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Wednesday, October 04, 2006

Save My Wife - N.Y. Times
YOKADOUMA, Cameroon: Prudence, 24, was from a small village and already had three small children. As she was in labor to deliver her fourth, an untrained midwife didn’t realize she had a cervical blockage and sat on Prudence’s stomach to force the baby out — but instead her uterus ruptured and the fetus died.
Prudence’s family carried her to the hospital on a motorcycle, but once she was there the doctor, Pascal Pipi, demanded $100 for a Caesarian to remove the fetus. The fetus was decomposing inside her, and an infection was raging in her abdomen — but her family had total savings of only $20, so she lay down in the maternity ward and began to die.
I arrived the next day, interviewed Dr. Pipi about maternal mortality — and found Prudence fading away in the next room. Dr. Pipi said she needed a blood transfusion before the operation could begin, so a Times colleague, Naka Nathaniel, and I donated blood (yes, the needles were sterile) and cash.
The transfusion helped Prudence, and she grew strong enough to reach out her hand and respond to people around her. Dr. Pipi said the operation would begin promptly, and Prudence’s family was ecstatic. But as we waited in the hospital lobby, Dr. Pipi sneaked out the back door of the hospital and went home for the night.
It wasn’t just the doctor who failed Prudence, but the entire system. He did operate the next morning, but by then the infection had spread further — and the hospital had no powerful antibiotics. Prudence’s breathing grew strained, as her stomach ballooned with the infection and the bag of urine from her catheter overflowed. The nurses couldn’t be bothered with a poor villager like her.
That night she began vomiting and spitting blood. She slipped into a coma, and a towel beside her head grew soggy with blood and vomit. On Tuesday afternoon, she finally passed away. ...

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