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Raising Global Awareness : The Quest for Safer Childbirth in High Risk Countries. Presented by Jennifer Moller BSN, RNC. Learning Objectives. Present statistics on maternal mortality in the developing and underdeveloped world. Identify the major causes of maternal mortality.
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Raising Global Awareness:The Quest for Safer Childbirth in High Risk Countries Presented by Jennifer Moller BSN, RNC
Learning Objectives • Present statistics on maternal mortality in the developing and underdeveloped world. • Identify the major causes of maternal mortality. • Examine the barriers to safe childbirth and prenatal care. • Discuss the causes, impact and incidence of obstetric fistula. • Introduce the Millenium Development Goals (MDG’s) and The Mother’s Index. • Present a documentary film which chronicles a journey undertaken by a physician who experiences firsthand the perils of childbirth in Afghanistan.
Sobering statistics…… “Each year, more than 500,000 women die from causes related to pregnancy and childbirth.” - UNICEF
Spotlight: Sierra Leone “One in eight women die in childbirth in Sierra Leone, the highest mortality rate in the world.” According to the United Nations, a woman's chance of dying in childbirth in the United States is 1 in 4,800. In Ireland, which has the best rate in the world, it is 1 in 48,000.
Spotlight: Afghanistan “Only 14 percent of births are attended in Afghanistan. One in nine women will die during childbirth or shortly after. Nearly all Afghan mothers will experience the loss of one child before its 5th birthday.“ - UNICEF
Spotlight: Southern Sudan “A girl in southern Sudan is more likely to die in childbirth than she is to gain a primary education.” – Nicholas Kristoff, NY Times, May 2010
Child bride dies of internal bleeding in Yemen SANAA Thu Apr 8, 2010 3:18pm EDT SANAA (Reuters) - A 13-year-old Yemeni girl died three days after marrying a man twice her age, due to internal bleeding following intercourse, a Yemeni human rights group and UNICEF said. Spotlight: Yemen On September 13th, 12-year old Fawziya Abdullah Youssefdied of severe bleeding while giving birth to a still-borne baby in Yemen. – CNN, September 14, 2009 “In Yemen, one in every three girls is married before the age of 18.”- UNICEF
Spotlight: Bangladesh In rural Bangladesh, 69 percent of females are married before the age of 18, many of whom are married at 12 or 13. 21,000 women die annually during childbirth because only 13% of births have skilled attendance.
Barriers to Safe Prenatal Care and Childbirth • Geography • Lack of Resources • Lack of Education • Status of Women • Cultural/Religious Beliefs • Political Instability
Impact • Increased infant mortality • Perpetuation of female oppression • Altered collective female psyche • Dysfunctional family dynamics • Loss of family revenue • Increased population of orphans • Physical disabilities • i.e. Obstetric Fistula
“Millenium Development Goals”UNDP 2000 • MDG 1: Eradicate extreme poverty and hunger. • MDG 2: Achieve universal primary education. • MDG 3: Promote gender equality and empower women. • MDG 4: Reduce child mortality. • MDG 5: Improve maternal health. • MDG 6: Combat HIV/AIDS, malaria and other diseases. • MDG 7: Ensure environmental sustainability. • MDG 8: Develop a Global Partnership for Development.
The Mother’s Index • Top 10- best places to be a mother • Norway • Australia • Iceland • Sweden • Denmark • New Zealand • Finland • Netherlands • Belgium • Germany • 28. United States Bottom 10- worst places to be a mother 151. Equatorial Guinea 152. Eritrea 153. Sudan 154. Mali 155. DR Congo 156. Yemen 157. Guinea-Bissou 158. Chad 159. Niger 160. Afghanistan Save the Children, 2010
How Can We Help? International Level • Follow the G8 Summit this June. • Follow the United Nations General Assembly meeting in September. • Support a global action plan which is committed to accelerating progress on MDG’s 3, 4, and 5. • Join a campaign that supports women and children. National Level • Support the national health care policy. • Make a commitment to becoming more politically aware. • Join the ANA and CNA as well as your national affiliation. • Pursue all forms of continuing education.
