Rachel Joy Barehl
Prenatal Care in the Context of a Developing Country
In Thailand, there is an expression when comparing two things that are similar yet not exact; in English it translates to “same same but different.” So it is with the provision of prenatal care in the context of a developing country. There are unique aspects to maternity care in a low-resource setting and, while some prenatal care elements are universal, the midwife needs to be aware of how best practices can be different according to the setting.

Vicki Penwell is known by many titles—midwife, educator, nonprofit founder and director, student, mother, Lola, and her least favorite: new widow. She divides her time between living in the Philippines and the USA while training midwives through the Mercy In Action College of Midwifery, the Mercy In Action Diploma in International Midwifery & Maternal/Child Health, and numerous seminars and workshops, including a 10-Day Learn and Serve held annually at her home in the Philippines. Vicki has a Masters in Midwifery and a Masters in Intercultural Studies and is currently finishing her second year of a doctoral program in Creative Leadership.
















