GUEST POST: On Leaving Zambia to Give Birth Abroad

Zambia

I’m 36 + weeks pregnant, so last week I packed my hospital bags, checked them in at the airport, and hopped on an international flight. Destination: Cape Town, South Africa, where sunshine, ocean waves, beaches, mouthwatering fresh seafood, mountains, and stretches of vineyards await. My new life rule is that I only have babies near sunshine and oceans.

When you’re an expat about to give birth, and you reside in Lusaka, Zambia, you hightail it out of Zambia to welcome baby into the world. Some of us head to the U.S., and others to places like the U.K., and a few of us to South Africa. South Africa has some of the most top-notch medical care on the African continent. Did I mention the oceans and beaches? Plus penguins. Babies love penguins.

A few of us expats decide to go ahead and give birth in Zambia. Of course, I have friends, both local and expat, who have given birth to healthy babies in Zambia without incident. Lots of babies are born there, with a fertility rate of nearly six children per woman.

Since this is my fourth birth, I seriously contemplated staying in Zambia to give birth. With three natural and uncomplicated births under my belt (except that pesky postpartum hemorrhage thing that plagues me each time), it’s been pretty straightforward so far.

A birth in Zambia would be less complicated logistically. My husband can’t be gone from work for the whole one month before and one month after the birth. My four-year old can probably afford to miss pre-school without risking failing to get into college, but my six-year old is learning how to read and write – in a second language (French) – this year, so it’s not really fair to her to pull her out for two whole months, either. I suppose, with the support of Google Translate, I could make some attempts at homeschooling….no. Just no. Plus, there’s the familiarity, the friends, the easiness in Lusaka. Planning a birth in a different country requires more paperwork, emails, phone calls, and really savvy packing skills.

I put out some feelers and asked people’s opinions about giving birth in Lusaka. I got many stories of uneventful births that resulted in a happy baby and mother, and some recommendations for good OBs. I see a lovely OB who has the most caring bedside manner, and is available to instantly answer questions by text message (that does NOT happen in the U.S.), but unfortunately she doesn’t deliver babies anymore.

Others graced my ears with stories about the mother who needed an emergency C-section, but the medical team couldn’t get a hold of the anesthesiologist, so she had a C-section without medication. Then there was the woman who had her arms and legs strapped down during a normal vaginal childbirth, and the one who lost her baby during child birth due to poor management and care—at a private hospital in Lusaka. My doctor friends in Zambia asked me if I was crazy—one directly, and one indirectly. My lovely OB providing prenatal care for me in Lusaka laughed.

The reason for these responses is because babies die in Zambia, and mothers do too. According to UNICEF, the maternal mortality rate in Zambia is 591 deaths per 100,000 live births, the neonatal mortality rate is 34 per 1,000 live births, and the infant mortality rate is 70 per 1,000 live births. Even for those who can afford private care in the capital, Lusaka, being pregnant and giving birth is risky business. Simple complications—including postpartum hemorrhage—can go from bad to worse because of poor infrastructure, care, and a slew of other issues. (For more information about maternal health care in Zambia, check out the trailer for this fascinating documentary.)

The message was loud and clear—most likely, if I gave birth in Lusaka, everything would be fine. But, if I have the choice and the means, why would I take the risk of that small chance of something going wrong and me or my baby suffering serious health complications or worse?

So, around 20 weeks pregnant I began to plan an international babycation. I did this once before, less than two years ago. My last baby was born in Cape Town, so that helped quite a bit, especially because I used the same midwives, know the area, etc. Another bonus is that water birth is an option here in Cape Town, similar to an alternative birthing center option within a hospital that I used to deliver my first two in Chicago. There were less unknowns this time around with planning babycation round #2.

Everything is relative. Buying plane tickets for a family of five, plus a nanny, renting a house for two months, as well as a car, and paying for private health care in South Africa adds up. This is clearly cost prohibitive to most people, and I understand this inherent privilege of choice for my ocean-side babycation.

But, if I compare this Cape Town babycation cost to the cost of giving birth in the U.S., it’s at worst equal, and at best a cost-savings. For what I will pay for all my private health care, including an at-home post-natal visit and a couple nights in the hospital, combined with the cost of my two month “babycation” in South Africa…I’ll end up paying about the same or less than what I’d pay for the cost of childbirth alone in the U.S. I can pay $12,000 minimum, out-of-pocket in the US to push a baby out of me (without any medical intervention), or I can pay about $2,000 for the exact same quality of care and facility standards in Cape Town…along with all the perks of glorious sunshine and ocean views. I’ll take the penguins, thank you very much.

Our family of five, plus our nanny from Zambia, packed up with three suitcases and a boatload of car seats, and my husband helped me settle into the lovely house we rented on AirBnB in Kalk Bay, overlooking the ocean. But, my husband returned this past weekend to Lusaka with my six- and four-year old children to resume school and work.

So, here I sit with an 18-month old, nanny, and loads of sunshine and water at nearly 37 weeks pregnant. The baby is measuring at a beautiful 3kg already, and I’m having some super maddening Braxton Hicks contractions. My husband is two flights away (Lusaka- Johannesburg- Cape Town), and can get on a flight from Lusaka at 9am and rock-up into Cape Town by 3:30pm.

If baby decides to make a quick, slippery exit, Papa might miss the birth of his baby – which would be sad. He was pretty helpful the last three times – except when he told me during difficult push during crowning, “It’s just like doing back squats.” No, it’s really not like that at all. But, I’d kind of like him to be with me for the birth. So, I have the calming effect of going to sleep to the sound of ocean waves obliterated by the anxiety of my husband missing the birth. This is not a, “Will my husband make it from the office on time?” worry. It’s a, “Will my husband, with two tiny humans in tow, be able to get on the first flight out of Lusaka and make it through immigration, out of the airport, and to the hospital?”

My husband and two oldest kids plan on returning to Cape Town on April 1, 10 days before this bad boy’s due date. In the meantime, I have some amazing mama friends coming in (one from Kenya, one from Zambia) to keep me company before the crew returns, mostly to have fun and to stand-in for my husband— just in case. The next two weeks will be filled with botanical gardens, delicious food, and sea breezes. Not too shabby a way to waddle through these last few pregnancy weeks.

The next question is—will I be able to make this my last babycation? Those penguins!

This is an original guest post for World Moms Network from Jessica Menon of Gypsy Momma. Jess is a mom with three children under the age of six, with her fourth baby on the way. Jess and her family are currently based in Lusaka, Zambia. 

Photos courtesy of Alda Smith. Photo of penguins and Jess and her youngest daughter at the beach courtesy of the author. 

World Moms Network

World Moms Network is an award winning website whose mission statement is "Connecting mothers; empowering women around the globe." With over 70 contributors who write from over 30 countries, the site covered the topics of motherhood, culture, human rights and social good. Most recently, our Senior Editor in India, Purnima Ramakrishnan was awarded "Best Reporting on the UN" form the UNCA. The site has also been named a "Top Website for Women" by FORBES Woman and recommended by the NY Times Motherlode and the Times of India. Follow our hashtags: #worldmom and #worldmoms Formerly, our site was known as World Moms Blog.

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WORLD VOICE: NovaVeil Introduces Fashion To protect Against Zika

WORLD VOICE: NovaVeil Introduces Fashion To protect Against Zika

 

Three heartbreaking stories of families impacted by the Zika virus were highlighted this week in a Sunday New York Times article.  Although last year’s Zika crisis is no longer making regular headlines, the World Health Organization now considers Zika a continuing health threat along the lines of Malaria or Yellow Fever.  As the babies infected by Zika are getting older new challenges are arising for families, and new babies infected by the virus are still being born. Despite a vaccine in development, pregnant women in at risk areas have to live with the daily fear of exposing their unborn child to the virus.  The founders of Maternova, a company that specializes in women’s health solutions, Meg Wirth and Allison Cote, realized that the world could not just sit around and wait for a vaccine to be developed.  A process that, if successful, can sometimes still take years to get to the public.  Women and babies are most directly impacted by the consequences of the virus, and with nothing on the market  to help women to continue to live their daily lives, a viable everyday solution was needed.

“We realized with the increasing threat of Zika becoming an epidemic in South America and then entering the United States, that this was something that had direct dire consequences for pregnant women and their babies, and there wasn’t anything on the market that proved to be viable and be used everyday in order for these women to protect themselves.”

– Allyson Cote, Co-Founder and Chief Operating Officer of Maternova

The duo enlisted Alessandra Gold, a Brazilian-born, Miami-based award-winning designer to create a four piece capsule collection of mosquito repellent, yet fashionable, maternity clothing that women could wear every day. The idea was that the clothing would help to do during the day what mosquito netting does at night. Using a non-permethrin nano-technology patented in Europe the textile used in the garments has repellent embedded into it on a molecular level.

The NovaVeil collection features a dress, a cardigan with a hood, a scarf, and leggings, all designed to be comfortably worn in warm climates. Not only do the garments provide protection from the Zika virus but from other insect born illnesses such as Malaria, Dengue, and lyme disease. The goal was to appeal to and be able to reach women across the economic spectrum, so sales of NovaVeil garments in high end areas will help to subsidizes providing garments in lower income areas. It turns out that the cost per wear of the clothing, which remains effective through 50 wash cycles (and when tested was still 60% effective after 90 washes) will be less expensive than it would be to apply insect repellent every day. It is also better for the woman’s health, and for the environment.

“There is a massive amount of literature on bed nets and protecting women and families at nighttime from Malaria, but there was very little out there about protection during the daytime. In part that’s because this is a brand new technology.”

– Meg Wirth, Co-Founder of Maternova

Maternova partnered with Americares early on by adding a NovaVeil maternity top to anti-Zika mother kits they were already giving to their pregnant patients at a health clinic in El Salvador. The kits also contained condoms, bed nets, skin based repellent, and a water purification method. It is not surprising that a fast acting every-day solution in response to the Zika crisis that puts mothers and babies first would come from a social enterprise owned and run by women. The goal is to continue to offer the NovaVeil line at either no cost or low cost to distribution partners in Latin America in hopes of protecting some of the world’s most vulnerable women, while widening distribution so that pregnant women everywhere can feel safe from the threat of Zika in their everyday lives.

This is an original post written by Elizabeth Atalay for World Moms network.

Elizabeth Atalay

Elizabeth Atalay is a Digital Media Producer, Managing Editor at World Moms Network, and a Social Media Manager. She was a 2015 United Nations Foundation Social Good Fellow, and traveled to Ethiopia as an International Reporting Project New Media Fellow to report on newborn health in 2014. On her personal blog, Documama.org, she uses digital media as a new medium for her background as a documentarian. After having worked on Feature Films and Television series for FOX, NBC, MGM, Columbia Pictures, Warner Brothers, 20th Century Fox, and Castle Rock Pictures, she studied documentary filmmaking and anthropology earning a Masters degree in Media Studies from The New School in New York. Since becoming a Digital Media Producer she has worked on social media campaigns for non-profits such as Save The Children, WaterAid, ONE.org, UNICEF, United Nations Foundation, Edesia, World Pulse, American Heart Association, and The Gates Foundation. Her writing has also been featured on ONE.org, Johnson & Johnson’s BabyCenter.com, EnoughProject.org, GaviAlliance.org, and Worldmomsnetwork.com. Elizabeth has traveled to 70 countries around the world, most recently to Haiti with Artisan Business Network to visit artisans in partnership with Macy’s Heart of Haiti line, which provides sustainable income to Haitian artisans. Elizabeth lives in New England with her husband and four children.

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SINGAPORE: When your kid is done trying

SINGAPORE: When your kid is done trying

If you have a kid at home, chances are you’ve probably watched Zootopia. It’s a story about how an unlikely bunny, became the first female police officer in a male dominated environment. But this is not about the movie itself.

This is about the movie’s theme song; “Try Everything”, by Shakira.

When the school term started, I pinned up motivational quotes and growth mindset visual reminders on my daughter’s notice board. I’m big on inspirational quotes and I believe that positive reinforcement helps to shape our thinking and behavior.

Since she was so hot about the song “Try Everything”; I printed the lyrics and made it her theme song for the year. She promised that she’ll similarly have a, try everything attitude and not give in or give up easily.

Sounded promising doesn’t it?

However, barely a month into the school term my 8 year-old was all ready to throw in the towel and decided that she’s done with trying because school work is so difficult. When I questioned why she didn’t attempt to do her assessment books which I bought as a supplement to her school work, she answered nonchalantly, “I have no idea how to do it”, and ended it at that. So much for teaching her about having a growth mindset and where’s that try everything attitude that she promised?

What made me furious was not because she didn’t know how to do it which is acceptable if she’s not learnt it in school.  Rather it’s her lack of efforts in trying because she assumed that I’ll dish out the answers to her. That to me is simply unacceptable and I ranted about it on Facebook.

Turns out I was not alone and many parents had similar struggles with their kids.

So what’s a mum to do?

We lead by example by not giving up on our kids and trying different approaches to see how best to get to them. It can be a tricky balance between encouraging and pushing our kids finding out how we can change their attitudes and how they have to be responsible for their own learning.

These days, I’m also teaching my daughter that there’s no shame in failing because now she has discovered what is wrong. She can be one step closer to what’s right. And in the process, I’m reminded to praise the efforts she’s taken rather than the results themselves so that she is undeterred even when she has to take on more demanding tasks.

How do you encourage your kids to try tackling a new or challenging task?

Susan Koh

Susan is from Singapore. As a full-time working mom, she's still learning to perfect the art of juggling between career and family while leading a happy and fulfilled life. She can't get by a day without coffee and swears she's no bimbo even though she likes pink and Hello Kitty. She's loves to travel and blogs passionately about parenting, marriage and relationship and leading a healthy life at A Juggling Mom.

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WORLD VOICE: No Time for Silence About Hate Crime

WORLD VOICE: No Time for Silence About Hate Crime

It happened. Again. On February 26, for the second time in a week, a Jewish cemetery was desecrated by a hate crime in the United States…this time in Philadelphia, known as the “City of Brotherly Love.” Headstones were toppled and damaged. Families were outraged. All of this happened alongside five waves of bomb threats toward Jewish community centers (JCC’s) since the American presidential election. If these facts don’t send a chill down your spine, then click on this link – “This is What a JCC Bomb Threat Sounds Like.” It contains a recording of what the people protecting our Jewish children have to put up with on a regular basis, not knowing which threat might be a real explosive in the midst of innocent victims.

The first time an act of vandalism in a Jewish cemetery occurred this week, it was in my own city of St. Louis where members of my husband’s family are buried. Over 150 headstones were knocked over or broken at Chesed Shel Emeth Cemetery. As a Christian, I know that sometimes people in the majority need to see a hate crime as personal before it touches their hearts. I sought to break down that barrier for others by posting about it on Facebook and asking people to comment with what action they would take about this hate crime. Some friends posted supportive comments that comforted me. Yet I was saddened by comments (even from one Jewish person) on other Facebook walls basically saying, “What’s the big deal? It’s a cemetery. Those people are dead.”

The big deal is that these are the memories of loved ones and a sacred space. The big deal is that these are hateful actions anti-Semitic cowards take because they figure the dead can’t come after them. But history shows us that when people are silent, the haters are emboldened and go after living people next.

Sometimes I’m skeptical of social media awareness posts for various causes when they don’t call for specific action, but I do think that they can serve this important purpose: They publicly let people know where you stand. I’m of the opinion that if others don’t know how you feel about racism and hate-crimes, then you probably haven’t said enough.

How can We Speak Out Against Hate Crimes?

I urge everyone to take on one of these actions against hate crimes as it makes sense for you in your country:

  1. Post on your Facebook about hate crimes in your community, your country, or around the world, so that people know what is happening and that you are against it.
  2. Write a letter to the editor about it to be published in your local paper, so racists in your community know that their feelings are opposed. Here’s an opinion piece I wrote after Indian-American families were targeted in my neighborhood.
  3. Tweet or write to the President of the United States (@realDonaldTrump). Let him know that only one statement about hate crimes isn’t enough. His silence is perpetuating these acts and that is not okay. The White House address is 1600 Pennsylvania Ave, Washington, DC 20006.
  4. If you are a U.S. resident, thank your U.S. senators for speaking out against the hate crimes in Jewish cemeteries. On March 7, ALL 100 US Senators signed a letter to Attorney General Jeff Sessions, Homeland Security Secretary John Kelly, and FBI Director James Comey on Tuesday asking for “swift action” over repeated bomb threats against Jewish organizations around the country. It is extremely rare for the entire Senate body to send a letter on any topic.

A Silver Lining

To end on a positive note, I am heartened that there are many people who do understand both the enormity of what is happening in America today and the need for people of different faiths and ethnicities to support each other. A Muslim group leapt into action immediately with an on-line fundraiser to help repair the damage with a goal of $20,000. “Through this campaign,” the website read, “we hope to send a united message from the Jewish and Muslim communities that there is no place for this type of hate, desecration, and violence in America. We pray that this restores a sense of security and peace to the Jewish-American community who has undoubtedly been shaken by this event.” They reached their goal within three hours. They now state that they will donate part of their total, currently $135,316, to the Philadelphia cemetery that was also damaged. An impromptu cleanup crew worked at our cemetery the very next day, including Muslims, Jews, Christians and even U.S. Vice President Mike Pence. Pence happened to be in town for a scheduled visit to an area business.

Use their story as inspiration to find your own voice in your own community wherever you are in the world. As the late American civil rights leader Martin Luther King, Jr. said, “In the end, we will remember not the words of our enemies, but the silence of our friends.”

Don’t be silent.

How do you speak up against injustice?

This is an original post for World Moms Network by Cindy Levin. Photo: SKDK-TV.

Cindy Levin

Cynthia Changyit Levin is a mother, advocate, speaker, and author of the upcoming book “From Changing Diapers to Changing the World: Why Moms Make Great Advocates and How to Get Started.” A rare breed of non-partisan activist who works across a variety of issues, she coaches volunteers of all ages to build productive relationships with members of Congress. She advocated side-by-side with her two children from their toddler to teen years and crafted a new approach to advocacy based upon her strengths as a mother. Cynthia’s writing and work have appeared in The New York Times, The Financial Times, the Washington Post, and many other national and regional publications. She received the 2021 Cameron Duncan Media Award from RESULTS Educational Fund for her citizen journalism on poverty issues. When she’s not changing the world, Cynthia is usually curled up reading sci-fi/fantasy novels or comic books in which someone else is saving the world.

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SOUTH AFRICA: Crime Hits Too Close for Comfort

SOUTH AFRICA: Crime Hits Too Close for Comfort

Crime Hits Too Close for Comfort

Crime is not part of my daily life. I live in a middle to upper-class neighbourhood in Cape Town. We have an active Neighbourhood Watch, and most of the people in my neighbourhood also belong to the Community Policing Forum (aka CPF). The CPF has monthly meetings where we discuss crime stats, share self-defence tips etc. We all have signs on our gates indicating that we’re part of the CPF. We also have a WhatsApp group where we keep in contact with each. We’re all just a message away in case of medical or other emergency. I have always felt safe enough to leave my front door unlatched during the day.

This month, my illusion of safety was temporarily shattered. One morning, in broad daylight, shots were fired on my road! At first we couldn’t believe that it was gunshots. After all, this is a quiet neighbourhood and it was at a time of day when our road is pretty busy. Neighbourhood Watch was immediately on the case, whilst the rest of us were left stunned and wondering what we could do to help.

Roughly 30 minutes later I pulled out of my driveway into a surreal scene. Police cars, Neighbourhood Watch personnel and private security company vehicles were blocking the road. The crime tape was around my next-door neighbour’s property! That’s right – an armed robbery happened in the house on the other side of our boundary wall! I felt as if I’d been cast as an extra in a movie or TV series. Surely this can’t be real?! It was.

This is what happened:

My neighbour (let’s call him Bill) pulled out of his driveway and realised that he’d forgotten something, so he quickly ran back inside the house to fetch it without closing his gate (as we’ve all done numerous times). Two armed men followed him inside, pistol-whipped him, tied him up and demanded that he show them where his safe was.

At this time my neighbour’s adult son (let’s call him John) arrived with his wife. She walked inside whilst he waited in the car. She walked in on the robbers and screamed. The 2 armed suspects fled with the safe, but then dropped it as soon as they saw John, and jumped into the vehicle which was being driven by a 3rd suspect. John followed them and they shot at him out of the window – just like they do in movies! By then (thanks to our CPF network), police and other response vehicles joined in the chase. Two of the suspects jumped out the car when it got stuck in traffic and were promptly arrested. The driver got away, but later the same day he was arrested too.

I’ve been left rather bemused by this. By the next day there was no sign left of what had happened. Apart from the shock that this happening caused in our quiet and close-knit community, no real harm was done. The stolen goods were recovered, nobody was seriously injured and the suspects were arrested immediately. Things could have gone a lot worse. In fact, in many ways this could be considered a win for law and order.

That said, it still doesn’t quite feel real. I don’t know if it’s because of the shows that I watch, or just because it doesn’t seem possible that this happened right next door to my house. The strangest thing is that my neighbour is one of very few people on our street who did not belong to the CPF, and I can’t help but wonder if that was a factor in him being targeted.

Truthfully (but possibly foolishly) I still feel safe where I live.

Have you lived through something that just didn’t seem real or possible? How do you feel about it with hindsight?

This is an original post for World Moms Blog by Mama Simona from Cape Town, South Africa. Photo credit: Alan Cleaver / Flickr.

Mamma Simona (South Africa)

Mamma Simona was born in Rome (Italy) but has lived in Cape Town (South Africa) since she was 8 years old. She studied French at school but says she’s forgotten most of it! She speaks Italian, English and Afrikaans. Even though Italian is the first language she learned, she considers English her "home" language as it's the language she's most comfortable in. She is happily married and the proud mother of 2 terrific teenagers! She also shares her home with 2 cats and 2 dogs ... all rescues. Mamma Simona has worked in such diverse fields as Childcare, Tourism, Library Services, Optometry, Sales and Admin! (With stints of SAHM in-between). She’s really looking forward to the day she can give up her current Admin job and devote herself entirely to blogging and (eventually) being a full-time grandmother!

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