Pregnancy and childbirth are usually times for celebration, togetherness, and joy. But for those mothers who have limited access to healthcare infrastructure or complications that may arise before, during, or after birth, it can be a source of immense stress, anxiety, and trauma.
This is because for every 100,000 live births, 152 pregnant women die from causes like postpartum hemorrhage, eclampsia, obstructed labor, and sepsis. Maternal mortality refers to all the mothers who die pre- or post-pregnancy, or during childbirth.
However, with recent leaps in medicine, science, and technology, these deaths are mostly preventable. Despite this, maternal mortality continues to be high in South Asia, Sub-Saharan Africa, North Africa, and the Middle East. This is because of the limited access, awareness, and affordability of high-quality health care for many pregnant women living in developing countries.
What are key factors leading to maternal mortality?
severe bleeding before, during, or after childbirth
high blood pressure during pregnancy
complications from delivery
anemia, malaria, and heart disease
delay in seeking help for complications
unavailable emergency equipment or services like ambulances
lack of access to good physicians and gynecologists in remote, rural areas
lack of trained midwives
lack of post-abortion or post-birth care
lack of pregnancy education
poor nutrition during pregnancy
child marriages or child brides whose bodies aren't ready for pregnancy
partner violence during pregnancy
Maternal morbidity and maternal mortality — what's the difference?
While mortality refers to the deaths of women from pregnancy-related complications, maternal morbidity deals with health problems that result in the short or long run from being pregnant and giving birth.
These could include cardiovascular problems, diabetes, high blood pressure, infections, especially from cesarean section, blood clots, excessive bleeding, or a condition called anemia, in whichyour blood produces a lower-than-normal amount of healthy red blood cells. It's important to note that globally maternal morbidities are more common and affect a larger percentage of women and girls.
Neither of these should be confused with the child mortality rate or ratio, which takes into account the number of deaths of children under the age of 5.
Which countries have the highest maternal mortality rates and why?
According to UNICEF, Chad, Sierra Leone, and South Sudan have the highest maternal mortality rates.
According to OurWorldinData, Afghanistan is also one of the countries with the highest maternal mortality rates. Data shows that 638 women die per 100,000 live births.
The Maldives has shown a 90% improvement when it comes to reducing its maternal mortality ratio bringing it down from a high of 677 deaths to 68 deaths per 100,000 live births.
Finnish, Icelandic, Greek, and Polish women, on the other hand, have the lowest risk of dying from pregnancy or childbirth-related complications.
Samina lives in a rural area. She is pregnant and anemic at age 40. When she goes into labor, the midwife explains that she can't stop Samina from bleeding and that she needs to be rushed to an urban hospital. What should the family do?
Can high maternal mortality rates be reversed?
Absolutely! There are many lessons to learn from countries that have been able to do so! These interventions include:
better access to advice, care, and supervision by trained medical staff
improving post-partum care (e.g. at home visits)
access to prenatal or pre-birth care for new mothers
training more midwives or birth attendants
community mobilization for family planning and emergency medical assistance
educating people on health services so they rely less on spiritual healers or unlicensed doctors in emergencies
identifying high-risk populations
preventing unwanted pregnancies, forced marriages, child marriages where a woman isn't physically or mentally ready for childbirth
better hygiene protocols during childbirth
abandoning certain cultural customs around pregnancy that aren't science-backed (e.g keeping pregnant women in birthing huts)
provide all women with higher decision-making power when it comes to reproductive health choices
What can countries do to help eliminate maternal mortality?