Wednesday 28 October 2020

The Birth Crisis in Government Care

What I saw at the labour ward after hours is haunting. To anyone, but especially to expectant mothers, and does not bode well for the next generation:

Indifference.

The three Sisters in Triage can barely stop talking and sharing videos long enough to bark orders at the women coming in with possible birth emergencies. Too scared to talk back, too scared to be anything other than compliant. We know the penalty for being “difficult”.

The lack of compassion screams louder than the beeping machines in the clinical, overcrowded labour room. The two mothers contracting while waiting to be admitted without making a sound. We can feel there will be a price for breaking the silence.

The odd baby cry. The nurse shouting out for check ups. Then shouting at the mommies-to-be if they have committed the heinous crime of falling asleep between contractions, in the middle of the night and through the early hours. The nurse shouting at the mommies if they are "difficult" (that is, expressing the pain of labour vocally).

The urine spattered floors in the bathrooms, where the mothers must fetch, then clean, their urine sample jars. No toilet paper in any bathroom, of course. This is just after the toilets are cleaned. As the night wears on the list of soilage in and around the toilets increases. I will spare you the details that are forever etched in my mind. Needless to say strong thighs for squatting are a must. Plus toilet paper. Plus toilet cleaning wipes for if you really got to do more than just wee.

Instructions are curt, the patience is thin. No explanations, just expected obedience.

The staff chatter among themselves. Loudly. No glances are spared as they stroll past their patients.

There is no miracle of life here. No miracle at all.

This is an ordeal to be survived. No smiles, and laughter, no sense of accomplishment.

Perhaps best summed up by how the patients rights placard has been defaced over time.

Patients help patients to carry bags. Hold the drip while they put on their gown. Share their toilet paper. There is no help from the staff, so we are all we have. We share the common goal of surviving our birth, or worse making sure our baby is not in the middle of a possible health emergency.  

Close to the end of shift. The staff are visibly exhausted. The one is sitting posing for the best possible selfie for her social media update. For over an hour. The other has turned up the music from some or other device, and is singing along. The line of mothers waiting for a check up to be admitted grows, and is studiously ignored. The admitted mommies ignored. The sisters are writing frantically in the files, getting ready for handover. We are referred to as "she" and "her". We are talked about as if we are invisible. Which I suppose we are.

As we pass each other our eyes connect and we share a look. The one that says I see you. I feel you. And most strongly of all: good luck.




Friday 23 October 2020

Clinic Conversations - Social Media

I attend a government clinic regularly. Waiting in line (which if you've never been is a loooooong line, and usually there are many, many, many lines that need to be survived, which takes very many hours. I often have the most profound conversations in these queues with my fellow patients (and please feel free to take both meanings to the word).


One jumps to mind when reading this: The effect of social media on people. The conversation started innocently enough. How people are so concerned with their online social life, they neglect their real social life. How their happiness is connected to their "likes".

We then moved onto politics (as often happens in South Africa) and my queue mate pointed out, quite rightly so, how social media behaves is unfair on the children of the politicians concerned. The politicians are adults, and know what they signed up for. Less so their children. They still need to attend school with other children, and we all know how cruel children can be.

We moved forward to the dangers of social media, especially for those with weaker minds. Anyone struggling with depression, or any sort of need to be socially accepted, should stay away from social media completely.

My queue mate was especially vehement on Twitter being the most evil platform of them all. She told me the sad story of a woman who committed suicide after bad things were said about her during a time when she was already struggling with mental health, and then she read "bad things" said about her concert.

I'm sure we all know some sort of story about a suicide directly related to cyber-bullying. It's become so common it even has it's own term!

Much is joked about the internet trolls, and how brave they can be in the face of online anonymity.

I suppose the best we can do is to be the change we wish to see. Report bullies, report trolls, and be supporting to people online. In short, to tweet others as you would like to be tweeted.