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Maternal health refers to the health of women during pregnancy, childbirth, and the postpartum period. It encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to ensure a positive and fulfilling experience, in most cases, and reduce maternal morbidity and mortality, in others. Maternal health is crucial for the well-being of mothers, their children, and the health system and society as a whole.
Overview
Improving maternal health is one of the United Nations Millennium Development Goals (MDGs), specifically Goal 5: to improve maternal health. The target is to reduce the maternal mortality ratio by three quarters between 1990 and 2015, and to achieve universal access to reproductive health. Despite significant efforts, the global community still faces challenges in reducing the number of deaths and improving health outcomes for mothers.
Causes of Maternal Mortality and Morbidity
The major complications that account for nearly 75% of all maternal deaths are:
- Severe bleeding (mostly bleeding after childbirth)
- Infections (usually after childbirth)
- High blood pressure during pregnancy (pre-eclampsia and eclampsia)
- Complications from delivery
- Unsafe abortion.
The remainder of maternal deaths are caused by or associated with diseases such as malaria, AIDS, and cardiovascular diseases, all of which may be aggravated by pregnancy.
Prevention and Treatment
Improving maternal health involves several key steps, including:
- Access to reproductive health services and family planning.
- Skilled care before, during, and after childbirth.
- Emergency obstetric care for all who need it.
- Postnatal care for mothers and newborns.
Challenges
Challenges to improving maternal health include:
- Lack of access to health care services, particularly in rural areas.
- High levels of poverty and education barriers.
- Cultural practices that limit women's access to health care services.
- Inadequate infrastructure and health care systems.
Global Initiatives
Several global initiatives aim to improve maternal health, including:
- The Safe Motherhood Initiative
- The Millennium Development Goals (MDGs), succeeded by the Sustainable Development Goals (SDGs)
- The Every Woman Every Child movement
Conclusion
Maternal health is a critical component of global health and development. Efforts to improve maternal health require a comprehensive approach that addresses health care access, quality of care, and social determinants of health. Continued global commitment and action are necessary to further reduce maternal mortality and morbidity rates worldwide.
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