The maternal mortality from a C - section is 4 times that of a normal birth and the maternal mortality rate has doubled in the U.S. in the past 20 years.
The goals called for a two - thirds reduction in child mortality from 1990 levels and a three - quarters reduction in
maternal mortality from 1990 levels.
While
maternal mortality from sepsis is reported to be on the decrease with recommendations for improved sanitation, death from «sepsis» in tropical countries may be more complex than it first appears due to undiagnosed tropical disease.»
Not exact matches
Still, recommendations and findings
from reviews have proven helpful in states such as California in shaping preventive efforts that have reduced
maternal mortality rates.
With money
from Merck for Mothers, a charitable initiative created by the pharmaceutical giant, the project has funded a web portal that provides information on starting and improving review committees and a tool, the
Maternal Mortality Review Information Application, that shows jurisdictions how to standardize data collection
from review panels so that it's comparable
from one state to the next.
State Rep. Ryan Mackenzie, R - Lehigh, introduced the bill last October after doctors
from his district showed him grim data on rising
maternal mortality rates in the nation and the state.
Figures
from the Reproductive Health in Crisis Consortium show that the 10 countries with the highest
maternal mortality rates (MMRs) are all undergoing or have recently undergone conflict.
And while our sisters around the world continue to suffer
from trafficking, exploitation, violence, neglect,
maternal mortality, and discrimination, those of us who are perhaps most equipped to respond with prophetic words and actions — women of faith — are being systematically silenced by our own faith communities.
Focusing on sex trafficking, gender - based violence, and
maternal mortality, the authors masterfully incorporate colorful stories of real women who have both suffered
from oppression and triumphed over it in order to make the case that «women aren't the problem but the solution.»
In developed countries (where abortion is most likely to be legal) 8.2 \ % of
maternal deaths arethe result of abortion complications; in India, where abortion is legal,
mortality from abortion accounts for around 16 \ % of all
maternal deaths.
There are 12 high quality studies since 1995 (1 - 12)
from Canada, Switzerland, Sweden, Holland, US, UK, New Zealand and Israel, which all show planned attended homebirth to have either lower or similar rates of perinatal
mortality and very significantly lower rates of
maternal morbidity, such as cesareans, hemorrhage, and third and fourth degree tears compared to matched groups of low risk women who plan to deliver in hospital.
It happens so rarely that the rate of death
from AFE (1/1, 000,000) and cord prolapse (1/100, 000) at homebirth is a miniscule fraction of the
maternal mortality (1/5, 000) and perinatal
mortality (1.7 / 1000)
from elective cesarean surgery in hospital (34).
My country has over the last five years seen c - section rate rise steadily to over 30 %, and
maternal mortality rate drop significantly
from 21 to 14 deaths per 100 000 births.
Of note to EVIDENCE BASED MEDICINE fans out there, the authors discuss exclusionary factors in the 39w0d studies that OVERESTIMATED the risk of iatrogenic prematurity and UNDERESTIMATED the risk of still birth in the 38th week and fetal /
maternal morbidly /
mortality arising
from converting an elective C - section to one that is urgent / emergency.
Globally,
maternal mortality has declined
from 400 per 100,000 live births in 1990 to 210 in 2010, but fewer than half of women deliver in baby - friendly maternities.
Here's an interesting paper
from the Journal of the Royal Society of Medicine Nov 2006: «British
maternal mortality in the 19th and early 20th centuries» G Chamberlain
In fact, if one considered just three factors (
maternal education,
maternal prenatal alcohol or tobacco, and marital status) one could predict to a high degree postneonatal
mortality: children born to unmarried women with lower education and evidence of prenatal drug use had a postneonatal
mortality of about 30 per 1000 live births (similar to Ivory Coast); children born to women with none of these risk factors had a postneonatal
mortality of about 2 per 1000 live births (similar to Norway); that is, children in this latter category almost never die despite evidence
from PRAMS surveys that they are as likely to co-sleep with their parents.
I encourage you to read this commentary on the failure of the United States to adequately report
maternal mortality.1 You may know I began my journey
from childbirth educator and doula to nurse midwife and researcher because I became aware of the
May 2011 In an effort to extend the findings of a study in Nepal that reported a 44 percent decrease in
maternal mortality resulting
from vitamin A or beta carotene supplementation in pregnancy, researchers conducted -LSB-...]
However, the rapid increase in cesarean birth rates
from 1996 to 2011 without clear evidence of concomitant decreases in
maternal or neonatal morbidity or
mortality raises significant concern that cesarean delivery is overused.
Despite a rather histrionic political report
from Amnesty International making that claim, US
maternal mortality is not rising and has even dropped in both of the past two years.
The best
mortality rates I found were
from cia.gov's World Factbook, where the US
maternal mortality rate is listed as 21.0 / 100,000 live births (as of 2010), placing it below many European countries and the UK.
They took into consideration several other factors such family income and
maternal health and concluded that apart
from offering this benefits, breastfeeding also offered other benefits including protection
from infections and reducing childhood
mortality.
Moreover, the C - section rate rose
from 2005 to 2006, but the
maternal mortality rate actually dropped.
However, it is far
from clear that
maternal mortality is even rising, let alone that it is rising because of decreased access to care or increases in the C - section rate or other interventions.
In 1992, in response to epidemiologic reports
from Europe and Australia, the AAP recommended that infants be placed for sleep in a nonprone position as a strategy for reducing the risk of SIDS.9 The «Back to Sleep» campaign was initiated in 1994 under the leadership of the National Institute of Child Health and Human Development as a joint effort of the
Maternal and Child Health Bureau of the Health Resources and Services Administration, the AAP, the SIDS Alliance (now First Candle), and the Association of SIDS and Infant
Mortality Programs.10 The Eunice Kennedy Shriver National Institute of Child Health and Human Development began conducting national surveys of infant care practices to evaluate the implementation of the AAP recommendation.
Another study
from Denmark, which was based on prospective data about
maternal alcohol use, also found a significant relationship between
maternal binge drinking and postneonatal infant
mortality, including SIDS.219
«If you take every single human and social indicator
from maternal mortality to infant
mortality to poverty statistics and all that, you will find a wide disparity between the north and the south.
Maternal mortality is increasingly high, Nigeria has one of the poorest maternal and child health indices in the world with maternal 800-3000 deaths per 100,000 live births, life time risk of dying from pregnancy related complications of 1:8 compared to 1:10 in developing countries (Nigeria Demographic Health Surve
Maternal mortality is increasingly high, Nigeria has one of the poorest
maternal and child health indices in the world with maternal 800-3000 deaths per 100,000 live births, life time risk of dying from pregnancy related complications of 1:8 compared to 1:10 in developing countries (Nigeria Demographic Health Surve
maternal and child health indices in the world with
maternal 800-3000 deaths per 100,000 live births, life time risk of dying from pregnancy related complications of 1:8 compared to 1:10 in developing countries (Nigeria Demographic Health Surve
maternal 800-3000 deaths per 100,000 live births, life time risk of dying
from pregnancy related complications of 1:8 compared to 1:10 in developing countries (Nigeria Demographic Health Survey 2004).
As President of the Organisation of African First Ladies Against HIV & AIDS (OAFLA), and together with my colleague First Ladies, we have joined hands to strive to achieve our common vision of «making Africa a continent free
from HIV and AIDS,
Maternal and Child
Mortality, and a place where women and girls are empowered to enjoy equal rights and opportunities.»
Nicholas Kassebaum, a professor of anesthesiology and pain medicine at the University of Washington, has led an independent analysis looking at ICD - 9 and ICD - 10 coding and
maternal mortality, and says that it is very unlikely the rise in deaths comes merely
from administrative shifts like transitioning to the new ICD or introducing a check box.
For example, it predicts that
maternal deaths associated with pregnancy and childbirth will become less common, as will infant
mortality and deaths
from nutritional causes.
A deep dive into the numbers reveals the U.S. lagging behind other wealthy and even middle - income nations in wide - ranging aspects of health,
from preterm birth and
maternal mortality rates to life expectancy.
The
maternal mortality ratio is increasing, reaching 21 - 22 per 100,000 live births in 2014 (more than double
from 1990.)
Based on data
from the Centers for Disease Control and Prevention, the United States
maternal mortality ratio is three to four times higher than that of most other developed nations.
To better understand the contributing factors that lead to high rates of infant
mortality in the South, researchers
from the U.S. Department of Health and Human Services»
Maternal and Child Health Bureau analyzed the most recent National Center for Health Statistics Period Linked Birth / Infant Death Data Files
from 2007 - 2009.
The study is led by Drs Leontine Alkema of the University of Massachusetts, Amherst, MA, USA and Doris Chou, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland, with colleagues
from the UN
Maternal Mortality Estimation Inter-Agency Group and academia.
In the developing world, preeclampsia is a leading cause of
maternal mortality, with approximately 80,000 women and 500,000 babies dying each year
from causes related to preeclampsia.
New research
from the University of Maryland Population Research Center (MPRC), published in Birth, investigates the rapidly increasing rate of
maternal mortality — the death of a...
Which is really too bad because we have an urgent problem in America: our
maternal mortality rate is among THE HIGHEST in the industrialized world (depending on the index you look at), our infant
mortality rates are unacceptable, the inequalities in the way women of color and poor women are treated is literally a human right crisis, our new moms suffer
from postpartum depression mores than so many other countries, and in many ways we have taken the joy and awe out of childbirth and infancy.
The authors present empirical data collected
from a volunteer deployment project in Uganda focused on reducing
maternal and new - born
mortality and discuss the learning and experiential outcomes for UK health care professionals acting as long term volunteers in low resource settings.
However, a little reflection on the plight of the migrant farm workers (life expectancy 49, annual income for a family of four $ 2,400, poisoning
from pesticide in 15 of every 100 workers, death
from T.B. and other infectious diseases 260 percent higher than the national average, infant and
maternal mortality 125 percent higher, and not even toilets or drinking water in the fields) makes one reluctant to head for the comfort of the car and home.
The country also suffers
from maternal mortality rates 36 times higher than in the US, and tuberculosis rates 237 times higher.
The budget cuts over 30 %
from the State Department, which would deeply undermine programs designed to protect and improve the health of women and girls around the world and fight
maternal mortality.
In the United Kingdom, IMD incidence and
mortality are socially patterned, with IMD incidence in the most deprived quintile being twice that of the most affluent quintile.10 In New Zealand, significantly higher rates of IMD have been reported in Maori (relative risk = 2.2) and Pacific Islander people (relative risk = 3.8) when compared with the European population.11 Aboriginal people are the most disadvantaged group in Australia.12 Two important risk factors associated with increased risk of IMD are more common among Aboriginal people, namely having a smoker among close contacts, including
maternal smoking, and sharing a bedroom.13 — 15 It is not possible to explore the causal interaction of these factors
from notifiable disease data.
Additional studies have demonstrated that paid leave is associated with reduced rates of infant and child
mortality, and
maternal health and well - being are more strongly associated with the mother's role satisfaction and the support received
from spouse and society.
The Broward Healthy Start Coalition works with funding
from the Florida Department of Health to deliver services to parents, families, and children in Coral Springs, with a focus on prenatal health and reducing infant
mortality.3 They offer resources for dealing with
maternal depression and support services for new fathers and those who simply want to improve their parenting skills.