Some women may have deep trauma that requires accommodations within the hospital system to ensure that her care does not trigger the prior trauma. This article discusses how a hospital in Israel handled such a situation for a cesarean and provides a template for doing so.
Editor’s note: This article first appeared in Midwifery Today, Issue 98, Summer 2011. Subscribe to Midwifery Today Magazine Author’s Note: All names have been changed to protect the privacy of the women whose stories are shared here. In recent years, 20,000 asylum seekers have arrived in Israel from Africa, by way of the Egyptian desert. Many more refugees did not survive the journey, were caught by the Egyptian authorities en route or were turned back from the Israeli border in fear of infiltration by potential terrorists. Eighty-five percent of Israel’s asylum seekers are from Sudan and Eritrea. They flee famine and war in their homelands and set out on a long, difficult and dangerous journey in hope of securing a more promising future for themselves and their children. Many were interned in prison for illegal entry before being granted sanctuary in Israel. The women, as primary caregivers to their families, are not always able to work, certainly not while birthing or during the first few months after childbirth. They are not entitled to social welfare benefits, including the routine prenatal care that Israeli citizens receive, and most have no medical insurance. However, they are provided with basic aid, including medical