PHASE ANMs Support in Relief of Prolonged Labor

PHASE ANMs Support in Relief of Prolonged Labor
June 17, 2020 PHASE Nepal

During the COVID-19 lockdown, PHASE’s health staff are continuing to serve vulnerable, remote communities in Nepal, throughout the health and economic crisis caused by COVID-19. Through our skilled PHASE ANMs who live in the community they serve, PHASE’s goals of reducing maternal mortality, neonatal deaths, and child-birth complications continue. During this unprecedented time, PHASE’s mission to serve and empower the vulnerable with quality healthcare is more important than ever before.

Dhainakot, Mugu- Though A. B. is just 36 years old, she is already expecting for the seventh time. She has six daughters but no sons, to the great bereavement of her husband. Out of fear that he might leave her for another woman for not bearing a son, her pregnancies continue. A.B’s family is poor and despite working hard as farmers to support themselves have little money. Throughout her seventh pregnancy, which she hoped would bear a son, A.B regularly attended antenatal check ups in the PHASE supported clinic in Dhainakot.

16th April, 2020, A.B’s husband rushed to the Dhainakot PHASE clinic, requesting that the PHASE ANMs visit his house to check his wife’s condition. A.B had been in labor pain since the previous day but had not been able to deliver a child. The PHASE ANMs advised him to immediately bring A.B to the clinic so she could safely deliver.

Soon after, a nervous, pained A.B was carried up the mountain to the PHASE supported clinic. The PHASE ANMs reassured the mother that all would be fine. Upon examination, the fetal heart rate was at 140/m, blood pressure at 120/80 mm of hg, and the cervical dilatation at 8 cm. After 3 hours of labor, A.B delivered a healthy baby boy of 3800 grams. Her placenta was removed following the delivery in a few minutes. The PHASE ANMs kept her on observation for a few hours and counselled her on postpartum and neonatal care, providing iron and vitamin tablets, as well as a ‘Nyano-jhola’ containing warm clothes and wrappers for the mother and newborn. She was discharged and returned home healthy and happy for the birth of a son at last.

A.B brought the PHASE ANMs flowers soon after and shared, “Thank you very much sisters, you saved me during those long painful hours and helped me birth my son. I am so glad that you gave us warm clothes. Thank you.” 



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