For the poor women of Madagascar, prenatal care, childbirth attended by trained medical personnel and postpartum care are often nonexistent. Little aid is available for mothers, and their babies leading to tragic, and preventable, deaths.
Over the past year, CRMF has worked with a U.S.based team led by Jack Gardner, PAC, a developing country medicine specialist, to design a twofold program that would train Malagasy doctors and midwives to handle the postpartum crises that often take the lives of mothers and babies. It would also give them the equipment and medications they needed to implement that training.
The two week training program designed by Dr. Carol, an obstetrician with a private practice in Cincinnati, incorporated classroom lectures based on best practices in postpartum care; practice sessions with birthing simulators, suturing and resuscitation models; the introduction of new techniques; and sidebyside mentoring at the Ankirihiry Clinic.
Dr. Carol taught techniques that prevent postpartum hemorrhage such as active management of third stage labor. Using suturing models, doctors and midwives practiced proper repair of lacerations, another cause of postpartum hemorrhage.
The clinic also has a new data gathering system for tracking outcomes, and a protocol for ongoing communications between the doctors and midwives in Madagascar and the U.S. medical team.