More than likely you have heard about the Global Gag Rule also known as the Mexico City Policy this week. You can learn more about it in a previous post: Why the Global Gag Rule Will Increase Maternal Mortality. To get right to the point, however, Planned Parenthood released this video: What is the Global Gag Rule that explains it succinctly. Continue reading Video: The Global Gag Rule Explained
Throughout my visits to clinics in Africa I have seen the work of Marie Stopes International in South Africa, Tanzania, Ethiopia as well as Zambia. They provide a full range of quality reproductive health services for women. I have always been impressed by the comprehensive care they provide. Now, their work will be hampered because of an imposed policy of the new administration.
Yesterday morning President Trump signed an executive order to reinstate the Global Gag Rule, or Mexico City Policy, that prevents international NGOs that accept USAID (taxpayer) money from advocating for the legalization of abortions, provide abortions, mention the word, or even refer women to health practionioners that provide safe, legal abortions.
The Global Gag Rule was instated during the Reagan admininstration in 1984 and since then there has been a virtual seesaw effect between Republican and Democratic administrations regarding whether the Rule is reinstated or revoked. According to the WHO, 78,000 women die every year from unsafe abortions. Under Obama’s eight year administration, that number was reportedly decreased by more than half. Now, that President Trump has signed this executive order reinstating the Global Gag Rule, the fear among the global health community is that that number will rapidly skyrocket again.
Updated June 2020 Today as we celebrate and commemorate Martin Luther King Jr. Day, here are seven organizations and birth centers that are helping save the lives of black women during pregnancy, childbirth and after childbirth. All maternal mortality and morbidity data in the United States report the same thing: black women die in disproportionately high numbers when compared to non-Hispanic white women. In fact, … Continue reading 10 Organizations and Birth Centers That Save Black Mothers’ Lives #MaternalHealth (Updated)
Texas has the highest rate of maternal mortality in the developed world. (Source) In Texas, cardiac events, overdose by licit or illicit prescription drugs, and hypertensive disorders are the leading causes of maternal death. (Source) White women had the highest rates of diagnosed mental illness of any kind (depression as well as other psychological illnesses) in Texas during pregnancy and the puerperium; Black women had … Continue reading 9 Facts We Learned in 2016 About Maternal Mortality in the United States
When everyday Americans think about women dying during childbirth it is probable that their initial thoughts travel directly to Africa where it is quite well known that maternal mortality is rife. Chances are their thoughts never focus on the deaths and near deaths during childbirth that women experience right here in the United States. After all, the overwhelming consensus is that the United States has the best medical care, superior health workers and health system in the world despite some of its inherent challenges. This thinking renders maternal mortality in the US thoroughly inconceivable to many even while data reveal it should not be inconceivable at all. In fact, maternal mortality is on the rise in America having doubled over the past 25 years all while global maternal deaths are steadily declining. Globally, maternal mortality was effectively reduced by 44 percent according to the World Health Organization.
The United States, while not the overall leader in maternal mortality among all countries, it is the leader among all developed nations. The United States ranked number 33 out of 179 countries in Save the Children’s 2015 Mothers’ Index Ranking and 46th in the world due to the rate of women who die from pregnancy and childbirth complications. Compared to other developed countries, the United States’ ranking is abysmal, especially with Norway, Finland, and Iceland ranking in the top three overall. Even countries like Estonia and Belarus, whose GDPs are considerably lower than ours, far outrank America.
South Africa has extremely high maternal mortality levels. This is true when compared with developed countries as well as other developing countries.
According to the World Health Organisation, for every 100,000 live births in the country in 2015, 138 women died due to pregnancy and childbirth complications. In Sweden, fewer than five women die for every 100,000 live births. In Brazil, the estimate is 44 women for every 100,000 live births.
The word is getting out that maternal and newborn mortality are an ever-increasing problem in the United States. As I have written before, the United States has the highest ratio of maternal mortality of any developed country in the world and yet we spend the most on health care globally.
While many (including scientists and health professionals) don’t know concretely why maternal mortality is continuing to rise in the US, the fact remains that the problem is not getting better. In fact, it is incrementally getting worse. In fact, according to recent findings from the Institute for Health Metrics and Evaluation the United States has a maternal mortality rate of 18.5 maternal deaths per 100,000 live births in the U.S., up from 12.4 deaths per 100,000 births in 1990.
Companies such as Merck that launched Merck for Mothers and Texts4Baby, for example, are working on innovative ways to reach and inform mothers about how they can be as healthy as possible during and after childbirth. Additionally, grassroots organizations and birthing centers like Florida’s CommonSense Childbirth and Arizona’s The Birthing Project are working in communities to help mothers and their newborns stay alive.