Children of the Border

Entries from August 2008

Dead Baby, Mother Still in Hospital

August 24, 2008 · Leave a Comment

Just as we were celebrating that Jemena had taken back her baby and was successfully breastfeeding her, and Mme. Nono’s recent healthy birth, our Human Rights monitors got called to see a woman who had been bleeding since noon. It was almost 5:00pm then, so we got on our motorcycle and hurried to her place. She was there on the dirt floor of her house, on a makeshift stretcher.

Mme. Antonie on her stretcher as we take her to the truck for the hospital.

Mme. Antonie on her stretcher as we take her to the truck for the hospital.

We immediately contacted the only man in the community with a truck, and hired him to bring Mme. Antonie to the hospital. Getting him and bringing the truck took about an hour. We later found that it was during this time that the baby inside Antonie stopped moving and died, probably drowning on her mother’s blood.

This is what we have for an ambulance.

This is what we have for an ambulance.

Everybody around helped us put Antonie in the truck. She had been bleeding for more than 6 hours now, and lost 4 units of blood.

At the hospital, we got past the usual hurdles of bringing in a Haitian woman, and she was eventually attended to. The doctors could not hear the baby’s heartbeats, and she was bleeding, so she had to ahve an emergency C-section.  There was no anesthesiologist in town, so she had to be transported to the hospital in Barahona, 135km away.  Our project does not have a car, the hospital’s ambulance was already in Barahona, and the firemen’s ambulance was broken down, so the situation looked very dire.  We finally found an ambulance at the Dominican Red Cross’ headquarters, and paid all the costs up front. These ambulances are just vans with a stretcher — they don’t include any paramedics, or equipment — so we had to get Antonie on the stretcher, load her on the van, and take her to Barahona.

Our Human Rights monitor, Estela, and Antonie as we bring her to the Barahona hospital.

Our Human Rights monitor, Estela, and Antonie as we bring her to the Barahona hospital.

Once at Barahona, we had Antonie taken in immediately.  Again, we had to do everything, as this other hospital is just as understaffed. The doctors performed a C-section and removed her dead baby.  We were brought in to see the body. It was a full-term baby, and the doctors and nurses told us that she had probably died just a few hours earlier, meaning that if we had arrived earlier or had better transportation, we could have saved her.

Antonie needed 4 units of blood, and her severely damaged uterus had to be surgically repaired. Her prognosis is bad. As for the body of her baby, the hospital asked if we were going to purchase a casket to take her back to Pedernales. With just enough money left to pay for Antonie’s blood, we had to leave the body of the baby for the hospital to dispose of. The nurses put the baby on a cardboard box taken from the garbage and put the box on the floor to be removed later.

It hardly needs to be said that we desperately need to have our own transportation and a house in Pedernales where we can lodge women when they are close to their due date.  Such basic facilities would allow us to prevent another unforgivable death like this one.  We will continue to do our best given the circumstances, but we desperately need to secure the funding for an ambulance and a community health house.  These are the two top priorities for emergency care now.

Antonie already has 8 children, and was on our list of women who wanted birth control urgently. We are still trying to procure funding for this. Our list now includes over 60 women from the community who would like to have birth control.  Continue to watch this blog space for more information on the development of our Borderlands Community Health Initiative.

Categories: Field updates · HAMU · Human Rights · Norwegian Humanist Association

Madame Nono’s Baby Is Healthy

August 24, 2008 · Leave a Comment

Our Human Rights monitors have been monitoring one pregnant women in the community, Madame Nono, for several weeks as the due date for her baby approached. When the day came, Children of the Border had a truck driver ready and paid to drive her to the hospital for delivery.

Still, we arrived a little too late, and Mme. Nono gave birth as we tried to carry her to the car. We didn’t have the facilities to cut the umbilical cord from the placenta (not that anybody in the community has the training for that procedure), so we brought her to the hospital as she was. The baby was fine and Mme. Nono was discharged.

The baby is a boy, and Mme. Nono feeds him constantly.  You can see how healthy he looks in this photograph.

Mme. Nono and her healthy baby.

Mme. Nono and her healthy baby.

Categories: Birth control · Field updates · HAMU · Human Rights · Norwegian Humanist Association

Baby Gaining Weight, Parents Receiving Her!

August 19, 2008 · Leave a Comment

Just a quick field update. The tropical storm that went over the Dominican Republic and Haiti last week and killed 54 people in floods did not bring a lot of damage to Pedernales. Some parts of town had a lot of water damage, but in our community people have almost nothing to lose, so as soon as the skies cleared people rebuilt their homes, cleared the dirt paths, and went to work in the fields. We are in between planting seasons, so we had almost no crop damage. Most people were actually happy for the rain, as they had not seen water in about a month and carrying water from a canal two hours walking time took a lot of time during the day.

The road to the community eroded by the floods.

The road to the community eroded by the floods. With our motorcycle, we were the first to attempt the road to the community after the tropical storm. Note how fast the very dry soil absorbed all the water.

We also had the great news that after a lot of discussion with the family of the baby, and reassurances from our part that we would provide resources, transportation and support for them to care for the baby, they agreed to take the baby back. They love their baby and were really fearful she would die within a few days, but knowing that we can help them to get through this most vulnerable part of her life, they are willing to accept the responsibility. Here are a few photos of the parents visiting the baby at the home of our Human Rights monitor, a few of them at their home, and the last of another woman we took to the hospital in labor and her newborn.

Categories: Field updates

Baby OK: Now Looking for Solutions.

August 14, 2008 · 1 Comment

It has been 6 weeks since we brought Jemena to the hospital. She and her baby were going to die without an emergency C-section. Our Human Rights monitor took her to the hospital 135 km away from home, and paid for all her expenses. They both survived, although the premature baby girl had to be put on an incubator for a month.

After all of this, we face the problem that the mother does not want the baby back. As we have mentioned in previous points, the baby is in a very delicate state, and is particularly vulnerable to infection right now. She needs purified water, formula (the mother is not producing milk anymore), and to be close to the hospital in case any complications arise. So we face the terrible decision of forcing the mother to accept the baby back with the very high risk of the baby dying in a day or two, or caring for the baby and setting the precedent that anybody who does not want their baby can just ask us to take them to the hospital and we will assume responsibility for the infant.

For now, our Human Rights monitors and their families are taking care of the baby. She has gained 50% body weight in just two weeks, and is a healthy drinker of baby formula. She spends the day either sleeping or stretching to take another nap, and during the night crying so that somebody will come and carry her.

Here are some photos we took today.

Categories: Field updates