Keny Monuma, 27, from Fondol, Haiti, is in labor with her son Emmanuel Pierre. Initially having trouble with the delivery, friends and family carry her down a mountain on a bare wire bed frame to the side of a gravel road near a village where the volunteer group Community Health Initiative: Haiti has set up a temporary clinic.
Women from Keny's village chant the incantations of a Voodoo spell to ease her pain and help with the delivery.
With Keny's labor issues persisting, the Community Health Initiative: Haiti doctors call a local pickup truck taxi, known as a tap-tap, to take her to the nearest hospital.
Keny gives birth to Emmanuel Pierre in the back of the tap-tap traveling on a gravel road at about 35 miles per hour a short distance from the hospital. Dr. Chris Buresh performs CPR on the newborn baby, who is born not breathing.
Doctors cut the still unresponsive baby Emmanuel Pierre's umbilical cord after the pickup comes to a stop at the hospital.
Doctors at the hospital at a small table alongside an active surgery pump oxygen into Emmanuel Pierre's mouth and he begins to come to life.
Doctors present Emmanuel Pierre to his mother for the first time after reviving him with CPR and oxygen.
Doctors from Community Health Initiative: Haiti monitor Emmanuel Pierre's heart rate and breathing to determine whether he needs an extended stay at the hospital.
After his breathing and heart rate have stabilized, doctors attempt to get him to start breast feeding for the first time.
After some coaxing, Emmanuel Pierre latches on to Keny's breast for his very first feeding. A positive sign that he has fully recovered after CPR.
Doctors and family members gather to show Keny photos of her holding Emmanuel Pierre for the first time.
Keny and her family members are elated and giddy with relief after the tense delivery.
A now responsive Emmanuel Pierre is dressed in a bonnet and handmade booties for the trip home.
Keny and Emmanuel Pierre are loaded into the back of a tap-tap to be driven home from the hospital.
Emmanuel Pierre's aunt holds him in the back of the tap-tap as his mother is loaded in from the wheelchair.
© 2026 Bill Adams Photography
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