Transcript Advancing Commitments - Family Care International

SAFE MOTHERHOOD
Safe motherhood
Safe motherhood is a woman’s ability to have
a safe and healthy pregnancy and delivery.
Nearly every minute, one woman dies from the
complications of pregnancy and childbirth. That
is more than 500,000 women dying each year;
99% of these deaths occur in the developing world.
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Causes of maternal deaths worldwide
Complications of pregnancy and childbirth are the leading causes of death
and disability for women aged 15 to 49 in developing countries.
*Other direct causes include,
for example: ectopic pregnancy,
embolism, anesthesia-related.
**Indirect Causes 20%
Severe Bleeding 24%
** Indirect causes include,
for example: anemia, malaria,
heart disease
*Other Direct Causes 8%
Infection 15%
Obstructed Labor 8%
Eclampsia 12%
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Unsafe Abortion 13%
Why is maternal mortality so high?
Maternal death and disability is a tragedy that has no
single cause or solution.
Contributing factors include:
Difficulty of predicting
and/or preventing obstetric
complications
Lack of access to good
quality maternal health services
Poor health before and during pregnancy
Women’s low social and economic status
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What are the social and economic
costs of unsafe motherhood?
Long or short term illness
As many as 300 million women are suffering from
physical ailments related to pregnancy and childbirth.
Infant mortality
Children are 3-10 times more likely to die when they lose
their mothers.
Family poverty
A woman’s death or illness perpetuates and increases
household poverty.
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Family and community involvement
can make motherhood safer
By promoting:
Proper nutrition before and during pregnancy
Reduced workload during pregnancy and after delivery
Knowledge of the signs of life-threatening complications
before, during, and after delivery and where/when to seek
appropriate care
Planned delivery with a skilled birth attendant
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Ensuring access to maternal
health services can save lives
Life-saving maternal health services can be provided to women
at a minimal cost of US$2 per person per year in low-income
countries.
Essential services include:
Skilled birth attendants before, during, and after delivery
Essential obstetric care for management of complications
Postpartum family planning counseling and contraception
Postabortion care
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What is a skilled birth attendant?
A skilled birth attendant is a midwife, nurse, or doctor
who has been trained to proficiency in the skills
necessary to:
manage normal deliveries
diagnose, manage, and/or
refer obstetric complications
Only 53% of deliveries in the
developing world are attended
by a skilled attendant, and only
40% take place in a hospital or
health center.
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Reducing maternal mortality in low
GNP countries
Sri Lanka reduced its national maternal mortality ratio from 1,650
per 100,000 live births to just 23 per 100,000 in the last 50 years.
Achieved through increased access to health facilities, expansion
of midwifery care, and acceptance of family planning.
Malaysia increased the percentage of women delivering with a skilled
attendant from 57% to 98% in the last 20 years. The country’s maternal
mortality ratio declined from 570 per 100,000 live births to 20 per
100,000, in the last 43 years.
Achieved through political commitment to public health, support
of midwifery throughout health system, and the institution of maternal
death audits.
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