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in the village Mataska, the young Adamse Bangoa is examined by a traditional birth assistant. This is her first pregnancy and she will deliver her child on this bed. The birth assistant says that she knows herbs to predict a long labour - but no help against the pain. She also says that she will send the woman to the government hospital in Port Loko (ca 5 km away) after prolonged Labour of 3 or 4 days.