Fantastic Activity of Those Institutions that
Help the Public Hospitals in Leading Those Problematic Pregnancies that Come from Abroad
Juan Piazze1*, Assunta Lombardi2, Arianna Amata3 and Anna Maria Petitti4
1ASL Frosinone (Consultorio Familiare di Frosinone, Casa della Salute di Ceprano, Ospedale SS Trinità di Sora) Frosinone, Lazio, Italy
2Social Worker for Region Lazio, Italy
3Consultorio Familiare di Frosinone, Italy
4ASL Frosinone, Italy
Submission: January 25, 2021;Published: January 29, 2021
*Corresponding author: Juan Piazze, ASL Frosinone (Consultorio Familiare di Frosinone, Casa della Salute di Ceprano, Ospedale SS Trinità di Sora) Frosinone, Lazio, Italy
How to cite this article: Juan P, Assunta L, Arianna A,d Anna Maria P. Fantastic Activity of Those Institutions that Help the Public Hospitals in Leading
Those Problematic Pregnancies that Come from Abroad. J Gynecol Women’s Health. 2021: 20(5): 556047.DOI: 10.19080/JGWH.2021.20.556047
Keywords: Pregnancy; Primary care institutions; Public health service
Our usual clinical activity, always frenetically ongoing, makes us lose the sense of some health operators that help, even further than their actual mission, those women coming from abroad, from other lands. Those women that leave the land that grew them up, usually scaping from unbelieveable situations and even risking their lives in every second since they decided to run away towards unknown territories, where they not only have the difficulties regarding a new language, other meals, other ways of living and behaviour.
Even the religion is different. The different ONLUS programs (social utility no profit organization) and the social organizations working together with regional prefectures, act as a link between these women and the public institutions. And their important role must be emphasized as they represent an important chain in the follow-up and birth of these pregnancies, and most of the times, even in the infants care afterwards. We selected three interesting cases, among the universe that reaches our Department, that may make an idea of these cases helped by the different charity organizations.
Sunshine. She arrived from Nigeria at19 years old, with that kind expression in her face that involved questions with no answers
in her life. She was among a 50 persons group just arrived in one of those “searchig future trips”, crossing the seas in improvised and dangerous boats. The first questions trying to decifrate her nigerian english, and she solved every question taking her hand to the abdomen: meant she was not alone in this trip. The following day with the help of another worker who translated her mother language, was easier to understand what pushed her to risk trying to protect that baby inside of her.
Her family living in Benin City two years ago, made her marry an old man, the richman of the town, who was usually traveling because of working exigencies. Because of this situation, the time spent with Sunshine was minimal, and the oldman, with a sick obsession, pushed her to her wife’s “duties”. By 2017 Sunshine remained pregnant. When she made everybody know about this pregnancy, the reaction was insults, kicks, humiliation and segregation, since they all believed that the baby did not belong to the old richman. But she did not even immagine what was the next treatment; that night her husband together with his brothers punished her with any kind of violence and aggression. All justified by the sin of betrayal inflicted. The most horrible was still to come, the oldman’s mother embellished her face with two deep cuts, in order to make everybody know that Sunshine was nothing. Afterwards, she was thrown in the middle of the street with no money in her pocket. The good heart of one of her neighboors,
made possible the healing of her scars, offering her a place to
live; until she was sent to Libia where she lived in a kind of jail.
The release from this prision was possible thanks to an Arabian
man, who after the payment, became his master with the aim of
selling her to some slave trafficants who would take her to Italy.
After two days of navigation through the seas in the worst human
conditions, she arrived to Lampedusa near Sicily.
She was taken to the Family Care Division where an ultrasound
scan defined a single pregnancy at about 22 wks gestation,
apparently uneventful. In the following controls, a placental
detachment was diagnosed at about 36 wks gestation, and all
the expenses and outward care was supported by one charity
institution until the birth was performed in the Hospital at 38
weeks gestation. A baby male was born, with no complications
and good weight and general conditions. Sunshine had an
uneventful after pregnancy period and every successive control
confirmed a healthy status. Now Luke and Sunshine live together.
Unfortunately, Sunshine lives with an eternal fear and primary
anxiety, she does not permit any male figure to come close to her.
Fatoumata. She come from Costa D’Avorio. We underline that
refugees requests are not frequent from this country, and that she
traveled alone among other hope searchers coming from Somalia
and Mali. She wore an integral dark dress, the kind of those
that hide any form or linement behind. And her pregnancy was
perfectly hiden. She arrived to Italy knowing a couple of words
in french (her mother language was the Bambara). At the age of
nine years old, she met her husband, an aunt’s friend about 50
years old. One can only imagine that little baby white dressed
not understanding the others’ relatives happiness. At the age of
14 she got officially married and went to live with her “husband”.
When she began to understand, cried the all the way long while
she was taken to Abijan where the oldman was waiting for her.
What followed was a series of violent rape episodes, at any time
of the day for a long time. Very soon she remained pregnant, and
this fact did not stop her husband to rape her in a disgusting and
violent way. In about seven years of hell, she was forced to sell
clothes at the market, and when her husband thought she had sold
and earned few money, she undressed and beated her in public.
In all these years, she remained pregnant four times, and two
pregnancies ended in spontaneous abortions.
She at this point, decided to scape, with the help of her mother
and one cousin (who would travel together to her), to Libia, taking
with her one of her sons. Not just arrived, she understood that
the the people that she thought would have helped her, actually
were waiting for her in order to exploit her sexually. Her refusal
to this violence was continuously punished with hunger and
violent physical aggressions. No one protected her and her child,
and after some months, she remained again pregnant. After a
failed abortion induction, she was sold to one slave trafficant and
addressed to Italy, over a rubber dinghy. After arriving in Italy, and
considering her advacend pregnancy situation, a charity program
accepted her as a priority subject. She come to our ultrasound
Division for her first control in pregnancy. A 38 wks’ gestation
single prenancy was calculated by biometry evaluation, and
after the routine blood analyis, an overwhelming new became
evident: she was positive to AIDS tests. We decided to relocate her
in the program planned for AIDS affected pregnants in one first
level public Hospital. Fortunately Amidou, the newborn, has not
contracted the infection. And Fatoumata has learned to follow
medical controls and takes responsibly the antiretroviral therapy.
Fhaisa. She scaped the horrors of war, and the hell that
represented her country, Somalia. You should carry weapons
with you if you want to survive the dangerous jungle. One word
said “out of the line” and you risk your own life. That was the
situation she usually lived. Young male gangs turned around the
cities commiting any kind of sin, facilitated by rivers of alcohol
and clouds of other drugs. Fatoumata told us that in order to
save females’ lives, they were hidden in safe places such as the
mosques. She had the advantage to belong to a rich family, and
this condition permitted her to pay the trip towards Italy. At the
beginning quiet and in an uneventful status living under the
protection of one charity program, one morning she complained
a terrible pain coming from the genital apparatus. Taken to an
emergency institution, a infective condition that emerged from
an early infibulation was diagnosed. After the antibiotic cures,
she was informed about the possibility of dinfibulation surgical
procedures, with forefront techniques in order to overcome the
physical mutilations. She refused since the beginning any kind of
surgical resolution, due to her roots, believes, that were greater
than the pain and future infective risks. She represents a case of
perseverance, and she remained at the charity Centre, suffering
continuously and rising everyday a severe infection.
Reviewing bibliography, the private charity related to
public health service, has always been a mechanism to consider
in order to improve the assistance in this field . The massive
immigration that makes desperate people leave their home with
the aim to find new horizons in Europe, is a critical situation that
involves several countries . These homeless pregnant patients
are a vulnerable population, and without the charity institutions,
those people would be left to different risky situations. And other
useful services are now available for women, i.e., Mission Woman
in Rome that is perceived by women victims of violence . There
are just few words to comment the three cases we choiced in
this report, or maybe we remain speechless. Injustice, violence,
transgression, infibulation. Mutilated lives, not only from the
physical point of view.
The final comment: an acknowledgment to those people that
act in silence, such as a useful army that helps us, the clinical
operators of the public health service, to help these desperate
people, trying to give a hand, a drop of water in the ocean of
sufference. All names involved are fictitious in order to respect the
we sincerely thank the omninous help offered by the different
social workers of all the charity programs that improve our public
health service with their important mission, personalized in Miss
Assunta Lombardi: one woman-one army.