Ekwefi awakes Okonkwo very early in the morning and tells him that Ezinma is dying. Okonkwo ascertains that Ezinma has a fever and sets about collecting medicine. Ezinma is Ekwefi’s only child and the “center of her world.” Ekwefi is very lenient with her: Ezinma calls her by her first name and the dynamic of their relationship approaches equality.
Ekwefi’s nine other children died in infancy. She developed the habit of naming them symbolic things such as “Onwumbiko,” which means, “Death, I implore you,” and “Ozoemena,” which means, “May it not happen again.” Okonkwo consulted a medicine man who told him that an ogbanje was tormenting them. An ogbanje is a “wicked” child who continually re-enters its mother’s womb only to die again and again, causing its parents grief. A medicine man mutilated the dead body of Ekwefi’s third child to discourage the ogbanje’s return. When Ezinma was born, like most ogbanje children, she suffered many illnesses, but she recovered from all of them. A year before the start of the novel, when Ezinma was nine, a medicine man named Okagbue Uyanwa found her iyi-uwa, the small, buried pebble that is the ogbanje’s physical link to the spirit world. Although the discovery of the iyi-uwa ought to have solved Ezinma’s problems, every illness that Ezinma catches still brings terror and anxiety to Ekwefi.