醫療匱乏　阿富汗產婦安全堪虞

Dangers stalk childbearing women in Afghanistan

譯解／陳家瑜 （中央社記者，曾任元智大學英文講師）

●（法新社喀布爾電）哈斯拉特‧畢比懷過三個孩子，每個都在出生前就夭折了，第三個嬰兒胎死腹中後，她成了社會邊緣人，無法再生育，但這樣的故事在阿富汗屢見不鮮。

KABUL (AFP) - Three times Hasrat Bibi gavebirth. Each time her baby died before reaching the outside world. After the third, she was left a socialoutcast and unable to have more children, but in Afghanistanher story is all too familiar.

● 22年前，還是少女的畢比第一次懷孕。即便她年幼的身體可能還無法適應懷胎九個月的生活，但在阿富汗這個社會，女人首要或唯一的目的就是生兒育女。

Bibi first fell pregnant as a teenager 22 yearsago. Her body may have been too young to cope withnine months carrying a child, but she was living in asociety where motherhood is considered a woman'sprimary, if not sole purpose.

● 然而，懷孕生子在阿富汗是一件危險的事。新數據顯示，每兩小時就有一名阿富汗婦女死於懷孕相關病症，而近3%的嬰兒在出生前就夭折。

Yet having a baby can be treacherous in Afghanistan,where new figures show that one woman diesevery two hours from pregnancy-related causes andnearly three percent of babies are stillborn.

● 畢比因為生產導致尿道旁組織穿孔，形成複雜型廔管，造成她大小便失禁，無法再生育。

In Bibi's case, her experience of childbirth left herwith a complicated fistula -- a hole next to her urinary tract -- that has left her incontinent and unable to bearmore children.

● 雖然去年展開的阿富汗全國調查顯示，外援資助的醫療服務已幫助降低阿富汗產婦死亡率，但每10萬名順利出生的嬰兒，還是有500名最後不幸死亡。

Although the national survey, carried out lastyear, reveals that maternal mortality rates in Afghanistanhave fallen with the provision of foreign aidfundedhealthcare, 500 out of 100,000 live births stillend in death.

● 喀布爾醫療專家擔心，北大西洋公約組織的戰鬥部隊大舉撤出阿富汗之後，阿富汗戰爭十年間，由西方人士捐贈的醫療服務，進而使產婦死亡率下降的情況可能停滯，讓更多孕婦暴露於危險中。

And health professionals in Kabul now fear thatimprovements paid for by Western donors through 10years of war could stagnate as NATO combat troopscarry out a staggered departure, leaving more wouldbemothers at risk.

● 當畢比談到，她的身體狀況讓很多人避之唯恐不及，連她的丈夫也不例外時，不禁皺起臉來，流下眼淚。

Bibi's face crinkles into tears as she tells how hercondition has left her shunned, even by her husband.

● 她說：「因為我總是很濕，而且尿液有臭味，其他婦女都不願意跟我說話，連我的丈夫也是。」

"Because I'm always wet and the urine smells, otherwomen won't speak to me. Even my husband," she says.

● 「他會說你很臭，然後掉頭走開。」"He says 'you smell', and he leaves."

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