Bidan vietnam however, at same time she witnessed many sad stories in her village which brought her

work as a village-based midwife back to life. one of the many tragic stories was the case of ka TO thi dhy th 32 year died from postpartum infection after giving birth in the farm. the dead made lan understand her important role in saving the lives of mather and children in her village and removing the long-lasting harmful traditional practices. it was believed by rac Lay people that like a hen laying eggs, a women can delivery her baby by herself. so RAC LAY women usually give birth at home or on the farm, assisted by only a mother, mother in law or husband. six months after the death of DHY, her husband went away and left his children at home alone. RAC LAY ethnic people believe that when a wife dies, the husband must leave family home, not bring any properties or take care of the children. it was easy and normal when she was giving birth last time. she did not feel paint at all, so we thought it was fine. this time, it was to diffcul for her, when the baby came the placenta did no came out for along time. she was so weak, the traditional midwife gave her same water, but she was could not save her life. DHY and NIET were advised to have reguler chek-up during pregnancy for the sake of both mother and child. as the wife gave birth normally last time, the thought everything would be fine this time, they did not foresse the consequences, it was too late. DHY'S youngest baby is six months and living with her siblings without receiving care form her mother or father. when she was three months old, her sibling started feeding her with rice or her mother's sister breastfed her as she is also having a small baby. the two babies were born the same month, but the motherless child suffers from seriuos malnutrition and weighs slightly more than half of the other one. this was one of the sad stories KA GIA THY LAN witnessed in her village. returning to her village as a trained ethic minority midwife. LAN tried to provide support to as many pregnant women and small children in the village as possible, at any time, day or night. she also provided chek-up in the farm where the pregnant women worked, as many did not want to go the commune health care center. through these visits, she diagnosed many promblems and saved many lives. one of the complicated cases was KA TU THI HEM whit her eight-month stillborn baby. right after finding the problems, the women was tranfered to the provincial hospital and her life was saved. in remote mountainous areas where people still live in poverty. it is normal for ethnic women to face potential life-threatening complication during pregnancy, delivery or recovery. many ethnic minority people area not aware of the benefits of giving birth in a sterile environment. and the husband often uses a knife, a piece of broken ceramic or a bamboo stick to cut the baby's

umbillical cord, whitout any desifectant. people believe the "forest god" causes maternal or child death. as a result, many tragic deaths are the direct result of poverty and harmful traditional practices. there is also the story of CHAM MA LE THI PHUONG , a RAC LAY ethnic women in the province's THUAN BUC district. she died when giving birth to her fifth baby at home. she did not know she was having twins and only one of the two babies was saved. the baby is now living whit his grandmother, but the child is small and weak whituot breastfeeding. CHAM MA LE THI PHUONG died, dead people don't have to care anymore. but, the children are loft behind. they are living whit my mother. my father-in-law's family bought formula for the child. my mother can't do much to help. it is very difficult time for as. ethnic minority people often have many children. when to mother dies, she leaves behind her children. i think there shouldbe sameone who is trained with midwifery skills, to provide antenatal care. this will help in reducing maternal and child death in mountainous areas. the first training for ethnic minitory midwives was organized by TU DU hospital in 1995. the trainees where often young female villagers who volunteered for this work. they left their home villagers to attend the training for six months. today, KA GIA THI LAN is going to visit to CA TO THI PICH at her house, PICH'S life was saved by LAN some days ago. we feel shy deliver at the health care center because there are to many people around. RAC LAY people prefer to give birth at home, rather than at hospitals or a health center. in the past , all of us delivered at home. i feel sad as there are still many women who don't pay attention to my advice. many women still give birth at home or on the farm whitout being assisted by skilled midwives. however, i will try to change their mindset. LAN hopes that one day the people and women in her village will change their ways of giving birth. LAN and other village-based midwieves in remote and mountainous areas play very important roles in saving the lives of many women and children. thus contributing to the country's sustainable

development

Namun , pada saat yang sama dia menyaksikan banyak cerita sedih di desanya yang membawa pekerjaannya sebagai bidan berbasis desa kembali ke kehidupan . salah satu cerita tragis banyak adalah kasus ka TO thi th dhy 32 tahun meninggal akibat infeksi postpartum setelah melahirkan di ladang . orang mati membuat lan memahami peran penting dia dalam menyelamatkan nyawa Mather dan anak-anak di desanya dan menghapus praktek-praktek tradisional yang berbahaya tahan lama . diyakini oleh rac Lay orang yang seperti ayam bertelur , wanita bisa pengiriman bayinya sendiri. sehingga RAC LAY wanita biasanya melahirkan di rumah atau di pertanian, dibantu oleh hanya seorang ibu , ibu dalam hukum atau suami . enam bulan setelah kematian DHY , suaminya pergi dan meninggalkan anakanaknya di rumah sendirian. RAC LAY etnis percaya bahwa ketika seorang istri meninggal , suami harus meninggalkan rumah keluarga , tidak membawa sifat atau merawat anak-anak . itu mudah dan normal ketika dia melahirkan terakhir kali . dia tidak merasa cat sama sekali, jadi kami pikir itu baik-baik saja . saat ini , itu adalah untuk diffcul untuknya , saat bayi datang plasenta tidak ada keluar untuk sepanjang waktu . dia begitu lemah , bidan tradisional memberikan air yang sama , tapi dia tidak bisa menyelamatkan hidupnya . DHY dan NIET disarankan untuk memiliki reguler chek - up selama kehamilan demi ibu dan anak . sebagai istri melahirkan secara normal terakhir kali , pikiran semuanya akan baik-baik saja saat ini , mereka tidak foresse konsekuensi , sudah terlambat . Bayi terkecil DHY 'S adalah enam bulan dan tinggal bersama saudara-saudaranya tanpa menerima bentuk kepedulian ibunya atau ayahnya . ketika dia berusia tiga bulan , saudaranya mulai makan dirinya dengan nasi atau adik ibunya ASI saat ia juga memiliki bayi kecil . dua bayi lahir bulan yang sama , tetapi anak yatim menderita malnutrisi seriuos dan beratnya sedikit lebih dari setengah dari yang lain . ini adalah salah satu kisah sedih KA GIA THY LAN disaksikan di desanya . kembali ke desanya sebagai terlatih etika bidan minoritas . LAN mencoba untuk memberikan dukungan kepada banyak wanita hamil dan anak-anak kecil di desa mungkin , setiap saat , siang atau malam hari . dia juga memberikan chek -up di pertanian di mana wanita hamil bekerja , karena banyak warga yang tidak ingin pergi pusat perawatan kesehatan komune . melalui kunjungan ini , ia didiagnosis banyak promblems dan menyelamatkan banyak nyawa . salah satu kasus yang rumit adalah KA TU THI HEM sedikit pun lahir mati bayinya delapan bulan . tepat setelah menemukan masalah, wanita itu tranfered ke rumah sakit provinsi dan hidupnya diselamatkan . di daerah pegunungan terpencil di mana orang masih hidup dalam kemiskinan . itu adalah normal bagi perempuan etnis untuk menghadapi potensi komplikasi yang mengancam nyawa selama kehamilan, persalinan atau pemulihan. banyak etnis minoritas orang daerah tidak menyadari manfaat melahirkan dalam lingkungan yang steril .

dan suami sering menggunakan pisau , sepotong keramik rusak atau tongkat bambu untuk memotong tali umbillical bayi , whitout desifectant apapun. orang percaya bahwa " dewa hutan " menyebabkan kematian ibu atau anak . sebagai akibatnya , banyak kematian tragis adalah akibat langsung dari kemiskinan dan praktek-praktek tradisional yang berbahaya . ada juga kisah CHAM MA LE THI Phuong , RAC yang LAY perempuan etnis di distrik Thuan BUC provinsi . dia meninggal saat melahirkan bayi kelima di rumah . dia tidak tahu dia memiliki anak kembar dan hanya satu dari dua bayi diselamatkan . bayi sekarang tinggal sedikit pun neneknya , tetapi anak kecil dan lemah menyusui whituot . CHAM MA LE THI Phuong meninggal, orang mati tidak perlu peduli lagi . namun , anak-anak loteng belakang . mereka hidup sedikit pun ibu saya . keluarga ayah mertua yang membeli susu formula untuk anak. ibu saya tidak bisa berbuat banyak untuk membantu . itu adalah waktu yang sangat sulit bagi sebagai . etnis minoritas sering memiliki banyak anak . ketika ibu meninggal , dia meninggalkan anak-anaknya . saya pikir ada sameone shouldbe yang terlatih dengan ketrampilan kebidanan , untuk memberikan perawatan antenatal . ini akan membantu dalam mengurangi kematian ibu dan anak di daerah pegunungan . pelatihan pertama bagi bidan minitory etnis diselenggarakan oleh TU DU rumah sakit pada tahun 1995 . peserta pelatihan di mana penduduk desa sering perempuan muda yang mengajukan diri untuk pekerjaan ini . mereka meninggalkan desa asal mereka untuk mengikuti pelatihan selama enam bulan . hari ini, KA GIA THI LAN akan mengunjungi CA TO THI PICH di rumahnya , kehidupan PICH 'S diselamatkan oleh LAN beberapa hari yang lalu . kita merasa malu menyampaikan di pusat perawatan kesehatan karena ada banyak orang di sekitar . RAC LAY orang lebih memilih untuk melahirkan di rumah , bukan di rumah sakit atau pusat kesehatan. di masa lalu , kita semua diantar ke rumah. saya merasa sedih karena masih banyak wanita yang tidak memperhatikan saran saya . banyak wanita masih melahirkan di rumah atau di whitout pertanian yang dibantu oleh bidan terlatih . Namun , saya akan mencoba untuk mengubah pola pikir mereka. LAN berharap bahwa suatu hari orang-orang dan perempuan di desanya akan mengubah cara mereka melahirkan . LAN dan midwieves berbasis desa lainnya di daerah terpencil dan pegunungan memainkan peran yang sangat penting dalam menyelamatkan nyawa banyak wanita dan anak-anak . sehingga memberikan kontribusi terhadap pembangunan berkelanjutan di negara itu.