Its hard being a woman no matter where you’re from. From the moment that you’re born to your very last breath, women have to deal with their every step being endlessly scrutinized. Personal boundaries is a word that doesn’t even exist for many people in our society.
In the subcontinental societies like ours, people (read Rishta aunties) expect that females should be married off as soon as they can. If not, then its generally assumed that there’s something wrong with them. Many people make marriage sound like a quick-fix to all your problems.
If you thought that getting married means an end to all that meddling, you might be mistaken. Once you fall for the first bit, desi society starts pestering you to have children.
Today we are going to look at how our healthcare system is not at all equipped for the struggles of women in labor. A medical student shared her experience of what usually happens inside the delivery room of a local government hospital.
Government Hospitals Are Not Equipped to Deal With Deliveries
It all started with this thread:
What goes on inside the delivery room of a local government hospital. A thread.
— Sana Khan (@sana_195) June 18, 2019
Here we have a medical student, who is taught how cleanliness is crucial to her practice. But in real life, she faced the shock of her life.
This girl was flabbergasted by the unsanitary and unhygienic conditions that exist at a government hospital labor room.
So i was a naive medical student when i witnessed the most horrific natural child birth ever. It made me realise how absolutely flawed our health care system is and how some women end up getting treated like their lives have no worth whatsoever. 1/25
— Sana Khan (@sana_195) June 18, 2019
She had to witness a child birth, and that too in horrific conditions. Do human lives have no worth here?
The delivery room was filthy. It stank of sweat and faeces and had no clean sheets. A small, dark, depressing place. It was a government hospital so i didn't expect any better but God knows how many poor women had the misfortune to give birth there. 2/25
— Sana Khan (@sana_195) June 18, 2019
Dirty sheets mind you. Whatever happened to ‘life is sacred?’
Government hospitals what’s your excuse? Where is our tax-payers money going?
I entered the room, naturally curious and excited at the prospect of witnessing the most beautiful natural phenomenon of life. However, that excitement didn't last very long. I saw this woman lying on the bed, hardly 25, visibly in pain, with a fetal monitor attached to her. 3/25
— Sana Khan (@sana_195) June 18, 2019
This student mentions that a woman in labor was unmonitored, with no one in sight. And she was in pain. It gets worse from here:
ALL ALONE. As soon as in entered, i asked her her name and how she was feeling. She looked at me, surprised, as if she never expected such basic human courtesy from a "person in white coat". 4/25
— Sana Khan (@sana_195) June 18, 2019
Wait a minute? No family? Under what law?
She had been lying there without any human emotional or moral support for hours now, she told me. Also that she belonged to a very poor family. Let me just mention here that it was her first child so the labour was taking a little more time than usual. 5/25
— Sana Khan (@sana_195) June 18, 2019
Note: “The lady doctor who had to perform the procedure was nowhere in sight.”
I have never been inside the delivery room before this and i was the only medical student there that day. The lady doctor who had to perform the procedure was nowhere in sight. So anyway, the labour pains were becoming more frequent..6/25
— Sana Khan (@sana_195) June 18, 2019
This medical student and the patient were all alone there. And this is when this student decided to get to the bottom of this unprofessional attitude exhibited by the hospital staff. Its a good thing this student did not forget the fact that doctors are supposed to be empathetic.
..and i could see that it was taking all the effort for her not to scream. I didn't know why she didn't get epidural at that time. Maybe it wasn't available or maybe noone told her it existed. Since it was my first time in a delivery room, i didn't know any better either. 7/25
— Sana Khan (@sana_195) June 18, 2019
In her company, the patient’s pain continued to subside, which compelled this medical student to search finally search for help. The reinforcements were supposed to be on the frontline, but apparently not.
So when the contractions were a few minutes apart, i went out looking for help. I find this stern looking nurse (must be in her 50s) and told her that the patient is in a lot of pain. The nurse came inside after a while and the doctor finally showed up too. 8/25
— Sana Khan (@sana_195) June 18, 2019
She found the doctor. And this is the part where we all have to think hard about this – If you did not become a doctor to “help others in an incredibly significant way,” you do not have the right motivation to become a physician. That’s how med-schools evaluate your personal statement (assuming you wrote one).
Now this doctor, one could assume that they could know how to handle things from here. But apparently not:
Then the real ordeal started. The doctor was polite at first, telling the patient to push. The woman was trying her best, struggling, but somehow the strength of the push wasn't enough. I could see how the patient was using every ounce of strength she had. 9/25
— Sana Khan (@sana_195) June 18, 2019
What was the doctor there for, if not medical assistance?
Sweating profusely, out of breath, hair flying everywhere by this time but all the efforts were futile. The baby's head kept showing and disappearing. It wasn't very long before the entire delivery room turned into utter chaos. 10/25
— Sana Khan (@sana_195) June 18, 2019
Here we had a woman who is undergoing childbirth, a painful process by any means. And this ‘doctor’ at a government hospital had this to say to her as she asked the mother to push:
‘Tum ma banay ka qabil ni ho‘ (you are not worthy of being a mother).
Woah, where did that come from?
The doctor lost her patience so quickly, somehow blaming the patient for not putting in enough effort. The nurse was the worst! Every time the patient didn't push successfully, she would shout at her, flinging occasional jibes at her "tum maa bannay k qabil he nahi ho". 11/25
— Sana Khan (@sana_195) June 18, 2019
This alarming situation could have gotten pretty out of hand, if not for the medical student’s efforts. She exhibited the empathy and professionalism that was expected of every medical practitioner.
I was taken aback by her unpleasant tone and snide remarks, utterly in disbelief at the lack of empathy. The environment was getting super tense by this time! 12/25
— Sana Khan (@sana_195) June 18, 2019
This med-student really saved the day. That’s the kind of healthcare professions we need.
The patient was so out of breath, tears flowing down her face continuously, severely fatigued. I could see how difficult it was for her physically and emotionally. The world is so cruel sometimes. 13/25
— Sana Khan (@sana_195) June 18, 2019
This is why life is sacred. Most women aren’t informed about the labor behind being a mother.
I held her hand which she would squeeze so tightly with every contraction, she kept looking at me cuz i was telling her "sub theek hojaey ga, bus thori aur himmat". It was heart breaking to see how how fragile a woman in such a condition is, finding comfort in simple words. 14/25
— Sana Khan (@sana_195) June 18, 2019
Yes, complicated deliveries are a reality. An epidural or C-section is an alternative in that case. Educated women know this and evaluate their options better. Sure we can always say that the cost of these procedures could be an issue, but not at the cost of other human lives!
The story doesn’t end here. If anything, it gets way worse.
By this time two more nurses had entered the room because it was a difficult delivery and baby monitor started showing fetal distress. 15/25
— Sana Khan (@sana_195) June 18, 2019
Imagine a scenario where a woman is having trouble with childbirth. And one nurse decides to get extra handsy with her.
Physical assault is a felony. We see another example of how the system exploits the ignorance of the patient.
I can't ever forget what happened in the next two minutes. While the doctor shouted at the patient to push one more time with the contraction and she did but it didn't work this time either, the nurse came out of nowhere and SLAPPED THE PATIENT. 16/25
— Sana Khan (@sana_195) June 18, 2019
And of course, you can always expect these folks to get rude. What’s a few angry words when you are ok with slapping a patient?
“Hamaray pass faltu time hai tumharay liye” (we don’t have time for you).
She fucking slapped a crying patient who was struggling SO HARD to deliver her first baby, saying "tumhain samajh nahi aata kia kerna hai?? Hamaray pass faltu time hai tumharay liye??" I was horrified!! 17/25
— Sana Khan (@sana_195) June 18, 2019
Good thing someone sane was present there. This med-student is proving to be just like Wonder Woman:
I couldn't comprehend what had just happened and the patient looked SO scared and i just yelled "YE KIA KER RAHI HAIN AAP"! I wanted to slap her back!! I was so angry!! 18/25
— Sana Khan (@sana_195) June 18, 2019
When you slap a patient, you can’t expect her to do anything.
The nurse acted so normal like it was an everyday thing and even the doctor didn't even say ANYTHING. The patient was super exhausted by this time and i could imagine how traumatised she was and she whispered to me "aur himmat nhi hai dr sahiba mujh say nhi hoga". 19/25
— Sana Khan (@sana_195) June 18, 2019
They only thought of applying fundal pressure now? Fundal pressure is the application of external pressure with the hands to assist in natural birth. It’s a controversial and understudied process, and yet these people still use it.
She was crying harder than ever, i didn't know what to say, i just repeated the same words of reassurance. They sounded hollow and robotic. Meanwhile the nurse started applying fundal pressure and i told the patient that this is it, ab aap nay poori himmat lagani hai. 20/25
— Sana Khan (@sana_195) June 18, 2019
This whole thing looks like it could really take one life to bring another life into this world.
The next contraction came and the woman pushed one last time and the baby was delivered finally. As soon as she heard the cry, the woman just fell back into the bed, her grip loosened on my hand, completely worn out, her eyes empty, almost dead. 21/25
— Sana Khan (@sana_195) June 18, 2019
It is important to get certain things clear here. Medicare professions don’t do their jobs out of courtesy. They get paid to do it. If they’re not doing it right, they have no business being in that hospital.
The nurses and the doctor left. The woman was handed her baby. She didn't even smile seeing the baby and considering what she had just gone through, i didn't blame her. 22/25
— Sana Khan (@sana_195) June 18, 2019
This ordeal was an eye-opener for a student. And the patient mustered up enough energy to tell her how her help saved her:
“Aapko Allah nay meray lye farsihta bana ker bhaija hai. Aapka boht shukriya” (Allah sent you as my angel. Thank you so much).
I stayed her with her for the next hour and i won't ever forget what she said to me. "Aapko Allah nay meray lye farsihta bana ker bhaija hai. Aapka boht shukriya". I just felt embarrassed. Is this what years of practice does? The insenitivity of the staff was killing me. 23/25
— Sana Khan (@sana_195) June 18, 2019
As the only Medicare professional in that room who was really doing her job, this is how she ended her thread.
There was complete silence now, the baby slept peacefully by her side in a green clothe. I might have shed a tear or two, still holding her hand, so emotionally drained. Till this day, i have never stepped into another delivery room. 24/25
— Sana Khan (@sana_195) June 18, 2019
Oh and that nurse who slapped the patient? Apparently this ‘senior‘ had years of practice and still couldn’t do her job right.
I did complain about the nurse but no action was taken because she had been there for years and was someone very "senior". 25/25
— Sana Khan (@sana_195) June 18, 2019
Concluding Thoughts
The unfortunate thing here is are the struggles that a woman in labor is likely to face at a government hospital. Its heart-breaking and very real. And what’s more, the average Pakistani woman is not even aware of their rights while being admitted to a hospital.
To sum it up, women need to be aware of these rights:
- You should not be alone in the labor room
- No one can stop your family (at least your mother) from being in the labor room with you. Exceptions apply when you’re having an epidural and they can’t be in an operation theater.
- Your doctor is supposed to discuss alternative methods of delivery such as an epidural if you’re having a complicated and difficult delivery.
- It is not okay for anyone to hit you, especially medicare professionals! They deserve to be fired and their license suspended.
- The government also needs to do its bit here. These medical professionals are often overworked or missing in action. There’s a need for stringent rules, better funding, equipment and all the other bells and whistles that should be part of a professionally run hospital.
The even sadder part is the fact that women that can read the thread are those who are already aware of their rights. But what about those from less privileged backgrounds? Certainly the government, the medical education system and other stakeholders need to do more to educate women from all backgrounds that medicare is a fundamental human right.
How do we get this information across to the women that can’t read that Twitter thread?