Global & Disaster Medicine

Archive for the ‘Women issues’ Category

Maternal and neonatal mortality is high in Africa. Why?

Lancet

Volume 7, ISSUE 4,
Pe513-e522, April 01, 2019
Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study

“…….Findings

Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100 000 population (IQR 0·2–2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3–0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2–18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46–13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99–17·34]) or anaesthesia complications (11·47 (1·20–109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7–5·0)……..”

Pakistan has the highest infant mortality rate in the world


More than 303,500 women – 99 percent of them in developing countries – died during childbirth in 2015, according to the World Health Organization. In addition, some 2.7 million babies died in their first month, mainly from complications during pregnancy or childbirth.

Maternal-Infant Mortality

“……Hemorrhages, high blood pressure and infections accounted for three-fourths of maternal deaths.….”


Thousands of woman are abducted and forced to marry each year in Kyrgyzstan where bride kidnappings continue, particularly in rural areas.

Thompson Reuters


Afghanistan’s worst drought in decades has driven tens of thousands of people from their homes and is pushing families to marry off their children in exchange for dowries in order to survive.

Thompson Reuters


‘Vacation Cutting’

TRF

“….Girls in Kenya are being taken across the border to countries such as Uganda, Tanzania, Somalia and Ethiopia for female genital mutilation (FGM) to avoid a crackdown on the harmful traditional practice at home, campaigners said on Monday.
Kenya criminalized FGM in 2011 with a minimum punishment of three years imprisonment and a U.S. $2,000 fine….”


10 brilliant technological innovations to save moms and babies

For many mothers and babies around the world, the first 48 hours after birth are the most dangerous of their lives. For eight years, Saving Lives at Birth—spearheaded by USAID—has challenged problem solvers worldwide to create innovative solutions to make birth safer and save lives.


A “dramatic increase” in sexual violence occurred in late November, as about 125 women and girls walking to a food distribution site in Bentiu were “raped, whipped and clubbed.”

NYT


Yemen: No food, no money, but lots of child brides

NYT

“…..beggars congregate outside supermarkets filled with goods; markets are filled with produce in towns where the hungry eat boiled leaves; and restaurants selling rich food are a few hundred yards from hunger wards filled with desperation, pain and death...…”

UNICEF

“…..In the midst of this national catastrophe, desperate families are increasingly turning to child marriage: Today, more than two thirds of girls are married off before the age of 18, compared to 50 percent before the crisis began.

Parents marry off their daughters to be relieved of the cost of their care, or because they believe a husband’s family can offer better protection. Families also sell their daughters for dowry payments to cope with conflict-related hardship. Child brides are especially common in parts of Yemen that host large numbers of displaced people…..”


Bangladesh: 12,764 new breast cancer patients are detected every year while the number of deaths from breast cancer is 6,846

Dhaka Tribune

“…..A recent survey of 246 patients by the National Institute of Cancer Research and Hospital medical oncology department,  social taboos and unawareness were the main reasons for unchecked breast cancer and delay in early detection.
The study found that 65.5% of breast cancer patients delayed their diagnosis by more than six months, although 83% of them found lumps in their breast  or had other symptoms of breast cancer…..”

 


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