Presentation for L&D in Indiana about OB at Tenwek Hospital , Bomet, Kenya 5/2012

1. Caribou !
Lunch and learn about Kenyan obstetrics
5/2012

2. Africa

3. Kenya

4. Bomet County

5. Tenwek Hospital
 Picture of hospital

6. Prenatal care

7. Prenatal care
 Picture of clinic and waiting
 Picture of books
 Kenyan fetoscope

8. Maternity
 Sign to maternity entrance
 Head nurse
 Student at desk
 Smells
 Video down hall
 Labor area

11. Admit

13. Josphat and Geoffrey- nursing

14. Staff Room

15. OB observation

16. Iv fluids

17. Delivery

19. C-section

20. Medical Education

21. Wait- Chai time !!

22. Return to C section

23. Back door of maternity

24. Anesthesia

25. Sterile sink for Operating Theater

26. Finally!

27. Post partum
 Ward picture
 Babies in bassinett
 Video of nurse explaining baby admit
 Mom nursing toddler

28. Feeding baby

29. Feeding mommy

30. Emmanuel selling the days milk to
the hospital

31. Pediatrics

32. NICU
 Sign
 Babies
 Picture of peds docs

39. Medical records

40. Outcome struggles
 Infectious diseases (HIV,TB, brucellosis)
 Malnutrition
 Prenatal care
 Cardiac disease

41. Outcome successes
 No genital mutilation
 Free use of Csection ( no vesicovaginal fistulas)
 HIV clinic- Decreased mom to baby transmission
of HIV
 Improved dating and growth evaluation with US/
NST

42. Future
 Picture of Neddy and twins