Our morning of visitations and Bible studies were over, and we had managed to obtain a ride up the river in the direction of the school without much waiting. As we motored along on the water the skies that had been intermittently pouring rain all morning only released a soft sprinkling of liquid. Some of the occupants of the jungle homes we passed could be seen washing clothes in the river, or performing other daily activities.
Passing one such house, we were waved over by an young girl. I was not surprised since many times people will solicit rides up or down the river as motorboats pass by their docks. When we reached her, however, she quickly said to our driver, who was the husband of the village health worker: “Tell Mona that mama lost her baby the bleeding won’t stop because the afterbirth hasn’t come out!”
Our boat began heading up the river again, this time a little faster than before. Then, around the next bend in the river, we saw another boat heading in our direction and upon seeing me in the boat the occupants began to shout at me. As they drew closer I recognized Ramona, the health worker, my sister, and two of my students who had been working in the clinic for the day, along with a young girl, who had been sent to the clinic to give Ramona the same message we had just been given.
Quickly I jumped ship and headed back in the direction we had just come from, back to the little jungle house to see what we might find. Ramona told me she had brought along an injection to help stop the bleeding, and blood pressure cuff and a single pair of gloves. I hoped we wouldn’t need much more.
As we docked at the house Ramona and I quickly headed up the bank, up the stairs, removed our shoes, then entered the small wooden structure. “Where’s Roxy?” she asked the daughter, and we were pointed to a small bedroom. Pushing open the door I saw her. Lying on the far side of the room in the small space between the bed and the wall, facing the corner in only a shirt with a couple rags thrown down between her legs to catch the blood.
She looked up at us as Ramona greeted her and began to ask her a barrage questions: about how long ago she had lost the baby -- 2 hours; how far along her pregnancy was -- 3 months; was she still having contractions -- no; and other such queries that we medical persons enjoy hurling at people.
Meanwhile I donned the gloves and positioned myself in the corner between her legs in order to assess her and visualize what we were up against. I noted that, thankfully, the pool of blood on the wooden floor was not excessive, her color was still good, and she was coherent and talking without difficulty. I gave Noelia, one of my students, the task of taking her blood pressure, and was happy to find that it was normal. I didn’t see any sign of the afterbirth, but noticing some bleeding I began to massage her uterus hoping to encourage her uterus to begin contracting again in order to spur the exit of the placenta. I asked Alexis to position herself with Roxy’s head on her lap so I could have her assist me by pushing, and then requested that Natoya, my other student, offer a prayer for help in our efforts.
Soon it appeared that our efforts were being rewarded as I saw part of the umbilical cord emerge, but since the rest of the placenta was not forthcoming, I moved on to plan B. I had Alexis massage her uterus, and while she pushed, I gave the cord some small tugs, still nothing. I tried to visualize the placenta, but couldn’t. I tried to feel the placenta, but couldn’t. I was really beginning to wish for a speculum, and perhaps, based on what I found, a pair of forceps. We continued our current method without success. Then suddenly, the small portion of cord that I had to work with tore, and I was left with nothing.
By this time the bleeding seemed to be worsening, so I had Ramona give the injection. I began again to try to get a better visual of the location of the elusive placenta, wishing even more for the assistance of a speculum. I attempted to improvise with my two index fingers serving as the speculum, but they served me very poorly. I asked for a light, and after nearly 10 minutes was brought a flashlight, but upon turning it on all that was revealed was a nearly dead battery.
Running out of ideas with our present tools (or lack thereof) Ramona asked her husband, who had joined us again by this time, to take the boat back up to the clinic to gather a working light, and the tray of surgical instruments that would include forceps. The rest of us waited, and waited, and waited, for what seemed like an eternity to me.
I was happy to see that the bleeding had decreased again, and Roxy’s blood pressure remained stable. While we waited, we discussed our next plan. Natoya would hold the light, either Ramona or I would act as the make-shift speculum while the other used the forceps to remove the placenta if need be. I decided that if we moved Roxy up on the bed it might make it easier for us to work, so plastic was laid down over the foam mattress, and she stood up and repositioned herself on the bed.

By the time, the boat was finally back, with our desired instruments, and we got ready to implement our plan of action. The light illuminated our labors, and I readied myself to act as speculum, but this time, when I placed my fingers into the birth canal I felt something obstructing my way. There, ready to be delivered, was the placenta. Apparently, as Roxy moved from the floor to the bed gravity aided us in detaching the placenta from the uterine wall and carrying it toward its exit.
After two more pushed by Roxy, and a little coaxing with my hand, the troublesome placenta was out at last, and the bleeding still remained minimal. I sent up a prayer of thanks to God, as I examined the placenta to be sure that it was intact, and no pieces remained to cause further bleeding and trouble. We cleaned up Roxy and the bed as best we could, and re-checked her blood pressure, which remained perfectly normal.
As we were preparing to leave, Roxy’s daughter brought in a tiny bundle, the premature

stillborn baby boy. As I gazed at this miniature wonder of human life, I was amazed yet again at how truly amazing God is. To see the perfectly formed, hands, toes, knee cap, bones, nose, and everything else in such small proportions reminded me of the words of David “I will praise you for I am fearfully and wonderfully made.”While my heart aches for the loss of this mothers unborn baby boy, I can’t help but be filled with awe at this revelation of God’s handiwork. Yet I look forward to the day when “God shall wipe away all from their eyes; and there shall be no more death, neither sorrow, nor crying, neither shall there be any more pain: for the former things are passed away.”