The T-SIPS model (Transformative System of Integrated Perinatal Services) was designed in consultation with expert midwives, mental health professionals, and local public health authorities on the ground. Gentle, respectful, mother-centered midwifery care is completely integrated with deep trauma therapy.  Each visit is attended by both a midwife with education in trauma informed care, and a therapist specializing in refugee/IDP issues, with  training in basic maternal health. All care plans are written cooperatively, with guidance from the mother herself.

We know the midwifery model of care works. One large Cochrane review concluded that there were no adverse effects to this model, and many benefits, including an overall highly level of patient satisfaction, and less routine interventions, including a lower cesarean section rate.2  This low tech, high quality of care is crucial in camps where hygiene is poor, and medical practitioners are few.  This model of care is based on mutual respect, relationship building and compassion.

We also know that counseling and psychosocial support is absolutely crucial for most trauma victims' recovery, and that it is in incredibly short supply in Iraq. With only three psychiatric hospitals in the entire country, demand far outstrips supply.  The greatest need here is for mental health professionals trained in short term therapies, as the population is mobile; women are coming and and out of camps in unpredictable waves.  

By providing integrated midwifery care and mental health care, we can provide a safe, loving spot for women to connect with their providers, themselves, and their babies. This dual professional care can make all the difference in helping mothers work with their almost unimaginably difficult pasts, making the space for them to reclaim their power through a safe, supported perinatal experience.

In consultation with Queen Mary University of London and Evidence Aid, we have developed a year long pilot study to evaluate our propriety care model in the field.  After the data is collected and evaluated, we hope to share our program with other organizations around the world.

With your help, we can change the face of maternity care for survivors of complex emergencies.