Posts Tagged ‘Health’

Stillborn

Stillborn

June 2, 2010  |  Comments Off

To say that Ukrainians love their children more than other people love theirs, is a naïve thing to say. But there, I’ve said it. All because I can’t help thinking that there is something to it.

Certainly in Soviet times a newborn represented something beyond the state; a promise of a better future. It gave meaning to adult lives in a country where a man or woman’s potential was achieved rarely, and where other distractions such as foreign travel, or entertainment such as films, literature, and cinema were restricted.

Today, I’d like to share with you three stories of childbirth that I can confirm are true. They provide some insight into life in Ukraine and Russia.

The first concerns a woman who left Ukraine to give birth in Moscow in the belief that the facilities are better there. She signed a contract for several thousand dollars with the doctor who would deliver the child and who would pull together the team necessary for the delivery. Everything looked very professional.

Whilst the woman was in labour, just before the epidural was administered, the anaesthetist shocked the labouring woman by telling her that she wanted more money if she was to remain in the room. The woman agreed and, thankfully, everything went smoothly, and the delivery was successful. As is often the case in Russia the baby was tightly swaddled and separated from the mother for 24-hours. The mother was told that this procedure would give her time to recover her strength.

The second example is of a friend who gave birth in Ukraine. She chose carefully the hospital where she wanted to deliver, and consulted with, and was accepted by the head doctor. There was no discussion of the cost of the service, but it was unambiguous that the mother was expected to pay the people involved in the process, and for any equipment used (which her family purchased from the pharmacy situated in the foyer of the hospital.)

When labour started, she checked into the hospital, and the next day gave birth to a beautiful baby boy. Mother and child were united moments after the baby was born. Before checking out, the mother paid all members of staff who had assisted in the process (including those who had cleaned the room) and she also paid for the room where she stayed for 48-hours.

The point that strikes me from these two anecdotes is a point I make in the chapter “Sex and the Soviets” in Among the Ukrainians: in Russia childbirth is seen primarily a population issue, whereas in Ukraine childbirth is a family issue. It’s a small but subtle difference. In the chapter I also look at how this influences the way in which women are seen in the two countries.

My third anecdote concerns a village family in Ukraine. The family’s younger daughter was 3-months pregnant, and so she got married with her boyfriend. When they learned the unborn child was a girl they were overjoyed. They wanted a girl very much. But it was more than that: the girl’s niece-the extended family shared the four room village house-was also pregnant with a girl.

As in second example, they found a doctor that would make the delivery, though their funds were more limited and, therefore, their choice of doctor was limited.

When labour contractions started the girl rushed to hospital, but it was soon evident that she was passing blood. The doctor ordered gas anaesthetic to be administered, whilst a Caesarean operation was performed. When the girl came round, she was told the baby had been born dead, and that she did not need to pay for the room, the doctors or any of the staff. She was given the baby wrapped in a blanket and she buried it in the village cemetery. She was given no explanation as to why the baby had died, and back in the village she received no counselling. Her niece’s healthy daughter is a daily reminder of a daughter she might have had.

Taking the Medicine

Taking the Medicine

March 17, 2010  |  Comments Off

Making the Chapter:

Most people can’t name a Ukrainian famous in the field of medicine.  And yet, this is a sphere in which they have excelled. The conundrum is in part explained by the persecution of doctors – being recognised internationally was not a prescription for good health – or simply that their ideas were stolen. Others emigrated and assumed a new nationality.

In Taking the Medicine I support a sick friend inside a city hospital whilst he undergoes a minor operation, and reflect on healthier times for the Ukrainian health service. The issue is not one of a lack of doctors or facilities, but medical competence and the quality of facilities. The body of the chapter (pun intended) looks at blood, cholera, antibiotics, X-rays, surgery, organ transplants, and reflexology and conditioning. But we’ll need another second appointment if we’re to cover magnetic spin resonance, skin transplants and the polyhedral chisel for skull trephination.

Excerpt:

Though most of the world refers to X-rays as “Roentgen waves” after the name of the German physicist and Nobel Prize winner, X-rays were discovered seven years earlier than Roentgen’s claim in 1887 by a Ukrainian named Ivan Pulyui.

Pulyui’s story is quite common for Ukraine. He was an outstanding scientist whose diverse achievements included the construction of Europe’s first alternating current power plant and the translation of the Old Testament into Ukrainian. Yet the 1983 Encyclopaedia of Ukraine, compiled under the censorship of the Soviet Union, makes no reference to him.

“Why do you call this the Roentgen Kabinet?” I asked the technician after he had positioned Mikhail next to the vintage machine. Holding a lead curtain in front of his sex organ, Mikhail looked like a bandy-legged Daliesque bullfighter.

“Breath in, hold it,” the technician barked as he peered out from above a green mask and pressed the button to emit the radiation.

“You don’t know who invented the X-ray?” he said as he looked at me incredulously.

Though the three of us discussed the history of X-rays for the next ten minutes, the technician gave no ground. He was the expert, Mikhail was clearly suffering from the late stages of dementia, and I was a foreign novice. Roentgen discovered X-rays. Period.