Caring for Women in Labor at the Height of Liberia’s Ebola Crisis: The ELWA Hospital Experience
The Ebola epidemic of 2013–2015 caused over 11,000 deaths in Guinea, Liberia, and Sierra Leone. During the crisis, hospitals ceased operations or limited the care they provided. Pregnant women needing assistance with complicated deliveries had few alternatives. The Eternal Love Winning Africa (ELWA) Hospital in Liberia was one health facility which experienced a period of closure, reduction of services, and health care personnel becoming ill with Ebola Virus Disease. In this phenomenological study, we initially present data from ELWA Hospital’s Obstetrics Department during a 3-month period at the peak of Liberia’s Ebola epidemic (July to September 2014). We then present the stories of two physicians as they cared for patients and interacted with staff during the crisis. Through these vignettes, we learn of the barriers to care that patients experienced, as well as the manner that relationships between health care providers and patients were impacted by the Ebola outbreak and its sequelae. The authors then discuss their reflections on the impact which Ebola had on the doctor-patient relationship. Both doctors and patients approached interactions differently due to perceived risks. By examining the doctor-patient relationship through professional, spiritual, and philosophical lenses, resources are identified to counteract the forces threatening that relationship.
KeywordsEbola virus disease Pregnancy Obstetrics Doctor-patient relationship ELWA Hospital Risk Stillbirth Maternal death Family medicine Liberia Ebola treatment unit Hospital Health care provider Infant death Nosocomial infection Infection control Infrastructure SIM Midwives
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