Maternal near-miss (MNM) incidence is the indicator reflecting maternal healthcare services. This study aimed to determine the burden of maternal near-miss and maternal deaths in Sayaboury Province, Lao PDR. A descriptive study was done in a cohort of 1215 pregnant women, who had their last normal menstrual period (LMP) between 1 August and 31 December, 2010. WHO criteria for MNM were used to identify near-miss cases and maternal deaths during February - November 2011. Data of maternal characteristics, MNM, and maternal deaths were prospectively collected by primary health care workers in the villages under supervision of health staff in local health centers and by the head nurses of the gynecology - obstetric wards in the studied hospitals. Frequencies with 95% confidence intervals (CIs) were used to describe maternal near-misses and maternal deaths. Overall, 92.5% of the 1215 pregnancies were delivered, 7.5% were aborted. Eleven women were identified as near-miss cases, giving a maternal near miss

GEBHARDT, G S y NATIONAL COMMITTEE FOR CONFIDENTIAL ENQUIRIES INTO MATERNAL DEATHS IN SOUTH AFRICA et al. Maternal death and caesarean section in South Africa: Results from the 2011 - 2013 Saving Mothers Report of the National Committee for Confidential Enquiries into Maternal Deaths. SAMJ, S. Afr. med. j. [online]. 2015, vol.105, n.4, pp.287-291. ISSN 2078-5135. http://dx.doi.org/10.7196/SAMJ.9351.. BACKGROUND: In the latest (2011 - 2013) Saving Mothers report, the National Committee for Confidential Enquiries into Maternal Deaths in South Africa (SA) (NCCEMD) highlights the large number of maternal deaths associated with caesarean section (CS). The risk of a woman dying as a result of CS during the past triennium was almost three times that for vaginal delivery. Of all the mothers who died during or after a CS, 3.4% died during the procedure and 14.5% from haemorrhage afterwards. Including all cases of death from obstetric haemorrhage where a CS was done, there were 5.5 deaths from haemorrhage ...

GEBHARDT, G S and NATIONAL COMMITTEE FOR CONFIDENTIAL ENQUIRIES INTO MATERNAL DEATHS IN SOUTH AFRICA et al. Maternal death and caesarean section in South Africa: Results from the 2011 - 2013 Saving Mothers Report of the National Committee for Confidential Enquiries into Maternal Deaths. SAMJ, S. Afr. med. j. [online]. 2015, vol.105, n.4, pp.287-291. ISSN 2078-5135. http://dx.doi.org/10.7196/SAMJ.9351.. BACKGROUND: In the latest (2011 - 2013) Saving Mothers report, the National Committee for Confidential Enquiries into Maternal Deaths in South Africa (SA) (NCCEMD) highlights the large number of maternal deaths associated with caesarean section (CS). The risk of a woman dying as a result of CS during the past triennium was almost three times that for vaginal delivery. Of all the mothers who died during or after a CS, 3.4% died during the procedure and 14.5% from haemorrhage afterwards. Including all cases of death from obstetric haemorrhage where a CS was done, there were 5.5 deaths from ...

Background: Maternal mortality, the HIV/AIDS pandemic, and child survival are closely linked. This study contributes evidence on the impact of maternal death on childrens risk of dying in an HIV-endemic population in rural South Africa. Methods: We used data for children younger than 10 years from the Agincourt health and socio-demographic surveillance system (1992-2013). We used discrete time event history analysis to estimate childrens risk of dying when they experienced a maternal death compared to children whose mother survived (N=3,740,992 child months). We also examined variation in risk due to cause of maternal death. We defined mothers survival status as early maternal death (during pregnancy, childbirth, or within 42 days of most recent childbirth or identified cause of death), late maternal death (within 43-365 days of most recent childbirth), any other death, and mothers who survived. Results: Children who experienced an early maternal death were at 15 times the risk of dying (RRR ...

Theres reason to believe that serious complications of pregnancy and maternal deaths may have increased slightly, or at least plateaued, after decades of decline. According to the Organisation for Economic Co-operation and Development, Canada reported a low of 2.5 deaths per 100 000 live births in 1990, but in the following years, the rate steadily increased to a peak of nine in 2008, before dropping off to 5.7 at last count in 2013. The World Health Organization reported a higher rate for Canada of seven deaths per 100 000 in 1990, which hadnt changed at last count in 2015.. However, these rates are based on vital statistics data that have been shown to underestimate maternal deaths by 12% to 70% compared with hospitalization data. The count excludes data from Quebec, as well as deaths more than 42 days to a year after pregnancy, which means many suicides may be missed - if theyre even reported as maternal deaths.. Meanwhile, factors that complicate pregnancy are on the rise, from maternal ...

There were 589 maternal deaths during the 15-year period. The researchers found that the leading cause of death throughout the four time periods was from non-pregnancy related infections reported in over a third of the mothers who died. The next biggest causes of maternal death were hypertensive disorders and obstetric haemorrhage.. Of the women in the study tested for HIV, 70.7% (285/403) were HIV positive. The HIV testing rate of pregnant women increased over time from less than 50% in 1997 to 2002 to over 80% in 2011 to 2012. The proportion of mothers with HIV that died also increased during the study period: 31% in 1997 to 2002, 53.9% in 2003 to 2008, 53.5% in 2009 to 2010 and 65.8% in 2011 to 2012.. There were 285 deaths among the HIV positive women with a mean age of 29.3 years at time of death. The median CD4 count of the women was very low with 74.6% less than 200 cells/mm3 and only 9% greater than 350 cells/mm3.. Despite the availability of ART, the number of women receiving it remained ...

@Maternal deaths in Australia 2000-02@ is the thirteenth report on women who die during pregnancy and childbirth. Maternal deaths are rare, catastrophic events and require monitoring and...

According to UNICEF, the lifetime maternal death risk in the United States is 1 in 4800, which makes the United States tied for fortieth with Belarus in that category. Ireland ranks first, with a lifetime maternal death risk rate of 1 in 47,600.

Maternal deaths on the rise because hospitals and doctors ignore safety measures. High blood press took one moms life. Excessive bleeding left another with a hysterectomy. Would long-known safety practice have saved both?

Abstract We estimated the proportion of maternal deaths in Bangladesh associated with acute onset of jaundice. We used verbal autopsy data from a nationally representative maternal mortality survey to calculate the proportion of maternal deaths associated with jaundice and compared it to previously published estimates. Of all maternal deaths between 2008 and 2010, 23% were associated with jaundice, compared with 19% from 1998 to 2001. Approximately one of five maternal deaths was preceded by jaundice, unchanged in 10 years. Our findings highlight the need to better understand the etiology of these maternal deaths in Bangladesh.

Prepared by Aniuska Inés Domínguez ARIOSA, Data Scientist (BSc Computer Science with Maths - University of Santa Clara, CUBA, MSc Data Science - City University London, UK). Definition: A maternal death refers to the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. Source: WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva, World Health Organization, 2015. ...

California hospitals have a new tool to help reduce maternal deaths. Today, the California Maternal Quality Care Collaborative released a toolkit for the

The United States has the highest death rate for mothers when compared with other developed countries. The report suggests lack of maternity care and maternity leave are to blame, and notes that the number of maternal deaths are much higher in U.S. Black women.

Introduction to Household Surveys for Evaluation of Primary Health Care Programs in Low and Middle Resource Settings: Introduces participants to fundamental skills needed to design and manage implementation of household surveys. Presents real world experiences of using the Knowledge, Practice, and Coverage (KPC) tool for household surveys in middle and low-resource settings.

APPROXIMATELY every two minutes, a woman dies during pregnancy or child birth. However, most of the causes of maternal deaths are highly preventable. In Zambia alone, there are an estimated 600,000 births, with about 2,600 maternal deaths and about 20,200 infant mortalities. According to the Saving Mothers, Giving Life website, maternal and newborn deaths are largely preventable and are indicative of inaccessible and poor-quality health care facilities, inadequacies of the health system, and low demand for and utilisation of maternal and newborn health services. [Read More] ...

American women are more likely to die in childbirth than they were two decades ago, making the United States one of the few countries where the risks from childbirth have risen in the past generation, World Health Organization data showed on Tuesday.

Mothers face a high level of risk while giving birth and need to be monitored closely to minimize the chance that something will go terribly wrong.

Beyond maternal death: improving the quality of maternal care through national studies of near-miss maternal morbidity. NIHR Journals Library, PGfAR, Vol 4 Issue 9 Knight, M., Acosta, C., Brocklehurst, P., Cheshire, A., Fitzpatrick, K., Hinton, L., Jokinen, M., Kemp, B., Kurinczuk, J.J., Lewis, G., Lindquist, A., Locock, L., Nair, M., Patel, N., Quigley, M., Ridge, D., Sellars, S., Shah, A. 2016 ...

Alarmed that the U.S. is the most dangerous affluent country in which to give birth, state and local lawmakers around the country are adopting a flurry of bipartisan bills aimed at reforming how maternal deaths are identified and investigated.

surrounding screening and examination of the new born from birth. The article will look at why we perform this examination following birth and will pay

Many Asian, Middle Eastern, Latin, indigenous and other cultures view the month or so following birth as a sacred and crucial time for new moms to recover.

Azu - Missing You (Letras y canción para escuchar) - Ever since you went away / Things havent been the same / Miss you Im going crazy / Ever since you went away / Things havent been the same / Miss

OBJECTIVE: To describe on a national basis ethnic differences in severe maternal morbidity in the United Kingdom. DESIGN: National cohort study using the UK Obstetric Surveillance System (UKOSS). SETTING: All hospitals with consultant led maternity units in the UK. PARTICIPANTS: 686 women with severe maternal morbidity between February 2005 and February 2006. MAIN OUTCOME MEASURES: Rates, risk ratios, and odds ratios of severe maternal morbidity in different ethnic groups. RESULTS: 686 cases of severe maternal morbidity were reported in an estimated 775 186 maternities, representing an estimated incidence of 89 (95% confidence interval 82 to 95) cases per 100 000 maternities. 74% of women were white, and 26% were non-white. The estimated risk of severe maternal morbidity in white women was 80 cases per 100 000 maternities, and that in non-white women was 126 cases per 100,000 (risk difference 46 (27 to 66) cases per 100 000; risk ratio 1.58, 95% confidence interval 1.33 to 1.87). Black African women

Background: Reliable detection of maternal deaths is an essential prerequisite for successful diagnosis of barriers to care and formulation of relevant targeted interventions. In a community-level case study, the use of household-level surveillance in Senegal unveiled an apparent increase in maternal deaths, which triggered a rapid-cycle collaborative response to implement a multipronged set of quick-win and sustained interventions intended to improve quality care.. Methods: Part of a multi-country effort, the Millennium Villages Project is implementing a routine community-level information system in Senegal, able to detect maternal deaths in real-time and uncover clinical and social factors contributing to mortality. Within this geographically demarcated area of approximately 32 000 inhabitants, with a well-structured health system with patient referral services, deaths were registered and notified by community health workers, followed by timely verbal and social autopsies. Using the Pathway to ...

Data & statistics on Maternal mortality ratio in the countries of SEAR: Maternal Mortality Ratio (MMR) SEAR Countries, 1995, Countries with maternal mortality ratios exceeding 500 deaths per 100,000 live births, 2000 (ranked by maternal mortality ratio) (continued), Maternal mortality and infant mortality...

Every year about half a million women die from complications of pregnancy, parturition and puerperium, most of which are preventable. The purpose of this thesis was to chart the distribution and decline in maternal mortality in Sweden between 1751 and 1980, and furthermore to characterize positive (predisposing) factors and negative (protective) factors of maternal mortality. Maternal mortality declined from 900 to 6.6 per 100,000 live births in these 230 years. Maternal deaths accounted for 10070 of all female deaths in the reproductive ages between 1781 and 1785, but only 0.2.0/0 between 1976 and 1980. However, in the 19th century 40-450/0 of the female deaths in the most active childbearing ages were maternal deaths. The children left motherless had an extremely high mortality. Indirect maternal deaths and puerperal sepsis accounted for the bulk of maternal deaths in the rural areas. Only a minority of maternal deaths occurred in lying-in hospitals. Midwifery services in rural areas and ...

The Woman and Infants Center at HSHS St. Josephs Hospital Breese was recently honored by the Illinois Perinatal Quality Collaborative with an award for taking steps to help mothers and infants affected by opioid use.. According to the collaborative, known as ILPQC, overdose is the leading cause of maternal death in Illinois. In fact, the ILPQC reports that pregnancy-associated deaths from opioid poisonings in Illinois increased by 10 times between 2008 and 2017.. To try to prevent these tragedies from happening, the ILPQC launched a statewide obstetric initiative in 2018 to implement guidelines recommended by the American College of Obstetricians and Gynecologists and the Alliance for Innovation on Maternal Health. The ILPQC worked with hospital teams, including the Women and Infants Center at HSHS St. Josephs Breese, to implement system/protocol changes and shift the clinical culture to educate nurses and providers to help identify those with possible Opioid Use Disorder (OUD). OUD is a ...

The global maternal death ratio fell by 44 per cent between 1990 and 2015. The total number of maternal deaths around the world dropped from about 532,000 in 1990 to an estimated 303,000 in 2015. This equates to an estimated global maternal death ratio of 216 maternal deaths per 100,000 live births, down from 385 in 1990.

Over the period 2010-2012, maternal mortality from infectious causes accounted for 5% of maternal deaths by direct causes and 16% of maternal deaths by indirect causes. Among the 22 deaths caused by infection occurred during this period, 6 deaths were attributed to direct causes from genital tract origin, confirming thus the decrease in direct maternal deaths by infection during the last ten years. On the contrary, indirect maternal deaths by infection, from extragenital origin, doubled during the same period, with 16 deaths in the last triennium, dominated by winter respiratory infections, particularly influenza: the 2009-2010 influenza A (H1N1) virus pandemic was the leading cause of indirect maternal mortality by infection during the studied period ...

In 1999, the Bill and Melinda Gates Foundation awarded a five-year grant to the Joseph L. Mailman School of Public Health at Columbia University for a program titled Averting Maternal Death and Disability (AMDD). The program aims to reduce maternal mortality and morbidity by focusing on critical emergency obstetric care interventions in low resource environments of developing countries through a human rights-based approach. AMDD was designed as an implementation program with no explicit research objectives. Principally, the program provides support and technical assistance to develop the capacity to provide emergency obstetrical care.. Download PDF ...

Lancet. 2008 Mar 15;371(9616):879-81. doi: 10.1016/S0140-6736(08)60393-1. Maternal deaths and vulnerable migrants. Bragg R. Reaching Out Project, Medact, London N1 6HT, UK. [email protected] EXTRACT Media coverage of the recent UK Confidential Enquiry into Maternal and Child Health (CEMACH) report focused on the risks associated with obesity, but largely ignored the findings about vulnerable migrants. Maternal mortality is…

Learn more about Calcium Supplementation During Pregnancy May Help Decrease Maternal Death and Morbidity and the Risk of Pre-eclampsia and Premature Birth at Reston...

The Indian Parliament was told that over 4,500 deaths, or eight percent of all maternal deaths, in the country occur due to unsafe abortions each year.

Rates of stillbirth and maternal deaths rose by around a third during the COVID-19 pandemic, with pregnancy outcomes getting worse overall for both babies and mothers worldwide, according to an international data review published on Wednesday.

Midwives are being trained in Myanmar to lower the maternal death rate. The rate is eight times higher than the rate in neighbouring Thailand.

BTN is a practical guide that describes five proven approaches for reviewing cases of maternal death or morbidity. The philosophy of BTN is simple: maternal death can be avoided in resource-poor countries and effective interventions can be designed and implemented if information on factors that led to the death are understood and known.. Since its publication in 2004, considerable experience has been accumulating in European region in the implementation of two BTN approaches: confidential enquiries into maternal deaths (CEMD) and the reviews of severe maternal morbidity - near-miss case reviews (NMCR).. WHO/Europe provides support in introduction and implementation of the BTN approaches through organizing national workshops, assistance in piloting, and scaling up, as well as exchange of experience during multi-countries review meetings ...

Globally, there were an estimated 289,000 maternal deaths in 2013, a decline of 45 per cent from 1990. The global maternal mortality rate (MMR) in 2013 was 210 maternal deaths per 100,000 live births, down from 380 maternal deaths per 100,000 live births in 1990. However, hidden within these figures are enormous inequalities: The MMR in developing regions was 14 times higher than in developed regions.

Nearly all maternal deaths occur in developing countries; over 80 per cent in sub-Saharan Africa and South Asia. 19 September 2008 - A new report on maternal mortality, released by UNICEF today, highlights the risks faced during pregnancy and childbirth by women in developing countries. Progress for Children: A Report Card on Maternal Mortality states that, according to the latest data, more than 99 per cent of all maternal deaths occur in developing countries, with some 84 per cent concentrated in sub-Saharan Africa and South Asia.. The tragic fact is that every year more than half a million women lose their lives as a result of complications due to pregnancy or childbirth, said Peter Salama, UNICEFs Chief of Health. The causes of maternal mortality are clear - as are the means to combat them. Yet women continue to die unnecessarily. Haemorrhage is the most common cause of death, particularly in Africa and Asia. A womans overall health - including her nutritional level and HIV status - ...

Most maternal deaths are entirely avoidable. Access to antenatal care in pregnancy, special care during childbirth and support after childbirth significantly improve health outcomes for women and their babies. One target under the UNs Sustainable Development Goal 3 is to reduce the global maternal mortality ratio to less than 70 per 100,000 births - with no country having a maternal mortality rate of more than twice the average worldwide.. As part of the Global Strategy and goal of Ending Preventable Maternal Mortality, the World Health Organization is working with partners to address the barriers. Funding is key and international aid is essential in lowering these numbers, but there are also cost-effective options available with little infrastructure required at a local level. One such example is the RCOG global health programme in South Africa and Tanzania, called Leading Safe Choices. The programme is focused on workforce training to enable over 60,000 women to receive postpartum family ...

Maternal mortality in the UK is measured as a rate per 100,000 maternities (defined as women who give birth to a live infant or a stillborn infant at 24 weeks or greater gestation), and not a ratio per 100,000 live births, in order to provide a closer approximation of the risk associated with pregnancy.. Maternal deaths are identified through a variety of sources by the MBRRACE-UK collaboration at the NPEU, University of Oxford. Further details of ascertainment methods, additional disaggregations, details of causes of death and recommendations for improving care can be found in the MBRRACE-UK Saving Lives, Improving Mothers Care reports.. The maternal mortality ratio for the UK, following the UN specification, can also be found in the MBRRACE-UK reports using the link above.. ...

There is no question that the greatest health achievements under the Millennium Development Goals have focused on single diseases. Arresting the spread of HIV and AIDS and malaria is perhaps the most significant development success of the new century. And vaccination, especially of measles, is one of the reasons that deaths among older children have fallen faster than deaths among infants or women during pregnancy and childbirth.. In contrast, the lowest-performing areas across all eight MDGs - reducing infant and maternal deaths - are targets that dont lend themselves to a single disease strategy. Just six countries have met the MDG target for reducing infant deaths, and only 15 countries have achieved the target for reducing maternal deaths.. Could these targets have actually been achieved if we had pursued an integrated approach to advancing the health of women and children? Did our fascination with and confidence in the segregation of single-disease initiatives cost us achievement in other ...

The United States has the highest maternal mortality rate of any developed country, and African American women like Kira are overly affected

A study published in The Lancet, a British science journal, suggests the maternal mortality rate could drop by a full third if all needs for family planning were met.

In comparison, just 3.8 women for every 100,000 die due to childbirth complications in Finland. Worldwide, 99% of all maternal deaths take place in developing countries, according to the World Health Organization (WHO).. The high number of maternal deaths in some areas of the world reflects inequities in access to health services, and highlights the gap between rich and poor, the WHO reports. Read More: Malala and Serena Williams Are Getting Their Own Constellations. This brings us back to Williams. After Williams experienced shortness of breath the day after giving birth, she immediately told her doctors about her discomfort and was able to get a CT scan and heparin drip, according to Vogue. She received six straight days of treatment, and was able to take advantage of six weeks of recovery in bed. For too many black mothers in the US health care system, and for the 830 women who die from pregnancy-related complications around the world each day, this sort of care is often simply not ...

Jennifer Anguko was slowly bleeding to death right in the maternity ward of a major public hospital. Only a lone midwife was on duty, the hospital later admitted, and no doctor examined her for 12 hours. An obstetrician who investigated the case said Ms. Anguko, the mother of three young children, had arrived in time to be saved.. Her husband, Valente Inziku, a teacher, frantically changed her blood-soaked bedclothes as her life seeped away. Im going to leave you, she told him as he cradled her. He said she pleaded, Look after our children.. Half of the 340,000 deaths of women from pregnancy-related causes each year occur in Africa, almost all in anonymity. But Ms. Anguko was a popular elected official seeking treatment in a 400-bed hospital, and a lawsuit over her death may be the first legal test of an African governments obligation to provide basic maternal care. ...

Ten in every 100,000 pregnancies in the UK and Ireland results in the death of the mother. A report into maternity care in the UK and Ireland, published in December 2014, found that one third of these deaths (32%) were a direct consequence of pregnancy (obstetric) complications such as pre-eclampsia or bleeding. The remaining two thirds (68%) of deaths were the result of medical and mental health problems, including infections, suicide and flu, during or soon after their pregnancy. Three quarters of those who died had a history of medical or mental ill health.. In the last decade, the number of women dying from complications directly associated with pregnancy (i.e. obstetric complications) has almost halved from a peak of 6.24 per 100,000 in 2003-2005 to 3.49 per 100,000 in 2009-2011. In contrast, the number of women who die following medical or mental health problems has not seen any significant decrease in the past 10 years (7.76 per 100,000 in 2000-2002, compared to 7.15 per 100,000 in ...

Nigeria has the second largest burden of maternal death globally. The major causes of maternal death in Nigeria include haemorrhage, (23%), infection (1..

They do not allow health department officials to check documents A 20-year-old woman died during delivery at a private hospital in the City recently. However, it was an uphill task for the State Health Department to collect all the information regarding her death. The situation is not new to health officials. Many private hospitals refuse…

Initiative to Prevent Women from Bleeding to Death at Childbirth Worldwide, post partum hemorrhage (bleeding after childbirth) typically causes around 130,000 maternal deaths a year, about 1/3 of all maternal deaths.

Mosquito-borne diseases like malaria surged last year in Venezuela while infant deaths have likewise increased, according to recently released government data.

Rajasthan government on Thursday suspended three doctors in connection with the death of women who were given intravenous fluid in two state-run hospitals in Jodhpur.

PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

In 1952 the Maternal Mortality Ratio (MMR), excluding early pregnancy deaths, was 54/100 000 births for England andWales. This was the first year of the Confidential Enquiry in Maternal Deaths in England and Wales. fn the ...

Statistics indicate maternal mortality rates in developing countries contrast significantly with those of western societies. In many cases, maternal death could be easily prevented by ensuring all people have access to basic medical resources,...

We use cookies to ensure that we give you the best experience on our website. If you click Continue well assume that you are happy to receive all cookies and you wont see this message again. Click Find out more for information on how to change your cookie settings ...

BACKGROUND: Substantial reductions in maternal mortality are called for in Millennium Development Goal 5 (MDG-5), thus assuming that maternal mortality is measurable. A key difficulty is attributing causes of death for the many women who die unaided

Results This study revealed three scenarios for the responses to near misses, the most common involved doing a quick fix where clinicians recognised and corrected an error with no further action. The second scenario consisted of reporting near misses but not hearing back from management, which some participants characterised as going into a black hole. The third scenario was closing off the Swiss-cheese holes, in which a reported near miss generated corrective action at an organisational level. Explanations for doing a quick fix included the pervasiveness of near misses that cause no harm and fear associated with reporting the near miss. Going into a black hole reflected managers focus on operational duties and events that harmed patients. Closing off the Swiss-cheese holes occurred when managers perceived substantial potential for harm and preventability. Where learning was perceived to occur, leaders played a pivotal role in encouraging near-miss reporting. ...

Results This study revealed three scenarios for the responses to near misses, the most common involved doing a quick fix where clinicians recognised and corrected an error with no further action. The second scenario consisted of reporting near misses but not hearing back from management, which some participants characterised as going into a black hole. The third scenario was closing off the Swiss-cheese holes, in which a reported near miss generated corrective action at an organisational level. Explanations for doing a quick fix included the pervasiveness of near misses that cause no harm and fear associated with reporting the near miss. Going into a black hole reflected managers focus on operational duties and events that harmed patients. Closing off the Swiss-cheese holes occurred when managers perceived substantial potential for harm and preventability. Where learning was perceived to occur, leaders played a pivotal role in encouraging near-miss reporting. ...

With its rate of maternal deaths increasing, the U.S. is the only industrialized country where young women have a higher risk of dying during pregnancy and childbirth than their mothers did

More women are accessing antiretroviral therapy than men, transferring the benefits of their good health to their families and economies. When young women are empowered and have their rights fulfilled, HIV prevalence falls, there are fewer unintended pregnancies, fewer maternal deaths and fewer dropouts from school and more women join the workforce. When young women have access to education, health outcomes dramatically improve.. ...

Obstetric care in America can certainly be improved. Our neonatal statistics are far from the best in the world, but when we look for reasons, I dont think we can blame a deficiency of home births. We dont have universal health care. Some womens prenatal care is inadequate. We have more immigrants and a more diverse population than a country like, for instance, Norway, and that may skew our statistics. It is very tricky to compare neonatal and maternal death rates between countries.. We are doing too many C-sections. Midwives suggest that if women were allowed to ambulate, to deliver squatting rather than supine, and to avoid certain interventions like epidurals and fetal monitoring, some C-sections could be avoided. Most C-sections are done because obstetricians truly believe they are the safest option in that individual case, but I suspect that sometimes those decisions are subtly influenced by a fear of lawsuits and the doctors need to be able to show the court that he did everything ...

We know the interventions that can save most womens lives. If every woman had access to essential maternal care, 74% of maternal deaths could be prevented4. If all women had access to self-controlled means of HIV/ AIDS protection and were in a position within society to use these methods, millions of HIV/AIDS deaths could be prevented. Thus, we do not so much need new technology, as we need to ensure universal access, utilization and equity. But ensuring universal access, utilization and equity means that our health services cannot continue to function as business as usual. ...

It is estimated that approximately 500,000 women die each year during childbirth in developing countries. Many of these deaths are due to unsanitary conditions and are therefore preventable deaths. Midwives struggle to maintain a clean environment to allow the mother to deliver her child in a safe and sanitary environment. Everyday supplies can mean the difference between a healthy mother and baby or a fetal or maternal death or both.. With this in mind, the Zonta Club of Pittsburgh has assembled over 7,000 birthing kits over the past 4 years and sent the kits to a hospital in Kenya. Each kit contains a clear plastic sheet, 4 pieces of gauze, soap, 3 cord ties, a razor and a pair of gloves. The supplies fit in a plastic baggie. For the past three years, members of the Zonta Club of Pittsburgh have teamed with Alcoa during their October Month of Caring to assemble Birthing Kits. Approximately 2,500 kits have been assembled with support from Alcoa.. Learn More. ...

The last year of an administrations budget is an opportunity to set the tone on their priorities and what the administration sees as their legacy. This Fiscal Year 2017 (FY17) budget from President Obama offers a few insights on what this White House sees as their priorities in their last few months in office, and hopefully a bit into what theyd like to see in the years to come from Congress. RESULTS is glad to see ending preventable child and maternal deaths and creating an AIDS-free generation coming out strongly in the Presidents proposed budget, but there are clearly some disappointments in cuts to accounts we know matter greatly in the fight against infectious disease and more broadly ending poverty . ...

I know several on here have already had mishaps of one sort or another..some rider error, others no fault of there own.....I had a near miss today and...

Инээснийг асуу, уйлсныг бүү асуу гэдэг. Нэг л их үнэн худлаа нь мэдэгдэхгүй инээцгээсэн хүмүүс. Монголд тийм их инээхээр, баярлахаар, хөөрцөглөхөөр зүйл болоод байна уу? Инээх нь элгэнд сайн л гэдэг. Зөв бага инээх нь элгэнд сайн л байдаг байх. Гэхдээ буруу их инээх нь нийгэмд хортой байдаг. Энэ нь нийгэмд байгаа муу муухай байдал өөрчлөгдөхгүй даамжирсанаар нийгмийн гаж үзэгдэл болон төлөвшдөг. Муу муухайгаа хараад инээж байгаа хүмүүс яаж түүнийг өөрчлөх вэ дээ.. Улс орны хөгжлийг эдийн засаг, улс төр, барилга байгууламж гэх мэт олон зүйлээр үнэлж, ...

Инээснийг асуу, уйлсныг бүү асуу гэдэг. Нэг л их үнэн худлаа нь мэдэгдэхгүй инээцгээсэн хүмүүс. Монголд тийм их инээхээр, баярлахаар, хөөрцөглөхөөр зүйл болоод байна уу? Инээх нь элгэнд сайн л гэдэг. Зөв бага инээх нь элгэнд сайн л байдаг байх. Гэхдээ буруу их инээх нь нийгэмд хортой байдаг. Энэ нь нийгэмд байгаа муу муухай байдал өөрчлөгдөхгүй даамжирсанаар нийгмийн гаж үзэгдэл болон төлөвшдөг. Муу муухайгаа хараад инээж байгаа хүмүүс яаж түүнийг өөрчлөх вэ дээ.. Улс орны хөгжлийг эдийн засаг, улс төр, барилга байгууламж гэх мэт олон зүйлээр үнэлж, ...