Birthing in the 3rd world: Birth
Showing posts with label Birth. Show all posts
Showing posts with label Birth. Show all posts

March 20, 2013

Too sad: woman died during delivery in Tacuarembó


Spanish source: http://www.montevideo.com.uy/notnoticias_195721_1.html

 A 35 year old woman died in the delivery room of the Hospital of Paso de los Toros, Tacuarembó, due to placental abruption. In the health center there was not an anesthesiologist or a surgeon who could deal with the emergency. Her baby was born and is out of danger.

The hospital did not have at that time an anesthetist or surgeon, and decided no to leave to the nearest hospital, (which is 40 kilometers away) because there was no time and was at risk the baby's life.

Hospital Director of Paso de los Toros, Alfredo Fraga, told that the child was born alive but the mother died shortly after.

"If the hospital had all professionals working in the health center, women probably would have survived," said Fraga.

In Paso de los Toros's hospital there two gynecologists, two surgeons and two anesthetists, but one of the last had an accident, so the remaining in office had to work 24 days in a row. The day he took off, the unfortunate episode occurred.

"I can not have one person for 30 days, 24 hours a day working," Fraga said on the radio to the local station 100.1 FM.

Amidst this scenario, Paso de los Toros anesthesiologist will have all week of Tourism free, because of his working license, so all cases requiring surgery will be referred to the nearest Hospital.


"No one is coming to Paso de los Toros to make a guard for less than $ 2,000 per day (100 american dollar), ASSE pay $ 79 ($4 amercan dollar) a hour to a specialist, either anesthesiologist, gynecologist or pediatrician, and with that remuneration no one is going anywhere, "said with concern the hospital director.

July 23, 2012

The right to choose the place of birth

The latest figures published about maternal mortality are good news in Uruguay, as the number is almost null. But I wonder what price women are paying to sustain these numbers. 
Obviously we are the stakeholders in this. However, we also have the right to choose where and how to give birth in safe conditions. In Uruguay, 99% of births take place in medical institution, and in certain maternity cesarean rates are as high as 80% (The WHO suggests no more than 15%). 

It seems clear that the price of such a low rate of mortality is based on institutional deliveries and interventions. But I wonder, could it be possible to humanize birth and maintain these rates? Why the Public Health Ministry did not enable the first birth center in the country founded in 2011? Which provided free care to most of the population, placing birth within the first levels of care (ie, 
very low cost, to a level of prevention and not pathology). To lear more about “Centro de Maternidad Montevideo": http://www.institutoperinatal.org.uy/es/cmm/default.aspx