Showing posts with label Maternity Care. Show all posts
Showing posts with label Maternity Care. Show all posts
Tuesday, September 21, 2010

This Time We Know What to Do

AMERICAN FORUM

By Jill Sheffield

Reading the news is usually an ordeal of watching the world fall apart at an accelerating pace, so when four United Nations agencies offer a new count of mothers’ deaths worldwide in pregnancy and childbirth, one braces for another depressing and insoluble problem. The numbers over the past 20 years, after all, have been stubbornly high: one death per minute on average.

Today, however, the news is jarring because it’s good: the 2008 total of maternal deaths is down 35 percent from 1990. About 358,000 women died in 2008 from complications of pregnancy and childbirth, according to Trends in Maternal Mortality, a recent joint report from the World Health Organization, UNICEF, the World Bank and the United Nations Population Fund. The study reinforces one by the Institute for Health Metrics and Evaluation (IHME) earlier this year that put the number at 342,900. Both figures translate roughly to one death every 90 seconds. That’s a definite improvement over one per minute. But is it enough?

Of course not. A thousand women per day is still a horrendous toll in human devastation, and it is almost completely unnecessary. Disparities among the 171 countries ranked in the UN report prove that we know what to do to save women’s lives, and that where governments have had the political will to invest in meeting women’s needs, even in the developing world, those investments have paid off.


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WISCONSIN FORUM
By Dr. Doug Laube

Ten years ago, the Centers for Disease Control listed the top 10 achievements of public health in the 20th century -- among them, family planning, control of infectious disease, and vaccinations. These achievements vastly improved our quality of life, resulting in an increase in life expectancy, worldwide reduction in infant and child mortality, and the elimination or reduction of many communicable diseases.

Following President Obama’s historic address to the nation, America is poised for the first dramatic public health achievement of the 21st century.

What makes this moment truly life-changing in every sense of the word is that, for the first time, more women and their families will have coverage than ever before in our nation’s history.

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By Maureen P. Corry, MPH

“I don’t need maternity care.” Sen. Jon Kyl (R-AZ) lobbed this comment against Sen. Debbie Stabenow’s (D-MI) efforts to guarantee maternity coverage as a basic benefit in health care reform. “Your mom probably did,” Stabenow famously shot back. That exchange and the wave of support that followed for Stabenow’s proposals illustrates how out of step Kyl is with a huge majority of Americans, including those in his own party.

Voters across the political spectrum are almost universal in their support for making maternity care an essential health insurance benefit through health care reform, according to a new poll conducted by Mark Mellman and commissioned by the Communications Consortium Media Center and the Women Donors Network. Fully 86 percent of voters strongly support a guaranteed maternity care benefit, and 95 percent believe that women should have the right to decide when to have a child, where to give birth and the health care provider who will attend their birth.

At Childbirth Connection, a 91-year-old national organization advocating high quality, evidence-based maternity care, we are not surprised by these results. We’ve known for years that rapid gains in the quality, value and cost of maternity care are well within reach. Health care reform is our opportunity to ensure that all women and babies get higher quality care with better results, and savings from following best practices can be put toward providing coverage for all.

Click here to read the full Op-ed