Sudan: The harrowing reality of giving birth in a war zone
Key pointsPregnant women travel for hours to reach emergency maternity careGolo town hospital is only one able to perform C-sections for miles aroundEssential medical supplies running out, including oxytocin to prevent fatal bleedingWar is ongoing and humanitarian needs are massiveIn an alert, the UN sexual and reproductive health agency, UNFPA, highlighted urgent needs among expectant mothers in Golo, in western Sudan’s Central Darfur region. The mountain town has only one hospital capable of performing a C-section and it is the only one for many miles around. “Most women reach it from mountain villages on foot, often walking for hours or being transported on crude wooden stretchers through the mountains, when they're already in labour or bleeding,” said Fabrizia Falcione, UNFPA Sudan Country Representative. “Those who can afford it hire a donkey, but many women cannot. Many arrive when it is already too late for them and also for their babies.”The UNFPA official noted that Golo hospital’s dedicated doctors, midwives and other staff often run short of supplies, including anaesthetic. “A few days after a C-section, women return to their villages on the mountain, again on foot,” Ms. Falcione noted, in a call to support mobile clinics closer to vulnerable communities.Tawila: Unimaginable needs Needs are also massive in sprawling Tawila displacement camp, which is several hours’ drive by all-terrain vehicle from Golo across mountainous terrain, some 60 miles (around 100 kilometres) away. The residents are hundreds of thousands of people displaced by Sudan’s ongoing war between the paramilitary Rapid Support Forces (RSF) and Sudanese Armed Forces (SAF), which first clashed following a break-down in transition to civilian rule in April 2023.“Women come even from Golo [to Tawila] to get a C-section when they know that their situation is desperate. Now, if it took us by four by four, nine hours [by car], you can imagine how long it will take a woman on a donkey...And that is exactly why the medical health providers told us when the women reach here, it's often too late and they cannot do anything and they lose their lives and those of their babies.”As in Golo, health facilities in Tawila and across central and northern Darfur are running out of oxytocin, which is used to stop fatal bleeding during childbirth. “Arriving in Tawila displacement camp puts you in front of an unimaginable picture,” Ms. Falcione explained. “The camp stretches across the desert in all directions; you can't see the beginning or the end of it. With more than 700,000 people displaced, who are now sheltering there and the new families who are arriving daily and are erecting their makeshift tents.”
