MAKING PREGNANCY SAFER.
Picture: Nine months pregnant.
Motheeer! How are you today?
Please, make my pregnancy safer!!!
What are the situations of making pregnancy safer? There are 3 situations concern about the topic:
Causes of maternal and neonatal deaths, every year about 210 million women become pregnant. An estimated 30 million, or about 15 of these women develop complications, which are fatal in 515 000, or 1, 7 % of cases.
The incidence of preterm [premature] labor, occurs in 5 to 15 % of all pregnancies; rates have remained unchanged for decades despite efforts to intervene.The mortality rates by gestational less than 26 weeks is 44 %, and 28-29 weeks is 9 %.
The incidence of spontaneous abortion, occurs in 15 to 20 % of clinically diagnosed pregnancies. Sub-clinical spontaneous abortion [early losses not diagnosed for lack of symptoms] rate is about 10 %. The mortality rate is 100 %.
The problems are:
Can we help, treat and prevent or decrease the maternal and neonatal deaths? Yes we can !
Can we help, treat, decrease[lessen] the incidence of preterm labor? Yes, we can!
Can we help, treat and prevent or lessen the incidence of abortion? Yes, we can !
How to solve the problems? The solutions should be tailored to the problems above mention.
PRINCIPAL INTERVENTIONS REQUIRED TO LESSEN MATERNAL AND NEONATAL DEATHS.
Of all health statistics, those for maternal mortality represent the greatest disparity between developing and developed countries: more than 99 % of maternal deaths occur in developing countries, where a woman runs an average risk of dying from a pregnancy related disorder about 250-fold greater than a woman in most developed countries.
More than 70 % of maternal deaths are caused by just 5 conditions: bleeding after delivery [25 % of deaths], infection after delivery [15 %], unsafe abortion [13%], hypertensive disorders [12 %], and obstructed labor [8 %].other direct obstetric causes [8 %], indirect causes [19 %].
Every year, on average nearly 4 million new born babies die. Neonatal infections account for 33 % of deaths in new born babies; asphyxia and trauma at birth 28 %;premature delivery and low birth weight 24 %, and congenital anomaly 10 %.The following paragraphs outline progress made in two areas of activities: identifying effective practice that could improve maternal and neonatal health, and documenting the extent and mayor determinants of maternal mortality and morbidity.