Tuesday, June 10, 2014

What is it that I am trying to do in this work?

I was just reading one of my favorite bloggers (one of the few I follow), and came across this paragraph that I deeply resonated with:

“What is it that I am trying to do in this work? Is it enough that I (possibly) change the lives some of the women I serve, individually, and moment-by-moment? Have I done enough to encourage fellow reproductive health providers, even when I can only count on one hand the times when I believe I have actually done so? What have I accomplished in the past two years, and what of that can I accept into my heart and good and worthwhile, and what can I let go as worthy work though unsuccessful (as far as I can tell)? What am I able to do in this time, and am I really doing all that I can? How do I reflect on what has happened so far, and move forward?”


This is written by a midwife working in urban America, yet what struck me is the similarity of my feelings… even when I am hundreds of miles away, in a country where XX times as many women die every day due to pregnancy related complications. BUT—what is so incredible to me is the calling of this profession. Midwifery asks so much of you--- for you to have the knowledge and skills, but also to really care about the outcome. To have compassion, to care about each woman you see.

This is really hard some days. Today was one of those days. I was up at 6:30 am, had a meeting at a local clinic at 8, then went to another clinic for a visit, and got to the birth center at 10am. There were 50 patients waiting, and a woman had just delivered, with two of the midwives caring for her and the babe. To add to that, there is an epidemic of this new mosquito borne illness called Chickunguya, which causes high fevers and severe joint pain, and the ministry of health is expecting for 50% of the population to get it. So as soon as I got there I did my little education talk on Chikungunya, checked the temp of all the pregnant mommas who thought they may have it, and started seeing patients.

The hours went by slowly, as my fatigue set in (in 86 degree with 100% humidity) and my blood sugar dropped, I had to remind myself why each patient deserved a smile and all the time she needed. One by one the postpartum visits came in, as I measured and weighed their babies, observed them breastfeeding, addressed any problems. It is seriously one of my favorite things, to do education with moms and newborns. And it is exhausting… cause each time I want to give more of myself, more to them. I want to give them that bit of information that will help them better understand their newborn, better know how to care for them.

And each time those same questions lie in the back of my head, “Is it enough that I (possibly) change the lives some of the women I serve, individually, and moment-by-moment? What am I able to do in this time, am I really doing all that I can?”

I LOVE THIS WORK. Clearly I mean it (it is in caps). And some days being in Haiti doing this work makes me feel very alone in it… but when I read blogs and book and quotes (and have conversations) about midwifery (and with midwives), I am reminded that THIS is the work. That you care too much. That you question if it is enough. That you want women to have better care, and better opportunities, and better lives. And that will never go away (or so I pray).

And I know this isn’t only true for midwives. I know it is true for my wonderful roommates who have given so much of their lives to women and their children here in Haiti… and to soo many healthcare providers who lay in bed at night thinking of some “stranger” they took care of that day.

I guess this is just my way of saying that I think it is okay to have questions. To have doubts. It probably helps us see people as people, rather than as a problem or a burden.

So I will accept it and let go of it, All in thanks. 
Until I start a new day, and meet a new person to care too much about. 

-Leah