This article is part of a series highlighting the Dalhousie Class of 2018 鈥� the graduates of Dal's 200th year. Read more of our Spring Convocation grad profiles.
After his experiences in Africa, 2018 Medicine graduate Allan Kember is determined to improve the health of women and their babies in the developing world. The Prince Edward Island native is particularly focused on Ghana, where he did an elective and a clinical trial during his MD training at Dal.
鈥淲e tested the PrenaBelt on 200 pregnant women in Ghana,鈥� says Allan of his Research in Medicine project, which also involved pilot studies of the PrenaBelt in Halifax and Adelaide, Australia.
A former engineer, Allan designed the PrenaBelt to help minimize how much time pregnant women spend sleeping on their backs. 鈥淚t鈥檚 essentially a belly band with a couple of high-density plastic balls that produce uncomfortable pressure points when the woman rolls onto her back,鈥� he says. 鈥淭his prompts her to shift back onto her side, taking pressure off the inferior vena cava.鈥�
Pressure on this major blood vessel can reduce nutrient and oxygen flow to the fetus and placenta, raising the risk of low birth weight and stillbirth.
鈥淲e observed higher birth weights among babies born to the women who wore the PrenaBelt during their pregnancies, compared to the babies of the women who wore a 鈥榮ham鈥� belt,鈥� he says. 鈥淪o it warrants further research and development.鈥�
A global perspective
While in Ghana on a clinical elective in obstetrics earlier this year, Kember noticed a much larger problem than low birth weight and even stillbirth. 鈥淎 young pregnant woman whom I had triaged in the emergency department later died from complications of pre-eclampsia,鈥� he says. 鈥淩ates of pre-eclampsia are so much higher in Ghana and Africa in general, but it鈥檚 not known why.鈥�
Pre-eclampsia is a pregnancy condition marked by high blood pressure, fluid retention, and excess protein in the urine. It can lead to serious complications, including seizures in the mother and placental abruption, which is when the placenta separates from the uterine wall too early. This may lead to the death of the baby and sometimes of the mother as well.
鈥淚n Canada, I didn鈥檛 see a single case of placental abruption in a six-week ob-gyn rotation,鈥� remarks Kember. 鈥淚n Ghana, I saw four in one shift.鈥�
One of Allan鈥檚 goals is to help uncover the reasons for the high occurrence of pre-eclampsia in Africa, both during and following his upcoming residency in obstetrics and gynecology at the University of Toronto.
The path ahead
When he is done his residency training, Allan will follow whatever career path allows the greatest involvement in international health, he says. His greatest passion of all is still to help the millions of women in the developing world who suffer the humiliation and discomfort of obstetric fistula 鈥� a post-childbirth injury that results in urine leaking freely from the bladder into the vagina.
鈥淚t鈥檚 unbelievably prevalent in low-income countries where you have very young, malnourished women giving birth in the absence of prenatal or emergency obstetric care,鈥� says Allan, who first learned about fistula when he was an engineering student in Angola building a cable ferry to replace bridges destroyed during the country鈥檚 civil war. 鈥淥nce injured, they lack treatment and even absorbent pads鈥� some literally end up huddled in the corner or a mud hut, unable to function and shunned in their communities. It鈥檚 tragic.鈥�
As an engineer-turned-doctor, his goal is to develop a device that stops the flow of urine, non-invasively. As a future ob-gyn, he hopes to play a part in education and capacity-building initiatives to help prevent the injury in the first place. As he notes, 鈥淕ood prenatal and obstetric care can prevent this gynecological catastrophe.鈥�
Allan鈥檚 extraordinary commitment to women鈥檚 health overseas has already earned him the Canadian Medical Hall of Fame Award for Medical Students and, in early May this year, the Dr. Ron Stewart Award for Global Health.
He does all of this in spite of his own challenges. In his second year of medical school, Allan was diagnosed with ankylosing spondylitis, an inflammatory autoimmune disease that attacks the central skeleton. But he doesn鈥檛 let the stiffness in his spine slow him down. Not only is he among Dalhousie鈥檚 most accomplished medical graduates this year, he is an avid mountain biker who has biked all around the world, recently completing a 2,800-metre climb in Vermont.
No obstacle is too daunting for this determined medical grad, who is clearly set to achieve great things in the coming years.
Read more profiles on this year's Medicine graduates .