Meet Our Patients (20): Tin Ei Mying Noe Aye’s Story

Tin Ei Mying Noe Aye is a newborn baby, a 45-day old girl. When the pregnancy became 7-month, her mom had severe stomach pain so her husband brought her to Mae Tao Clinic. She gave birth to a daughter on that day. When she was born, her weight was only 1 kg. The baby was born too early because of ‘preterm premature rupture of membrane’, according to the health staff. In addition, she has numerous complex diseases. She has been admitted to MTC Reproductive Health In-Patient Department (RHIPD) for treatment and fortunately, her condition has been improving progressively her weight increased to 1.8 kg when interview was conducted.

 

A newborn baby with her dad at Child In-Patient Department at MTC

Tin Ei Mying Noe Aye is a newborn baby, a 45-day old girl. Her family lives in Mae Ka Sa, [1] Thailand but they are originally from Myawaddy, 1 Burma/Myanmar. Her family decided to move to Thailand to find a better job due to lack of job opportunity in their origin place. They live in Thailand, staying in a house with their employer and they are undocumented workers. Their income is based on the work done and her mom and dad make 150 THB (4.5 USD)[2] / 200 THB (6 USD) per day respectively.

It was the first time for them to come to new Mae Tao Clinic (MTC) although they used to come to old MTC before when they had some health issues. Although there is a small Thai clinic near their house, they never have been there but always coming to MTC for the treatment because they cannot speak Thai language and have no legal document. This is the most common reason majority of MTC patients residing in Thailand come to seek health care service at MTC. Her mom has been coming to MTC for the Antenatal care since her 5-month pregnancy. When the pregnancy became 7-month, her mom had very severe stomach pain so her husband brought her to MTC. She gave birth to a daughter on that day. When a daughter was born, her weight was only 1 kg[3]. Her family was worried so much because she was the first child and they had no experience of such. The baby was born too early because of ‘preterm premature rupture of membrane’, according to the health staff. She is currently in an oxygen box for assisted breathing. In addition, she has numerous complex diseases: pneumonia, hypoxia, and low-birth weight. She has been admitted to MTC Reproductive Health In-Patient Department (RHIPD) for treatment and fortunately, her condition has been improving progressively — her weight increased to 1.8 kg when the interview was conducted. Regardless of this positive progress, she cannot go back home with her mom and dad yet until her weight becomes 2kg at least.

“If there was no MTC in this area (Mae Sot, Thailand), I think my baby would not be able to be alive. We could not go to the Thai national Mae Sot hospital because we have neither legal documents nor any health insurance. Moreover, we do not have money either. Our wages are just a mere pittance, so saving money is a luxury for us. I knew that if we went to Mae Sot hospital, I had to pay a lot of money, which we can never afford. We could not even ask our employer to lend us some money,” said her dad.

Her family appreciated a lot of what MTC offers and was happy while seeing their baby.


Reproductive Health in 2016

Antenatal

10,040 Deliveries 2,522
Family Planning

4,527

Neonatal

589

Post Natal 3,634 Post Abortion Care

355

* p19, Mae Tao Clinic Annual Report 2016

We have seen a decrease in the number of women seeking care at the reproductive health clinic, mostly due to the improvement of the services along the border. The decrease in the number of women seen is only for normal deliveries but more complex cases in need of a higher level of care are still seen in Mae Tao Clinic. Mae Tao clinic reproductive health team continues to provide care to women through multiple services.


[1] Mae Sot is where Mae Tao Clinic is located and a district in western Thailand that shares a border with Burma/Myanar to the west. Mae Kasa is one of subdistricts of Mae Sot. Mae Sot is notable as a trade hub and for its substantial population of Burmese migrants and refugees. Neighbouring districts are (from north clockwise): Mae Ramat, Mueang Tak, and Phop Phra. The Moei River serves as a natural border between Mae Sot and the Burmese town of Myawaddy. Mae Sot lies 492 km north-northwest of Bangkok. (source: https://en.wikipedia.org/wiki/Mae_Sot_District)

[2] 1 USD = 33 THB

[3] Internationally, average weight of a newborn baby is around 2.5 kg, Janssen, Patricia A et al. “Standards for the Measurement of Birth Weight, Length and Head Circumference at Term in Neonates of European, Chinese and South Asian Ancestry.” Open Medicine 1.2 (2007): e74–e88. Print.

 

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