Dominican Republic

The maternity ward of the Juan Pablo Pina Hospital attends 600 births a month without hot water. Women labor on old plastic mattresses, electricity is sporadic, and relatives clean patients in crowded rooms at this public hospital in San Cristóbal, Dominican Republic. Although 98% of Dominican women had a skilled attendant at birth, the maternal mortality ratio was the second highest in the Caribbean when these photographs were taken in 2006 Р2007.