The patient was a familiar face – staff members had seen her through her first two pregnancies – but this time was different. “She wasn’t feeling any fetal movements,” recalled Dr. Maggie Maseko, lead medical director and an obsetrician/gynecologist at the community organization Pothawira, in Malawi’s Salima District. Still, the ultrasound detected cardiac activity, and the doctors determined that an emergency C-section was the best course of action for the mother and child. At the time, however, Pothawira did not have the surgical capacity to perform this woman’s delivery. Physicians had no choice but to send their patient to another hospital. There, the doctors hesitated to operate. The pregnancy wasn’t at full term, and they monitored her all day before sending her back to Pothawira. The follow-up ultrasound that night showed no cardiac activity. By the time she returned to Pothawira, she had lost her baby. “It’s hurtful for us,” Dr. Maseko said.…