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Midwifery kits reduce child birth risks in South Sudan

By Nina deVries

Complications during pregnancy and childbirth are a leading cause of death among women in South Sudan. With 789 maternal deaths per 100,000 births, the country has the fifth highest maternal mortality rate in the world. As part of its health care program, UNICEF and partners have been providing maternal medical kits to health facilities across the country to help more women have safe and healthy births.

AWEIL, South Sudan, 24 October 2017– Arek Yel Deng had given birth before but had never experienced such pain. Her labour lasted a week and the pain was so severe she thought she was going to die.
 

© UNICEF South Sudan/2017/Ellie Kealey

 
“When I was in labour I couldn’t even move, it was like my lower limbs were paralyzed,” she says sitting outside her home in the village of Rumwut, in northwest South Sudan. “I’ve never had so much pain delivering a baby.”

And it wasn’t just one baby she delivered, but two, with a twelve hour gap between the births. Complications with the second birth meant Arek had to be transferred from her local clinic to a larger facility in the town of Aweil, 20 kilometres away.

There Arek was told her second baby was not in a proper position for delivery. Midwife Joseph Kiir Sylvester said he would need to make an internal rotation of the baby. The child was successfully delivered, but the dangers remained as Arek experienced persistent bleeding, known as postpartum hemorrhaging or PPH.

“When I was bleeding so much after birth, I was thinking about my children. If I die how are they going to survive without me,” said Arek. “I just felt so worried.”

The midwife was able to stop the bleeding by using the drug oxytocin, which is used to treat PPH, and is included in midwifery kits supplied by UNICEF to clinics providing maternal health care.

“PPH is very challenging because you can lose the baby and the mother from it,” explains Sylvester. “They can both die in your hands.”

Postpartum bleeding is the leading cause of maternal deaths in the world. Most maternal deaths can be prevented if birth deliveries are done by skilled health professionals with the right equipment and supplies.

But in South Sudan meeting these basic standards remains a huge challenge. Only 19 per cent of births involved a skilled healthcare worker.

Emmanuel Ramba is the program officer for UNICEF in Aweil. He says about 3,000 midwifery kits have been distributed to health facilities across the Northern Bar el Ghazal region. The kits, which are provided through funding from UNICEF Germany, contain crucial items for midwives to treat pregnant patients, such as folic acid, anti-malarial drugs and the oxytocin.
 

© UNICEF South Sudan/2017/Ellie Kealey

 
Upon delivery the expectant mothers are also provided with birthing kits. These provide essentials such as soap, new baby clothes, blankets and a plastic sheet.

As she cradles her baby girls, Anger and Arak, now two months old, Arek says if it wasn’t for the blankets and new clothes, she’s not sure what she would’ve done as she cannot afford these items herself. She already has six other children and does not feel strong enough physically to work. Her husband has eight other wives and does not help her anymore, she says.

She believes that if not for the care and support she received she would not have survived.

Thanks to generous support from the German Government, so far, this year, UNICEF has provided more than 63,534 pregnant women with antenatal care services and 9,549 deliveries were assisted by skilled birth attendants nationwide.

At the Aweil health care center midwife Joseph Sylvester says some 200 women have been treated using the UNICEF kits so far this year.

“If we could have the kits continuously, it would be good, the women wouldn’t be suffering so much,” he says as he heads out to treat his next patient.

 

 
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