Day 3: Strong progress at St Damien

Dr Maria Small, who joined the St Damien Outreach team for a second time, has an update on the third day of training, and points out the strong progress the trainees are making since the first ISUOG Outreach trip in May 2011.

“Today was a busy, but rewarding day. Another exciting day of lectures and practical, ‘hands on’ scanning. Woke up at 4:30 a.m. to the sounds of call to prayer and a beautiful Haitian sunrise.

Lectures today included introduction to Doppler, preterm labor, intrauterine growth restriction, preterm labor evaluation and management, twin gestation and ectopic pregnancy.

Each day, participants demonstrate increased technical expertise and confidence. It is fantastic and rewarding to see their daily progress. Live scanning findings included polycystic ovary syndrome, bilateral dermoid cysts in pregnancy, uterine myomas in the setting of twin gestation, and many, many, many obstetric surveys. Our Haitian colleagues and course participants are comfortable performing systematic surveillance. I am confident they will be able to successfully identify and evaluate conditions such as placenta previa.

At the end of a long day, I was very happy to see the nurse midwife return to the scan room with ‘one last patient’, from the labor ward—a woman with suspected postdatism. She expertly set up the ultrasound machine and performed the entire scan with little intervention. Her progress and skills made for a fantastic ending to the day. I remember her first days with the ultrasound machine during our last ISUOG course. She is now confident and skilled, these skills, will help her to independently assess and improve the care for pregnant women in Haiti.

Tomorrow is the anniversary of the earthquake…”

Read ISUOG Outreach’s account of the Haiti earthquake during an Outreach course in January 2010 in the Central Plateau.

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