Changes in LK prior to giving birth on March 15, 2017. (a) The vulva started to become red on February 25, 2017. (b) The vulva was redder, with a raised pattern, on February 26, 2017. (c) The vulva was bright red and protruded when LK sat on branch on March 8, 2017. (d) Transparent fluid was visible dripping from the vulva at 15:02 on March 14, 2017. (e) The vaginal orifice was black and wet at 16:02 on March 14, 2017, but she had yet to show discomfort. As the OMU went to feed, LK moved on the ground cautiously. (f) The engorged breast, with protruding nipple. (g) The vulva, covered with blood after giving birth. (h) LK embracing the infant with both hands in the early morning.