To avoid a six-day trek, I flew into an airstrip on top of a mountain and then walked four hours to get to the hospital. The hospital has 30 beds. The delay in getting to the hospital makes pregnant women suffer greatly when complications occur. So rather than polluting the house, the woman delivers in the cold, filthy stable. Then there is the problem of ignorance.
Families fail to recognize the danger signs.
Ruptured uterus is all too common. Women in labor for 4-5 days, not being able to deliver because the baby is too big or in the wrong position. The uterus finally ruptures. Even when the family recognizes that something is wrong, then they must arrange transportation. The woman needs to becarried and this can be very costly.