A near maternal death has dominated our efforts this week but thanks to the skill of our mid-wife Irene and the assistance of Dr Eric Pana together with the students of the nursing college who turned out in force to give blood. The crisis was averted: mother and baby have survived. Bleeding during labour and delivery with no facilities to do a caesarian section puts the lives of mothers and babies at risk. We were preparing to transfer the patient to Gizo Hospital but managed instead a Kiwi cup extraction but the bleeding continued. It was Irene holding it together, working through three shifts before escaping to get some sleep. Maternity ward has been full, so it was also important to keep up the routine work and make sure that the others were not neglected.
We are still seeing a number of cases of diarrhoea & vomiting as well as measles which we are trying to manage in the community.

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