• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar

Kampuchea Crossings

Bump to baby on the beaten expat track

  • Home
  • PORTFOLIO
  • Work Posts
  • Contact

maternity

Healthy baby girl, FREE to whoever can feed her

29 April 2012 by Nathalie Abejero 3 Comments

As a mom, it tears at my heart. It was shocking at the same time that I know it meant a better life for the baby.

It’s commonplace, but I don’t often personally see or hear of it. A woman gave birth to a healthy baby girl around 7am, at a health center where we were field-testing some questionnaires. Usually anyone admitted to a facility is accompanied by throngs of family members, who provide the care to the patient that back home would be done by health staff (eg providing meals, making sure medicines are taken, changing the dressings etc). But there was no one with this very young mother. She was thin, ragged, and very weak. She breastfed the baby a bit, on prompting by the staff, but by evening someone noticed that she hadn’t eaten all day. She couldn’t afford it – not even a bowl of porridge (around 2000 Riel or US$0.50) from the lady carrying pots and bowls in baskets balanced on a bamboo pole.

The new mother asked the staff to look for someone to take the baby because she couldn’t afford to feed her. As it turns out, my colleague has an older sister who is unable to bear children, so she agreed to take the baby for her sister. She offered some money to the staff and the staff gave a portion of it to the mother.

My colleague’s sister has had the baby now for a week. She loves the baby like her own, and she registered the birth so according to official records she is the biological mother. I wondered about the poor woman, but my colleague has no plans to find her or keep in touch. I suppose that’s only natural.

As a side note, civil registration was introduced in Cambodia only as recently as 2002, and by 2005 only 5% of the population was registered. There’s no requirement on health facilities to do more than report the number of births (to the Ministry of Health). The family takes responsibility for registering the birth (to the Sangkat or Commune, who facilitates the registration with the Ministry of Interior and birth certificate to the baby). This proof of existence is a person’s ticket to citizenship and provides the evidence needed for claims to social services and benefits. A country’s database of vital events like births, deaths, marriages helps the government determine the best use of resources eg public health programming.

Filed Under: Life, Work Tagged With: baby, Cambodia, civil registration, expat, expatriate, health center, maternity, parenthood, parenting

Chlong tonle – the other side of the river is so far for some women in Cambodia

10 April 2012 by Nathalie Abejero 1 Comment

A woman died today after giving birth to a healthy baby boy. We came to the health facility and saw her just in time to see the life fade from her eyes after hemorrhaging in the ward where there were four midwives and an obstetrician on duty. Only one staff was attending to the patient at the time of death – a student midwife. The student claimed she told the staff, but they were busy with other patients. The staff corroborated this. The fact that there was no prioritization for the emergency case is testament to how dysfunctional the health sector still is, and how poor the capacity of health staff are that this is allowed to happen. There won’t be a maternal audit, or changes to standard operating procedures, because this facility is not directly supported by a donor and the Ministry of Health is too poorly resourced and managed to do anything about just one case.

The term for childbirth in Khmer is chlong tonle, which literally means “crossing the river”; it’s dangerous and you don’t know if you’ll make it across. Death always leaves you stunned. It’s staggering when you see a case that was entirely preventable.

Read this related post written two years later on the silent courage of mothers in rural Cambodia.

Filed Under: Work Tagged With: Cambodia, childbirth, chlong tonle, delivery, maternity

Living in Phnom Penh, Having a baby in Bangkok

20 February 2011 by Nathalie Abejero 4 Comments

Photo by Keith A Kelly

CHOOSING THE HOSPITAL

We work and live in Phnom Penh, and wouldn’t feel comfortable with the specialists / facilities here in case of complications during delivery. The nearest city with internationally accredited care is Bangkok, so there we went at 35 weeks 6 days gestation, the latest we’re allowed to board a Thai Airways flight (with a fit-to-fly certificate from the doc).

Most of Bangkok’s well-known private facilities have high quality patient-oriented care and great customer service. They have translators, can take care of extending  visas, take the baby’s passport photo (this isn’t easy so do get this done at the hospital!), get the birth certificate officially translated and documented at the Ministry of Foreign Affairs, and liaise on documentations necessary to register the birth at your particular embassy etc. Many people go to Bumrungrad Hospital; read this post and follow the link to her birth story at Bumrungrad here. This hospital is located in the neighborhood of Sukhumvit where many Arab nationals live, so the third spoken language is Arabic.

The delivery packages she quoted for Bumrungrad are comparable to those at Samitivej:

  • Natural birth/Water birth (3 days admission) 55,000Baht / US$1800 on exchange rate 30Baht=US$1
  • Natural birth with Epidural (3days admission) 68,000 Baht / US$2267
  • C-section (4days admission) 78,000Baht / US$2600

So I’d heard there is a ~90% c-section rate in private hospitals in Bangkok..? At any rate it’s high, but that’s due to a lot of other factors (including the Asian quest for luck, leading parents to schedule c-sections on the most propitious time and date for birth). [Read more…] about Living in Phnom Penh, Having a baby in Bangkok

Filed Under: Life, Travels Tagged With: baby, Bangkok, birth tourism, childbirth, delivering a baby, delivery, expat, expatriate, expatriate having a baby in Bangkok, expatriate having a baby in Thailand, Having a baby abroad, having a baby in Bangkok, having a baby in Thailand, maternity, maternity package, nursing, parenthood, parenting, Phnom Penh, Samitivej

Primary Sidebar

Those little feet pitter-pattering about rule our lives lately. But on the occasional free moment I get to tap out scatterbrained bursts of consciousness about raising toddlers in Cambodia, traveling with them and working abroad. These posts are my personal updates to friends and family. But since you’re here, have a look around. Thanks for stopping by…

Read More…

Blog Post Categories

  • Interests
  • Life
  • Travels
  • Work

Latest posts

  • Cheers to 2024, an important election year!
  • Some optics on how rapidly technology is changing the world
  • AI note taking tools for your second brain
  • Kids project: Micro-loans to women entrepreneurs
  • I ran the 50th NYC Marathon!
  • Bok l’hong with Margaritas or, memories from the Mekong
  • Getting the kids to like ampalaya (bitter gourd)
  • Gender differences in athletic training

Tags

aid baby Bangkok bush Cambodia christmas coconut covid-19 cuisine delivery development expat expatriate Filipino food food foreign aid holiday hurricane inauguration katrina Khmer Khmer cuisine Khmer food Khmer New Year kids levy louisiana mango Manila medical tourism mekong new orleans nola nyc obama parenthood parenting Philippines Phnom Penh Poipet running Thailand travel US xmas
  • Facebook
  • LinkedIn
  • Pinterest
  • RSS
  • Twitter

Copyright © 2025 · Genesis Sample on Genesis Framework · WordPress · Log in