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mojatu .com 26 Faith & Spirituality WOMANSLAUGHTER The tragedy of maternal mortality in the 21 st century Picture the following scenes…. It’s 1915 and in a home in the Welsh valleys, a woman (let’s call her Hannah) goes into labour. Hannah and her husband John have seven children, the youngest is 3yrs old. When Hannah is six months pregnant she goes into premature labour. Unlike her previous deliveries, Hannah does not recover immediately. She begins to bleed heavily and within 30mins, she is also dead…the cause of death is Catastrophic Post-Partum Haemorrhage. Fast forward 100yrs…. It’s 2015 and a pregnant woman, also called Hannah, arrives at a UK hospital. She quickly delivers a baby girl. The mother is given a drug is called Oxytocin which prevents excessive blood loss. However, she continues to bleed more heavily than expected, so she is given a second medication called Misoprostol. That plus a blood transfusion, bring her body to a near normal state. All is well and 24hrs later, mum and baby return home. At the same time…. A woman, goes into labour in a slum in Liberia’s capital. Thankfully, she makes it to the local hospital and gives birth to a baby girl. However, soon after birth she starts bleeding. Neither the Oxytocin or Misoprostol is available. Hannah dies 15minutes after giving birth. The cause of death is documented as Catastrophic Post-Partum Haemorrhage. The chances of the baby dying before her 5 th birthday have increased tenfold with the death of her mother. Yet the medication which Hannah in Liberia should have received is out there. In 2000, the UN launched their Millennium Development Goals, a global strategy for reducing global poverty by raising the standard of living for the poorest on the planet to a basic level. Millennium Development Goal number five was to reduce maternal mortality by 75% by 2015. The estimated number of women dying in pregnancy and childbirth in 2000 was 550,000. If you add together the number killed in the Asian tsunami with that of the Haitian earthquake, the total doesn’t amount to the number of women dying year on year from childbirth. Furthermore, it is likely that this is an underestimation because in remote rural areas, females are born, grow up, get married, become pregnant and die without an official record of such events. Despite this, in 2012, the numbers of women dying annually was revised to 287,000. However, the numbers were not being reduced quickly enough to achieve the Goal of 137,000. In 2015, the estimated number of women dying annually was revised again to 303,000. One third of that number is made up by two countries, Nigeria with 58,000 deaths and India with 40,000 maternal deaths. Nigeria and India have extremes of wealth and poverty. India has a space programme and Nigeria has oil resources yet one third of the 300,000 women dying annually will have haemorrhaged to death. A condition which can be remedied simply and inexpensively. So why are women dying in such numbers in the 21 st century when we have we have the most amazing technology at our fingertips. We must ask ourselves this question… ‘If men were dying is such numbers every year, would something have been done about it?’ A speaker at a maternal health conference in Uganda in 2008, summed it up perfectly. “Women are not dying of diseases we cannot treat; they are dying because society has decided that they are not worth treating.” Please read the following facts and see if you agree with the above quote. x 99% of maternal deaths occur in the developing world. x 99% of maternal deaths are avoidable x Worldwide, pregnancy and childbirth are the biggest killers of females between the ages of 15 and 29. x In Chad, there is a saying “A woman who is pregnant has one foot in the grave.” x Losing these women costs the world more than it would to save them. Women produce 70% of the wealth in developing countries. That loss plus the