Friday, August 26, 2011

Maternity Wards at Mulago Hospital

We finished off our day at Mulago Hospital in Kampala, Uganda in the maternity ward. This was perhaps the most moving part of the trip for me, and certainly the most moving part of the day. We went with Dr. Katamba to meet the head of the Department of Obstetrics and Gynecology who had been at the Grand Challenges Canada talk earlier in the day.

The department head spoke to us first about the work of the OBS/GYNAE department. Some of the numbers shocked me. He told us that the hospital has about 32,000 deliveries each year, with a peak rate of 115 births in 24 hours. Those are huge numbers, for a hospital in any country.

The doctors then walked with us around 3 wards. I had never been to a maternity ward at a hospital at home, so it was a very eye-opening experience for me.

My initial reaction was surprise at just how many women there were. We walked through room after room of women in various stages of labour; the women filled each ward to capacity. In the first room, I was some compelling sights: a woman moaning on the ground in obstructed labour waiting for a cesarean section and a young girl, about my age (16 years old), who was 9 months pregnant.

Talking to doctors and nurses caring for a young girl in labour

One of the wards was specifically dedicated to the care of women with pre-eclampsia (a high blood pressure disease of pregnancy), and it was also completely filled. Finally we saw the 'high-dependency' room for women with complicated pregnancies. There were two patients who were having severe complications including something else I'd definitely seen before -- a woman getting a blood transfusion.

Listening to a nurse in the high dependency room discuss her work

To be honest, I was disturbed by some of what I saw. I think it was because I had not spent much time in hospitals. So problems like obstructed labour had never been visible to me. That changed here. Though I was unsettled, I realized that at least these women are in the right place to receive care, and I was able to hope that almost all of them would survive.

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