| Apr 15, 2016
Irma knew she was pregnant.
But she had no idea just how pregnant.
Six months into her pregnancy Irma began having trouble breathing and was afraid she was having a miscarriage. She went to a local health clinic where a Medical Teams International nurse examined her and gave her surprising news: she was carrying two babies... and one of them might be turned in the wrong direction. The babies were in danger.
She didn’t know it was even possible to have twins before that day. No one in her remote village had ever delivered them. No one had even seen a set of twins.
Her community of Chitas sits on a remote Guatemalan mountainside, two hours up a dirt road from the town of Chicamán. It was while attending pre-natal classes taught by a Medical Teams International nurse and midwives in Chitas that Irma learned just how serious pregnancy complications can be. Her family was there for her. Irma’s husband works far away in Guatemala City and only comes home once every three months. Thankfully, her mother and sister live nearby and are able to help her cook and manage her one-room house.
The pregnancy had been unexpectedly difficult for Irma, who already had one child. In a community where teen pregnancy is not uncommon, she delivered her first child without complications four years earlier-- at the age of 16. But this pregnancy with the twins had left her tired and her feet swollen. And news of the unsafe positioning of one of her babies made Irma fearful.
The Medical Teams International nurse referred her to a health post that had ultrasound equipment. At first, Irma was reluctant to travel the necessary hour and a half to the health post, but she was having cramps and felt like she was going into labor. “I was really afraid the babies would die,” she says. And, from her training, she knew how important it was to take complications seriously.
At the health post, health workers confirmed that Irma was carrying twins and gave her pain medication-- and emphasized how important it was, when the time came, to deliver in a hospital.
When Irma’s labor started, her mother called Medical Teams International and two community health coordinators arranged for her to go to the clinic in Chicamán, which sent her on to the hospital in Uspantán. She was having cramps and felt like her heart was beating too hard. By the time she arrived at the hospital her breathing was labored, so doctors gave her oxygen. An X-ray showed the babies were compromised, and a doctor performed an emergency C-section.
After the surgery, Irma learned that the baby girls were fine and with one on each side, she happily fell asleep.
But they were not safe yet. Irma soon learned that the babies had low birthweights. One was only four pounds. She and the twins stayed in the hospital for 12 days. Irma was so distraught that her mother came to help her care for the babies in the hospital. Irma’s eyes fill with tears when she remembers their difficult first days.
“It’s a blessing from God having my babies,” she says.
Support for Irma and the baby girls continued when she arrived home. The midwife visited her, and the mother counselor taught her how to care for the twins. Medical Teams International’s Weight Monitoring Commission checked the weight of the babies and helped Irma provide nutrition for their healthy growth.
Without your support, Irma may never have received education about the seriousness of pregnancy complications-- putting both her and her babies at risk. Thanks to you, they're all healthy. “It’s a blessing from God having my babies,” she says, “and I’m glad that the community also is happy.”