Maternal and child health
Saturday, 5 September 2009
TIMELY medical interventions can reduce maternal and child mortality. Although, fatalism and cultural acceptance of mortality at birth are cited as among the reasons for high neonatal mortality, families seek to protect the new-born in several ways. A review of cases of deaths of women on labour bed, who had sought medical attention, shows that inexperienced midwives, time taken for transportation, inadequate medical facility, underestimation of the severity of the complication, delays in reaching, the correct medical facility and also receiving prompt and appropriate care after reaching the hospital and lack of transportation were more often responsible for the premature deaths.
Disorganised healthcare, which falls to provide prompt response to emergencies is a major contributing factor to high mortality rate. Little empirical research has been done in Bangladesh to country-special shape the health system to attend to maternal health.
As South Asia has the world's second highest maternal mortality, the children and women in the region do not get the opportunity to develop their full potential. In order to attain Millennium Development Goals (MDGs) of reducing maternal mortality, we will have to pay serious attention to prevent eclampsia. Many women, with serious delivery complications, who even if they reach emergency obstetric care in time, die because of infection, ruptured uterus and obstruction, post-partum bleeding of abortion and antepartum haemorrhage.
A comparative analysis of case studies of maternal health and health systems in Uganda, Bangladesh, Russia and South Africa highlighted the most important common system issues underlying maternal healtcare such as the changes that are involved with health sector reforms, human resource structures and the public-private Mix of service provision. I
The nurses and midwives should be able to participate i, and influence, healthcare planning and policy-making. The tool-kit should designed for use by any nurse or midwife who has an interest in advocating for change in their work environment.
Birth spacing, contraception for women, preventing postpartum haemorrhage, focused antenatal care, integration of family planning, and HIV/AIDS services can reduce the maternal mortality rate.
Mohammad Rajja
Nepal Students' Society, Dhaka
arnold_raza@yahoo.com
Disorganised healthcare, which falls to provide prompt response to emergencies is a major contributing factor to high mortality rate. Little empirical research has been done in Bangladesh to country-special shape the health system to attend to maternal health.
As South Asia has the world's second highest maternal mortality, the children and women in the region do not get the opportunity to develop their full potential. In order to attain Millennium Development Goals (MDGs) of reducing maternal mortality, we will have to pay serious attention to prevent eclampsia. Many women, with serious delivery complications, who even if they reach emergency obstetric care in time, die because of infection, ruptured uterus and obstruction, post-partum bleeding of abortion and antepartum haemorrhage.
A comparative analysis of case studies of maternal health and health systems in Uganda, Bangladesh, Russia and South Africa highlighted the most important common system issues underlying maternal healtcare such as the changes that are involved with health sector reforms, human resource structures and the public-private Mix of service provision. I
The nurses and midwives should be able to participate i, and influence, healthcare planning and policy-making. The tool-kit should designed for use by any nurse or midwife who has an interest in advocating for change in their work environment.
Birth spacing, contraception for women, preventing postpartum haemorrhage, focused antenatal care, integration of family planning, and HIV/AIDS services can reduce the maternal mortality rate.
Mohammad Rajja
Nepal Students' Society, Dhaka
arnold_raza@yahoo.com