Alexander is an emergency room doctor from Sweden. He sends us his third blog post from a new assignment in the Central African Republic, a country which has faced many years of violence and instability...
"The girl would not say what had happened. I am sure she is scared and might feel she needs to protect the identity of the perpetrator."
"I will not let this woman die."
In Lankien, we tell women to come to MSF for medical care for delivery. It is especially important if they have had many babies previously, if they are pregnant with twins or if they’ve had complications before, such as heavy bleeding.
And women also prefer to come to MSF for their deliveries; not only do they receive medication, but also a mosquito net and baby blanket. However, many live far away from the hospital and there is no transport. Their only option is “footing” - as they call walking here, and it can be a very difficult, perilous journey.
“She says you can bring the pain. She can handle it.”
Update 24 August 2015: Sharing this post on Facebook sparked a lot of healthy discussion about what was the best treatment route in this case. Following that I've added some more details to this post which will answer some of the questions raised, especially regarding caesarean sections in this context. If you have any further questions or thoughts please leave them in the comments section at the end of this post. Thank you, Benjamin.