Maternal mortality
Maternal mortality is one of the highest prioritized health problems globally.
The
fifth of eight Millennium Development Goals (MDG) of the United Nations
is a 75% reduction of maternal mortality by the year 2015 compared to
1990. So far minimal progress has been made, especially in countries of
Sub-saharan Africa where maternal mortality remains alarmingly high.
The
most important causes of maternal deaths are bleeding in pregnancy,
unsafe abortion, pregnancy induced hypertension and eclampsia,
obstructed labor and infections.
The main strategy to
reduce maternal mortality and morbidity has been to increase the number
of women delivered by a “skilled attendant”; a health professional with
advanced training in obstetric skills.
Institutional delivery”
is often confused with “skilled delivery” even though it has been
demonstrated that institutional deliveries in developing countries are
far from always the same as safe deliveries. Mbaruko demonstrated how
interventions to improve delivery services at Kigoma Regional Hospital
in Tanzania reduced maternal mortality in the region by 67%.
By Bjarke Lund Sørensen
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