June 4, 2009
A Deadly Risk
And there it was on the front page of the New York Times for the whole world to see. Where Life Starts Is a Deadly Risk, by Denise Grady, described a harsh reality that is often mentioned as a mere footnote. More than half a million pregnant women die from preventable deaths and over a quarter million occur in Africa. Of course there are not enough financial and human resources available and their stories are disheartening. For each woman who dies, 20 more encounter serious complications. Physicians state that more deaths occur outside the hospital because many try to give birth at home. This leads to my next point.
There are a growing number of women who want to give birth at home alone, without a midwife or birth attendant. I posted a blog about this “unassisted” phenomena a few weeks ago after one of their advocates’ baby ended up dead. I subsequently received a comment from a woman who discussed how “tribal” women would rather deliver without intervention and their biggest obstacle was poverty. Not so. There are millions of African women who would love to trade places with the “unassisted” crowd in a heartbeat. Yes, childbirth is a natural act but it is not exempt from danger.
Grady’s article reads like a litany of horror. A mother of six bled to death because the nurses did not know how to remove the placenta. A mother of quadruplets died leaving four beautiful babies in an orphanage. Two and three laboring women sharing one cot. America, we are so blessed. The cost to run a hospital in Tanzania costs $200,000 a year. I challenge the American College of Obstetricians-Gynecologists (ACOG), the American Board of Obstetrician-Gynecologists (ABOG) and all the rest of the deep-pocket women’s organizations to step up to the plate. We are our sisters’ keepers. When a mother and baby die, the whole world mourns.
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sandy said,
August 19, 2009 at 12:08 pm
Thank you for writing so poignantly about childbirth deaths in Africa. I would also like to hear what you might have to say about the high infant mortality rate among African American women in Mississippi.
drlindagalloway said,
August 19, 2009 at 10:46 pm
Thanks for your comment, Sandy. The infant mortality rate among African American in Mississippi needs more media coverage because the numbers are alarming as is the case of Native American women who live on reservations (that I personally witnessed).
Telemedicine (which I wholeheartedly advocate) would be a tremendous help in both communities. Both populations would benefit greatly from the expertise of high-risk maternal fetal medicine specialists. I’ve tried, unsuccessfully to get to the Women’s Medically Underserved Committee of ACOG for years. Everything is so political and in the mean time mothers and their unborn babies suffer.
I appreciate your comments and hope you keep them coming.