- Thread starter SKing
- Start date
MW4DR: How do we get past la Cabesa Dura?
You can't even imagine the emails I get from expats.
If Midwifery were legal and I was done with school, I would make a decent living (by Dominican standards) attending expats alone.
Last week another email from a Russian offering me $4,500 to attend her birth (I denied as I am not out of school yet and it would be ILLEGAL in DR so she is looking for a Midwife willing to travel to DR)
If Midwifery were legal and I was done with school, I would make a decent living (by Dominican standards) attending expats alone.
Last week another email from a Russian offering me $4,500 to attend her birth (I denied as I am not out of school yet and it would be ILLEGAL in DR so she is looking for a Midwife willing to travel to DR)
I'm confused. Many births in DR take place at the mother's home with assistance from the local matrona, who of course has no formal training whatsoever. Is that illegal according to dominican laws?
This is not true,and a common misconception.
98% of the babies born in DR are born in a hospital by what is called a SBA (Skilled Birth Attendant).In DR,that is usually the physician,except in cases such as SFM, where the Emory Trained Nurses (there are 3 of them) deliver the majority.
It is against the Dominican health law for a Comadrona or Partera to deliver a baby. What happens, such as in the case of the Russian ladies, is that the woman willcall the comadrona and have the baby with her assistance but it will be said that the comadrona was stopping by for coffee and the baby "just came out". This is what some expats are doing, paying out of country Midwives a hefty sum to "drop by for coffee".
We are trying to get this law amended so that Dominican nurses can become Midwives (once a program is established), but we cannot approach the Government empt-handed, we need to have some studies,some evidence as to why this is needed. It has been proven world wide in hundreds of studies that Midwives provide high quality care comparableand even surpassing that of a physician.I could guantee you that if there were Midwives in the Dominican Republic, the MMR would decrease. In every other 3rd world country it has been proven. The DR has very little education of Midwives, what they do, and how they are educated. Slowly but surely......
But in answering, yes, that is illegal according to Dominican law but there are less than 1% of babies born with a comadrona in DR
SHALENA
I'm also wondering if the success of the SFM clinic was due to training women (primarily nurses), and are the OBGYN's and the administrators at Cabral mostly men? I may be wrong, but I'd try to find a woman OBGYN that you can have a heart to heart with on this. They've no doubt dealt with breaking through a traditional Dominican (male) mindset. Maybe I'm wrong, and there are a lot of female OBGYN's? I'd have two lines of "attack" or strategies--one through the people on the front lines (nurses), the second with the administration.
Sorry shalena, But I Don't Hold Out Much Hope!
After worrking in a Dominican hospital is SD for 10 years I have more "Horror Stories" than Steven King!
They are just not willing to learn.
I held "In-Service Training Classes" for everyone from the chief surgeons to the house keepers.
If they ever came, they didn't pay attention, and they usually didn't come.
I had Tele conferencing with Massachusetts General Hospital in Boston.
"Grand Rounds" from all the depts. there.
The "Docs" WOULD NOT COME!
If it doesn't put some "dinero" in their pocket, it ain't gonna happen.
The Dominican Medical Association doesn't require doctors to get continuing trainibg to stay liscensed.
Just do YOUR best, and hope you will find one or two docs, and nurses to get the idea.
When I tried to get the head nurse to improve cleaning in the ORs, she said "Why, we don't have any infected patients!"
THAT's what you are up against.
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After worrking in a Dominican hospital is SD for 10 years I have more "Horror Stories" than Steven King!
They are just not willing to learn.
I held "In-Service Training Classes" for everyone from the chief surgeons to the house keepers.
If they ever came, they didn't pay attention, and they usually didn't come.
I had Tele conferencing with Massachusetts General Hospital in Boston.
"Grand Rounds" from all the depts. there.
The "Docs" WOULD NOT COME!
If it doesn't put some "dinero" in their pocket, it ain't gonna happen.
The Dominican Medical Association doesn't require doctors to get continuing trainibg to stay liscensed.
Just do YOUR best, and hope you will find one or two docs, and nurses to get the idea.
When I tried to get the head nurse to improve cleaning in the ORs, she said "Why, we don't have any infected patients!"
THAT's what you are up against.
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It's not so much the dinero as the picadera. You won't get many people attending a meeting or a training course unless you provide picadera.After worrking in a Dominican hospital is SD for 10 years I have more "Horror Stories" than Steven King!
They are just not willing to learn.
I held "In-Service Training Classes" for everyone from the chief surgeons to the house keepers.
If they ever came, they didn't pay attention, and they usually didn't come.
I had Tele conferencing with Massachusetts General Hospital in Boston.
"Grand Rounds" from all the depts. there.
The "Docs" WOULD NOT COME!
If it doesn't put some "dinero" in their pocket, it ain't gonna happen.
The Dominican Medical Association doesn't require doctors to get continuing trainibg to stay liscensed.
Just do YOUR best, and hope you will find one or two docs, and nurses to get the idea.
When I tried to get the head nurse to improve cleaning in the ORs, she said "Why, we don't have any infected patients!"
THAT's what you are up against.
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Believe me, I TRIED the "Picadera" approach!
But you know Dominicans, those who were supposed to attend took the food and left.
Then everyone and their "Hermano" came and ate everything else!
I used to get big birthday cakes for employee's parties. The first 10 people ate cake, then loaded up plates to take home, BEFORE everyone had eaten.
Free Food and you get more Dominicans than "Ants at a Picnic"!
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But you know Dominicans, those who were supposed to attend took the food and left.
Then everyone and their "Hermano" came and ate everything else!
I used to get big birthday cakes for employee's parties. The first 10 people ate cake, then loaded up plates to take home, BEFORE everyone had eaten.
Free Food and you get more Dominicans than "Ants at a Picnic"!
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Dude.. we understand you live here and have a lot of great knowledge to share with the community.. but can you cut it out with the blatant racism and blanket statements.. I'm Dominican, and live here, and I'm nothing like this bull**** that you post on a daily basis.. Get a life and spend some time off the damn computer and maybe you'll meet people that don't fit your racist stereotypes..
and to think you are a "moderator" on this site.. moderator of what?
TRUTH HURT???????????????????????????
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it has nothing to do with race,it's the hipocracy,ignorance, and lack of personal,and communal, responsibility that Pi$$es me off!
YOUR'S TOO!!!!!!!!!!!!!!!!!!!!!!
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it has nothing to do with race,it's the hipocracy,ignorance, and lack of personal,and communal, responsibility that Pi$$es me off!
YOUR'S TOO!!!!!!!!!!!!!!!!!!!!!!
Wait a minute.... making money will help.???
How long does that Mid-Wifery course take?
20-30 births a day and some are willing to pay $4-5000 ???
Thats a meal ticket.
The doctors s/b 'dropping by for coffee"....
Sounds to me like there is ahuge potential here - both socio and economic..... a perfect storm in the making!!
SK, the Deviate's comment about private hospitals is a agood one..... start where the $$$$ are and then you'll afford the 'community' work.
Post the PayPal account..... I will give you money and I hope some of the others (loudmouths included) will follow suit.
How long does that Mid-Wifery course take?
20-30 births a day and some are willing to pay $4-5000 ???
Thats a meal ticket.
The doctors s/b 'dropping by for coffee"....
Sounds to me like there is ahuge potential here - both socio and economic..... a perfect storm in the making!!
SK, the Deviate's comment about private hospitals is a agood one..... start where the $$$$ are and then you'll afford the 'community' work.
Post the PayPal account..... I will give you money and I hope some of the others (loudmouths included) will follow suit.
i finally dare to write something else here. and please, please, shalena, do not take it the wrong way: i have nothing but respect for anyone in a medical profession and i do not mean to belittle your education and experience. nonetheless, do remember not to call yourself a "nurse" when meeting medical folks here in DR. a nurse in DR is worse than a dog in the eyes of many doctors because she usually comes from humble background and has little formal training, not to mention her lousy pay.
always introduce yourself as a "specialist". use your formal title, a diploma and so on.
again, i do not mean bad. in my country a nurse often has 5 full years of university behind her belt and is a great specialist in her field. a good nurse can make decent money too. but this is DR. nurses are not respected here despite doing their job, often quite unpleasant.
always introduce yourself as a "specialist". use your formal title, a diploma and so on.
again, i do not mean bad. in my country a nurse often has 5 full years of university behind her belt and is a great specialist in her field. a good nurse can make decent money too. but this is DR. nurses are not respected here despite doing their job, often quite unpleasant.
About 20 years ago I asked a prominate Dominican doctor,
"What constitutes a "Good Nurse" in the DR?"
He said, in all seriousness,"If she can make a good cup of caffee, she's a good nurse>"
Things haven't changed much since then.In the USA, the nurses run the "Units", the doctors just work there!
It's much healthier for the patients taht way!
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"What constitutes a "Good Nurse" in the DR?"
He said, in all seriousness,"If she can make a good cup of caffee, she's a good nurse>"
Things haven't changed much since then.In the USA, the nurses run the "Units", the doctors just work there!
It's much healthier for the patients taht way!
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If your horrible grammar and sentence structure are any indication of the way you spoke with the "prominent" Dominican doctor, I am not surprised he gave you the answer he did. I would take anyone answering you "in all seriousness," with a grain of salt.
A "Champion."another idea is to involve a celebrity. which in dominican terms means someone who is featured in "ritmo social"
i am not sure who could help here and help you reach the rich. but having someone of high social status back you up is going to move your case forward faster than any dinner or show.
maybe it is worth to flip the pages of domincan weekly magazines that come with listin diario and hoy. check who is getting married and who is getting pregnant. connect with those women via your project's facebook profile. present your ideas as a new fad, a way to shine as a mother. granted, rich women's kids are brought up by nannies but those women themselves never miss the opportunity to talk about how motherhood changed them and how kids are the light of their lives. play with that.
That's been my suggestion since Day 1...
"Sigh-Yawn-Ara"
I reswemble your last remark!
But why are you brining my "Granmar" into this???
She's bean ded for yeers!
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I reswemble your last remark!
But why are you brining my "Granmar" into this???
She's bean ded for yeers!
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Shalena just keep doing what your doing. Keep at them. Show them what they can learn. There is no reason why the DR has to be 3rd World when it comes to maternal care. It is just old school thinking. You will find that one person who will help you take your message far. Just keep knocking down those doors and be persistent. My sister in-law works 24-7 but I will see when she can meet with you. I will see her in the next week or 2 and I will PM you...