Normalization comes quickly here. It is now an ordinary occurrence to have babies born with HIV, children present extremely late in their illness or mothers scrapping the back of a child’s throat to cure disease.
It is also not unusual for children to be born extremely underweight. Malnutrition and disease wreak havoc on a fetus’s development and many full-term infants are delivered with weights of 1.5-2.5 kgs.
However, today was a different story. A healthy, yet petite, non-diabetic mother gave birth to the largest infant I have possibly ever seen. At more than 5 kg, he dwarfed other children in the neonatal unit and outweighed three patients on our pediatric service with ages of 6, 7 and 9 months.