For me, that morning when I saw a positive sign on the pregnancy test, I was filled with excitement, expectations and a sense of craziness. The thought of survival never crossed my mind. I didn't have to worry about affording care or being able to access a midwife, and I knew that this privilege was due to where I lived.
Bent over a wood-fired oven, drying the fish her husband caught yesterday, 29-year-old Leticia Sam blinks the smoke from her eyes, one hand stoking the fire, the other holding her swollen belly. Expecting her fourth baby, Leticia lives atop an old graveyard piled with trash, strewn with crumbling cinderblock homes.
Most births don't have complications but some do, and it is unfortunate when women feel they or their births are failures for failing to meet their preconceived notions of success. Women should strive for a birth that is manageable and meaningful, but without a sense of entitlement that it must be fast, painless, and stoic.
Once trained, a single midwife can provide care for 500 women every year, including safe delivery of 100 babies. An estimated that 350,000 more midwives are needed around the world to help reduce maternal and child deaths -- but training is prohibitively expensive for most women in the developing world.