{"id":11174,"date":"2010-07-12T10:14:59","date_gmt":"2010-07-12T14:14:59","guid":{"rendered":"http:\/\/www.sierraexpressmedia.com\/?p=11174"},"modified":"2010-07-12T10:14:59","modified_gmt":"2010-07-12T14:14:59","slug":"changing-the-face-of-childbirth-in-sierra-leone","status":"publish","type":"post","link":"https:\/\/sierraexpressmedia.net\/?p=11174","title":{"rendered":"Changing the face of childbirth in Sierra Leone"},"content":{"rendered":"<p style=\"text-align: justify;\">Alice Waterman says she has never seen so much blood in her life.\u00c2\u00a0 (Photo: Newborn baby girl Sinnah survived &#8211; others are not so lucky)<\/p>\n<p style=\"text-align: justify;\">The 55-year-old independent midwife from East Anglia has gone to Sierra Leone with VSO in the hope that training local midwives will save lives in a country where one woman in eight dies in childbirth.<\/p>\n<p style=\"text-align: justify;\">The images she describes are harrowing.<\/p>\n<p style=\"text-align: justify;\">Blood covered the floor as a mother who had recently given birth to twins struggled to survive.<\/p>\n<p style=\"text-align: justify;\">She needed a transfusion, but there is no blood bank in this West African state. Staff instead had to find out whether any relatives could help.<\/p>\n<p style=\"text-align: justify;\">&#8220;The situation is very dire. To see it in reality is shocking in the 21st Century,&#8221; she said.<\/p>\n<p style=\"text-align: justify;\">&#8220;The death of young women appears to be accepted as part of normal life in Sierra Leone.&#8221;<\/p>\n<p style=\"text-align: justify;\"><strong>Difficult journey<\/strong><\/p>\n<p style=\"text-align: justify;\">And if the risks for mothers are great, their children do not fare much better. One out of every five babies will not live to see the age of two.<\/p>\n<p style=\"text-align: justify;\"><a class=\"highslide\" onclick=\"return vz.expand(this)\" href=\"http:\/\/sem.lamtech.sl\/wp-content\/uploads\/2010\/07\/Alice-Waterman.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11175  alignnone\" title=\"Alice Waterman\" src=\"http:\/\/sem.lamtech.sl\/wp-content\/uploads\/2010\/07\/Alice-Waterman.jpg\" alt=\"Alice Waterman\" width=\"226\" height=\"170\" \/><\/a><\/p>\n<p style=\"text-align: justify;\"><strong>The situation is very dire &#8211; to see it in reality is shocking in the 21st Century, Alice Waterman<\/strong><em> (in photo above)<\/em><\/p>\n<p style=\"text-align: justify;\">The mother survived the birth, said Alice, but sadly one of her babies did not, and Alice says this has left a lasting impression.<\/p>\n<p style=\"text-align: justify;\">&#8220;I wondered about the twins &#8211; the first, a girl, had lived and was wrapped in a cloth and left at the side of the delivery room &#8211; which was also the office, and the place where staff got changed, put their bags and washed their hands in a bucket. There is no running water in the Makeni Government Hospital.<\/p>\n<p style=\"text-align: justify;\">&#8220;The second twin, a boy, born by breech, died during birth.&#8221;<\/p>\n<p style=\"text-align: justify;\">Twins are more prevalent, but not always seen as a joy in the way they are in the developed world, she says.<\/p>\n<p style=\"text-align: justify;\">&#8220;Sometimes a weaker twin does not survive beyond a few weeks, if that long. Many twins die at birth or one does not survive the birth.&#8221;<\/p>\n<ul style=\"text-align: justify;\">\n<li>There are 95 midwives for a population of 6.4 million people<\/li>\n<li>One women in eight dies in childbirth in Sierra Leone<\/li>\n<li>Life expectancy: 46 years (men), 49 years (women)<\/li>\n<li>Free health care for pregnant women, nursing mothers and children under five was introduced in April this year<\/li>\n<li>For every 1,000 children born, 140 die<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Ante-natal care is poor, with basic equipment lacking, and iron tablets are not available in a country where most women are anaemic, even before they get pregnant.<\/p>\n<p style=\"text-align: justify;\">&#8220;Hospitals often run without running water &#8211; only available from a well and a generator only turned on when an operation like a C-section [Caesarean section] is carried out. Equipment is often old, broken, run down. Wards are dirty and the smell of a postnatal ward without any ventilation is nasty. &#8220;<\/p>\n<p style=\"text-align: justify;\"><strong>In demand<\/strong><\/p>\n<p style=\"text-align: justify;\">The government has now introduced free health care for pregnant women, lactating women and under fives &#8211; which means more women are coming to the hospitals.<\/p>\n<p style=\"text-align: justify;\"><a class=\"highslide\" onclick=\"return vz.expand(this)\" href=\"http:\/\/sem.lamtech.sl\/wp-content\/uploads\/2010\/07\/Mariatu-Koroma.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11177\" title=\"Mariatu Koroma\" src=\"http:\/\/sem.lamtech.sl\/wp-content\/uploads\/2010\/07\/Mariatu-Koroma.jpg\" alt=\"Mariatu Koroma\" width=\"226\" height=\"170\" \/><\/a><\/p>\n<p style=\"text-align: justify;\"><em>Kaeiatu Dumbuya has her blood pressure taken by midwife Mariatu Koroma. Pic Jenny Hardy<\/em><\/p>\n<p style=\"text-align: justify;\">And although this is better, Alice says it puts increased pressure on the country&#8217;s 95 midwives who are dealing with a population of more than six million.<\/p>\n<p style=\"text-align: justify;\">&#8220;I don&#8217;t think that the government anticipated the demand for the free service,&#8221; she said.<\/p>\n<p style=\"text-align: justify;\">Theresa Bagrey, VSO&#8217;s programme manager for health and a Sierra Leonian midwife, said the situation was critical.<\/p>\n<p style=\"text-align: justify;\">&#8220;Generally, we have the worst maternal and child mortality statistics in the world. Our mothers are dying.&#8221;<\/p>\n<p><em>Jane Elliott<\/em><em>, H<\/em><em>ealth reporter, BBC News <\/em><em><\/em><\/p>\n<p><strong><em>Stay with Sierra Express Media, for your trusted place in news!<\/em><\/strong><strong><em><\/em><\/strong><\/p>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>Alice Waterman says she has never seen so much blood in her life.\u00c2\u00a0 (Photo: Newborn baby girl Sinnah survived &#8211; others are not so lucky) [&hellip;]<\/p>\n","protected":false},"author":34,"featured_media":75801,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[745,1],"tags":[1736,4128,1909],"class_list":["post-11174","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-life-and-entertainment","category-uncategorized","tag-childbirth","tag-childbirth-in-sierra-leone","tag-health-care"],"_links":{"self":[{"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=\/wp\/v2\/posts\/11174","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=\/wp\/v2\/users\/34"}],"replies":[{"embeddable":true,"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11174"}],"version-history":[{"count":0,"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=\/wp\/v2\/posts\/11174\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=\/wp\/v2\/media\/75801"}],"wp:attachment":[{"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11174"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11174"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sierraexpressmedia.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}