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  A letter from Sue Makin in Malawi  
             
 

February 12, 2004

Meet Gloria Paulo, one happy woman!

Friends,

I first met Gloria in 2001. She came to Mulanje Mission Hospital because she was leaking urine all the time, totally incontinent of urine. Her problem is called a vesico-vaginal fistula, which is the medical term for a hole between the bladder and the vagina. In developing countries these fistulas are most often caused by prolonged, unattended labour. These unfortunate women have labored without any skilled medical care, far from any clinic or hospital, and have survived days of pain and suffering to deliver a stillborn baby. This is Gloria’s story.

 
             
  She was about 18 when she first became pregnant. Her labor started at home and was prolonged. After 24 hours she was taken to a government hospital where she delivered a stillborn boy. After this delivery she began leaking urine all the time. Not knowing what her problem was and not knowing that something could be done, she returned to her village, totally incontinent of urine. A year or so later, she again became pregnant with the same husband, and again labored at home, then went to a government hospital, and this time delivered a stillborn boy. For her third pregnancy, she delivered a live born baby, but this baby died after a few hours.   Gloria (right), with Sue Makin, her husband, and baby.
Gloria (right), with Sue Makin, her husband, and baby.
 
             
 

In early 2001 she came to Mulanje Mission Hosital hoping that she could get help. She has been leaking urine for three years. She had a successful operation to repair her vesico-vaginal fistula in May 2001. The operation was performed by an experienced fistula surgeon from Queen Elizabeth Central Hospital in Blantyre, a large teaching hospital about 30 miles from our mission hospital. I took care of her after the surgery and helped her avoid getting pregnant for over one year in order to allow the tissue to heal properly. In the meantime Gloria married a new husband.

The next time I saw Gloria was in August 2003, when she was about three months pregnant and very happy. We talked a long time about the fact that she would need to come to the hospital to have her baby, and she would need a cesearean section to avoid having another fistula. So on 31 December 2003, she came to our hospital by a three hour bicycle ride because she was having abdominal pains. Her cesearean section was done by Mr. Gama, our Chief Clinical Officer. Her darling baby boy weighed about four pounds. Never was there a happier woman. Her smile brought brightness to our ward, even when the power was off, which has been often lately.

Share with us her joy and thanksgiving for the medical care that it has been possible for her to receive at Mulanje Mission Hospital. To God be the glory for allowing us to continue to serve in this part of the world.

Dr. Sue Makin
Obstetrician/Gynecologist

The 2004 Mission Yearbook for Prayer & Study, p. 58

 
             
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