Category Archives: Maternal mortality

Women’s health being neglected worldwide, says Melinda French Gates

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Exclusive: Billionaire launches $250m fund to address problem as she warns of growth of ‘maternity care deserts’

Women’s health is being neglected worldwide with “maternity care deserts” more common, millions denied abortions and maternal death rates surging, Melinda French Gates has warned as she launches a $250m (£190m) fund to improve women’s physical and mental health globally.

Despite advances in medicine, women experience “unacceptable” inequities across all aspects of their health, spend more years living with ill health and still face barriers to accessing basic care. Women in rich and poor nations are affected and more than 700 are dying in childbirth each day, French Gates said.

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Global health charities warn of ‘huge and terrible’ threat to abortion rights if Trump returns

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‘Global gag rule’ and funding cuts will be ‘on different scale’ if Republicans win again, family-planning providers say

Providers of women’s healthcare around the world are preparing for potentially disastrous consequences should Donald Trump win the US presidential election in November.

Policies pursued during Trump’s last presidency caused “devastating” harm in a number of countries, said Beth Schlachter, a senior director at MSI Reproductive Choices in the US. It meant “clinics shuttered, health teams closed, women dying … but a second Trump term will be on a different scale”.

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DRC offers free maternity care to cut death rate among mothers and babies

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Healthcare workers say clinics are being overwhelmed by women seeking help, amid lack of staff and facilities to back programme

Pregnant women across the Democratic Republic of the Congo are to be offered free healthcare in an effort to cut the country’s high rates of maternal and neonatal deaths.

Women in 13 out of 26 regions in the country will, by the end of the year, be entitled to free services during pregnancy and for one month after childbirth. Babies will receive free healthcare for their first 28 days under the scheme, which the government plans to extend to the rest of DRC – although there is no timetable for that yet.

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Climate crisis is ‘not gender neutral’: UN calls for more policy focus on women

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Only a third of countries with climate crisis plans include access to sexual, maternal and newborn health services, UNFPA report finds

Only a third of countries include sexual and reproductive health in their national plans to tackle the climate crisis, the UN has warned.

Of the 119 countries that have published plans, only 38 include access to contraception, maternal and newborn health services and just 15 make any reference to violence against women, according to a report published by the UN Population Fund (UNFPA) and Queen Mary University of London on Tuesday.

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Women’s health at risk from UK aid cuts, Foreign Office warned

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Thousands more women will be forced into unsafe abortions and die in pregnancy and childbirth, ministers told

Hundreds of thousands more women will face unsafe abortions and thousands will die in pregnancy and childbirth as a result of UK aid cuts in 2023-24, Foreign Office ministers were warned in an internal assessment.

The Foreign, Commonwealth and Development Office (FCDO) published its programme allocations for the next two years last month, showing that official development assistance (ODA) spend is due to rise marginally in 2023-24 and then increase by 12% in 2024-25 to £8.3bn.

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Rising temperatures causing distress to foetuses, study reveals

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Climate crisis increases risks for subsistence farmers in Africa who usually work throughout pregnancy

Rising temperatures driven by climate breakdown are causing distress to the foetuses of pregnant farmers, who are among the worst affected by global heating.

A study revealed that the foetuses of women working in fields in the Gambia showed concerning rises in heart rates and reductions in the blood flow to the placenta as conditions became hotter. The women, who do much of the agricultural labour and work throughout pregnancy, told the scientists that temperatures had noticeably increased in the past decade.

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Sierra Leone backs bill to legalise abortion and end colonial-era law

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Country hails ‘monumental step’ towards expanding reproductive rights at a time when the US has overturned them

Ministers in Sierra Leone have taken a major step towards decriminalising abortion and overturning the country’s colonial-era law, in a move hailed by campaigners and women’s rights activists.

President Julius Maada Bio said his cabinet had unanimously backed a bill on risk-free motherhood, which would expand access to abortion in a country where terminations are only permitted when a mother’s life is at risk.

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US supreme court abortion reversal would be global ‘catastrophe’ for women

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If Roe v Wade is overturned, it will encourage anti-choice groups – particularly in the developing world, activists warn

The probable demise of abortion as a federal right in the US will be a “catastrophe” for women in low and middle-income countries, with an emboldened anti-choice movement likely to raise renewed pressure on hard-won gains, doctors and activists have warned.

The leak this month of the US supreme court’s draft majority opinion, which argued that the 1973 ruling effectively legalising abortion had been “egregiously wrong from the start”, stunned and enraged many in America.

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Caesareans or vaginal births: should mothers or medics have the final say?

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More babies are born by C-section than ever, causing alarm at the WHO. But some believe the option should always be offered. So what are the risks and benefits?

When Elizabeth Chloe Romanis first considered the ethics of chosen caesarean sections, she was listening to a radio programme her husband had sent her. The programme was about how some NHS trusts refused to give medically unnecessary C-sections to people who wanted them. “He sent it to me like: ‘Have you heard this?’ and obviously I got very annoyed,” says the biolaw researcher at Durham University.

Someone phoned in and asked, why should the NHS offer the choice when childbirth is natural and surgery costs money? Irritated, Romanis thought someone from her field ought to argue for the right to choose. “So that’s what I did,” she says.

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Inquests to be held into deaths of new mothers who died from herpes

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Coroner will investigate if Kim Sampson, 29, and Samantha Mulcahy, 32, contracted virus from surgeon during C-sections

A coroner will investigate the deaths of two women from herpes following childbirth, amid fears they contracted the virus from their surgeon.

Kim Sampson, 29, and Samantha Mulcahy, 32, died weeks apart after their babies were delivered by caesarean section at different hospitals in Kent.

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Texas anti-abortion law shows ‘terrifying’ fragility of women’s rights, say activists

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Campaigners fear ban emboldens anti-choice governments as more aggressive opposition, better organised and funded, spreads from US

The new anti-abortion law in Texas is a “terrifying” reminder of the fragility of hard-won rights, pro-choice activists have said, as they warn of a “more aggressive, much better organised [and] better funded” global opposition movement.

Pro-choice campaigners have seen several victories in recent years, including in Ireland, Argentina and, most recently, Mexico, where the supreme court ruled last week that criminalising abortion was unconstitutional. Another is hoped for later this month when the tiny enclave of San Marino, landlocked within Italy, holds a highly charged referendum.

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The Taliban are not the only threat to Afghanistan. Aid cuts could undo 20 years of progress

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The most vulnerable people will bear the cost of sanctions, as services and the economy collapse

Watching Afghanistan’s unfolding trauma, I’ve thought a lot about Mumtaz Ahmed, a young teacher I met a few years ago. Her family fled Kabul during Taliban rule in the late 1990s.

Raised as a refugee in Pakistan, Ahmed had defied the odds and made it to university. Now, she was back in Afghanistan teaching maths in a rural girls’ school. “I came back because I believe in education and I love my country,” she told me. “These girls have a right to learn – without education, Afghanistan has no future.”

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Delivering babies in a Nigerian camp: ‘I’ve had to use plastic bags as gloves’

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After seeing a woman die in childbirth, Liyatu Ayuba stepped in and has now delivered 118 babies in a community cut off from public health services

Having watched a woman and her baby die needlessly after being refused admission to a hospital over a lack of money, Liyatu Ayuba wanted to never let it happen again.

The 62-year-old is one of Nigeria’s nearly 3 million internally displaced people (IDPs) – driven out of their homes by the violence of the Boko Haram Islamist militants. Ayuba fled Gwoza in the north-eastern state of Borno in 2011 with her family. After her husband was killed by Boko Haram and her teenage son badly wounded, she went to the makeshift Durumi 1 IDP camp, in Nigeria’s capital, Abuja, where about 500 families live.

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Nepal sees huge rise in maternal deaths as Covid keeps women at home

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Health workers fear deaths could reach levels not seen this century as up to 90% miss check-ups and many opt for home births

Earlier this month, 21-year-old Lakhu BK decided to have her baby at home in her village in the far west of Nepal. She had feared contracting Covid-19 if she went to a health centre. She lost her life giving birth.

“I thought my daughter-in-law will die from [the] virus but did not think she would die from being unable to give birth,” said her mother-in-law, Pamfi BK, 50.

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Guidance to induce minority ethnic pregnancies earlier condemned as racist

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Draft Nice guidelines for England, Wales and Northern Ireland will not solve poorer maternity outcomes for women of colour, say doctors

Proposed guidance that recommends inducing labour at 39 weeks in pregnant women from black, Asian and minority ethnic backgrounds has raised concerns from doctors and midwives and been branded “racist” by activists.

White women with uncomplicated pregnancies should be offered an induction of labour at 41 weeks, according to the draft guidelines from the National Institute for Health and Care Excellence (Nice). The institute’s clinical guidelines such as this apply in England, Wales and Northern Ireland but do not cover Scotland.

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‘I knew how dangerous things could become’: the perils of childbirth as a Black woman

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When she was pregnant, Anna Malaika Tubbs was thrilled – then terrified, knowing the shockingly high death rate of Black women in childbirth. Could she find a way to stay safe?

In the bathroom of a friend’s house in Washington DC, I waited anxiously for a few minutes before turning to look at the pregnancy test. It was positive. My eyes filled with tears; I was overjoyed, grateful and excited, but also very scared.

I think many parents can relate to this feeling, which seems to start as soon as we see that test result, and continues until our children are adults; we are overwhelmed with happiness for their mere existence while simultaneously terrified of the possibility of losing them. But as a Black feminist scholar, I was well aware that I had even more reason to worry.

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Global shortfall of nearly 1m midwives due to failure to value role, study finds

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Investing in midwifery could prevent two-thirds of maternal and newborn deaths, but investment and training are urgently needed

The world is facing a shortage of 900,000 midwives, with more than half the shortfall in Africa, where nearly two-thirds of maternal deaths occur, according to a new survey.

Insufficient resources and a failure to recognise the importance of the role mean there has been little progress since the last study in 2014, according to the State of the World’s Midwifery report, which looked at 194 countries.

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‘I felt humiliated’: parents respond to NHS maternity care racial bias inquiry

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Black, Asian and ethnic minority women report being denied pain relief or feeling unheard to panel investigating mortality disparity

Feeling manipulated into having medical procedures, dismissed by professionals and labelled with racial stereotypes are among the complaints of parents who responded to a national inquiry into racial injustice in UK maternity care.

A panel established by the charity Birthrights is investigating discrimination ranging from explicit racism to racial bias and microaggressions that amount to poorer care.

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More deaths, worse care? Inquiry opens into NHS maternity ‘systemic racism’

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Childbirth rights group supports examination into disproportionate health outcomes

An urgent inquiry to investigate how alleged systemic racism in the NHS manifests itself in maternity care will be launched on Tuesday with support from the UK charity Birthrights.

The inquiry will apply a human- rights lens to examine how claimed racial injustice – from explicit racism to bias – is leading to poorer health outcomes in maternity care for ethnic minority groups.

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Lagos traffic creating ‘life or death’ situations for women trying to reach hospital – report

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Study of pregnant women travelling to health facilities found journeys took up to four times longer than online maps suggested

The heavy traffic and bad roads of Lagos have been baffling online mapping tools with potential “life and death implications” for people trying to reach the city’s hospitals, research has found.

Researchers looked at cases of pregnant women trying to reach hospital in Nigeria’s most populous city, infamous for its roads, and found they faced a journey of up to four times longer than computers and satellites suggest, which mean the models for access to healthcare facilities are also out of kilter.

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