Friday, January 19, 2018

Reducing maternal mortality


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PRAY FOR THE SOUL: Village men pray over the body of Mamma Sessay, 18, in the mosque before her burial, the day after her death from postpartum haemorrhaging, in the village of Mayogbah, Sierra Leone on May 21, 2010. Sessay was forced to marry at 14 years old to a man who was about 50, and delivered her first child at 15. During her second pregnancy, Sessay delivered the first twin child the day before at the Moyorgboh Maternal Child Health post near her village, but her contractions ceased for the second child. She then travelled by canoe and ambulance from her village to the Magburaka Government Hospital where she delivered the second baby with the aid of midwives and hospital nurses. Her sister, Amenata, who is also a nurse at the hospital, helped her deliver the child. Sessay had postpartum haemorrhaging and died as she was brought to the one doctor in the hospital. —

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Annually, 16 million girls aged between 15 and 19 give birth each year. Ninety per cent of the births in developing countries occur in adolescent marriages according to World Health Organisation (WHO) statistics. In many countries, the risk of maternal death is twice as high for adolescent mothers.

Motherhood is often a fulfilling experience but sadly it is commonly associated with severe health consequences without proper care, education and support.  Conditions that are related to pregnancy and childbirth are the second cause of death among women of reproductive age.

Severe bleeding, infections, unsafe abortion and high blood pressure conditions are four of the main killers that cause 70 per cent of deaths. In all, over 358,000 women die per year and most of these are preventable.

20 million pregnancy


Maternal health simply refers to the overall health of a woman during pregnancy, childbirth and the postpartum period. More than 136 million women give birth per year and about 20 million of them experience pregnancy-related complications. Maternal health or the lack of it is a major public health crisis.

It is important to know that the bleeding after a delivery can kill even a healthy woman if unattended. The risk of death is directly related to the access and availability of proper healthcare services. Generally, access to services is related to the income of the family or individual. Less income generally equates to less access to care and greater risk of death or complication.

Women who are attended by trained healthcare professionals are rarer than you think. Nearly half of all childbirths in developing countries are not attended to properly. Attended childbirths still pose the risk of complications such as infections if cleanliness and hygiene standards are not strictly adhered to.

Unsafe abortion &

infant death

There are over 18 million unsafe abortions that are carried out every year that result in over 46,000 deaths. Half of these abortions are considered unsafe.

WHO defines unsafe abortion as a "procedure for terminating a pregnancy that is performed by an individual lacking the necessary skills, or in an environment that does not conform to minimal medical standards, or both."

It is estimated that three-quarters of newborn deaths could be prevented if women were adequately nourished and received appropriate medical care from early pregnancy through the post-delivery period.

Currently, about four million infants die within their first month. Improved access to medical care and maternal nutrition would significantly reduce stillbirths, which now number 3.3 million worldwide.

Many women in developing countries give birth before the age of 18. Many of these women have been married off as children and lack the education, money, and status to get adequate healthcare services.

Complications run rampant in adolescent pregnancies. Children having children will face substantial risk from having small pelvises that can obstruct labour resulting in long labour times, birth injuries and an increased risk of still-born babies.

Education highest priority

Experts at the World Health Organisation point to education as the primary way of addressing maternal health in many developing countries. Education can address the root causes — poverty, low status of females and lack of access to healthcare.

The education of girls and young women does a lot more than just improving the lives of mothers; it protects children's health, facilitates healthy families, creates less of a burden on healthcare delivery systems and overall improves society.

Dr Cory Couillard is an

international healthcare speaker and columnist for numerous newspapers, magazines, websites and

publications throughout the world. He works in collaboration with the World Health Organisation's goals of disease prevention and global

healthcare education. Views do not necessarily reflect endorsement.


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