Shiho Fukada for Doctors Without Borders
  • Five years after Haiti’s massive earthquake, the health care system is only partially reconstructed and specialist services remain out of reach for many people, according to Doctors Without Borders. Since many women are unable to afford maternity care, the early detection of health conditions that lead to complicated births is a huge challenge. Here, Guerda Jean, 24, is drenched in sweat during labor at Doctors Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 17, 2015. She has severe pre-eclampsia. As the baby's condition got worse, she had a c-section.
    Shiho Fukada for Doctors Without Borders
  • Cherline Pierre, 24, endures labor at Doctors Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 16, 2015. Many poor women give birth at home and the majority of local government hospitals are not equipped to handle life-threatening conditions. According to UNICEF, Haiti has the highest rates of infant, under-five and maternal mortality in the Western hemisphere.
    Shiho Fukada for Doctors Without Borders
  • People wait for their visitor passes at Doctors Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 19, 2015.
    Shiho Fukada for Doctors Without Borders
  • A woman endures her labor at Doctors Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 21, 2015. According to Doctors Without Borders, funding cuts by international donors and limited Haitian government spending on healthcare have forced some hospitals to turn women away who are not at the greatest risk for birth complications.
    Shiho Fukada for Doctors Without Borders
  • A baby born at 27 weeks receives oxygen at Doctors Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 21, 2015. The mother had severe eclampsia and the baby had a 50% chance of survival at the time, according to the nurse.
    Shiho Fukada for Doctors Without Borders
  • Cherline Pierre, 24, selects clothes for her baby girl at Doctors Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 18, 2015. She came to the hospital in labor and was admitted due to her high blood pressure.
    Shiho Fukada for Doctors Without Borders
  • A hospital staff member cuts the I.D. wrist band of a baby before discharging Cherline Pierre, 24, at Doctor Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 18, 2015.
    Shiho Fukada for Doctors Without Borders
  • Clockwise from top left: Gertha Ciline, 38, holds her baby, who was born prematurely; A baby, born one month before the due date because of the mother's high blood pressure; Josemita Felix holds her baby, who was born prematurely. She has hypertension and she miscarried her two previous pregnancies; A baby was born three months prematurely due to the mother's hypertension.
    Shiho Fukada for Doctors Without Borders
  • Mothers wait for checkups for their babies at Doctors Without Borders' Referral Center for Obstetric Emergencies in Port-au-Prince, Haiti, Oct. 18, 2015.
    Shiho Fukada for Doctors Without Borders
  • Cherline Pierre, 24, left, and her husband Clercy Wilfrid, 25, hold their daughter at home in Port-au-Prince, Haiti, Oct. 18, 2015. They live in a shelter built after the earthquake in 2010.
    Shiho Fukada for Doctors Without Borders
  • A view of the neighborhood where Cherline Pierre, 24, lives in Port-au-Prince, Haiti, Oct. 18, 2015.
    Shiho Fukada for Doctors Without Borders