Maternal Death: Report Says Up To 3.6 Million Deaths Are Preventable

Miscarriage risk more than doubled in women who took non-steroidal anti-inflammatory drugs, says a new study.

Maternal deaths have been highlighted in a new report released by the United Nations Population Fund (UNFPA) and partners at a conference in Durban, South Africa.

Up to 3.6 million maternal and child deaths could be avoided each year if midwifery services were upgraded, the report says, Reuters reports.

Vincent Fauveau, Senior Maternal Health Advisor with UNFPA, led the drafting of the report.

He said, "Public health advisors and practitioners are not relying on the key health professional that can improve maternal mortality - the midwife.”

Of the nearly 1,000 women who die every day as a result of complications during pregnancy and childbirth, 99 percent live in developing countries, mainly in sub-Saharan Africa.

A woman in Sweden has a roughly 1 in 11,000 chance of dying from pregnancy-related causes, while a woman in Niger faces a 1 in 16 chance during her lifetime.

The first State of the World's Midwifery report was released on 20 June at the International Confederation of Midwives (ICM) 29th Congress, reports Reuters.

It said most of these deaths, as well as many of the severe illnesses and disabilities caused by childbirth, could be prevented by a proficient, motivated and supported midwifery workforce.

The report focuses on the 58 countries with the highest rates of maternal, foetal and newborn mortality. These countries account for 91 percent of the global burden of maternal mortality, but have less than 17 percent of the world's skilled birth attendants. The report also highlights the uneven distribution of midwives, with rural areas losing out to urban areas, and the fact that not all midwives are adequately trained. The International Confederation of Midwives (ICM), a global umbrella body and host of the Durban conference, has launched new standards and regulations for midwifery but Fauveau said these will only be successful if "countries revise their educational curriculum". Many women in rural areas also struggle to access midwifery services because of the distance they must travel to reach health facilities or their inability to afford transport fees, Reuters reports. ICM President Bridget Lynch said, "We must advocate for free health services for all pregnant women in all countries.” The report calls for governments to recognize midwifery as a distinct profession, and to increase investment in the number of schools, trainers and tutors for midwives.
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