Problems: Maternal Death
Problems: Maternal Death
Problems: Maternal Death
Most women do not have access to the health care and sexual health education services that they
need. In many developing countries, complications of pregnancy and childbirth (mainly at the
level of preconception and prenatal care) are the leading causes of death among women of
reproductive age. More than one woman dies every minute from such causes; 585,000 women
die every year (WHO). Less than one percent of these deaths occur in developed countries,
demonstrating that they could be avoided if resources and services were available (WHO). Any
woman can experience sudden and unexpected complications during pregnancy, childbirth, and
just after delivery. Although high-quality, accessible health care has made maternal death a rare
event in developed countries, these complications can often be fatal in the developing world.
Consequently, mothers in developing nations die in childbirth at a hundred or more times the rate
in developed nations (MDG). Access to emergency obstetric care, the most important remedy for
women in these regions is not highly regarded as a priority.According to Rafiqul Chaudhury and
Zafrullah Chowdhury, in countries like Bangladesh, 68.7% of the women give birth without the
assistance of trained birth attendants. Instead relatives or traditional midwives, who are often not
capable of handling complications during the delivery serve as birth assistants[1].
Factors that prevent women in developing countries from getting the health care they need
include distance from health services, cost (direct fees as well as the cost of transportation, drugs,
and supplies), multiple demands on their time, and women’s lack of decision-making power
within the family. The poor quality of services, including poor treatment by health providers,
also makes some women reluctant to use services.
According to the World Health Report in 2004, bad maternal conditions account for the fourth
leading cause of death for women after HIV/AIDS, malaria, and tuberculosis. Ninety-nine
percent of these deaths occur in low-income countries; while only 1 of 4,000 women have a
chance of dying in pregnancy or childbirth in a developed nation, a woman in Sub-Saharan
Africa has a 1 in 16 chance of dying. Furthermore, maternal problems cause almost 20% of the
total burden of disease for women in developing countries.
Almost 50% of the births in developing countries take place without a medically skilled
attendant to aid the mother and the ratio is even higher in South Asia (UNICEF). Women in Sub-
Saharan Africa mainly use traditional birthing attendants, with little or no medicinal training.
[citation needed]
This largely accounts for the high numbers of maternal deaths in this region.[citation needed]
• Routine maternal care for all pregnancies, including a skilled attendant (midwife or
doctor) at birth
o Medical training for traditional birthing attendants might be one way to help
provide this service.[citation needed]
• Emergency treatment of complications during pregnancy, delivery and after birth
• Postpartum family planning and basic neonatal care
• Educating women and their communities about the importance of maternal health care,
and according women the social status to make health care decisions and seek medical
attention.
• Any form of education, even 6 years worth of education for girls can drastically improve
overall maternal health (UNICEF)
• Research on social and psychological factors affecting maternal health
• Development of better interventions (and evaluations of interventions) for complex
problems (e.g., behavioral, social, biological, cultural) arising in marginalized
communities
[edit] By region
According to the "Investing in Development" portion of the Millennium Development Goals,
there are major trends for improvement in maternal health.
• Northern Africa
• Western Asia
• Latin America and Caribbean
• Eastern Asia
• Europe (Commonwealth of Independent States)
• Asia (Commonwealth of Independent States)
Although there has been significant improvement in maternal health over the last century, the
last decade has shown a slow rate of improvement in maternal mortality and morbidity,
especially in Latin America and the Caribbean (MDG). Only about 17% of countries are on track
to meet these Millennium Development Goals.
External links
• WHO Maternal Health
• Country profile on maternal and newborn health by Making Pregnancy Safer, WHO
• United Nations Millennium Campaign | Goal 5: Maternal health
• White Ribbon Alliance for Safe Motherhood
• Family Care International
• Partnership for Maternal, Newborn, and Child Health
• Safe Motherhood
• UNICEF Maternal Health Databases
• March of Dimes
• EngenderHealth Maternal Health Care: Saving Women's Lives
• Rotary Maternal Health Projects in Nigeria Reduction of Maternal and Child Mortality -
Prevention and Treatment of Obstetric Fistula
• Women Deliver
• Maternal Health Taskforce
• The Collaborative on Quality Care for Pregnancy & Childbirth
• Breastfeeding Nutrition
• [2]