Meet Our Patients (27): Myo Min Zaw’s Story – Breech Birth Case

Ei Moe visited Mae Tao Clinic twice for the Antenatal Care. During the visit, she received health supplements and mosquito net and took the urine and blood test for her baby. When Ei Moe’s son was delivered, he did not breath at first so MTC medics had to resuscitate the baby. In addition, the baby had chest in drawing. The Continuous Positive Airway Pressure (CPAP) device, Oxygen, Intravenous (IV) injection and antibiotic medication were provided to the baby…

 

Ei Moe is 30-year-old, Burman.[1] She lives with her family: her husband and two sons Day Htet Oo (12-year-old), Zin Myo Htet (9-year-old). She stays at a temporary shelter[2] along the Moei River,[3] Myawaddy,[4] where there are a number of docks that Burmese people cross the border by boat.[5] She is originally from Mawlamyine,[6] Mon State, Burma/Myanmar. Her two older sons were born in her hometown and they are currently attending the school in Myawaddy.

Ei Moe is a housewife. Her husband works alone for the family. Every day he crosses the Moei River to find a daily job in Mae Sot, Thailand. Although her husband has no legal document to stay or work in Thailand he has no choice to take a risk, crossing the river to make a living for the family — he makes around THB 200 (USD 6,3) per day.

Ei Moe visited Mae Tao Clinic twice for the Antenatal Care. Her friends recommended that she visit the MTC, saying that they usually visit the MTC whenever they and their children are sick. During the visit, she has received health supplements and mosquito net and took the urine and blood test for her baby.

She has been staying at the Reproductive Health In-Patient Department (RHIPD) of the MTC for 15 days due to her baby’s health condition. It was a breech birth — the baby’s hip delivered first. When her son was delivered, he did not breath at first so MTC medics had to resuscitate the baby. Moreover, the Apgar score was low (2/10, 5/10).[7] In addition, the baby had chest in drawing.[8] The Continuous Positive Airway Pressure (CPAP) device, Oxygen, Intravenous (IV) injection and antibiotic medication were provided to the baby. Regardless of these complex treatments, the baby was born healthy. Although he still needs some oxygen support he seems to get better. While MTC health staff take good care of the baby, her mother-in-law takes care of Ei Moe.

She will go to register the birth of her son at the district office in Mae Sot together with MTC’s birth registration team when her husband arrives. She doesn’t know yet when she will be able to go back home as it depends on her son’s health condition.

“I am very happy that I came to Mae Tao Clinic for the ANC and the delivery. I appreciate that my friends told me about the MTC. I also would like to thank all the medics and health staff at MTC for taking good care of me and my son.”

At the end of the interview, she said “I thank all donors who support people like me. Thanks to them, we can give birth safely at MTC.”


While our numbers of consultations and admissions were slightly down compared to previous years, the bed occupancy rate increased as did the length of stay of our patients. There are more basic primary health care facilities opening up in Eastern Burma and MTC is part of the Health Systems Strengthening project to support these clinics. Our data shows us that we are seeing more complicated cases coming to our clinic as these patients are not able to be treated in Burma. 10,705 children under five were treated at Mae Tao Clinic in 2016. This is 20% of the total client load. 19,319 were women of reproductive age which is 35 % of the total client load (54,521).


[1] Burma is a multiethnic, multilingual, and multicultural society. Officially, the country encompasses eight main ethnic groups, which the government has further divided into 135 different indigenous ethnic groups. According to CIA Factbook, the majority group Burman make up 68% of the country’s population of 55 million. The Burman group is the largest and culturally dominant group in Burma. [Burmalink: https://www.burmalink.org/background/burma/ethnic-groups/overview/]

[2] It is temporary as people cannot stay in these residences during the rainy season due to the risk of flood.

[3] The Moei River is 327 kilometers (203 miles) long, flowing south to north across Mae Sot, which is the border between Thailand and Burma/Myanmar.

[4] Myawaddy is a town in south-eastern Burma/Myanmar, in Kayin (Karen) State, close to the border with Thailand. Separated from the Thai border town of Mae Sot by the Moei River, the town is the most important trading point between Myanmar and Thailand. [Wikipedia: https://en.wikipedia.org/wiki/Myawaddy]

[5] Due to its proximity, there are various routes to be in/out between Mae Sot, Thailand and Myawaddy, Burma/Myanmar (The second largest border zone in Burma). Read more about transportations along the border: https://www.irrawaddy.com/photo-essay/over-and-under-the-thai-burma-friendship-bridge.html

[6] Mawlamyine is the fourth largest city of Burma/Myanmar, 300 km south east of Yangon. The city is the capital and largest city of Mon State, Burma/Myanmar and is the main trading center and seaport in south eastern Myanmar. [Wikipedia: https://en.wikipedia.org/wiki/Mawlamyine]

[7] The Apgar score, the very first test given to a newborn, occurs in the delivery or birthing room right after the baby’s birth. The test was designed to quickly evaluate a newborn’s physical condition and to see if there’s an immediate need for extra medical or emergency care. Apgar stands for Appearance (skin color); Pulse (heart rate); Grimace response (reflexes); Activity (muscle tone); Respiration (breathing rate and effort). [KidsHealth: http://kidshealth.org/en/parents/apgar.html]

[8] Chest indrawing is the inward movement of the lower chest wall when the child breathes in, and is a sign of respiratory distress. [National Center for Biotechnology Information: https://www.ncbi.nlm.nih.gov/books/NBK143752/]