November 14, 2002

Nepal Midwives Initiative

Back in Sydney, at last. There is always an interesting pile of material in my in-tray after I have been away and this time I have information about the Nepal Midwives Initiative and the work that midwife Beatrice Carla is doing to introduce Birth Centres into Nepal.

She has been volunteering her services for the past eighteen months and has generated much interest and enthusiasm for natural birth. Her newsletters describe the current scene where maternity services are largely managed by Traditional Birth Attendants in rural areas or by obstetricians in private clinics. As in many developing countries, maternity services have been modelled on early ideas from the west (American, sadly) but because of a lack of funds, further training and updating has not been possible. Women are subjected to antiquated practices that are now discredited, such as routine episiotomies, enemas, confinement to bed, lithotomy and routine suctioning of newborns.

Beatrice has set up the Nepal Midwives Initiative, with these aims:

to raise awareness about the potential hazards of western-introduced but now outdated birth practices
to demonstrate the safety of a less prescriptive and interventionist approach to birth care
to share our current knowledge and experience with Nepali colleagues
to support Nepali colleagues’ efforts to organise as midwives.

If you want to know more about this wonderful initiative, or better still, could send her a donation of money or resources, she can be contacted at:

Beatrice Carla, Nepal Midwives Fund, c/- 7 (Gf1) Rossie Place, Edinburgh EH7 5SF

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