Rebeca Gómez, aged 20, began to swell. She was six months pregnant, but that sudden increase in weight was not normal. It was her first pregnancy and she began to get worried. She had been taught to detect and identify alarm signs during pregnancy and suspected something was not right. Rebeca lives in the Tzabalhó community, in the Chenalhó municipality, in Chiapas. She is part of a modest family along with her husband and her parents. Doctor Carlos Bernardo González detected Rebeca’s pregnancy when she was four months into her pregnancy. Since then, he periodically travelled to Rebeca’s house to monitor her health and follow up on her checkups.