TIME CODE IN AND OUT TYPE OF TEXT TEXT NOTES

01001420-01001713 TEXT BOX Tigray, Ethiopia Cross dissolve at beginning
01014213-01014621 TEXT BOX Tserie, 30 Cross dissolve at beginning and end
01020720-01021117 Dialogue Oh, my bad luck
01021316-01021713 Dialogue I'll lose my life
01021815--01022304 Dialogue Oh, my children
01022322-01022707 Dialogue Save me, please God save my life.
01022811-01024016 Dialogue Today, today, today may be my last day.
01025520-01025709 Dialogue I feel like pushing, please help me.
01025922-01030120 Dialogue Are you feeling too tired?
01030204-01030509 Dialogue So this is a rural woman
01030619-01030811 Dialogue she came after laboring
01030812-01031018 Dialogue for more than 24 hours at home.
01031019-01031220 Dialogue We are going to do a cesarean section.
01031313-01031420 Dialogue The fetus is dead.
01031617-01031719 Dialogue Did I give birth?
01031710-01031901 Dialogue Yes, yes, calm down…you will go to the O.R.
01031922-01032018 Dialogue I am suffering a lot.
01032019-01032116 Dialogue Please take her to the O.R.
01032117-01032212 I'm feeling so tired
01032301-01032320 I'm feeling tired
01032809-01031513 I'm tired.
01032809-01033004 Go to the O.R. or call the doctor?
01033214-01033400 Is my baby alive? Where is he?
01033419-01033617 I'm not sure, we will see after the cesarean.
01034209-01034500 Oh, I'm dying, I'm dying.
01035611-01035906 Mothers want to deliver at home.
01035907-01040101 They prefer to deliver at home.
01040102-01040316 They are used to delivering at home.
01040317-01040602 Delivering at home means
01040603-01040704 not having access
01040705-01040815 to skilled attendants
01040816-01040922 during delivery.
01041121-01041606 Pregnancy is a normal physiological event.
01041607-01041801 This is not a disease.
01041803-01042003 It's only that society
01042004-01042206 is not organized enough
01042207-01042315 to handle it
01042216-01042605 to appreciate its risks.
01042606-01042712 It has risks
01042713-01042900 whether it is in Europe
01042901-01043008 or in Africa.
01043009-01043200 Wherever you are
01043201-01043400 pregnancy is always a challenge.
01043802-01043918 Even though it's a natural event
01043919-01044111 and a physiological event
01044112-01044312 society must take
01044313-01044509 this normal physiological
01044510-01044616 and natural event
01044617-01044815 in its own right and look after it
01044816-01045020 and prepare for it.
01045314-01045413 We are not prepared.
01045920-01050700 TITLE SISTER
01050310-01050513 These are our Mothers. These are our Sisters.
01052212-01052613 TEXT BOX Shada, Cap Haitien, Haiti Cross dissolve at beginning and end
01061210-01061509 Dialogue My name is Philomene Jocien Gracias.
01061613-01062013 I have a good, little nickname, Madam Bwa.
01062020-01062819 TEXT BOX Madam Bwa, Traditional Birth Attendant (TBA) Cross dissolve at beginning
01063204-01063801 I am 65 and I started delivering when I was 12 years old
01063802-01064107 I have been delivering for 53 years.
01064509-01064720 Hello, hello hello.
01064721-01064917 Where is your mother?
01065102-01065216 I have come to see her.
01065722-01065918 Since I have been delivering
01065919-01070211 I have delivered about 12,000 bablies.
01070508-01071415 As a Traditional Birth Attendant (TBA), Madam Bwa has no formal medical training, but provides the majority of primary maternal care in her community. Cross dissolve at beginning and end
01072201-01072417 I have been living in this community for 32 years.
01072418-01072705 I am a leader in the community.
01072814-01073501 God blessed me to serve the people in this community.
01073502-01073708 Mostly to help prevent them from dying during delivery.
01074009-01074313 TEXT BOX Madam Marc, 40 Cross dissolve at beginning
01074519-01074705 You feel kicks in your belly?
01074707-01074716 Yes.
01074820-01074912 You are eating well?
01075015-01075107 I've been eating.
01075218-01075321 Is your stomach hurting?
01075322-01075407 Yes.
01075802-01075821 Do you have a headache?
01080001-01080006 No.
01080213-01080310 Are your feet hurting?
01080311-01080318 No.
01080519-01080722 You will deliver this week, all right?
01080807-01080909 You're not ready yet
01080910-01081202 the baby is just bothering you.
01081203-01081220 Eat well.
01081221-01081605 Whatever the time you can call me and I'll come to you.
01081606-01081617
01081618-01082105 You are not ready yet the child is just turning.
01082106-01082118 Yes.
01082119-01082201 Okay?
01082219-01082402 And make sure you wash all the clothes
01082403-01082518 that you will be using
01082519-01082809 so you don't get bacteria
01082810-01083000 dry them in the sunlight.
01083001-01082111 Then iron them.
01083220-01083606 She has a big boy, Angelo.
01083607-01083717 Let me call him.
01083718-01083817 Angelo, come here.
01084200-01084315 It was me who delivered him.
01084507-01084723 Rachel…and it was me who delivered her.
01085117-08085303 This young lady.
01085317-01090119 TEXT BOX In the U.S., 1 in 4,800 women die from childbirth-related causes Cross dissolve at beginning and end
01085823-01090505 TEXT BOX In Haiti, 1 in 44 women die from childbirth-related causes Cross dissolve at beginning and end
01092217-01092918 Shada is the most miserable part of the city.
01092920-01093202 It's badly built.
01093203-01093401 If you have to transport
01093402-01093710 a sick or pregnant person
01093711-01093903 there are not roads in Shada.
01094320-01094608 Hunger is always fighting these women.
01094609-01094915 They do not have treated water to drink.
01094916-01095303 They cannot afford to pay for a bucket of water.
01095304-01095612 Meanwhile, they are pregnant.
01095802-01100010 Last year, I was doing an informational
01100011-01100406 training session with a group of pregnant women.
01100407-01100920 At least ten of them were eating dirt.
01100920-01101309 I had to make them understand that eating dirt wasn't good.
01102523-01102923 Mothers and babies are dying in delivery.
01103000-01103114 Because of poverty, they do not have food to eat.
01103408-01103605 Because they don't have money
01103606-01103809 they are not taken care of and they die.
01103810-01104400 Because doctors have private offices
01104401-01104519 the poor
01104520-01104900 stay home and die.
01104901-01105117 The doctors forget that their mothers are women.
01105218-01105500 They forget that they came from a woman's womb.
01110020-01110123 Madam Bwa!
01110303-01110320 Good Afternoon.
01112316-0112803 TEXT BOX Battambang Province, Cambodia Cross dissolve at beginning
0115317-0115720 TEXT BOX In Cambodia, 1 in 48 women die from childbirth-related causes Cross dissolve at beginning
01121319-01121815 TEXT BOX Pum Mach, Midwife Cross dissolve at beginning and end
01123207-01123523 My name is Pum Mach.
01123600-01124000 I am the supervising midwife
01124001-01124312 at the Tasanh Health Center.
01124501-01125101 I've been working as a midwife for 22 years.
01130709-01131204 I leave home to to fulfil my duties at the Center
01131205-01131611 and stay there Monday through Friday.
01132101-01132211 Friday evening I come back home.
01132211-01132422 I spend time with my family
01132422-01132906 and do a bit of housework.
01132907-01133820 And then in special cases, during the weekend
01133821-01134219 if there are any problems with the women
01134220-01145909 they call me and I go back immediately.
01140917-01141409 All the responsibilities that come with this job
01141410-01141812 depend on one's own determination.
01143813-01144502 This is a job that I used to do in my community
01144503-01144804 before I was given this position.
01144805-01145205 The reason why I'm motivated to fulfill my duties
01145206-01145512 is because I'm emotionally attached.
01145513-01145808 I see the plight of these poor people.
01145809-01145913 I see that their troubles are even harder than my own.
01150600-01150904 TEXT BOX Peum, 19 Cross dissolve at beginning
01151106-01151303 Two centimeter. Nothing's happening yet.
01152121-01152309 Does it hurt when I'm examinging you?
01152310-01152513 It hurts. It does hurt.
01153113-01153305 What month did you get malaria?
01153306-01153413 Just this month.
01153423-01153700 And you are full term too.
01153701-01153811 There are problems.
01153823-01154116 I told you earlier that this child
01154117-01154315 isn't in a normal position.
01154316-01154422 The child is sideways
01154423-01154711 so you can't deliver it
01154712-01154915 you can't deliver it vaginally.
01154916-01155306 So we have to refer you to Battambang
01155307-01155411 so you can have surgery.
01155718-01160112 Have you prepared any money for yourself.
01160304-01160321 No.
01160707-01160902 I just have 10,000 Reil (US$2.50)
01160903-01161017 that my aunt gave me this morning.
01161304-01161716 If you can get to Battambang
01161716-01162221 The organization (Trauma Care Foundation) will cover your treatment
01162222-01162410 you don't have to worry about that.
01162411-01163008 But the problem that you face at this point
01163009-01163321 is that we don't have any way to get you there.
01163422-01163703 Can you think of any way to resolve this?
01164010-01164121 No, I can't.
01164602-01164901 From here to Battambang is two hours.
01165107-01165320 The most common problem that we face
01165321-01165605 is that women
01165606-01165920 live far away.
01170203-01170515 We had two emergency ambulances.
01170516-01170822 The difficult problem now is that
01170823-01171018 the ambulance service
01171018-01171114 has finished its contract.
01171310-01171505 So now we have difficulties
01171505-01171805 our transport services are severely compormised.
01172107-01172214 You only have 10,000 (US$2.50)
01172214-01172323 What are you going to give them?
01172706-01172904 This has to do with a life
01172905-01173107 we're not talking about anything else at this point.
01174516-01174918 Nan? Is this Nan?
01175209-01175319 Have you seen Niet or not?
01175502-01175601 Have you seen Peum's husband or not?
01175903-01180104 Tell him to come quickly.
01180317-01180417 Tell him to come quickly.
01180600-01180720 There's no - I can't come.
01180721-01180903 Make sure he gets here.
01180904-01181022 He can't just stay at home.
01181118-01181309 Yeah, tell him to come quickly.
01183713-01184116 TEXT BOX Tigray, Ethiopia Cross dissolve at beginning
01192012-01192503 TEXT BOX In Ethiopia, 1 in 27 women die from childbirth-related causes Cross dissolve at beginning and end
01200105-01200515 TEXT BOX Goitom Berhane, Health Officer Cross dissolve at beginning
01201104-01201311 My name is Goitom Berhane.
01201312-01201822 I am a health officer in masters training.
01201823-01202214 Which means I've attended four years
01202215-01202413 bachelor's degree course
01202414-01202621 in public health and medicine.
01202622-01202918 And now I'm studying here
01202919-01203211 in the newly initiated Masters program
01203212-01203403 in Emergency Surgery
01203404-01203604 in Obstetrics/Gynecology.
01203605-01203712 Year two.
01203719-01204007 I am in my residency.
01204123-01204916 These appropriately trained health workers are the task force
01204917-01205405 to decrease or significantly avoid
01205406-01205909 these preventable maternal deaths and peri-natal deaths, definitely.
01205910-01210519 We are having an acute shortage of this kind of cadres in the whole nation
01210520-01210915 and the government is doing its best these days, I mean.
01210916-01211423 For example, our program launched. It has been two years.
01211818-01212516 I was fortunate that I was assigned to one of the colleges in Ethiopia
01212517-01212718 to study to be a health officer.
01212719-01213302 Since then I have become very obsessed with this medical profession
01213303-01213820 And I a particularly concerned in maternal death and maternal health.
01213821-01214409 It's not by reading, or it's not because someone told me that I should do it.
01214512-01214808 It's just because I am day to day facing the problem.
01214919-01215213 How these poor mothers are dying
01215214-01215522 when they are trying to five a new child life.
01215709-01220001 And I want to work hard.
01223014-01223422 This is a 20 year old woman.
01223423-01224022 She gave birth three weeks ago at home.
01224023-01224409 And the placenta couldn't be delivered.
01224410-01224916 The nearby health center has tried to manage it, but they couldn't.
01224917-01225421 And she appeared to our hospital, 12 days after delivery.
01225422-01225812 The uterus was found to be gangrenous.
01225813-01230315 And we did remove the gangrenous part of the uterus.
01230316-01230913 The abdomen was distended, she had an infected abdominal wound.
01231101-01231311 She also had swelling all over the body.
01231509-01231810 The placenta should be, normally it should be delivered
01231811-01232313 within 30 minutes after delivering the baby.
01232314-01233012 When this doesn't happen the woman can experience heavy bleeding.
01233013-01233302 It kills women within two hours.
01233303-01233803 It's the fastest killing obstetric morbidity in women.
01233804-01234000 Surprisingly, the baby is at home
01234001-01234419 I don't know how the family is keeping him alive.
01234707-01235016 And if this woman survives definitely she is a near miss.
01240206-01240412 An innocent mother
01240413-01240622 because of her pregnancy
01240623-01240814 she's dying.
01241004-01241211 For lack of appropriate care
01241212-01241513 in the right time, in the right place
01241514-01241802 with the right skill.
01241803-01241915 This is what's actually happening
01241916-01242108 in the developing world.
01242218-01242523 Fifty-five Ethiopian mothers are dying daily.
01242600-01242806 Fifty-five mothers, imagine.
01242807-01243115 This is a huge sum, which is not acceptable.
01243116-01243404 Much of it, more than 90% of it
01243405-01243711 completely preventable, so it should be.
01243804-01244004 Imagine the sum over a year
01244005-01244113 how many mothers are dying
01244114-01244303 leaving all the family
01244304-01244409 and losing their lives.
01245307-01245521 The death of a mother is the death of a family.
01245522-01245910 If the mother dies, the family is to be dispersed.
01245911-01250117 The father is going to take care of the children.
01250118-01250521 The father is most of the time, they are on the farms.
01250522-01250817 There is no one to care for the living children.
01252322-01252722 My name is Yeang Yul, I am 43 years old.
01252723-01252904 I live in Phnom Reye Village.
01253006-01252321 My oldest son Yert is ten years old.
01253317-01253708 My older daughter Yan is eight years old.
01253709-01250401 This little one, Srey Lart, is four years old.
01254719-01255003 I remember my wife
01255004-01255123 when we bathe in the river.
01255401-01255623 It feels like my wife is still here,
01255700-01255820 but I try not to think about it.
01260304-01260504 There were no signs.
01260612-01260812 The placenta wouldn't come out.
01260919-01261312 The TBA tried to help, but she wasn't able.
01261907-01262208 And when we were carrying her
01262209-01262407 There wasn't a bridge yet.
01262516-01262700 It wasn't finished.
01262701-01263103 We didn't have anything. We just had a hammock.
01263305-01263723 I was worried, it looked like she was really tired.
01263908-01264221 She died around four years ago.
01265317-01265606 When she died
01265607-01265804 I found people to burn the body.
01265805-01270007 We prepared everything.
01270105-01270420 We didn't get a chance to do a ceremony.
01271102-01271219 Nowadays it's difficult.
01271220-01271602 They only get fed if I'm there.
01271603-01271804 The little ones, there isn't anyone to feed them.
01271805-01271907 So I stay home for that.
01272107-01272408 I take care of them like she was here.
01272409-01272709 Raise them, take care of them.
01272710-01273002 I watch them like when my wife was alive.
01274406-01274513 This little girl, she's the one
01274514-01274816 that reminds me of my wife.
01280412-01280602 In maternal health there are three things
01280603-01280820 which are relatively determinant.
01280821-01281120 We call them the three delays.
01281121-01281605 The first delay is delay in health seeking.
01281606-01281821 It starts within the home.
01281822-01282119 The woman, or the mother, may not decide
01282120-01282323 to come to the health institution
01282400-01282523 The family may not be willing
01282600-01282817 to take her to the health institution.
01282818-01283021 Normally, it's commonly said
01283022-01283417 the sun shouldn't set twice on a laboring mother.
01283516-01283722 Which mean she has to get delivered
01283723-01284004 within 24 hours maximum.
01284114-01284222 And the second delay is
01284223-01284409 delay in transportation
01284410-01284607 to reach health institutions
01284608-01284809 Obstructed labor
01284810-01285017 is caused by obstructed roads
01285018-01285204 it's said like that.
01285313-01285419 And the third delay is
01285420-01285723 delay in the appropriate management.
01285800-01285917 Delay in deciding
01285918-01290119 delay in intervention
01290120-01290300 all these things.
01291305-01291418 All right, you know there are a lot
01291419-01291717 of mothers who die in delivery
01291718-01291909 because they don't eat well.
01291910-01292010 They get pregnant too close together
01292011-01292209 because they don't have access to birth control.
01292210-01292503 They don't have hospitals.
01292504-01292900 Okay, the mothers die more than men.
01292901-01293002 Having a lot of children
01293003-01293115 isn't going to solve your problems.
01293116-01293221 Because when you have your children
01293222-01293418 you love them
01293419-01293612 but you cannot take care of them.
01293613-01293815 Isn't it true that you cannot take care of them?
01293816-01294211 Even when foreign aid comes to this country?
01294212-01294416 Foreigners are sending a lot of things to Haiti
01294417-01294615 food, milk, etc.
01294616-01294717 Have you ever received them?
01294718-01294803 No.
01294804-01294906 So, you have never received them?
01294907-01295023 They stay at the rich houses.
01295110-01295210 They share them with their relatives
01295211-01295313 they never come to share them with you.
01295314-01295501 This is why
01295502-01295620 you need to stop getting pregnant close together.
01295710-01295823 You must not have a lot of children.
01295910-01300101 And you need to take care of yourself
01300102-01300119 you should go to the clinic.
01300215-01300313 Okay, do you hear?
01300402-01300410 Do you hear?
01300416-01300423 Yes.
01300504-01300707 How many of you are using birth control?
01309006-01301007 No one is using birth control?
01301512-01301716 You can stand to speak.
01301717-01301905 While everyone is here
01301906-01302010 I have to say what I see.
01302011-01302314 Since I was young, my dad has been supporting me.
01302320-01302607 So I shamed my dad.
01302608-01302808 I don't want to see young girls go out there
01302809-01302919 go off and be promiscuous
01303522-01303905 And while I'm saying I've struggled.
01303906-01304022 I'm 22 and I have two kids.
01304115-01304516 At twelve, I had my first child.
01304517-01305002 After eighth grade my future was over.
01305003-01305110 At twelve years old, I was in the eighth grade.
01305111-01305502 I could have been well prepared for society.
01305604-01305823 I would have been able to do as I wished.
01310011-01310203 I haven't achieved anything.
01310204-01310312 But, I'm still okay. I'm holding strong.
01310313-13310502 But, you young women coming up
13310503-01330714 I want you to hold firm and don't let go.
01311023-01311300 Where are the women here?
01311301-01311709 I want to pass a lesson to you.
01311710-01311823 A lesson.
01311900-01312019 Even though we many not have money
01312020-01312311 we are the pillars of life.
01312312-01312503 At home, we are the garden
01312504-01312706 that provides for our families.
01312707-01313000 Understand? We think like that.
01313007-01313720 In the name of God, who has all the power
01313721-01314004 today we feel happy
01314005-01314617 In the name of God, who has all the power
01314618-01314903 to preserve our strength.
01315017-01315204 Thank you, children.
01315205-01315405 You did great.
01315912-01320413 What I could do when the politicians
01320414-01320722 come here is what I always do
01320723-01321516 I always ask them to help us to get more health centers
01321517-01321721 and more doctors in the neighborhoods.
01321722-01322109 And to have community health agents.
01322110-01322210 When we had health agents
01322211-01322403 people weren't as sick as they are now.
01322404-01322521 It is because we don't have them anymore
01322522-01322813 that so many people are sick.
01322814-01323317 We would like to ask the politicians
01323318-01323903 to bring back the health agents.
01325820-01330001 Our regional health bureau
01330002-01330200 has recognized
01330201-01330408 that maternal mortality
01330409-01330609 is a big problem in the region.
01330707-01330911 There are integrated activities
01330912-01331022 that are being undertaken
01331023-01331307 in the whole health system
01331308-01331417 from the grassroots level
01331418-01331614 to referral centers.
01331721-01331913 85% of our population
01331914-01332218 is residing in rural places.
01332602-01332800 There are health extension workers
01332801-01332917 that go house to house
01332918-01333017 teaching mothers
01333018-01333222 these primary health care components.
01333517-01334004 TEXT BOX Hirity Belay, Health Extension Worker Cross dissolve at beginning
01334803-01335207 At the beginning, it was a little difficult
01335208-01335506 to be so far away from my family.
01335507-01335810 It was difficult for me.
01335811-01340120 But after a while, I grew more confident at my job
01340121-01340307 and had more training.
01340308-01340606 I began enjoying myself, and I'm very happy now.
01341315-01342119 I travel sometimes up to eight hours on foot.
01345819-01350115 It is really difficult and tiring
01350116-01350715 but when I go to the rural areas
01350716-01351022 I carry food for three days and nights.
01351023-01351218 And I stay with the farmer's families
01351219-01351412 and concentrate on my work.
01361019-01361417 Vaccinations during your time of pregnancy
01361418-01361912 will help you and your baby.
01361913-01362200 So you must take vaccinations.
01362201-01362607 The problem with giving birth at home
01362608-01363000 is that unsanitized hands cannot touch the placenta
01363001-01363106 a common mistake in the past.
01363107-01363212 Germs can get into your system
01363213-01363408 a risk you take if you deliver at home.
01363409-01363409 Bacteria can get into your uterus
01363410-01363903 and the baby could get tetanus.
01364117-01364801 God be with you, take care.
01371002-01371403 Malaria, TB and HIV
01371404-01371704 used to cause a lot of deaths
01371705-01371915 but now deaths from those diseases are less common.
01371916-01372503 It's childbirth that causes the most death for women.
01373412-01373615 When they are in labor
01373616-01374003 if I see any danger signs
01374004-01374318 I refer them to the health center
01374319-01375015 and if necessary, I refer them to the hospital.
01380818-01382008 All 1,220 Health Extension Workers in Tigray are female high school graduates, who completed a one year training course in hygiene, maternal and family health, disease prevention and control and nutrition. Cross dissolve at beginning
01382511-01382806 I have built a friendship with the mothers.
01382807-01383114 During the pregnancy we build a trust
01383115-01383408 And with that trust, I can take care of them.
01384019-01384501 This is a birth control shot, for family planning.
01391722-01392304 These women have the traditional thinking
01392305-01393015 that nutrition is more important for the husband.
01393016-01393304 In order to stop this way of thinking
01393305-01393704 I teach them about proper nutrition
01393705-01393811 and they trust me.
01394220-01394512 Aside from checkups and continuing
01394513-01394807 to make sure everything is going well
01394808-01395000 you must especially take care close to delivery
01395001-01395206 to prepare cloth needed to deliver the baby.
01395207-01395316 Okay, that is a good thought.
01395317-01395410 Have the necessary items and make sure
01395411-01395511 your home is ready in case you deliver here.
01395719-01400405 You are so good to come to teach us.
01400406-01400712 If you teach us, we will learn.
01401413-01401702 We are creating a bond like sisters.
01410321-01411010 Pregnancy is like crossing a river.
01411213-01411410 When you cross a river
01411410-01411604 there could be wind or rain.
01412511-01412719 The river is unpredictable.
01412720-01412916 We don't know if we'll be able to cross it or not.
01413609-01414008 The boundaries of Samlot District are minefields.
01414009-01414307 It used to be a hotbed for fighting.
01414509-01414806 That's why there are minefield all over.
01415106-01415417 Even the farm in front of my house has mines.
01415716-01420004 When a woman is coming to the health center
01420005-01420221 she is in danger of mines.
01420508-01420922 You don't know from one point to the next
01420923-01421200 if there will be trouble or not.
01421201-01421412 You are not able to foresee the obstacles.
01421715-01421913 Giving birth is the same.
01423702-01424103 Peum Cross dissolve at beginning and end
01430010-01430412 This is a transverse pregnancy, the baby is sideways.
01430413-01430812 If she doesn't go to the hospital for surgery
01430813-01431110 if she stays at he health center
01431111-01431311 she will die at the health center.
01431523-01431717 Her situation is that
01431718-01431922 she doesn't have money to go to the hospital.
01431923-01432202 So I decided to help her
01432203-01432914 Houy Chandy, Director of Delivery Life Support Program Trauma Care Foundation Cross dissolve at beginning
01432203-01432415 and use the Trauma Care vehicle
01432416-01432603 to take her to the hospital
01432604-01432914 so she can have surgery.
01433221-01433809 We call this program the chain of survival.
01433810-01434104 When the women have problems
01434105-01434410 we have a referral system
01434411-01434704 from the village level to the TBA.
01434705-01435109 From the TBA to the health center
01435110-01435210 and from the health center
01435211-01435406 to the hospital.
01435611-01435719 We want to reduce the mortality rate
01435720-01435921 of the mothers and babies.
01464906-01465200 The baby only weighed 1.2 kilos (2.6lbs).
01465201-01465511 And we looked at the child's health
01465512-01465905 it was weak and
01465906-01470118 we could see it didn't have any energy.
01470119-01470316 And it wasn't really crying.
01470317-01470606 which means she's really weak.
01472110-01472203 That night
01472204-01472404 the baby died.
01485516-01485917 Tserie Cross dissolve at beginning and end
01491705-01491816 Okay, how are you?
01491817-01491909 I'm good.
01491910-01492217 This is a good baby, he is handsome.
01492218-01492521 We considered the fetus was not alive.
01492704-01493012 We couldn't appreciate the fetal heartbeat.
01493117-01493304 The fetus was asphyxiated
01493305-01493803 and we did CPR and we resuscitated.
01493804-01494102 We sent him to the neonatal ICU
01494103-01494307 and found him to be alive.
01494308-01494522 She did well, she is okay.
01494715-01494909 How is your baby? Is he fine?
01494910-01495104 He's okay.
01495105-01495221 Is he getting stronger?
01495222-01495507 He's fine.
01495508-01495716 Has he finished his medication?
01495717-01495820 No, he has more.
01495821-01500020 Let me see how your would is healing.
01500420-01500613 It's okay.
01500715-01500911 Your wound is already healed.
01501912-01502109 From today onwards you will not have children.
01502110-01502204 I think you know this.
01502205-01502309 We have enough.
01502310-01502507 Are you her husband?
01502508-01502615 It has risk because
01502616-01502806 her uterus was operated on before.
01502807-01503005 Therefore, she should not become pregnant again
01503006-01503206 if she did her life would be at risk.
01503314-01503623 It was dangerous for you and your baby.
01503911-01504202 We did bilateral tubal ligation
01504203-01504403 at her own request.
01504404-01504701 Because she had four more children
01504702-01504811 a total of five children.
01505617-01505818 I was surprised when I saw him alive.
01510004-01510117 When I saw my baby, I was happy.
01510118-01510405 I saw my face in his face.
01511619-01522020 TEXT BOX Se'eda, 30 Cross dissolve at beginning and end
01524314-01524601 There's Goitom, let's go.
01524715-01524902 Let's go to the O.R.
01525708-01525823 Breathe in.
01525900-01530015 Inhale, inhale…okay.
01531019-01531222 Once, once, let me see you.
01531223-01531506 Lay down.
01532619-01532907 Oh, it's hand prolapse.
01532908-01533116 Oh, it's very difficult.
01533117-01533220 Oh, my God.
01533413-01533616 Oh, my God.
01533617-01533909 God.
01533910-01534007 Christ.
01534220-01534319 Once, once, once. Hold on.
01534414-01534523 Impossible.
01535113-01535211 Lay down now.
01535500-01535803 The station is high, the fetus is dead.
01535909-01540001 And it's difficult to do
01540002-01540308 destructive delivery in such a case.
01540309-01540404 There is a high chance
01540405-01540611 of damaging the uterus.
01540612-01540815 Most likely she is going to have
01540816-01541018 a cesarean section for a dead fetus.
01544118-01544313 Show me, show me, there is pressure.
01544603-01544900 Hold on, hold on. Let me see it.
01545008-01545300 What is this, is it off?
01545518-01545703 Did you find it?
01545704-01550113 Did you find his buttock? Here, grasp it.
01550521-01550720 Slowly, slowly.
01565405-01565511 How old are you?
01565602-01565708 30
01565712-01565800 30
01565815-01570217 How old is your first child?
01570218-01570513 My first child already died.
01570514-01570703 How did the first child die?
01570704-01570821 Like this one.
01570822-01570916 What?
01570917-01571110 He was out like this one.
01571111-01571323 How far is your home from here?
01571400-01571415 Where I live?
01571416-01571503 Yes.
01571504-01571607 It's far.
01571700-01571822 It takes four hours, but I don't know exactly.
01571823-01572002 You mean on foot?
01572003-01572014 Yes.
01572015-01572216 Four hours on foot.
01572405-01572911 She is 30 years old, she had labor pain
01572912-01573211 for a duration of 12 hours at home.
01573223-01573522 And she was kept there for 12 hours.
01573608-01573914 When the hand
01573915-01574106 appeared from the vagina
01574107-01574205 they were scared.
01574206-01574405 The family had to carry her
01574406-01574700 on the wooden stretcher
01574701-01574920 locally made by the parents.
01574921-01575315 So the fetus could have
01575316-01575608 survived had she been
01575609-01575708 to the hospital
01575709-01575916 or to any modern health care.
01575917-01580322 If she appeared later than
01580323-01580522 the time she appeared last night
01580523-01580817 she could have even ruptured her uterus.
01580818-01580920 It would have been very difficult
01580921-01581114 to salvage even her life.
02003819-02003919 Good morning. How are you? -I'm good
02003920-02004116 How's the baby? He's good.
02010916-02011216 Why is he like this? -He's skinny, he's very skinny.
02011217-02011515 You don't have any food to give him? -No, I don't have any food to give him.
02011516-02011819 Where is his father? -He left.
02011820-02012211 What did you give him? -I used to give him milk, but now I don't have any money.
02012212-02012323 The milk is finished? -The milk is finished.
02012400-02012512 Do you want me to look around for you? -No.
02012513-02012720 Are you going to ask people to look around for you? -Yes.
02012721-02012909 Are you going to ask the neighbors? -Yes.
02012910-02013012 To look around for you?
02013221-02013402 Did he have a checkup? -Yes.
02013403-02013521 Is he better than he used to be? -Yes.
02104212-02014421 Talk to the neighbors so they can inquire about food for you.
02014422-02014614 So he could get milk.
02014615-02014808 Okay? - All right?
02015120-02015402 He was born a healthy baby.
02015403-02015601 And the mother got sick.
02015602-02015719 She was very swollen
02015720-02015910 her stomach was swollen
02015911-02020103 her face was swollen
02020104-02020103 her feet were swollen.
02020104-02020307 And she was very sick in the hospital.
02020308-02020611 The doctor said she was not able to breastfeed.
02020612-02020718 She couldn't breastfeed him.
02020719-02021017 The father put this child in her belly
02021018-02021315 the father abandon them.
02021316-02021803 In this picture you can see he was a healthy baby.
02021804-02022010 It is because she doesn't have food and milk
02022011-02022611 to give him that he is in this unhealthy state.
02022612-02023003 She gives him sugar water, when she has sugar.
02023004-02023200 If someone givers her bread
02023201-02023312 she mixes it with the sugar water.
02023313-02023616 She isn't always able to do this.
02023617-02023810 The reason he is still here is because
02023811-02024004 I brought her to get milk.
02024005-02024021 The milk is finished
02024023-02024410 and she has to go back to sugar water.
02030608-02030705 Hello Madam.
02030706-02030802 Hello.
02030803-02030923 How are you?
02031000-02031104 How is the nursing mother?
02031105-02031209 The nursing mother doesn't feel well.
02031210-02031313 Good afternoon, nursing mother.
02032021-02032204 Do you feel a strong headache?
02032205-02032221 Yes.
02032222-02032404 Here?
02032405-02032509 Do you feel it in the back of your neck?
02032510-02032608 Yes.
02032609-02032706 Does it hurt behind your neck?
02032707-02033013 Yes and I have a fever.
02033014-02033120 You also have a fever?
02034107-02034320 The baby has a fever and the mother has a fever.
02034321-02034601 She got the fever from her mother.
02034602-02034801 Most of the time they get a fever
02034802-02035015 it's from an infection from the mother.
02035016-02035208 You shouldn't have a fever
02035209-02035316 while you are nursing the baby.
02035317-02035709 Tomorrow morning you must go immediately to the doctor.
02035710-02035812 Okay?
02035813-02035900 All right?
02035901-02035910 Yes.
02040116-02040313 I know you don't have money, but talk to the doctor
02040314-02040506 and tell her I referred you.
02041407-02042005 In one day I sometimes work for 12 hours.
02042006-02042415 Sometimes I work nonstop.
02042805-02043013 Okay, if you need me, call me.
02045101-02045604 Madam Marc was in labor at 6pm.
02045605-02045811 and I went to her.
02045812-02050109 I measured her blood pressure
02050110-02050213 I examined her.
02050508-02050721 She had to suffer a little bit
02050722-02050919 and at around 11pm she delivered.
02051100-02051216 After putting the baby
02051217-02051705 to her breast for fifteen minutes
02051706-02051818 the placenta had still not come out.
02052004-02052215 I did my best all night long to find the money.
02052216-02052519 It was midnight when I found someone with a car.
02063517-02063918 TEXT BOX Madam Marc
02070501-02070618 It's pitocin we are going to give her
02070619-02070921 to release the placenta.
02070922-02071206 The placenta will be released by the pitocin.
02071310-02071405 A little shot?
02071406-02071413 Yes.
02084322-02084806 A big, healthy baby.
02093816-02094208 Right now there are two women waiting to deliver.
02094209-02094602 One woman has been waiting for two weeks
02094603-02094618 since she lives far away.
02094619-02094911 If it starts raining, and it's difficult to get here
02094912-02095014 and she can be here ahead of time.
02095215-02095502 TEXT BOX Seth, 26 Cross dissolve at beginning and end
02095607-02100113 From the village to the health center is about 15 kilometers (9miles).
02100114-02100300 I've been worried because contractions
02100301-02100609 have been going on for so long.
02100610-02100920 The last time I delivered at home.
02100921-02101418 Everybody, if they're pregnant, gives birth at home.
02101419-02101615 Only now
02101616-02101811 my TBA stopped delivering at home.
02101812-02102112 She sent me to the health center.
02102113-02102409 They are more capable here than being at home.
02135400-02135700 Calm down, it's not good.
02135803-02135901 Bring me gauze.
02135902-02140002 Take the gauze and give it to him.
02140012-02140221 Give me the fetoscope at once.
02141104-02141214 Spread your legs slightly.
02141215-02141312 Don't worry, is there pain here?
02141313-02141414 Yes.
02141510-02141606 Did you bleed more?
02141607-02141614 Yes, a lot.
02141707-02141818 Did you bleed more?
02141819-02141920 Yes, it's more.
02142407-02142614 Oh, I'm dying, I'm dying.
02142701-02142905 Oh, I'm dying, I'm dying.
02142920-02143200 Please stop this pain.
02143705-02144300 TEXT BOX Tekien, 34 Cross dissolve at beginning and end
02144302-02144803 Oh, I'm suffering, I'm suffering.
02145109-02145419 Did you have ante natal care?
02145509-02145607 Do you have an ante natal referral card
02145608-02145722 from the health post?
02145809-02150103 I rarely went.
02150104-02150220 How about the health extension worker?
02150221-02150400 I didn't go.
02150500-02150709 I never had so much pain before
02150710-02150910 She has to be stabilized.
02150922-02151313 Be quick, be quick, she is bleeding.
02151919-02152122 She started labor at home
02152123-02152608 and she was in labor for the last 34 hours.
02152609-02151711 And after the bleeding
02151712-02153004 she was referred to this hospital.
02153005-02153306 The problem is there can be a separation
02153307-02153611 of the placenta from the uterine wall.
02153612-02153913 So we call that an abruptia placenta.
02153914-02154209 The pelvis is adequate, or course
02154210-02154610 but the fetus is in deep transverse arrest.
02154611-02154900 We can't wait more time to continue labor.
02154901-02155019 So we have to section early
02155020-02155315 to salvage the fetus and the woman.
02155316-02155517 Otherwise, if we give time, the fetus will die.
02155702-02155823 Oh, I'm dying, I'm dying. I'm losing my life.
02160407-02160614 Don't say that, life yourself up.
02160818-02160911 No improvement.
02161120-02161211 Scrub, scrub, scrub.
02161408-02161518 You are right, this is the worst one.
02161801-02161915 Quickly, quickly, give her anesthesia.
02165112-02165215 Head down, head down.
02185103-02185207 How are you?
02185208-02185308 I'm alive.
02185309-02185421 Are you in pain?
02273822-02185707 Yes, I have pain coming and going.
02185805-02190000 How about your baby? Is he at your feet?
02190022-02190117 Okay, it's good.
02190118-02190406 Why don't you breastfeed?
02190407-02190506 Shall I bring him, so you can breastfeed?
02190622-02190821 If I can, okay.
02190822-02191017 Just move your blanket down a little.
02191515-02191616 Take him.
02191706-02191908 Breastfeed him this way.
02192018-02192310 That's okay, no problem, no problem.
02192311-02192307 Simply give him.
02192609-02192618 Great.
02193020-02193201 Give him, give. He feels hungry.
02194307-02194508 If I were president, I would support
02194509-02195103 all women in the country.
02195303-02195722 I feel great pride in this community
02195723-02200023 even though they are very poor.
02200100-02200417 God has chosen me to come provide this vital service.
02200418-02200718 And I feel really happy it's me God has chosen. Italicize 'me'
02200719-02201008 to provide this service.
02211706-02212014 When a mother survives this incident
02212015-02212217 usually they die
02212218-02212601 but, you feel great, you feel very delighted.
02212602-02212808 But, I think it's not enough.
02212809-02301413 I mean, a single person
02301414-02213300 couldn't change all these things.
02213301-02213413 We can save a single life
02213414-02213719 but what's going on, it's a huge problem.
02213909-02214209 Every day, every minute of the hour
02214210-02214503 a mother is dying related to pregnancy.
02214815-02215215 It's not a clinician's or a physician's duty only.
02215400-02215611 The world should understand this issue.
02220112-02220220 People should give due attention
02220221-02220506 and this thing has to stop.
02221800-02222619 Pregnancy and childbirth related deaths kill 4.3 million women and babies worldwide each year Cross dissolve at beginning and end
02222206-02222619 AIDS, tuberculosis and malaria combined kill 4.2 people worldwide each year Cross dissolve at beginning and end
02222710-02333201 95% of the pregnancy and childbirth related deaths are preventable with access to appropriate care Cross dissolve at beginning and end
02223204-02223619 99% of these deaths occur in developing countries Cross dissolve at beginning and end
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