Our last day at Kangulumira Health Centre 4 and although we had had two deliveries the day before (they’d had 9 total for the day…crazy!) we were all praying for one last delivery.
You see it was our last day of ministry for the 2011 Birth Attendant School.
We arrived and right on our heals was Fauza. She was acting in a way that made me think it might be urgent to check her so I called Meghann to check her before we even changed into our uniforms.
Joy of all joys – only a lip of cervix on the right side. A fat lip though – and a bit unusual – but nevertheless – we expected a delivery. Hooray!
We changed and prayed. We thanked God for Fauza and prayed safety over her and the bub.
Meghann walked with Fauza for nearly 40 mins before Fauza seemed to be starting to push. This was her third pregnancy – …the first had gone fine and she’d delivered fine. The second she’d had some sort of an obstruction and had needed a c-section. Sadly the baby had died.
So here we were excitedly hoping it was time to push. Just as we were deciding to move Fauza into the delivery room – the midwife Dianah arrived for her shift. She checks everyone when she arrives so, of course, she checked Fauza.
The lip of cervix was still there and it was starting to swell. Warning bells went off in my head. This is bad news for mum, bad news for bub and bad news for one final delivery.
We prayed. We helped her breathe. We prayed some more.
An hour passed and Dianah instructed me to check her again.
I found the biggest, most swollen lip of cervix I’ve ever felt – more than 3cm thick. I told Dianah – who decreed that Fauza needed to be referred. I whole heartedly agreed.
Then we began the hurry up and wait game. We told her family – who sent for her husband – who since He’s a good muslim – was at prayer. He’d come after.
Fauza started to bleed. Not a lot – but no bleeding in labour is good. The baby’s heartrate stayed good.
We prayed.
Dianah suddenly decided she would try giving Misprostyl (and happened to have some). She gave it. We prayed – Fauza breathed.
Now at this point the story gets a bit sticky because nothing was translated. Basically – Fauza’s family got mad at Dianah and started yelling at her – while we were all standing in the delivery room. I have no idea what was happening or why everyone was so upset but I can tell you the tension in the room was horrible.
After 20 mins – still no husband – so still no transfer. Dianah checks Fauza again and happily cries out, “my drug is working!” (I’ll save my distress at the lack of sterile or even clean technique for another day).
Praise Jesus! We keep praying and after a few minutes Dianah declares the cervix to be gone and Fauza to be fully dialated.
Now comes the pushing – things are still horrible between the family and Dianah. Fauza is tired – and Dianah is determined to see her baby come. I’ll skip the details but suffice to say at a few minutes before 1pm a baby boy is born.
He’s sluggish and slow to wake up (takes a bit of resuss) but eventually he cries.
Everyone takes a deep breath and we thank God for his life.
Moments later another woman rushes in saying she’s ready to deliver. As I check her Dianah comes over and tells me:
“It’s my baby.” Confused I ask her what on earth she’s talking about. So she explains, “they don’t want the baby so they said I could have it”. Dianah is THRILLED. She told me the day before how much she wants a baby (in fact she told me I should have one so she could have it…) and now here is a family offering her a baby.
Stunned I tell her congratulations. Then I ask her what she’ll name him. She grins and says to me, “you pick. what should I name him?”
I laugh and pray and ask God and the first name I hear is, “Harold”. The other girls in the room laugh and Dianah looks at me strangely and tries to say Harold. “Hair-ol?” I repeat it a few times and she starts to get the hang of it…Harold.
She takes Harold to Fauza to breast feed and she and the family are suddenly alright.
I don’t know if she really gets to keep Harold or not (or if that will really be his name) – but I know I won’t forget him (or his mum…or Dianah…or that day).
ps. Harold means “leader of an army”
