Netty was 24 years old and lived with her husband and in-laws in a remote village. Herhusband was a day laborer and the family’s sole wage-earner. She had been marriedfor three years, and had suffered a stillbirth one year earlier. She had become pregnantagain, and her pregnancy was considered high-risk because she was physically smalland had anemia and pregnancy-induced hypertension. Netty had regular antenatal check-ups at the primary health center. Because of herhigh risk status and her previous stillbirth, the health officer was worried about her, andhe advised her to deliver at the district hospital. Netty did not think her husband wouldpay for this, however, and so she decided to deliver at home instead. A local privatedoctor attended her delivery, which was very painful and resulted in another stillbirth.After the birth Netty developed profuse bleeding, and she was brought to the primaryhealth center with a retained placenta. The medical officer managed to remove theplacenta, but Netty had lost a dangerous amount of blood and was in a state of shock.Blood transfusion facilities were not available at the health center. The nearest hospitalwas more than 40 km away, and there was no transportation available. Netty’s pulseand blood pressure dropped rapidly. The health officer tried very hard but could notsave her life. 1. Since her husband was the family’s sole wage-earner, what should he have doneto make sure that Netty could receive the treatment she needed?
Netty was 24 years old and lived with her husband and in-laws in a remote village. Her
husband was a day laborer and the family’s sole wage-earner. She had been married
for three years, and had suffered a stillbirth one year earlier. She had become pregnant
again, and her pregnancy was considered high-risk because she was physically small
and had anemia and pregnancy-induced hypertension.
Netty had regular antenatal check-ups at the primary health center. Because of her
high risk status and her previous stillbirth, the health officer was worried about her, and
he advised her to deliver at the district hospital. Netty did not think her husband would
pay for this, however, and so she decided to deliver at home instead. A local private
doctor attended her delivery, which was very painful and resulted in another stillbirth.
After the birth Netty developed profuse bleeding, and she was brought to the primary
health center with a retained placenta. The medical officer managed to remove the
placenta, but Netty had lost a dangerous amount of blood and was in a state of shock.
Blood transfusion facilities were not available at the health center. The nearest hospital
was more than 40 km away, and there was no transportation available. Netty’s pulse
and blood pressure dropped rapidly. The health officer tried very hard but could not
save her life.
1. Since her husband was the family’s sole wage-earner, what should he have done
to make sure that Netty could receive the treatment she needed?
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