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Field Focus - Women's Health

Obstetrics

Janet Coleman

Janet Coleman is a nurse/midwife from New Zealand. Here she talks about her first mission with Médecins Sans Frontières in Akuem, South Sudan.

Adek Sol* was diagnosed with a twin pregnancy.  This would be her 8th and 9th babies.  She had walked for 2 days to be seen at the MSF Antenatal clinic. 

Whenever we knew someone was having twins we always tried to persuade them to stay until they had been safely delivered.  Adek was very large for her dates and obviously had polyhydramnios. 

twin delivery
© Janet Coleman

I was concerned for her for a number of reasons, the main ones being postpartum haemorrhage and the second twin becoming obstructed. There were no surgical facilities and any high risk women we transferred to Loki in Kenya. 

Adek refused to go.  She said she would rather prefer to ‘take her chance with us’.   

Two healthy babies delivered weighing over 3000gms each and Adek recovered well.  Twins were always a reason to celebrate whether or not each one survived.  Two goats were bought and tied up with some sorghum on a woven grass plate.  Sometimes there were many goats.

*name changed


Obsterics index page

Women's Health index

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