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 Children  Uganda Project #31700

Stop Ugandan women & children dying at childbirth

by Whisper
Stop Ugandan women & children dying at childbirth
Stop Ugandan women & children dying at childbirth
Stop Ugandan women & children dying at childbirth
Stop Ugandan women & children dying at childbirth
Stop Ugandan women & children dying at childbirth
Stop Ugandan women & children dying at childbirth
Stop Ugandan women & children dying at childbirth

OBSTETRIC ULTRASONOGRAPHY FIELD REPORT FOR 30THAPRIL, 01STAND 2nd MAY, 2019 

For centuries, Non Governmental Organizations operating in Uganda had not realized the significance of community obstetric U\S scans. Most of the charity organizations had not been targeting mothers in urban areas who can not even afford to pay or access ultra sound services.  

Many mothers in rural areas have ended up losing their lives during delivery since they cannot access or afford to pay for diagnostic services during pregnancy. 

From the above back ground, Whispers Magical Children and Maternity Hospital has been documented as the first charity organization to provide free obstetric U\S scans to mothers in the rural areas in order to reduce abortions and maternal complications during delivery which may result into maternal deaths.

The field team on 30th\04\2019, 01st\05\2019 and 02rd\05\2019 visited Namalemba H\C II, Bunyiiro H\C II and Bulyansiime H\C II respectively.

The first two Health Centers are located in Iganga district and the last one in Bugweri district.  These districts are found in eastern Uganda i.e great Busoga region.

These health centers are located deep in villages with high number of mothers attending antenatal services. 

They lack diagnostic services and even they have limited number of staffs.

We found many mothers waiting for the services however we were not in position to work on them all since we were limited by the battery of the machine as it can work on 10 mothers only.

All the scanned mothers had never accessed obstetric U\S scans before.

 

TABLE 1; SHOWING THE NUMBER OF MOTHERS SCANNED IN DIFFERENT HEALTH CENTRES

DATE

HEALTH CENTER & Number of Mothers

 

30\04\2019

Namalemba  H\C II

15

01\05\2019

Bunyiiro H\C II

34

02\05\2019

Bulyansiime H\C II

27

From the table above, a total of 76 pregnant mothers were scanned.

FIGURE 1; A PIE CHART SHOWING SCANNED MOTHERS IN SPECIFIC TRIMESTERS  

From the chart above 8% of the scanned mothers were in the first trimester, 44% in the second trimester and 48% in the third trimester.

Out of the two mothers in Bulyansiime  H\C II with low lying placenta , one was noted with a partial placental praevia.

This mother was at 18 weeks of gestation, with no history of PV bleeding. She was educated on the dangers of placenta praevia like PV bleeding during pregnancy (APH), failure to have a normal delivery and others.

The midwife at the facility was advised to have a close follow up on the mother to prevent negative out comes. Rescan will be done in the third trimester to confirm the final position of the placenta in relation to the internal OS.

 

Challenges 

  • The field team needs a mid wife for recording the findings in order to reduce on task given to the radiographer as he scans as well as writing reports.
  • We always reach Health centres late due to delayed departures from whispers since the accounts department delays to clear the team with field facilitation funds
  • Field uniforms are not enough
  • The phone screen is small for viewing  images
  • Health centers lack electricity to charge the batteries

             Recommendations

 

  • Let the field facilitation money be provided a day before the activity
  • More field uniforms should be provided (3 T –SHIRTS)
  • An I pad should be provided to have a large screen for viewing
  • Power banks should be provided to charge the equipments.

              Expectations

 

  • Complications during delivery are to be easily managed since anomalies are diagnosed  earlier in mothers and follow ups made by medical professionals 
  • Mothers in rural areas are to save the little money they have as the services are free of charge.

              Learnt lessons 

  • pregnant mothers  in rural areas reach  delivery  periods without any scan done on them
  • mothers are primitive  about Obstetric U\S scan
  • Mothers are highly interested in knowing the genders of their babies

           Conclusion

  • Field team managed to visit three rural health centres during its second week of providing free scans to pregnant mothers
  • A total number of 76 pregnant mothers were  scanned
  • 8% of the scanned mothers were in the first trimester, 44% in the second trimester and 48% in the third trimester

Prepared by

  1. Wabwire Samuel  (radiographer)
  1. Ntambula Harri-Sam (social worker)

       3. Laaki David (social worker)

Doctor Isaac with the mother and her newborn baby
Doctor Isaac with the mother and her newborn baby

Whisper delivered healthy baby boy at 32 weeks to a HIV positive mother suffering from stage 4 breast cancer, who was in unbelievable pain kept at home, until her breast fallen off, this is when the fighter Amanda Mwanje finally managed to bring the patient to Whisper's Magical Children's Hospital


As soon as we saw Amanda’s Facebook post searching for people to help this suffering lady to deliver the baby, and raising huge amount of money for the hospital bills, I didn’t wait for a second to be here for her patient again, and offered to help deliver the baby for free.

Whisper sent the transport of $55 for the special hire to Amanda to bring the mother right away to the hospital, however on the day of departure next morning, the family stopped the mother from coming here and instead invited the witch doctor, who convinced them it wasn’t a cancer but witchcraft. 


Under incredible pain, the mother was suffering, and it was killing us, but Amanda didn’t give up. She involved authorities to help. In that whole process, the situation went worse and the mother’s right breast fallen off and it was already infested and cleaned by maggots. 


Amanda then rushed the mother to our hospital on Sunday evening 17th of March 2019, where all of our amazing doctors and radiographer came together to assess the unborn baby that could get into distress any moment and die including the mother herself. (Dr John Mundaka, Dr Fadga Fad, Dr Isaac and Dr Sekatawa Wycliffe Sparks and radiographer Sam) heads together and decided to deliver the baby normally by inducing the labor. For sure we are in magical hands of God and it is unbelievable how somebody so sick was capable deliver such a perfect baby! The baby was given a syrup to prevent him from getting HIV and will need to be fed on formula only for at least the first 6 months of his life. Formula that will last for 3 - 5 days will cost $10. Any help to this baby is highly appreciated! 

Thank you to all of our donors of Whisper to continuous support of the charity.  

Our heart is full of happiness.

Amanda Mwanje your rock, as always.

Welove you Whisper doctors! #teamwhisper #helpwhisper #maternity#ugands #thestoryofheartbreakandhope

A newborn baby boy is still awaiting his new name
A newborn baby boy is still awaiting his new name
Despite the unbearable pain, she managed to smile
Despite the unbearable pain, she managed to smile

We officially opened the Whisper maternity on 25th of May 2018. We have received a total of 727 mothers who registered for our maternity services. We have a full time professional gynecologist who is also a consultant dealing with women reproductive issues.

We have carried out over 41 deliveries categorised under Normal deliveries, Elective and emergency C-sections. We get a lot of feedback from our patients through our social media sites informing us a bout the impact of our maternity services to the community.

The community appreciates the great work we are doing. So many mothers have suggested that we expand our maternity services to Kampala and other cities in Uganda. So many lives are being saved and we are so grateful to our lovely donors for supporting us to make our dream of reducing the high maternal mortality rate in Jinja a reality.

Dear Whisper family,

As much as everyone is getting ready for Christmas, Whisper is tires-sly working every day to ensure that all of our client's Christmas is extra special this year.

Whisper's Magical Maternity organised a free ultrasound scanning for all pregnant mothers, together with gynecological consultations. 

This offer had run for 5 days and the success was tremendous.

Whisper got to see 184 mothers in total.

  • 12 - December: 37 mothers,
  • 13 - December: 30 mothers,
  • 14 - December: 21 mothers,
  • 15 - December: 32 mothers,
  • 16 - December: 22 mothers, 
  • 17 - December: 42 mothers

Out of 184 mothers:

  • 40% of mothers have never had an ultrasound before.
  • 3 mothers were diagnosed with empty sack.
  • 2 mothers miscarried
  • 6 mothers were diagnosed with Pelvic Inflammatory Disease, one of them had a chronic inflammation of the ovary
  • 1 mother was found to have enlarged liver
  • 3 mothers were diagnosed with uterine fibroids in pregnancy
  • 3 mothers were found to have a nuchal cord (or a cord around the neck — is one of many things mothers-to-be fear about childbirth. The thought of your baby being 'strangled' by the umbilical cord can cause so much worry)
  • 3 mothers were found to have cervical incompetence (short cervix) it means the baby cannot be hold well
  • 3 mothers were diagnosed with poloyhramnios. Poloyhramnios is a medical condition describing an excess of amniotic fluid in the amniotic sack.

100% of mothers got images printed, and every one of them wanted to know the sex of her baby. Every mother with complications was seen by our senior consultant gynecologist Dr John Mundaka.

2 of the mothers who were diagnosed with uterine fibroids have never had a scan before.

One mother with complications partly paid for our antenatal package ($40). This package includes up to 4 free scans, medication and 4 consultations with gynecologists

Every mother who came to the maternity, received a small pack of ground nuts to keep them occupied and not hungry :) Those g-nuts packs are made for every client during our Christmas season at the hospital. 

Expenditure of this 5 day christmas free service:

  • 48 pcs of toilet paper $10
  • 2,5 l of ultrasound gell $14
  • 1 roll of sono paper (ultrasound printing paper). $22
  • and 1 reem of paper $6

This means that the total expenditure of providing  a high quality free ultrasound and free prints to 184 mothers was $52.

This means each mother was seen at $3,50 dollars. 

*cost of this project does not include salary payments for gynecologists ,radiographer, and midwives and the daily awareness drives around Jinja districs. 

Whisper is very grateful that it can have this amazing impact on so many expecting mothers, and having to help those with serious complications. 

Overall, we also got only positive feedback from the visitors. People really appreciated the cleanness of the maternity department, some women have never got to see an operating theatre before.

We are  very inspired by this program, and we are thinking of introducing free scans on more regular basis. 

Whisper also tested the efficiency of our maternity team and of the ultrasound equipment. The ultrasound worked really well and didn't disappoint us :) All mothers were told the sex of the baby, and all mothers also could see the sex of their baby on our ultrasound TV.

We have already created a Christmas vouchers that are valid until the end of January, and were already taken to the nearby and too far-by clinics, to be given to any woman who needs either gynecological or pregnancy scan.

All this would not have been possible without donors who keep our work going!

On behalf of the entire #teamwhisper, allow me to wish you a very Merry Christmas and a Happy New Year!

Veronika

Image on a mobile phone during portable scan
Image on a mobile phone during portable scan

Dear Whisper family,

 

Our Whisper's maternity department has been doing well, since started to operate back in June 2018.

Below is a report on number of deliveries since June 2018.

 

June: 12 visits

July: 35 visits

August 26 visits

September: 38 visits

October: 50 visits

 

 

Number of deliveries:

June: 3 normal deliveries

July: 3 normal deliveries, 2 C-sections

August: 4 normal deliveries, 9 C-sections

September: 2 normal deliveries, 1 C-section

October: 3 deliveries, 2 C-sections

November: 3 deliveries, 3 C-sections.

 

Booked:

December: 3 deliveries

January: 11 deliveries

February: 8 deliveries

March: 7 deliveries 

April: 6 deliveries

May: 4 deliveries

June: 1 delivery

July: 1 delivery 

 

It was reported that 75% new mothers come to us because they were recommended our services by our previous clients, and 25% of clients came because they saw an awareness  on social media.

 

EXCITING NEWS:

Whisper got an opportunity of purchasing a portable ultrasound with almost 80% discount. It is the latest technology of portable ultrasound CLARIUS brand - ultrasound anywhere, and this is exactly what we are going to be using it for.

Our vision is Changing healthcare through love and happiness and some of the objectives of Whisper's maternity project are:

  1. Safety of the baby
  2. promoting antenatal
  3. reducing growing number of abortions

Clarius ultrasound anywhere is a small device that connects to the tablet or mobile phone via bluetooth and gives incredibly good images and immediate results that are possible to share with radiographer via cloud for immediate interpretation.

Whisper plans to start with regular visits to the community health centres to provide free antenatal checks by our midwives, and also provide free pregnancy ultrasound scans for pregnant mothers, as more than 80% of those pregnant women never had any ultrasound scans done before.

We hope to spread the word about the importance of antenatal and like this reduce the number of birth defects, premature birth, cardiac problems of born children and reduce on number of death rates.

Midwives being introduce to our scan
Midwives being introduce to our scan
Sam - our radiographer
Sam - our radiographer
Ultrasound scan probe
Ultrasound scan probe
Our obstetrician and gynaecologist
Our obstetrician and gynaecologist
 

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Organization Information

Whisper

Location: London - United Kingdom
Website:
Facebook: Facebook Page
Project Leader:
Veronika Cejpkova
London, United Kingdom

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