Hajara labors before delivering twins

A pregnant woman lies on a cot, hand to her belly.

Hajara Mohammed labors before delivering twins at a health center near Abuja, Nigeria. Because the midwife assisting Hajara was unaware that oxytocin could be used for the prevention of postpartum hemorrhage, she administered ergometrine, a second-line uterotonic, afterward. Photo: PATH/Evelyn Hockstein.