30 th September found me at a very busy private midwives clinic it may not look like much from the outside but it is in one of the poorest areas of the city (Slum) but the lead midwife and her senior midwife supported by two newly qualified nurses deliver 60 babies a month as well as busy immunisation clinics, antenatal care, family planning and it is really clean inside just proves never judge book by its cover.

E's clinic she has been in practice here for 40 years.

Getting ready for baby number one of the day well number one since I arrived at 9.30 E. had delivered two already.

Ugandan version of incubator this baby had quite a slow delivery and required transfer to main hospital 2 hours post delivery.

Baby two normal delivery all well.

Meet the mama a short while later there is a baby in there somewhere.

Baby number 3 and there is not much wrong with her lungs.

Baby number 4 yes I mean four and it was only 5.30 pm was a breech baby which was a sight to see not so common back home the woman had been advised to go to hospital when in labour as diagnosed breech at 36/weeks but arrived in second stage.

Sunday 5th October

Sue are you sure this was such a good idea small wooden boat no life jacket and it appears to have some water in the bottom Titanic springs to mind!

Ok are we sure this cement bollard will hold and yep I just left the trusty boat to find out.

Group of school children who had just been for a trip also checking to see if the white skin rubs off.

2nd and 3rd October and working with one of the lecturers at Mukono school of Nursing and Midwifery based at Ugandan Christian University.

Reminds me of the old days at home they search going in but also on way out don,t know what they think might smuggle out.

Students on BSC Nursing course most interested in expanding knowledge and skills in midwifery unfortunately their is no degree in Midwifery so this is the only option. Discussing the differences between UK and Uganda.

1st October
Myself and Sue observed the national comprehensive nursing practical exams (OSCE) which was a rare insight accommodated by the Muslim School of Nursing and Midwifery at Kibuli.

Getting the stations set up the students not involved in the exams became the patients. These are run very tightly and we had to sign a non disclosure agreement.

Relieved students after the exam is over,.

Hi all
Greetings from Uganda been busy since last blogged so thought I'd give you all quick update in reverse order. Ok so that didn't go so well have just spent last hour putting together lots of photos for it to crash and not load so think short snaps is the order of the day and lots of postings so here is 6th October.

Sue had been asked to visit this and drop of some food supplies and toys

Dorm room unfortunately two other rooms out of action following storms putting holes in the roof

There may be holes in the roof but everyone's birthday is remembered.

Wasiko area very rural private midwives clinic 6-10 births a month on average run by JR. since 1987

postnatal lady delivered last night with beautiful baby boy.

Resus training with JR and her junior member of staff

New BP cuff and basic Midwifery kit given to JR her current BP cuff taped together but this is one woman to be admired she will deliver all women who are low risk that come to her door even if they don't always have the birthing kit the public clinic should take note.