© Shiho Fukada/Panos
07 Jul 16
Daan van BrusselenDaan van BrusselenBelgianPaediatricianHaiti

Getting ready for the baby boom

My life really is a rollercoaster. It has only been one year since I left Pakistan. In the meantime I have been on a short mission concerning the refugee crisis in the Balkans. And right now it’s been already a little bit over half a year since I started working in Haiti.
 
Haiti is an enormously fascinating but also very unfortunate country. It is the only nation ever that freed itself from slavery. It's a very musical place, and has produced famous artists like Wyclef Jean. At the same time it is known for its long-standing political instability. It has the highest maternal and child mortality rates of the Western hemisphere. Then it was devastated by the 2010 earthquake and an estimated 250,000 people lost their lives.

Where I'm from, maybe one woman a year dies because of pregnancy, but this number is as high as 350 per 100,000 in Haiti

Specialised health care is often expensive and more than half of the population lives on $2 a day. Furthermore pregnancy has many more risks in Haiti. While in Belgium, where I'm from, maybe one woman a year dies because of pregnancy, this number is as high as 350 per 100,000 in Haiti.
 


That’s why MSF has been doing maternal-child health continuously since 2006 and opened an emergency obstetric reference centre here in 2011. The continued political unrest (the presidential elections keep on being postponed) and ongoing strike in the public hospitals made our presence even more needed. 6,000 women give birth in our hospital every year, and women are referred to us with pregnancy-related complications from all over the country. 

A lot of deliveries means a lot of babies. And a lot of complicated deliveries means a lot of pre-term, small and sick babies.

Dr Daan van brusselenmsf paediatrician

A lot of deliveries means a lot of babies. And a lot of complicated deliveries means a lot of pre-term, small and sick babies. Taking care of those newborns is what we are doing in the neonatal ward that I am leading. 50% of the children born in our hospital have a low birth weight and 30% weigh less than 1.5kg (less than 3.5 lb). 
 
Our small babies often have breathing problems and get infections easily because their lungs and immune systems are still immature. Often they have also suffered from a lack of oxygen because of a pregnancy complication. 

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We have to admit around 250 babies to our ward every month. That number can be a lot higher during the ‘birth peak’. This peak traditionally (and not coincidentally) takes place about nine months after carnival. It will probably start in August this year, since a lot of children are born prematurely. We are already working hard now, so I don’t really know what to expect and what this peak will be like, but we have a lot of very motivated Haitian doctors, nurses and auxiliary nurses working with us, so I’m sure we’ll manage...