Obstructed Labor

We all have to die someday.  I get that.  All of our lives hold a measure of suffering. I understand that.  But not this.  For a woman to die from obstructed labour is an unimaginable horror that still happens here in the jungle.  This is actually an almost unheard of event in our modern world. Women do die from the surgical complications of a c-section.  But I would venture that few obstetricians would even know how long it might take to die from obstructed labour.  No one comes close to waiting that long. One of my medic students had such a case.   It took a week.

Here, if having a couple of strong men vigorously pushing on the pregnant uterus (also not a good option) fails to push the baby out, they resort to cutting it out in pieces.  This is not about pro-choice versus pro-life.  It is not about killing an unwanted unborn child. Its about having no choices and being desperately for life.

This is a picture of the scalp of a 42 year old Karen man.  When he was being born, it looked like he was going to be the cause of an obstructed labour.  They started to cut him out by making  a deep cut into his skull.  Again I cannot imagine the horrors of what was happening during that procedure to make them stop. Or what suddenly made mom decide she would push him out or literally die trying. But for some reason they stopped.  Nor can I imagine what the parents must have felt caring for their precious newborn son and his horrible wound.  Skin eventually inched over the jagged cut in the bone. Miraculously, the man had no problems for the first 35 years of his life. Thinking about this picture shakes my soul.  For me, it has come to stand for the horrors of no obstetrical healthcare in the area.  … And I would really like to change that.

Dr. Mitch Ryan

A former USAF Major and ER physician, Mitch is a visionary who has spent most of his professional career working internationally alongside his wife Caryl, a licensed nurse. Together they have launched initiatives focused on providing excellent and innovative healthcare in regions of the world where quality medical care is limited. From 1995 - 2005, he founded and operated the Gilgit Eye Hospital in Northern Pakistan, supported a medic training program for the Karen people in Myanmar from 2005 - 2015, and in 2015 established the Earth Mission Physician Associate training program in southeast Myanmar.

He enjoys working with a team of professionals dedicated to serving people and teaching others how to do the same. He also co-authored a medical textbook that is utilized in Earth Mission’s Physician Associate training program. Mitch has a bachelor’s degree in Biology and received his MD from Wayne State School of Medicine. He completed his residency in Family Medicine and received a certificate in Tropical Ophthalmology from the International Center for Eye Health in London. Mitch maintains active U.S. medical licenses in Arkansas and Oklahoma. In 2023, he was awarded an honorary Doctor of Science degree from Ulster University.

Ultimately, Mitch is driven by his faith in Jesus Christ, in the spirit of Isaiah 58:6: “Is not this the fast that I choose: to loose the bonds of wickedness, to undo the straps of the yoke, to let the oppressed go free, and to break every yoke?” To be a Christian is to be the hands and feet of Jesus. To love is to sacrifice.

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