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MCN, The American Journal of Maternal/Child Nursing

October 2012, Volume 37 Number 5 , p 351 - 351


  • Lynn Clark Callister PhD, RN, FAAN


In many rural areas globally, access to reliable power sources is inadequate, with frequent, unpredictable, and long-lasting power outages. This means that midwives attending births often do not have an adequate source of light. Caregivers use a small flashlight, kerosene or battery-operated lanterns, or candles. Generators are sometimes available, but are expensive to use because of the cost of fuel.A Nigerian community health office described attending a breech birth with a dim kerosene lantern. In desperation the husband held up a candle, which hardly improved the lighting. A clinic supervisor said, "If there is no light, anything can happen. [The health worker] cannot see the person she is [attending]. You can try to clamp the cord and clamp the wrong thing. You can mistakenly cut the woman. Even the health worker can be wounded, and if the patient is HIV positive, this is especially dangerous" ( ).A few years ago in Uganda's Igana District,

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