Marlini Mesa, a midwife in Biya Garzon, avoided traveling altogether during her pregnancy. She could barely breathe for one thing and physical discomfort was approaching what felt like an unbearable peak. A week or so later she delivered a tiny, squirming boy with jet black hair and soft, curious eyes. Her mother said the placenta contained a hint of trouble; Eliad was too small because he did not have enough room to grow.

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