to Hospital to deliver she attended to someone who has got training in identify child complications, child birth giving immediate care and referred for appropriate care incase it needs.

However, a midwife is a very highly skilled specialist nurse who has received training to identify complications of labour to offer appropriate treatment and after patients who need to receive that care.

Meanwhile according to the structure of health system of this country 'Uganda' we have got decentralized services right from health center 1 to national referral hospital and we begin to see midwives at health center (ii), (III), (iv) district hospital's, regional referral hospital and of course national referral hospital's.

Dr. Paul Muwanguzi Gynaecologist, Kampala Hospital

Accordingo the last demographic health survey 2016, "About 97 percent of all women in Uganda deliver under the supervision of skilled attendant. If you moved little beat out side urban centers you realised that birth units are actually cared by midwives because they have trained for and softly save both mother and baby". Said Dr. Muwanguzi. Adding that we still have a staffing gap's of about 36 percent as far as midwives is concerned in the public.

He adds, here at Kampala Hospital we are lucky to work with midwives and everywhere you look right from the entrance to the clinical room to the hospital and every department you find midwives. 

"The data tells us if every woman in this great country able to access a midwife, we would see a significant reduce of maternal materity. As a professional if I perform for any better than any body else is because I was standing with a midwife who's every day work in shifts to make sure we can bring life safely in this world". Said Dr. Muwanguzi.

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