MEXICO CITY (TheBlaze/AP) — A Mexican woman squats in pain after giving birth, her newborn still bound by the umbilical cord and lying in the grass. The photograph has horrified many because of where it took place: the lawn outside a medical clinic where the woman had been denied help, and it struck a nerve in a country where inequity is still pervasive.
A woman giving birth on a lawn outside a medical clinic after being denied treatment has gone viral. A tabloid in Mexico published the image on its front page. (Image source: La Razon via Daily Mail)
The government of the southern state of Oaxaca announced Wednesday that it has suspended the health center's director, Dr. Adrian Cruz, while officials conduct state and federal investigations into the Oct. 2 incident.
The mother, Irma Lopez, 29, told The Associated Press that she and her husband were turned away from the health center by a nurse who said she was only eight months pregnant and "still not ready" to deliver. The La Razon de Mexico (via Google Translate) reported that nurses did not even open the door of the clinic (Editor's note: there is a graphic, unblurred image of the birth on the lawn at the links).
In this Oct. 6, 2013 photo, 29-year-old Irma Lopez stands next to her newborn son Salvador at a clinic in the town of Jalapa de Diaz, Mexico. (AP/Chema Alvarez)
The nurse told her to go outside and walk, and said a doctor could check her in the morning, Lopez said. But an hour and a half later, her water broke, and Lopez gave birth to a son, her third child, while grabbing the wall of a house next to the clinic.
"I didn't want to deliver like this. It was so ugly and with so much pain," she said, adding she was alone for the birth because her husband was trying to persuade the nurse to call for help.
A witness took the photo and gave it to a news reporter. It ran in several national newspapers, including the full front page of a tabloid, and was widely circulated on the Internet.
The case illustrated the shortcomings of maternal care in Mexico, where hundreds of women still die during or right after pregnancy. It also pointed to still persistent discrimination against Mexico's indigenous people persists.
A photo of Lopez grimacing in pain during the first moments after giving birth, with her child still bound to her by the umbilical cord, on the lawn of a clinic has gone viral and served as a reminder of the health disparities still affecting many poor women in Mexico without proper access to health care. A nurse kicked Lopez out of the clinic Oct. 2, claiming she was "still not ready" and had to wait for a doctor. (AP/Chema Alvarez)
"The photo is giving visibility to a wider structural problem that occurs within indigenous communities: Women are not receiving proper care. They are not being offered quality health services, not even a humane treatment," said Mayra Morales, Oaxaca's representative for the national Network for Sexual and Reproductive Rights.
Lopez, who is of Mazatec ethnicity, said she and her husband walked an hour to the clinic from the family's one-bedroom hut in the mountains of northern Oaxaca. It would have taken them longer to get to the nearest highway to catch a ride to a hospital. She said that from the births of her two previous children, she knew she didn't have time for that.
The federal Health Department said this week that it has sent staff to investigate what happened at the Rural Health Center of the village of San Felipe Jalapa de Diaz. The National Human Rights Commission also began an investigation after seeing news reports.
Nearly one in five women in the state of Oaxaca gave birth in a place that is not a hospital or a clinic in 2011, according to Mexico's census. Health officials have urged women to go to clinics to deliver their babies, but many women say the operating hours of the rural centers are limited and staffs small. A receptionist at the Rural Health Center told the AP that the doctor in charge was not available to comment about the case.
Although some have praised Mexico for improving its maternal health care, the mortality rate still stands at about 50 deaths per 100,000 births, according to the World Health Organization, similar to Libya, Barbados and Kazakhstan. The U.S. rate is 16 per 100,000.
Oaxaca is one of Mexico's poorest, most rural states and many women have died of hemorrhaging or preeclampsia, a condition causing high blood pressure and possible kidney or liver failure. The Mexican states with the highest indigenous population have the highest rates of maternal deaths, by a wide margin.
Lopez was taken in by the clinic after giving birth and discharged the same day with prescriptions for medications and products that cost her about $30, she said. Health officials say she and her baby were in good health.
She said that poverty-stricken villagers are used to being forgotten by Mexico's health care system and left to fend off for themselves.
"I am naming him Salvador," said Lopez, a name that means "Savior" in English. "He really saved himself."