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Sichuan hospitals struggling to address needs of mothers, infants

By Gong Yidong (China Daily)
Updated: 2008-07-23 07:41

On the morning of May 13, the day after the devastating earthquake shook Sichuan province, 21-year-old Chen Shichao went into labor.

The poor rural woman, who lives with her husband in the small town of Nanquan, first traveled to the nearest medical facility, Shifang Maternal & Children Health (MCH) Hospital. There she was told that her labor was complicated by a condition known as cephalopelvic disproportion, meaning her pelvis was too small to allow the birth.

Zhu Sha and her three-day-old "earthquake baby" at the Maternal and Children Health Hospital in Pengzhou, Sichuan province. [China Daily]

But doctors at the hospital were overwhelmed treating survivors in the immediate aftermath of the earthquake. The hospital had no space or staff to spare to perform the necessary surgery.

Then Chen, along with 1,500 other people, was transferred to the 1,300-year-old local Luohan (Arhat) Temple, which had been transformed into a makeshift medical facility.

Chen's situation was so urgent that the doctors asked the abbot Suquan for permission to use a meditation room as space for immediate surgery.

The abbot granted his approval. "Some claimed that it was taboo to allow a woman to give birth in the temple," he said. "But, in my opinion, the biggest taboo for monks is to show no mercy to those in trouble."

Wang Xiaoping, a doctor with 10 years' experience working at the local hospital, said she had never encountered a labor as challenging as Chen's. Wang and her colleagues pushed together three small benches to serve as an operating table. "It was pouring with rain outside," she recalls, "and the water was leaking in through the tiles. The electricity was off, and the three nurses used flashlights so we could see."

Eight doctors assisted in the operation - twice as many as are normally required for such a procedure.

Two hours later, the successful surgery was over. Chen held in her arms a beautiful baby girl. She and her husband named their daughter Zhenwen, or Beautiful Cloud Amid the Earthquake.

Since the earthquake, more than 70 children have been born in the Buddhist temple, says Suquan.

Shifang is one of many cities in Sichuan province that have seen hospitals and other medical facilities overwhelmed in the aftermath of the quake. Statistics from the Sichuan Department of Health show that hospitals in more than 40 counties lost the ability to perform some basic functions.

"The mortality rate of children will be incredibly high this year," warns a bulletin published by the Sichuan Network of Maternal and Children Health.

In these worst-hit counties, 52 percent of the facilities were destroyed, and the immediate financial losses have been estimated at 20 million yuan ($7.40 million).

In Sichuan, the networks of mother and children hospitals, which provide check-ups and medical services to new families, also suffered great damage. For instance, several village clinics were ruined in Mianzhu county.

Before the earthquake, Sichuan had 203 hospitals for women and children, a relatively modest number in a province of 87 million people, the second most populous province in China.

According to government records, 730,000 children are born in Sichuan each year. However, the region also has alarmingly high mortality rates for both infants and pregnant women.

The maternal mortality rate is 55.4 deaths per 100,000 births, considerably higher than the national rate of 33.6 per 100,000. Sichuan's infant mortality rate is 15.5 per 100,000, slightly above the national figure of 15.3 per 100,000.

One of the reasons for the high rates is the fact that many women in the mountainous areas give birth at home, instead of going to the hospital. In addition, 70 percent of MCH hospitals lack facilities for surgery, according to the vice governor of Sichuan province, Chen Wenhua.

In light of this grim reality, Sichuan had designated 2008 the "Year for Promotion of MCH."

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