Almost two years ago, in a remote village in the jungles of Papua New Guinea, a mother of five began labouring for a sixth time. Although progressive in comparison to most along the Upper Sepik River, the village aid post is capable only of routine treatment and emergency care. Augustina had no access to prenatal care or labour and delivery services, but instead laboured in the heat of a traditional thatched roof home just as all the women before her had. On a Wednesday, she gave birth to a healthy baby boy. When her pains only increased, the women attending her prepared for the birth of a second baby. On Sunday evening, four long days later, Augustina had still not delivered the twin and her desperate family sought help. Knowing that it would take 3 days of rough travel via canoe, they called Samaritan Aviation. We immediately made plans to pick her up in the floatplane at first light the following morning.