{"id":531,"date":"2010-03-11T18:28:56","date_gmt":"2010-03-12T01:28:56","guid":{"rendered":"http:\/\/www.philborges.com\/blog\/?p=531"},"modified":"2010-03-12T14:54:54","modified_gmt":"2010-03-12T21:54:54","slug":"one-heart-continued-miso","status":"publish","type":"post","link":"https:\/\/www.philborges.com\/blog\/2010\/03\/11\/one-heart-continued-miso\/","title":{"rendered":"One HEART continued &#8211; Miso"},"content":{"rendered":"<p class=\"lead\">For cross-cultural global health programs it&#8217;s critical to ensure that there is compatibility between the values of the program and the recipient culture.\u00a0 Since most Tarahumara women live several hours or days away from the nearest clinic or hospital they suffer one of the highest rates of maternal mortality in North America.\u00a0 Of course it would be ideal if the women were giving birth in clinics or hospitals but women hesitate to make the long and difficult trip&#8211;especially if labor has started.\u00a0 They typically end up having their babies alone or with an untrained birth attendant.\u00a0 Part of\u00a0<a href=\"http:\/\/http:\/\/www.onehearttibet.org\/index.html\" target=\"_blank\">One HEART&#8217;s<\/a> plan is to conduct a maternal health education program for the local <em>Parteras<\/em> (traditional birth attendants) and give them a few basic items like sterile blades to cut the umbilical cord.<\/p>\n<p><a rel=\"attachment wp-att-534\" href=\"http:\/\/www.philborges.com\/blog\/2010\/03\/11\/one-heart-continued-miso\/_mg_1522\/\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"333\" class=\"alignnone size-full wp-image-534\" title=\"_MG_1522\" src=\"http:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_1522.jpg\" alt=\"\" srcset=\"https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_1522.jpg 500w, https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_1522-150x99.jpg 150w, https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_1522-300x199.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a><br \/>\n<em><span class=\"caption\">Teresa, local <em>Partera<\/em><\/span><\/em><\/p>\n<p>Ninety percent of the women who die in childbirth do so because of postpartum hemorrhage.\u00a0 Administering drugs like Oxytocin to women who are having postpartum bleeding causes the uterus to contract and very effectively stops the bleeding.\u00a0\u00a0Unfortunately, Oxytocin has to be kept refrigerated.\u00a0 Another very effective drug for post partum hemorrhage, Misoprostol, does not need refrigeration and is very inexpensive\u2014therefore an ideal drug for the <em>Parteras <\/em>to have on hand.\u00a0\u00a0Unfortunately, because &#8216;Miso&#8217; can also be used to induce an abortion, it has not been allowed to be used in the heavily Catholic Tarahumara Sierra.\u00a0<\/p>\n<a rel=\"attachment wp-att-539\" href=\"http:\/\/www.philborges.com\/blog\/2010\/03\/11\/one-heart-continued-miso\/_mg_0954\/\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"334\" class=\"alignnone size-full wp-image-539\" title=\"_MG_0954\" src=\"http:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0954.jpg\" alt=\"\" srcset=\"https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0954.jpg 500w, https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0954-150x100.jpg 150w, https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0954-300x200.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a>\n<p>Arlene Samen the executive director of One HEART traveled to Mexico City to see if she could get the ban on &#8216;Miso&#8217; lifted in the Tarahumara Sierra if proper precautions against misuse were taken.\u00a0 The Mexican authorities who have been extremely welcoming to One HEART are taking Arlene&#8217;s request into consideration.\u00a0 If approved it will be a huge victory for the Tarahumara women and their families.<\/p>\n<a rel=\"attachment wp-att-536\" href=\"http:\/\/www.philborges.com\/blog\/2010\/03\/11\/one-heart-continued-miso\/_mg_0614\/\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"334\" class=\"alignnone size-full wp-image-536\" title=\"_MG_0614\" src=\"http:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0614.jpg\" alt=\"\" srcset=\"https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0614.jpg 500w, https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0614-150x100.jpg 150w, https:\/\/www.philborges.com\/blog\/wp-content\/uploads\/2010\/03\/MG_0614-300x200.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/a>\n","protected":false},"excerpt":{"rendered":"<p>For cross-cultural global health programs it&#8217;s critical to ensure that there is compatibility between the values of the program and the recipient culture.\u00a0 Since most Tarahumara women live several hours or days away from the nearest clinic or hospital they suffer one of the highest rates of maternal mortality in North America.\u00a0 Of course it&#8230;  <a href=\"https:\/\/www.philborges.com\/blog\/2010\/03\/11\/one-heart-continued-miso\/\" class=\"more-link\" title=\"Read One HEART continued &#8211; Miso\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[22],"tags":[15,17,74,77,16,598,73,54,23],"class_list":["post-531","post","type-post","status-publish","format-standard","hentry","category-stirring-the-fire","tag-culture","tag-maternal-mortality","tag-mexico","tag-miso","tag-one-heart","tag-stirring-the-fire","tag-tarahumara","tag-womens-issues","tag-womens-rights"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>One HEART continued - Miso - Phil Borges<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.philborges.com\/blog\/2010\/03\/11\/one-heart-continued-miso\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"One HEART continued - Miso - Phil Borges\" \/>\n<meta property=\"og:description\" content=\"For cross-cultural global health programs it&#8217;s critical to ensure that there is compatibility between the values of the program and the recipient culture.\u00a0 Since most Tarahumara women live several hours or days away from the nearest clinic or hospital they suffer one of the highest rates of maternal mortality in North America.\u00a0 Of course it... 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