Pregnancy was a very smooth and amazingly easy period for me. Giving birth; however, was a totally different matter.
I was only 39 weeks when I woke up with a slight show of blood, so I called my doctor to inform her, she asked me to go down to the hospital. Although I had read about it in my pregnancy books, and I knew that it might not be for days until it’s time, I complied and went to the hospital.When I reached there, and against all my protests, they started preparing me for labor and then I was induced. The following 36 hours were very worrying and strenuous… Along with my husband, my childhood best friend, Danya, who was an OB-GYN resident at the time, was with me throughout the whole process. The doctor had me undergo CT-scan, and when she came with the news that I had an abnormal pelvis that makes it impossible to deliver in the natural way, that I can never become dilated, and that I needed a C-section immediately, I just stared at her. Thinking it was all her fault; had she not forced me to go to the hospital too early, this would never have happened…I remember hearing a woman in the other room deliver her baby naturally, I felt the tears rolling down my cheeks and I just could not control my anguish. My friend told me that she is going to ask to transfer me to another hospital; I just could not trust that doctor anymore, if she did all these decisions when I was awake, I could only imagine what she would have done when I was on the operating table. Anyway, to make a long story short, I was transferred to a different hospital, where they told me that I was 4cm dilated and that they were going to wait. I took an epidural and after a few hours, my baby was ready to get out. I was too tired by then, and they needed to use the forceps to pull the baby out. Rola was so tiny and beautiful, they put her next to me for a while, and then they took her to NICU, as they wanted to check that she was okay after what she had gone through.
The few hours of not being able to see my daughter were the hardest on me, and I am so grateful that everything turned out fine at the end. My only remorse is that I could not breast feed, I have breast fed my second baby, though, and it was the most wonderful experience.
Psychological trauma can have a lasting damaging effect on human beings. I know childbirth is very important to childhood development, because the earlier the trauma, the more profound the effect would be. Because the impact of childbirth on infants can be intense, I was concerned that this traumatic experience would cause psychological problems to my child as she develops, and I have kept looking for signs as she was growing up. As a baby, she didn’t sleep a lot, she gave me a really hard time eating, and was very fussy and anxious. Rola is now 14, and turned out to be an extremely sensitive and caring girl. It takes her a great effort to control her temper, but she is quite patient and well-behaved in comparison to her peers. I am so thankful to God for her.
Childbirth in Afghanistan
“More women die in childbirth in Afghanistan than almost anywhere else in the world”( Save the Children, 2010).
Poverty, insecurity, discrimination against women, and shortage of midwives are all factors seriously affecting childbirth in Afghanistan. Afghani women usually give birth at home, not always because they choose to, but because male honor forces women to stay indoors and forbid them to go to the hospital to deliver. That can be acceptable, if the proper tools and skills were provided, but this is not the case for mothers there. At home, women mostly deliver sitting down, which can cause the baby’s body to end up in the wrong position. Frequently, the umbilical cord isn’t properly cut, which gets it infected and causes the infant to die. Most women do not get professional help to deliver as there is a great need for midwives. And when midwives are available, they slap the mothers’ bellies to speed up contractions and yell at her if she takes a long time. According to Unicef (2006), half of women will die due to pregnancy and delivery related causes. 52 babies out of 1000 die within two weeks of birth and 134 before they get to 1 year of age. A third of the deaths are due to obstructed labor, vitamin D deficiency, because women are not exposed to enough sunlight throughout their pregnancy.
In comparison to the Afghani mother’s dangerous challenges at giving birth, my own experience seems not worth mentioning. I feel ashamed and helpless. While we complain about some mistakes that doctors or hospital staff make during delivery, other women in some areas in the world are enduring immeasurably much more. The developed medical conditions that we are blessed with are sometimes taken for granted and that is something that I will never take lightly again.
References
Save the Children UK. (n.d.). Afghanistan. Retrieved from http://www.savethechildren.org.uk/where-we-work/asia/afghanistan
Unicef.(2006). Best Estimates. Retrieved from http://cso.gov.af/Content/Media/Documents/BestEstimatesofsocialindicatorsforchildreninAfghanis382011124523764553325325.pdf
For more information on this issue, visit the following
websites:
http://www.who.int/countries/afg/en/
http://afghanmidwiferyproject.org/?p=804
http://news.bbc.co.uk/2/hi/health/5083304.stm
Save the Children UK. (n.d.). Afghanistan. Retrieved from http://www.savethechildren.org.uk/where-we-work/asia/afghanistan
Unicef.(2006). Best Estimates. Retrieved from http://cso.gov.af/Content/Media/Documents/BestEstimatesofsocialindicatorsforchildreninAfghanis382011124523764553325325.pdf
For more information on this issue, visit the following
websites:
http://www.who.int/countries/afg/en/
http://afghanmidwiferyproject.org/?p=804
http://news.bbc.co.uk/2/hi/health/5083304.stm