Women surviving pregnancy without doctors, nurses or painkillers in Venezuela
The Express Tribune
Yoli Cabeza was sent from one hospital to another before finally giving birth to her daughter Yusmari in the corridor of a maternity ward because her contractions came quicker than medical help.
The 37-year-old was diagnosed with a high-risk pregnancy but that didn’t spare her from Venezuela’s medical ‘roulette’ – the practice of referring patients from hospital to hospital due to a lack of personnel, supplies or sanitary conditions.
Cabeza told AFP she “did the tour of every hospital in” Ciudad Guyana, the biggest town in the state of Bolivar, before returning to the place she started at, the Negra Hipolita maternity unit where “they took me in.”Ratio of neonatal, mother and infant mortality falls
Incredibly, her case isn’t rare in a country where many women are forced to give birth in the street because they can’t get into a state medical facility.
At the beginning of November, a woman was filmed giving birth to her son squatting by a tree in front of the biggest hospital in Bolivar.
Venezuela is in the midst of an economic meltdown triggered by mismanagement and a slump in oil prices followed by US sanctions.
The United Nations says some 2.3 million people have fled Venezuela since 2015 and amongst them have been many doctors.
According to a study by a dozen non-profits, some 22,000 doctors, more than half the former total, emigrated between 2012 and 2017.
Added to that, more than 6,000 nurses (74 per cent of that industry’s workforce) and 6,600 lab technicians have left while there’s a shortage of 90 per cent of necessary medicines and supplies.
Often, patients are turned away “because there are no surgical materials, no anesthesiologists. They don’t even have chlorine to clean the cubicles,” said Silvia Bolivar, a nurse at Concepcion Palacios, the biggest maternity unit in the capital Caracas.
Pregnant women are sometimes expected to bring their own disinfectant and garbage bags.
Venezuela has been suffering from four years of recession in which poverty is on the rise as food has become short in supply.
A caesarean section kit costs the equivalent of $100 at the black market rate while the minimum wage is 1,800 bolivars ($6) a month.
Inflation, which the International Monetary Fund predicts will reach 1.35 million per cent this year has crippled the currency as United States sanctions saw foreign investment dry up. The effect on pregnant women has been devastating.
Yusmari Vargas, 24, was suffering from preeclampsia, a condition marked by high blood pressure that can develop into a more serious one that puts both the mother and baby’s lives at risk.
When she arrived at the maternity unit, it was closed. The hours passed, the contractions became stronger and her baby ended up on the floor, welcomed into the world with a bump to its head.
“When he fell, they didn’t even help me pick him up, there was nothing to cut the umbilical cord. It was a mess,” she said.
Carolina Rojas, 22, almost lost her daughter after her caesarian section was postponed several times.
“One day there was no specialist, the next the pediatrician or the anesthesiologist didn’t turn up,” said Rojas.
Her daughter swallowed amniotic fluid and spent eight days in hospital after she was born.