Anna is a farmer in Southern Malawi. This is her story of her first childbirth:
click “I got married last year and got pregnant soon after that. My contractions started in the middle of the night, and my husband took me to the health center on our motorbike. In the early afternoon, our baby girl was born. I am happy that we could give birth with the midwife, but it was very crowded at the health center so it was also nice to get back home again. For me, I prefer to be with the midwife at the health center. She knows what to do, if there is a problem.”
source site Anna’s story is both a promising and an illustrative one. While an increase in institutional births has improved maternal and newborn health outcomes, it has also laid bare and created challenges within health facilities. Just 10 years ago in Malawi, the percentage of women giving birth in facilities was 54%. That number has since risen to 90%, and similar increases can be seen across the board in low- and middle-income countries. In Cambodia, a health center that might have seen few births per month in 2002 now sees several births every day.
source When women can reach and trust health facilities and personnel, they can access health services, both for themselves – before, during, and after pregnancy – and for their children, that have tremendous impact. Two of the greatest contributors to the 43% global decline in maternal deaths since 1990 have included improved access to family planning services, and increased rates of facility births. When women give birth in a health center, they can receive timely treatment should complications arise and are supported by skilled health care providers, decreasing the risk of adverse outcomes.
mujeres solteras mayores de 40 aаТБos Köpa Viagra Piteå Although the increase in facility births has made childbirth safer, it has also left some health centers inundated and stretched for resources. Given the statistics, it’s no wonder that although Anna’s childbirth in a health center was safer than a home birth, her experience was hampered by overcrowding. Her story exemplifies the fragility of the gains we have made in reducing maternal and newborn mortality. Sustaining these reductions requires recognizing both the ongoing and new challenges, including those generated by increased usage, that exist within facilities.
follow url Overcrowded and unsanitary health facilities mean that women and newborns continue to die of preventable causes. While Anna’s health center supported her safe birth, it’s possible that she was met upon her arrival with the symptoms of an under-resourced and ill-equipped facility: a hurried care provider, unclear instructions, perhaps even a labor ward so congested that she couldn’t get to the bathroom. This is the reality of many birthing facilities around the world. Coupled with poor hygiene and a lack of sanitation, overcrowded health centers can increase rates of infection and disease, putting mothers and newborns at unnecessary risk.