and I cried

When I called Mama Yoba at midnight and she told me that a well-trained birthing nurse was able to remove the placenta and that Regina was recovering, I cried.  I cried tears of joy and relief that my dear friend would be okay.  I cried tears of thanksgiving to God for hearing our prayers.  I cried tears of exhaustion.  I told Luke that I think the tears I cried were tears of all the stress and exhaustion of the last two-plus years, finally spilling over.  The dam broke, my strength was gone, and I cried.

I didn't know Regina was pregnant until about a month ago.  We hadn't been together as much and she hid it well.  When she finally told me, she was ashamed, saying it was a mistake and they hadn't been responsible.  It came as quite a surprise, as I had just recommended that another missionary call Regina to speak on purity at a girls’ workshop.  But I assured her I was there for her.  She was my friend.  And of all the Zambians I have come to know and love, Regina is probably the only real, mutual friend – almost a sister.  

Tuesday I decided to walk to Kimasala to visit Regina and Mama Yoba and some of the others out by Lusa.  I arrived to find out that Mama Yoba was in Lusaka and Regina had gone to the hospital Monday afternoon with severe cramping. When I visited Tuesday evening, she had not actually seen a doctor, but was feeling a bit better.  Wednesday afternoon I stopped in again, and she had been discharged – never seeing a doctor, having an ultrasound or anything.  Thursday morning I received a text message from her brother saying she had been sick all night.  I called and she said she wanted to rest a bit, but a couple of hours later she wanted to go to the hospital.  I picked her up, along with her cousin and the baby’s father and we went to a small clinic in town that specialized in ultrasound.  The technician said her amniotic fluid was dangerously low and we should go straight to the hospital.

Back in the overcrowded maternity ward, Regina was given one of the last available beds.  An initial exam determined she was in pre-term labor, and that was that.  There was no medication, no further analysis.  They were just going to let the labor carry on (though only seven months pregnant).  Now most women are completely alone through the labor process.  With 3-6 beds in an area, they lay there in the heat and fight through the contractions quietly and alone, until it’s time to actually give birth (which may be why many women prefer to deliver in their homes).

Visiting hours are very strict: 6-7 a.m. and 5-6 p.m.  I stood by Regina for the first three hours, holding her hand, fanning her with a notebook, praying fervently, and slowly noticing I was the only “visitor” in the area.  At 3 p.m., I went outside to ask her friend and her cousin if one of them would stay with her for a bit while I went to get a bite to eat and put gas in the car (there had been a shortage and I was running on fumes).  They told me they wouldn't be allowed - that I was only allowed because I was white.  I think the one friend made her way at least for some of the time because she was nine months pregnant and could easily pass as a patient.

I returned for 5 p.m. visiting hours, only to find out Regina had gone into the labor room.  This is a room with three beds side-by-side, in which the women lay completely naked through the birthing process.  All the women are expected to bring a sheet of plastic, gloves, and other supplies for use by the hospital.  By 5:20, Regina had given birth to a 3 pound baby girl.  The baby was taken straight to an incubator, but Regina was not in the clear yet.  A group of us waited until 7:00, but Regina had still not delivered the placenta.  One of the older caregivers for Lusa convinced the nurses to allow her to stay, but the rest of us were forced to go.  Mama Yoba was still in transit from Lusaka, and most of the day I was praying she would arrive quickly.  She called me from the bus shortly after I arrived home pleading with me to do something – to tell the nurses they needed to help Regina.  I didn't know what to do.  There was nothing I could do.

And I was so afraid I would lose my friend.  I even told Luke that if something happened to her, I didn't think I could come back to Zambia. I couldn't handle it.

After a hot shower and a few hours of tossing and turning but not sleeping, I called Mama Yoba.  Regina was fine.  Everything was going to be okay.  And I cried.

Thank you Jesus.