I train the Ambo volunteers here in the west - as I am passionate in home birthing, not only are they all well versed in home birthing practices and have also seen these techniques in practice - two born half way to the major hospital, BUT they all are advocates for natural birthing.  As a voli myself, we are told in 5 minutes how to "catch" a baby and leave the placenta alone!!!.  But not some of the icky situations you may have. 

Sorry I have to ramble here - on one of the births I had in the back of an ambo, I had the lady breast feeding to encourage the uterus to clamp down.  As soon as the lady was transferred into a hospital bed - the baby was taken away for septic screening and she was given a drip and synto as she may bleed.  I was so angry I just walked out.  There we had a most beautiful birth in the scrub and it ended up a clinical nightmare



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