Category Archives: Medical Clinic

When God Births a Baby by Stephanie Williams

This afternoon, I woman came to the clinic in labor but she didn’t look it. She was too calm and seemed very tired. What was going on, I wondered.

Once I got a translator to help, her story started to make a bit more sense. Her labor started five days ago. The contractions got strong and then stopped this morning. She had very little to eat for five days and was near exhaustion. She walked five days to get to us. Five days. (She could have been in labor five days and walked two days… i’m not sure. But either way, not good.)

Her blood pressure was uncomfortably low (88/63) but she showed no other sign of shock. I rechecked it thinking my equipment was faulty. It came back 86/59. Low.

The fetal heart tones (FHTs) were also disturbing. They were consistently in the 60’s. (*note: FHTs should range from 120-160.) They were so low, I thought it might be the mother’s pulse I was hearing… but it wasn’t. I had a severely compromised baby on my hands.

I prayed while I put in an IV line and moved the mom around in various positions. My assistant got her some 50% dextrose ready and gave it intravenously.

I asked God for a miracle since He knows I never want to deliver a dead baby. We have this sweet agreement. He won’t give me more than I can handle. I can’t handle dead newborns. So I knew He was going to do something. But what He did surpassed my expectations.

Once the IV was in (I was watching the clock), exactly two minutes later I check all her vitals again. They were markedly improved. Her blood pressure went up to 130/70 and the FHTs jumped to 140!

I can tell you two minutes is not long enough for a significant change like this to occur but with God….

When I checked her dilation she was only 3 cm (70%, 0 station, but tight cervix) and her contractions were funky. I can’t tell if her uterus had given up or not. But she insisted that labor had been going on like this for 5 days and all her other babies came out after 2 or 3 hours. Something was wrong.

I decided to induce her with oxytocin in her IV fluids and barely let it flow when her first serious contraction started. And after 10 minutes, I shut off the drip and let her labor on her own. All vitals were normal so I left my assistant to watch her while I got lunch.

Not 20 minutes later he came running to tell me the water broke. Excellent. Progress. As I was going to check FHTs again, he runs back to me again saying the head is out!

What?

I get there to see the membranes bulging and a mama making grunting noises (good sign) but fortunately no head. I ask her to breathe through the contractions. Last thing I want is her trying to push too soon.

Ten minutes later a baby boy was born! When I checked the chart, she dilated from 3 cm to baby out is one hour and one minute. Remarkably fast.

So this is what happens when God is the midwife. Miracles!

They named him Yom Sabet until they can think of a better one. “Sabet” means Saturday the day he was born.

Beauty from Ashes by Stephanie Williams

A few months back we had a spell of drama in our community. One of the Episcopal Pastors got a young girl from his congregation pregnant out of wedlock. She was only 15. Her brothers found out when her belly couldn’t be hidden anymore and retaliated by beating the pastor’s brother with a club.

He died in our clinic later that night.

Revenge killing is common in this culture. They don’t kill the offending person but someone close to him. They want to cause the offender as much pain as possible. If you only kill them…they won’t suffer nearly as much.

When there is a revenge killing in this culture, everyone goes into hiding–especially the relatives. Anyone can be victim. Mothers. Cousins. Friends. They try to find a close relative to kill but if they can’t they will take anyone they can find. But there seems to be a rule to all this killing. It must be done within three days.

Pastor Peter, when he learned of his brother’s death, decided to retaliate as well. He  (and a friend) couldn’t find any of Rebecca’s brothers within the time limit, so he found an old man from her village and killed him instead. He then ran off with Rebecca without paying the bride price. The whole town was a stir. The church was in shock.

Scandal. Rumors. Gossip.

A few weeks later, Rebecca and Peter were caught and BOTH put in prison.

I asked the locals why they would put HER in prison, as well, since her only sin was getting pregnant. The answer I got surprised me. They explained that it was all her fault since she could have refused him. (! Insert bitter sarcasm here and a few choice words! @%$^#*! This may be one thing I’ll NEVER understand in this culture.)

Fast forward a few months to last night.

Just as I was wrapping up for the day, Rebecca waddled in with her mother. She spent the first few minutes of our conversation on the floor in a strong contraction.

I didn’t recognize her right away.

Slowly, as we talked of contractions and ruptured membranes, did it occur to me this was THAT Rebecca. I couldn’t help but smile inside. Finally, something beautiful was coming out of this chaos and pain.

I checked her into the clinic even though she was only 3 cm along. I wasn’t sure how fast she’d go since this was her first baby. I guessed she’d deliver in the wee hours of the morning. But I was wrong.

She dilated to fully in only 3 hours while laboring almost exclusively on her knees. She pushed like a pro and breathed her baby’s head out! It was amazing!

When she was done, the smile on her face was contagious! She was radiant! What’s more is…she was delighted! It was a joy to see! Beautiful!

So yes, this bouncy baby boy may have started his life in rumors and heartbreak but I don’t think it will end that way. He is the proof of the transgression. But he is also proof of love. The love of his Heavenly Father that knit him together and filled his lungs with air!

My prayer is that he will one day praise Him with those lungs and show the world what forgiveness and grace REALLY looks like!

Pray for Rebecca and her mother Mary…. and of course No-Name-Baby-Boy!

Pray they’ll be accepted in the town they are moving to and have enough to eat.

Pray God will provide all of their needs according to His glorious riches in Christ Jesus.

Emergency by Stacie Larsen

Sunday night, we had just sat down for dinner when Rachel comes running to the dining room asking for one of the doctors. She had been assisting Margaret with a birth and evidently there was an emergency. Dennis ran over to the clinic and I followed him to see if I could help or at least pray for them. When I got there, Dennis was trying to get the newborn to breathe. Apparently, since he came out, he had not taken a proper breath. As he pumped air into the baby’s lungs, I just started praying. “Father, please save this baby.” I felt so bad for the mom who was lying on the bed watching all of this unfold. I went over to her and tried to comfort her with my limited Dinka. Dennis and Rachel took the baby into another room while Margaret and I stayed with the mom, waiting for the placenta. The only thing I could do was keep praying and hand Margaret gauze. George came and took the blood sugar levels of the mom and baby. Both were extremely high. While Margaret was working on the mom, we heard the sweetest sound… a baby crying! We all cheered and thanked God for saving this baby’s life. I am happy to report both mom and baby are doing well.

Amy’s Blog – Babies

Hello once again from Tonj!

One of my most favorite things here in Tonj is the babies!  I believe Tonj has the absolute cutest babies in the whole world!  They usually have chubby cheeks, bright eyes and puffy hair.  And most of the babies don’t cry when a crazy, white lady (that is me!) comes up to them and talks to them in English baby voice!  The toddlers usually get very afraid.  Their eyes get big and they run to their moms and cry!  The other day Stacie and I were out on our walk and we came to a family that wanted to say Hi to us.  The toddler reached his little hand out to me and I took it and said “Cheebok” (hi, in dinka) and he just started screaming!  The funny thing was, he wouldn’t let go of my hand….he just held on and kept screaming until his mom came to get him.  I felt so bad, but he was so cute!  We see him nearly every day, so he will get used to me sometime.

Please pray for the babies of Tonj.  They are so susceptible to malaria and other diseases.  We see so many children in the clinic every day.  One of my jobs here is to report to the government how many malaria cases of children under 5 we see each week.  This week my total was 38.  Last week the total was 42.  It is heartbreaking to see a small child suffering with a high fever and laboring to breathe in 90 degree weather….and the hot season is still around the corner.

May God richly bless you as you lift these precious lives before Him.

Amy Yordt

Medical Update by Margaret Bangura (nurse/midwife)

This past two weeks have been the most peaceful week in the clinic, after the large number of patients, some times 150, and we had only one clinical officer and two missionary doctors, one missionary nurse that was assisting in the clinic, one midwife and myself along with our Sudanese community health workers in training. It was really tiring, many emergencies and a high rate of severe malaria cases that needed immediate attention especially for the under five year old children. that will come into the clinic either convulsing or history of convulsion,trying to get an intravenous line to set up IV quinine was really a challenge on all of us,the reason being that some of them are not only having malaria but some even with anaemia and dehydration its really hard to get the veins.

We prayed about the large number and the emmergencies,and for strength and renewed energy everyday.The two missionary doctors left for America with the expert clinical officer going for his break and was releived by our in charge clinical officer.

God really saw the need for us to rest from the large number of patients so that we can give all our best with a small amount of patients that we take care of and prepare for the next day,the brain is a very protective organ and when it is very tired it does not function too well and will find a way to shut down to protect itself(hope am not boring you on anatomy and physiology).

The past two weeks we were having an average number of 60 patients, few emergencies,and to make it more blessful our two clinical officers are on duty,we thank God for this two peaceful weeks, I believe now we are ready for any number of patients that will get the opportunity to visit our clinic.

We pray that you continue praying for the malaria cases and for strength and knowledge on how to care for this great people of Tonj.