Francisco Sales believes he could have saved the lives of his wife Gloria Operario and their unborn child during childbirth three years ago if he had enough money.
Gloria had a risky third pregnancy due to gestational diabetes and high blood pressure and needed special treatment in a good hospital, which the poor couple could not afford.
Just like Gloria, each year at least some 2,500 women die in the Philippines due to complicated pregnancy and childbirth, mostly because of poverty.
Pediatrician Jerilee Cledera says cases like that of 30-year-old Gloria are common. Cledera said babies whose mothers are diabetic may have excessive birth weight, making normal delivery almost impossible. A cesarean section delivery is advised in such cases, she said.
But a C-section costs about 120,000 pesos (US$2,154) in the Philippines and Francisco’s family, who live on the outskirts of Naga City,  could not afford it.
Francisco, 32, earned some US$325 monthly from his carpentry work and Gloria earned some US$200 from a convenience store she managed.
The income was hardly enough for the family with two children and financial struggles forced them to avoid expensive medical check-ups for Gloria. For emergencies, they depended on a local health center in their neighborhood.
For the delivery, just like in the past two childbirths, they engaged a midwife to conduct the delivery at home in August 2019.