Safe Motherhood & Child Survival: a Situation in Lower Income Group at Dhaka City

Topics: Obstetrics, Childbirth, Infant Pages: 61 (14450 words) Published: June 28, 2013

Every minute, another woman dies in childbirth. Every minute the loss of a mother shatters a family and threatens the well being of surviving children. For every woman who dies, 20 or more experience serious complications. These range from chronic infections to disabling injuries (Such as Obstetric fistula). Maternal death and disability rates mirror the huge discrepancies that exist between the haves and the have-nots both within and between countries.

Safe Motherhood begins before conception with proper nutrition and a healthy life style and continues with appropriate prenatal care, the prevention of complications when possible, and the early and effective treatment of complications. The ideal result is a pregnancy at term, without unnecessary interventions, the delivery of a healthy infant, and a healthy post partum period in a positive environment that supports the physical and emotional needs of the woman, infant and family.

Working for the survival of mothers is a human rights imperative. It also has enormous socio-economic ramifications-and is a crucial international priority. Both the international conference on Population and Development and Millennium Development Goals call for a 75 percent reduction in maternal mortality between 1990 and 2015.

This three prolonged strategy is key to the accomplishment of the goal: -All women have access to contraception to avoid unintended pregnancies. -All pregnant women have access to skilled care at the time of birth. -All those with complications have timely access to quality emergency obstetric care.

In countries such as China, Cuba, Egypt, Honduras, Jamaica, Malaysia, Sri Lanka, Thailand and Tunisia, significantly declines in maternal mortality have occurred as more women have gained access to family planning and skilled birth attendance with backup emergency obstetric care. Many of these countries have halved their maternal deaths in the space of a decade. Severe shortages of trained health providers with midwifery skills are holding back profess in many countries.

The partnership for Maternal, Newborn and Child Health aims to mobilize action to reduce deaths among mothers, newborns and children, promote universal coverage of essential interventions, and advocate for increased resources for scaling up these efforts. The ultimate aim is to make motherhood as safe as possible during crisis situations that compound women’s vulnerability.

Skilled attendance at all births is considered to be the single most critical intervention for ensuring safe motherhood, because it hastens the timely delivery of emergency obstetric and newborn care when life-threatening complications arise. Skilled attendance denotes not only the pressure of midwives and others with midwifery skills(MOMS) but also enabling environment they need in order able to perform capably. It also implies access to a more comprehensive level of obstetric care in case of complications requiring surgery or blood transfusions

Historical as well as contemporary evidence from many countries, most notably China, Cuba, Egypt, Jordan, Malaysia, Sri Lanka, Thailand and Tunisia, indicate that skilled midwifes functioning in or very close to the community can have a drastic impact on reduction of maternal and neonatal mortality. This is why the proportion of births attended by a skilled health provider is one of the two indicators for measuring progress toward the fifth Millennium Development Goal, improving maternal health.

The term ‘Skilled attendance’ refers exclusively to people with midwifery skills (for example, doctors, midwives, and nurses) who have been trained to proficiency in the skills necessary to manage normal deliveries and diagnose, manage or refer obstetric complications. They must be able to recognize the onset of complications, perform essential interventions, start treatment, and supervise the referral of...
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