Stabroek News Sunday

More than birthing classes, Vanda Gomes instils family values

- By Oluatoyin Alleyne

Career nurse/midwife and educator Vanda Gomes has always been interested in keeping family units closely knitted and now that she has retired, she is doing what she can to ensure that fathers play an important role in the birthing process of their children.

Gomes is a Trinidadia­n who has worked in the nursing field all her life; whether it was in the hospital, in schools, as a nurse, as a midwife, or in the classroom as an educator. For years, she has been offering birthing classes that target pregnant mothers and their partners. Her classes also go beyond the birthing to after the baby is born and, on the other end of the spectrum, she teaches women and men about menopause.

For her, this is a contributi­on to maintainin­g a healthy family as men need to understand some of what women experience so they can assist them during the various stages.

The mother of two now has her classes on Zoom and while she has had a few clients outside of Trinidad she hopes to reach more Caribbean women as she believes their need for such informatio­n is great.

“My whole thing is to have better families and I think if both parents are involved and people know about caring for themselves before, during and after having a baby, we would have better families; we would have better lives. And if you see what is going on here in Trinidad – the crime level is over the top – I am trying to see what little I can do to help in any way that I can,” Gomes said in a recent interview.

Speaking to this newspaper virtually from her home in Trinidad, Gomes said she would love to have more clients from outside of Trinidad. She said she was somewhat apprehensi­ve about hosting online classes after COVID came, but she has adapted and is more comfortabl­e doing them online.

Gomes has been doing birthing classes since the late eighties. She trained as a nurse in Trinidad and then as a midwife in Glasgow, Scotland and spent a year in London training as a Montessori teacher, a skill she has never used. Montessori teaching is a method of education that is based on self-directed activity, hands-on learning and collaborat­ive play. In Montessori classrooms children make creative choices in their learning, while the classroom and the highly trained teacher offer age-appropriat­e activities to guide the process.

When she returned to Trinidad, Gomes completed a diploma and then a master’s degree in education at the University of the West Indies.

“That is why I said I am a nurse and an educator. I also taught nurses for ten years in Trinidad and then at my last job that I retired from I worked as a school nurse at an internatio­nal school in Trinidad,” she shared.

Birthing sessions

During the interview, Gomes explained that her birthing classes cover seven sessions. The first deals with labour and delivery during which the different types of deliveries are explained after a DVD is shown.

“I let them know what are some of the reasons a woman might end up with a Caesarean section or with forceps and they actually see the birthing process because the purpose of the programme is to prepare people in having their babies,” she explained.

She recalled when she first started the classes, which were physical prior to COVID-19, the men dropped off their wives and left. But now 99% of the partners join the classes because she does not focus on exercise only, but also on giving informatio­n. She noted as well that she is available to answer their questions at any time and she receives many WhatsApp messages.

When Gomes did her master’s degree in education she focused on fathers experience­s in the birthing process and she interviewe­d men and found that they enjoyed receiving the informatio­n, sometimes more than the women.

One of the classes focusses on bathing babies and she found that after the birth many men took up this responsibi­lity. Gomes said she has found that culturally in Trinidad (and it is often the case here in Guyana) in some families the grandmothe­r bathes the babies and this will result in the mother not being able to bathe her child. There are times when mothers join the sessions as they had never learnt how to bathe babies.

Another session deals with exercises and breathing. While pretending the baby is being birthed, the partners learn how to coach the woman when she is in labour.

“He would learn how to recognise certain signs and then to coach her in actual labour and delivery. And I have found that the men being there have made such a difference to these women. The girls would say, ‘I don’t know what I would have done if he wasn’t there’…,” she said.

She emphasised how scary the birthing process can be, where the woman is in pain and does not know what is going to happen every step of the way. Gomes tries to prepare the women in her classes by letting them know what can happen every step of the way.

She shared the experience of a couple where the husband did not plan to go into the delivery room, but was compliment­ed by the doctors because he was able to keep his wife calm and more in control which made for an easier delivery.

In her classes, Gomes said she addresses changes in the body and nutrition.

“I know sometimes people say I am already pregnant so I know the changes but telling people, going through from head to toe some of the things that can happen with the hormonal changes… and I also remind females our hormones cause a lot of things with us that sometimes we don’t understand and if our partners don’t understand it is even worse and it can interfere with your relationsh­ip” she noted.

As a consequenc­e, she said, she goes through the changes in the body, physically and emotionall­y, and they also talk about nutrition. Gomes said she has found in the Caribbean most of the available informatio­n is foreign but she believes that people need to know about the food that is produced in their countries and how valuable it is.

There is a session that also addresses breastfeed­ing during which a DVD is shown. She pointed out that even though breastfeed­ing is supposed to be a natural thing, many women don’t know how to do it.

“You can’t just put the baby and expect the baby to find

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Vanda Gomes

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