Now that 2020 is in full swing I decided to catch up on the many maternal health and mortality articles that were published during the holiday season. There has been a lot of stellar reporting that you might have missed. I did. Here is a compilation of some of the articles I found the most compelling starting with a wrap-up post, 7 things I learned from spending a year reporting on mothers in Alabama, by Anna Claire Volle about the excellent year-long reporting she did on mothers in Alabama. I particularly liked
The CDC released a new report late last week, Racial/Ethnic Disparities in Pregnancy-Related Deaths — United States, 2007–2016, that reiterates the maternal mortality disparity between black mothers and American Indian/Alaska Native women and white, Hispanic, and Asian/Pacific Islander women. The numbers now seem worse than we originally thought. For example, black women who are college educated die in larger numbers than white women with less thana high school diploma. And, even in states where overall maternal mortality is low, black women still die in larger numbers.
In addition, the CDC acknowledges that “black women experience earlier deterioration of health because of the cumulative impact of exposure to psychosocial, economic, and environmental stressors.” In other words, a contributor to maternal death rates among black women is structural racism in healthcare settings.
The United Nations has designated Sierra Leone as the most dangerous place to have a baby. In fact, it has the highest maternal mortality rate in the world at 1,360 deaths per 100,000 live births. On average, most women have at least six babies in Sierra Leone. In a previous post I mentioned the Aminata Maternal Foundation that helps pregnant women in Sierra Leone. An … Continue reading [WATCH] Video Shows Horrors of Childbirth in Sierra Leone #MaternalHealth
One of the leading causes of maternal mortality in the United States is hemorrhaging. In fact, according to the CDC hemorrhaging accounts for 11.2% of pregnancy-related deaths. Based on these increasing numbers since 1986 the Joint Commission, the country’s leading accreditation organization for hospitals, has created 13 new standards for perinatal safety for hospitals to properly care for women who hemorrhage during or after delivery. These standards were designed specifically to prevent, recognize and treat, as well as evaluate patients for transfer to critical care for not only hemorrhage but also severe hypertension/preeclampsia.
I write about maternal health a lot on Social Good Moms and sometimes I don’t write enough about newborn health. I saw some interesting information this month about the best and worst states to have a baby and thought the data was interesting to share. The data was compiled by Wallet Hub. They compared the 50 states and the District of Columbia across four key … Continue reading The Best and Worst States to Have a Baby
As I have written many times before postpartum hemorrhage (PPH) or excessive uterine bleeding after childbirth is the leading cause of maternal mortality in low-and-middle income countries. The recommended drug to prevent PPH according to the World Health Organization (WHO) is oxytocin. When administered in its recommended dose it causes little to no side effects. Oxytocin, the WHO’s current gold standard therapy, however, must be refrigerated and administered by skilled health workers posing two obstacles to its wider use in low resource, tropical settings.
Some countries have approved misoprostol, an oral drug, to prevent PPH, but there are several concerns that its use can be misappropriated for abortions instead of used solely for PPH. The World Health Organization has listed misoprostol as an alternative to oxytocin if it is not available.
Now, another PPH preventative drug, carbetocin, has been added to the latest updated 2019 WHO Essential Medicines List. The announcement was made last week. Unlike oxytocin, even at high temperatures carbetocin remains effective. The recommendation is that carbetocin can be used when oxytocin is not available or if its quality is uncertain. Additionally, the cost must be comparable to oxytocin.
On Tuesday the first congressional caucus on black maternal health launched on Capitol Hill. Led by Democrat congresswomen Rep. Alma Adams (D-NC) and freshman Rep. Lauren Underwood (D-Il.) the caucus’s mission is to ensure black women are not dying senselessly during or after childbirth
As has been noted here many times before black women experience maternal mortality rates four times higher than white mothers no matter black women’s socioeconomic status or even the level of education achieved. In general, the United States has the highest maternal mortality rate of any developed country. Black women fare the worst.
After recently receiving a press release about a pregnancy docuseries on Facebook Watch I have been hooked! As a maternal health advocate, it takes a lot to stop me in my tracks, but 9 Months With Courteney Cox has really opened my eyes on the realities of pregnancy in America. After all, it has been twenty years since I had my last child, so things have … Continue reading A Pregnancy Series You Can Really Binge on Facebook Watch
Maternal mortality continues to be a major problem the world over. The United States is the only developed country where maternal death rates are increasing especially for non-Hispanic black women. And in low-and-middle income countries, approximately 830 women die each day from pregnancy-related, preventable causes.
Maternal health organizations are working diligently to save more mothers’ lives, but one death is still too many especially when it is likely preventable. I like to list organizations that you can support with donations in order to help them keep more women and their children alive on the local level and make sure mothers are a part of their families’ lives.
This list highlights local organizations that help some of the most vulnerable communities in countries with some of the highest maternal mortality rates. And, in the cases of the United States and Australia, the organizations help the communities that experience the most maternal deaths. Each site allows direct donations that go directly to maternal care and/or advocacy.
Q&A with NACCHO Board Member Sandra Elizabeth Ford, MD, MPH
Director of the DeKalb County Board of Health
A baby is born with a birth defect in the United States every 4.5 minutes, according to the Centers for Disease Control and Prevention (CDC). Birth defects are defined as any structural changes present at birth that affect how the body looks, works, or both, and they can vary from mild to severe. While not all birth defects can be prevented, there are concrete steps pregnant mothers can take to increase the chances of giving birth to a healthy baby. In honor of National Birth Defects Prevention Month, the CDC released a resource guide providing pregnant moms tips for preventing birth defects.
The Kenyan Medical Practitioners and Dentists Board has stopped the NGO Marie Stopes International from performing abortions in Kenya. Marie Stopes is a global organisation that provides contraception and safe abortion to women in urban and rural communities. Abortion is illegal in Kenya, unless a trained medical professional judges that there’s a need for emergency treatment, or that a woman’s life or health is in danger.
The Conversation Africa’s Moina Spooner spoke to Michael Mutua about the Marie Stopes ban and its implications.
How did the ban come about?
According to the Kenya Medical Practitioners and Dentists Board, they banned abortion services provided by Marie Stopes following complaints from the general public. The public claimed the organisation was running pro-choice media campaigns. These adverts specifically sought to provide women with a solution when faced with crisis pregnancies.
The adverts were also criticised by the Kenya Film Classification Board, which ordered Marie Stopes to pull them down for allegedly promoting abortion.
Experts explained that the U.S. resistance, although extreme, was nothing new. The United States previously demonstrated its allegiance to the formula industry by refusing to sign on to the World Health Organization’s Ban on the Marketing of Breast Milk Alternatives.
This U.S. stance, like its intimidation of Ecuador, flew in the face of near universally accepted medical and scientific research proving that breastfeeding saves lives. Perhaps even more surprisingly, both acts perpetuate an alarming racial divide in breastfeeding rates that leads to significant racial health disparities. American support of the formula industry comes at the cost of the health and lives of Black and brown babies, at home and abroad.
Both the resolution and the U.S. opposition to it stemmed from a decline in formula sales in the United States. The industry has sought to make up for its considerable domestic losses on the global market. The racial aspects of this local-global dynamic are hidden in plain sight.
The relatively large number of American women who die due to childbirth is one of the little-known facts in our country. In a nation where we spend exorbitant amounts on healthcare, we have the highest maternal mortality rate of any other developed country. Word, however, is getting out that women are increasingly susceptible of dying during childbirth with a surge in articles in major publications and of hospitals, healthcare workers, and researchers working together to solve this problem.
Sasha is 22-years-old. She was married off when she was just nine and by the time she was 11, she was pregnant with her first child, and unprepared for childbirth.
So when labor came, in the middle of the night – in her geographically isolated village in rural Kenya – she was unaware of the painful fate awaiting her.
During childbirth, the baby’s head was too big to fit through Sasha’s pelvis, causing the baby to get stuck in her birthing canal. Traditional birth attendants tried their best to help Sasha but they were not skilled enough to handle the complications. She needed surgery, and quickly. But because she could not access emergency obstetric services, she spent the next six days trying to push out the baby that was stuck inside of her.
In the end, Sasha delivered a dead, rotten baby in macerated form. She was not only in grief of her lost child, but was also traumatized by her experience which left her with profound injuries and a double obstetric vaginal fistula.
We know that women in low-and-middle income countries are especially prone to maternal mortality. Those of us of who write about maternal health and keep up with worldwide maternal health, mortality, and morbidity statistics understand that in the world’s poorest countries we find the worst outcomes for both mothers and their infants. In recent years, we have also discovered that maternal health rates in the United States are far higher than acceptable. In fact, the United States has the highest maternal mortality rate than any other developed country in the world. The countries that have the lowest maternal mortality rates are European. But that can be misleading as well.
Safe Motherhood Week , that is recognized each year between October 2 – 8, is the first coalition of partners of its kind to focus on maternal health in Europe. Some statistics will surprise you. Did you know five European women die every day from maternal health complications and in 2013, 1900 European women died from maternal health complications. Additionally, 1 in 10 women in Europe does not have access to maternal health care in the first few months of their pregnancies.
As a mother of two, I did not have optimal experiences either time I was pregnant. Each of my pregnancies was different, but the feeling I had with both of them was identical. I never felt like my physicians really cared about my pregnancies or deliveries, but that I was just a number to them. I have always chalked it up to being relatively young. I was in my mid-twenties. Even still, I believe to this day that I should have been treated with more dignity and respect. Even in two different states, I was treated the same way – with relative indifference. Even though my oldest daughter is 19, I’m still bitter about it.