Himalayan Healthcare for 5000: Save Lives in Nepal

Nanda an 18 year old women from Khatyang village of Mugu was pregnant. Her expected date of delivery was 7^th September 2017. It was the first time she was pregnant but her pregnancy was risky because of her short height. Her height was less done 4 feet because of which the pregnancy was risky. But she was quite happy with her approaching delivery. She had attended the ANC visit and everything was normal. On 2^nd July, she visited the public health centre complaining of vomiting and diarrhea. She also informed the health staff that the mobility of the fetus had stopped. The PHASE health staff reviewed her ANC card and checked for Fetal Heart sound (FHS). She informed the staff that 3 days ago she had slipped and had fallen on her front part of the body. After the fall, the movement of the fetus was fast but with the passage of time movement was limited. From the next day she started vomiting and also had bout of diarrhea hence she decided to visit the health centre. The doctor assessed her condition and had her X-ray to know about the fetus. The X-ray did not show and hence it was confirmed that she had suffered intrauterine death. She was grief stricken.

Nanda and her family members were properly and thoroughly counseled after which she regained her composure. She was referred to district hospital for removal of fetus. But it was rainy season and Mugu district doesnot have transportation facilities. Moreover Chimadungri health centre where Nanda visited is 2 days walk from the Gamgadhi the district headquarters. Hence the doctor decided to carry out the delivery of dead fetus in the health centre. After some efforts the health staff were able to normally deliver 250 gram dead male fetus. She was given medication and now she has full recovered. Although the fetus died because of the fall but health staff were able to save life of Nanda.