J uana Cac Perpuac sits on the grass outside the health centre in her town with a look of desperation and disbelief in her eyes. She fears the worst for the woman she is looking after. They fulfil a role similar to that of a doula: they help deliver babies, perform massages before and after birth, and use medicinal plants to ease pain and stimulate breast milk. There are 23, comadronas registered with the Guatemalan Ministry of Health and they are often older women. They perform a vital role in hard-to-reach areas, where it can take hours to get to the nearest hospital by truck or foot along dirt tracks — which often comes at great expense — and in communities where Mayan beliefs and practices still play a part in everyday life.
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