Drop in Global Maternal Death Rates
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This post is part of a series leading up to the Women Deliver conference (www.womendeliver.org), a global meeting on maternal and reproductive health and the advancement of women and girls. Women Deliver 2010 will push for an additional $12 billion in increased investment from G8 for programs to improve maternal health.
Last month, a new study in The Lancet found that the global maternal death rate had dropped 35 percent in the past 30 years. The overall number of deaths has declined, from 536,300 in 1980 to 342,900 in 2008, but the shift in statistics is still troubling. Maternal deaths are highly concentrated, almost 80 percent, in 21 countries, and 6 countries account for more than half of all maternal deaths (India, Nigeria, Pakistan, Afghanistan, Ethiopia, and the DRC). The global MMR (maternal mortality ratio, or number of women dying for every 100,000 live births) has also dropped from 422 in 1980 to 251 in 2008, however maternal death rates are actually up in certain countries, including the United States. Even within the United States, the MMR differs drastically among races; the maternal death rate for black women is eight times higher than that of white women in New York City, for example.
Any reduction in maternal deaths is considered progress, however most countries remain far behind the Millenium Development Goal 5- a 75 percent reduction in maternal deaths by 2015. Advocates welcome the overall decline, and although hundreds of thousands of maternal deaths continue each year, the small glimmer of hope is motivation for those who have been working to reduce these numbers for years.
“The overall message, for the first time in a generation, is one of persistent and welcome progress,” -Lancet Journal Editor Dr. Richard Horton
Advocates are also worried by the findings of this report, however. Why? It may make the cause seem less urgent. Although the reduction of maternal deaths is an Millennium Development Goal and has been made a priority at the world’s G8/G20 Summits in Canada, talk alone will not solve the problem. Women with less risk of death during pregnancy and childbirth are bringing attention to this cause in many ways. According to Save the Children’s annual State of the World’s Mothers Report, the biggest difference between life and death for a mother is a knowledgeable female health worker present at the birth. (Not all women are allowed to be seen by a male other than their husbands; if there is only a male doctor, their birth can go unattended.) The SOTWM Report found that the best and worst countries in which to be a mother were Norway and Afghanistan respectively.

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