A blue tarp shelters a young mother and her newborn daughter from the heavy rains on their boat journey in northeast India. Twenty-five year old Jahanara Khatoon and her husband Kamaluddin earn their living as farmers on the river island of Phuliamari Char on the River Brahmaputra in Assam state. But heavy rains and flooding forced them to take shelter on another nearby river island. More rain in the region due to climate change has made the Brahmaputra River — already known for its powerful, unpredictable flow — even more dangerous for those who live nearby or on one of its more than 2,000 islands. A visiting medical team convinced the heavily pregnant Khatoon to travel with them by boat to the nearest medical facility across the river. But the baby couldn’t wait. As her labor progressed the team on the boat quickly got to work, holding up a tarp to give cover as workers helped in the delivery. Within 10 minutes the baby emerged to shouts of celebration drowning out the noise of the motorboat sailing over the river. The midwife lifted the newborn and whispered prayers into her ears. The family has named the baby Karima, which means “giving.”