Photo by Isabel Retamales

Sarita (name changed) is a sweet 29-year-old first-time mother in Kathmandu, Nepal, loved by her husband and family, generally healthy, and of a happy disposition. We first met at church when she was five months pregnant although because it was winter and she was wrapped completely in a wool shawl, I didn’t notice. Somehow my being a nurse and midwife came up in our conversation, and she disclosed that she was expecting. When I asked her how she’d been feeling, she said she’d been very tired lately, had headaches, and wasn’t feeling very well.