Saturday, December 19, 2009

Christmas is in the Air!

Merry Christmas!




It's December in Tanzania, which means that you can now go to the village and buy mangoes for 30 cents. And pineapples for a dollar. Sweet deal!




It also means that it's Christmas time:
and that we are busy making our stockings to hang by the window,


drinking hot cocoa at night and putting our scissor skills to work making Christmas tree decorations out of free Airplane magazine pages. Paper chains, woven hearts, snowflakes...












Yesterday, I finished knitting my stocking, so it's ready to hang and bulge with packages of home roasted peanuts, fruit, and encouragement notes.











It’s been a wonderful Christmas season. It’s been very special to spend it over here with all the girls… we are quickly becoming a close-knit family. It’s like having 16 sisters.

Also, the weather has taken it up a notch:

It’s getting very humid over here. Sweating a lot.

We’ve decided the only time you feel fresh and clean is immediately after a shower. …Within the hour you’re fully drenched again. It’s a – unique—feeling.


I wrote a silly poem about it:

“I’m dreaming of a white Christmas, just like the ones I used to know”


What does a winter kiss feel like?

I’m starting to forget

the frostbite toes

and rosy noses

and frosty inhalations.

The creak of ice

the chill of bone

all this is starting to be unknown

when I have lived in this foreign home

and all I taste is salt

and all I feel is sweat

I’m swimming in my own ocean

over here

and I’m tired of getting wet.

What does a winter kiss feel like?

I’m starting to forget.




We sing a lot of Christmas songs, are having fun finding letters from overseas on mail delivery days!! Thank you all!

We decorated the dining room with snowflakes and stars… it kind of looks like a children’s art classroom!

And of course, the hospital is amazing. We’re really enjoying it and getting more fluid with our skills.

May you have a fun, creative, love-filled, Christ-centered Christmas!


Here are some photos of us in uniform…


Here is a team photo of us looking mighty official.
And here are my roomates and I.
We are 10 to a room.... nice and cozy!

We're still loving working at the hospital... it is crazy that we have less than a month here now.

Merry Christmas and Happy New Year ....... from East Africa.




Behind the Veil






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Baby #7


Her name is Fat-Hiya Aly Salum.
She is a beautiful young girl, thin, lighter olive skin, 19 years old, and she is pregnant.

Her hair is long and whimsically braided in big sections that swell and twist and taper into thin air, like the ebb and flow of woven raw silk.
She has deep round eyes with fluffy dark eyelashes, and when she smiles, her full lips part to reveal her sweet little grin, with spaces between each tooth.

When she stands to walk around, her long legs take careful steps as her knobby knees wobble under the pain (and her top-heavy tummy), like a young foal learning to stand on its own. Her long neck cranes and her elegant limbs extend to stabilize herself in her new surroundings of metal shelves, flat beds, and the smell of antiseptic.
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She has been fully dilated for a while now, but she has taken local medicine which has toyed with her regular contraction pattern. So she has been writhing in unending pain since I saw her in the morning. Her contractions have been very strong and unnecessarily painful for hours.

It is her first pregnancy, and she is markedly fearful. Her eyes flash wide with the searing pangs that overtake her tummy... the baby is coming soon.

I keep a watch on her every time I walk past, and once I see her membranes bulging, I prepare all that is needed for delivery.

Her membranes are bulging (her amniotic sac is intact and now looks like a water balloon coming down the canal.) At this point we rupture them (for they have not broken on their own) with the tip of the cord clamp, but manage to only get a small puncture, so the water is squirting out of a small hole.

Slowly, slowly, the baby’s coming down.
It’s painful for her, often there’s a look of horror on her face that sometimes she cannot even make a sound. The perineum looks tight and I question whether it will be able to stretch.
In this moment, it dawns on me that here I am, experiencing with her probably the most excruciating moment of her life.

Everything is going okay, it’s just not that fast. It’s good that the skin is slowly stretching, letting the birth take its course, not doing anything unnecessary...
The baby’s head crowns. This is the most painful part of the whole birth, termed the “ring of fire”.
This goes on for probably 10 minutes. Her eyes plead to mine but we reassure her that everything is going great!

I cannot imagine the pain. At this point the nurses would probably do fundal pressure, pulsing hard in forceful jolts on the top of her belly to get the head out. No, I’m not going to anything of the sort. We just wait and let baby come as he wants. My goal is to watch the perineum. It looks tight, but we’re trying our best to take it slow and do all that we can to help it not tear.

The head crowns... and baby delivers soon after. What a handsome baby! He is so cute, he’s captured my heart at the very sight of him!

I am thankful for the way I could take my time for this delivery. Especially for care after the baby was born. I didn’t have to be anywhere, the labour room wasn’t busy, all I had to worry about was Fat-Hiya and her having the best first delivery experience she could have. I knew she was scared and fearful and skittish, so I stayed with her, smiled a lot, and was very gentle in everything that I did. You could literally see her nerves calming down as we became familiar faces and pillars of trust to her, offering a comforting smile and a soft touch.

We brought baby over as soon as possible and she got to lay with him. It is so beautiful to see the sweet bond established as this young girl now becomes a mom.
I cleaned her up, changed her khanga, and when I checked her for tears, I was amazed! No tearing.

I was amazed, mostly at God, that our bodies are so well-made!

She looked so tight before, I was even wondering if she would need an episiotomy, but here she is, tear-free, with only a few scrapes that will heal on their own. Praise the Lord!

It was a long day for her. Hours and hours of pain and discomfort, but now,
she has a healthy, handsome little son beside her,
and she doesn’t need stitches.
Yes, this is how it is supposed to be.
She smiled at me with her young, bashful eyes, her childish braids going this way and that.

After she had rested, and was ready to go the Postnatal Ward,
she hopped off the bed,
fished through her basket, and the next time I looked she was all intricately wrapped up in a saffron scarf,
covering her whole body and leaving only a window to
see, breathe, and talk.





Suddenly, this woman that I knew, her beautiful hairline and elegant neck, the shape of her shoulders and the look of her hair, now was hidden.
Even though you could see her features, the scarf was distorting the loveliness of her face into a contrived shape, that she didn’t even look like herself anymore.





I then realized yet another reason why the labour room is a special place.

We get to see women with their heads uncovered, before they put on their veils and become a shapeless figure out on the street.

The labour room is a place full of rawness, transparency, trust, and where guards are let down.
A place of intensity,
vulnerability,
and nakedness.

Where it is safe to show your shoulders and reveal that which has been covered.

What a privilege, what holy ground,
to be in the place where
the veil comes off,
all is known,

and new life comes into the world.

Baby on the Go...
























Another new day in the Antenatal Ward, another day full of surprises.


My Danish friend and I are at the examination table to check women’s dilation.




As per usual, the ward is packed, many to a bed, and the bodies have overflowed to the floor and inbetween beds.


There is a large woman with a scrunched up face, obviously in some degree of pain. The intern doctor points innocently and says, let’s check her.

We find her card, and she hasn’t been checked since 1 am last night, and she was 2 cm dilated. It is 9 in the morning now.... so it’s been 8 hours since she was looked at.
We get her off the floor, up onto an examination table and find out that she is fully dilated now.

!!
A quickness begins in our steps and we get her bag to get over to the Labour Ward as soon as possible so she can deliver. When you’re fully dialated, nothing is stopping the baby from coming at any moment.

She gets off the table, takes two steps, and then her knees give way....down she goes to the floor.
No no no no! Don’t sit down!

On her way down, I turn around and see the baby shoot out like a waterslide!


Right onto the dirty hospital floor!

The baby, still in its complete little sac, is in slow motion as it slides in its bubble across the floor. Then there’s kind of a bungee cord retraction effect as the cord reaches its end and then rebounds back towards mom.
We all freeze there for a split-second, as time stands still.


Then, I snap out of my shock as I hear,
“Khanga! Get a clean khanga for the baby!...”
I only have examination gloves on, but the nurse is holding the baby up by one leg, so I grab a khanga and quickly let the baby rest in my arms.

Somehow, a birth-kit from the labour room arrives, and we finish the delivery on the floor. Melisa, who is conducting the delivery, tries not to bend down too far with her long skirt touching the ground, awkwardly dodging the amniotic fluid pooling around her feet.

Cord is cut, and I’m standing over mum, holding baby and getting him all clean and warm.

There is a hush over the ward; I look up at all the labouring mamas.

Their little faces are peeking out from their place on the beds or on their pieces of floor, looking on with wide eyes and anticipation.
Valiantly, I hold up baby and show him to the on-looking crowd of mamas, and smile.
The tense silence is broken by laughter.
Their furrowed brows relax into a grin.
Joy is in the house.

The mom is flat on her back, -- on the bare tile floor laced with footprints and dirt and who knows what else -- happy and exhausted.
We clean her up, mop the patch of floor where she was,
and then carry on with the rest of the morning.

Wow.




What a way to start the day.



A little go-getter baby who’s on the move and can’t wait to come into the world!