This piece was originally published by the Maternal and Child Survival Program (MCSP).
A midwife in Madagascar discusses family planning with a woman in labor with her seventh child. (Photo courtesy of Karen Kasmauski/MCSP.)
Morondava, Madagascar—At home and in active labor with her third child, 24-year-old Intocelliah was scared. Her previous births had progressed quickly and naturally, but—after a long day of discomfort—this labor seemed stalled.
In the neighborhood of Sanfily, where she lives, most women give birth at home with the help of family or a traditional birth attendant. But after hours and little progress, Intocelliah feared complications and danger for both her and her baby, and asked to go to the hospital.