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Not too confidently, I began to examine her. I was amazed at how easy<br />
it was to determine the position of her uterus.<br />
“I find it very low but in the center,” I told him.<br />
Don Elijio got up and felt her belly. He nodded and smiled. “This is<br />
easy for her,” he told the woman proudly. “She knows the body well and is<br />
already a doctor. And a woman.”<br />
“When we put your uterus where it should be, the itching will stop,” he<br />
said to the woman. The weight of the uterus on the vaginal tissues prevents<br />
proper flow of blood, lymph, and nerve currents, thus allowing the yeast to<br />
thrive. When the uterus is properly placed, the elements of the blood will<br />
adjust the pH of the vaginal wall, thereby making an unfavorable<br />
environment for the yeast.<br />
Don Elijio returned her uterus to its proper place. “See here,” he said,<br />
pointing to the pelvic bone. “The width of two fingers above this bone is<br />
where a woman’s uterus should sit. No more and no less. And always be<br />
sure it is in the center.”<br />
Because of his knowledge, Don Elijio had become legendary among<br />
midwives. In Belize, many women still rely on lay midwives for childbirth.<br />
In a country of remote villages <strong>with</strong> few ambulances and hospitals,<br />
midwives are accepted and respected members of the basic primary health<br />
care team. The country has an excellent system of training home birth<br />
attendants, in which women who want to become midwives are trained by<br />
other women.<br />
San Antonio, like all other villages, had two or three women trained as<br />
midwives who took care of the vast majority of home births. They came to<br />
Don Elijio only when a patient was in serious trouble. Don Elijio had never<br />
lost a patient in childbirth. He was expert at coaxing intransigent babies to<br />
come out or to turn. He dealt <strong>with</strong> breech births <strong>with</strong> a series of<br />
manipulations and special prayers.<br />
“I’ve never had to send a woman to the hospital,” he said. “<strong>My</strong> prayers<br />
and massage have helped every time. But the doctors are in such a hurry<br />
nowadays. Twelve hours of labor pass and they sharpen their knives.”<br />
Once on a cold, rainy, winter night in January, a midwife came to his<br />
house and roused the old man out of his sleep.<br />
“Get up, old man, I need you,” she said as she frantically knocked on<br />
his door. Don Elijio grabbed the plastic purse he used as his doctor’s bag<br />
and followed her back to the patient’s house. A baby—a girl—was already