Posts Tagged ‘maternal deaths’
Unacceptably high maternal deaths
Too many deficits in the health system produces a high level of maternal deaths. The lack of active surveillance of the drama derives not know where changes are needed and that effective policy decisions.
Data recently released by the Ministry of Health of the Nation indicate that maternal mortality ratio increased from 4 per 10,000 live births in 2008 to 5.5 in 2009. This means that in the country more than 114 women died from causes related to pregnancy, abortion, childbirth or puerperium.
The complications of unsafe abortions remain the leading cause of maternal death specific. These new figures further away to Argentina in the attainment of the Millennium Development Goals. A very alarming news.
The chain of events that lead to these deaths is evaluated only in some provinces and in general, there is no systematic, standardized analysis of these deaths. Maternal morbidity severe (life-threatening situations that lead to death) is not regularly assessed, and data collection instruments are often not validated. Moreover, the recommendations of these tests do not translate into changes in health systems and services. Read the rest of this entry »
Seek to prevent maternal deaths
Women are exposed to a real risk when it comes to procreation, which is called maternal death, so the Ministry of Health of the State of Durango makes recommendations for women during pregnancy.
Despite modernity much ignorance still exists about the risks of pregnancy and the consequences of certain actions they take expectant mothers, misfeeds, intake of medications, lack of exercise and increased weight of the person.
Maternal death is mainly characterized by vasospasm or wetting clotting systems, usually begins to occur after the 20th week.
The main features are hypertension, which causes symptoms such as headache, edema or swelling, abdominal pain and preeclampsia with convulsions, coma and even death.
The health secretary, Alejandro Avitia Campa said that in 2010 there were 14 cases in the state, which equates to an average of 45 in relation to a rate of 100 000 live births, so it is taking steps to reduce the numbers, trying to raise public awareness of having a pre-pregnancy care, take adequate prenatal care and timely delivery.
Difficulties in Reporting Maternal Deaths From Legal Abortion II
3. The hidden travel identification. About a third of women having abortions traveled to another state to have this procedure. If upon returning home died as a result of abortion, it is very difficult to find out where they performed the abortion as the reason for his trip was to remain anonymous. In such cases, the state where the woman lived not report the abortion. Dr. Matthew Bulfi describes the case of a woman whose husband found her dead in the bathroom because he was bleeding a legal abortion was performed in another state using data ficticios21.
4. Poverty and ignorance. A large percentage of women who die from legal abortion are poor and / or belong to minorities. Your family or friends know the law, fear or distrust the legal system and therefore it did not report these cases or when they do, they are not taken into account. On December 19, 1995, Carolina Gutierrez underwent a legal abortion clinic Maber Medical Center in Miami, Florida. Soon after, the young Nicaraguan 21 years called the clinic to report that he was suffering intense pain, but even heeded him. Two days later he lay in a coma at Jackson Memorial Hospital in Miami, with a perforated uterus. Doctors amputated both his legs to try to save his life, but the February 5, 1996 Carolina died, leaving behind two orphans and a disconsolate widower, who wanted his wife to abort or knew that he planned to do so. However, the State of Florida authorized the clinic to renew your license to expire in June 199 622.
5. Lack of research. Nobody has been able to make a full inquiry into the cases of medical negligence in the practice of legal abortions, and that ways of reporting these cases vary from state to state. For example, the courts of the State of New York do not have files lawsuits against those who perform abortions. Therefore, physicians who perform abortions are protected from research into their pre-litigation files. Many counties (areas that divide the states), no data kept on file of people who die from medical malpractice.
Difficulties in Reporting Maternal Deaths From Legal Abortion
The average annual maternal deaths from legal abortion in the above table is between 50 and 100, which coincides with the average annual maternal deaths from illegal abortion in the United States, said anteriormente16. However, it is likely that the true number of maternal deaths a year by legal abortion is even higher than between 50 and 100. The problem is that after the legalization of abortion in the United States, the following difficulties have arisen for reporting maternal deaths from legal abortion:
1. The report of maternal deaths is voluntary. In the U.S. there is no legal requirement for doctors who perform abortions to report maternal deaths caused by abortions. Obviously, these doctors will try to avoid having to report these deaths. So said Dr. W. Gates, who performed abortions: “It’s like surrender to the Bureau of Internal Revenue Service for an audit. What is gained by that? There is a tendency not to report them, because it brings negative incentives.” 17
2. Most deaths occur after women have left the abortion mill. The Manual of public health service of the U.S. to report induced terminations of pregnancy indicates that “no complications at the time that the report does, select ‘no’.” 18 This gives way to handling the death certificate. For example, in 1989, Erica Richardson and Debra Gray, both the State of Maryland, died from abortions legales19. However, the Health Department said state reported no maternal deaths by legal abortion that year. The autopsy report of Richardson is very revealing: the cause of his injury was categorized as “therapeutic misfortune” and his death as “accidental.” 20
Maternal Health In the World Today
Despite the global reduction, a woman dies every minute in the world’s poorest countries as a result of complications during pregnancy or childbirth (half a million women a year).
Alongside them there are ten million more who suffer injuries, infections and other complications associated with pregnancy.
The United Nations reports indicate that sub-Saharan Africa and South Asia account for 85% of maternal deaths worldwide.
For all developing countries, there are 450 maternal deaths per 100,000 live births, compared with 14 occurring in developed countries.
Health interventions in childbirth or during pregnancy have also increased in all regions, showing that they can reduce maternal mortality, but but its availability has to be larger in order to reach the target for 2015.