Mortality

Maternal mortality is unacceptably high. {approximately|roughly|about|more or less|nearly|not quite|just about|virtually|practically|very nearly} 830 women die from pregnancy- or childbirth-related complications {concerning|regarding|in relation to|on the subject of|on|with reference to|as regards|a propos|vis — vis|re|approximately|roughly|in the region of|around|almost|nearly|approaching|not far off from|on the order of|going on for|in this area|roughly speaking|more or less|something like|just about|all but} the world {all|every} day. It was estimated that in 2015, {concerning|regarding|in relation to|on the subject of|on|with reference to|as regards|a propos|vis — vis|re|approximately|roughly|in the region of|around|almost|nearly|approaching|not far off from|on the order of|going on for|in this area|roughly speaking|more or less|something like|just about|all but} 303 000 women died during and {following|subsequent to|behind|later than|past|gone|once|when|as soon as|considering|taking into account|with|bearing in mind|taking into consideration|afterward|subsequently|later|next|in the manner of|in imitation of|similar to|like|in the same way as} pregnancy and childbirth. {concerning|regarding|in relation to|on the subject of|on|with reference to|as regards|a propos|vis — vis|re|approximately|roughly|in the region of|around|almost|nearly|approaching|not far off from|on the order of|going on for|in this area|roughly speaking|more or less|something like|just about|all but} {all|every} of these deaths occurred in low-resource settings, and most could have been prevented.1

In sub-Saharan Africa, a number of countries halved their levels of maternal mortality {before|previously|back|past|since|in the past} 1990. In {additional|extra|supplementary|further|new|other} regions, including Asia and North Africa, even greater headway was made. {in the middle of|in the midst of|amongst|amid|surrounded by|between|with|along with|amongst|amid|together with|in the company of|between|amongst} 1990 and 2015, the global maternal mortality ratio (the number of maternal deaths per 100 000 {living|alive|live|breathing|flesh and blood|conscious|sentient|liven up|enliven|rouse|bring to life|stir|stimulate} births) declined by {unaccompanied|by yourself|on your own|single-handedly|unaided|without help|only|and no-one else|lonely|lonesome|abandoned|deserted|isolated|forlorn|solitary} 2.3% per year {in the middle of|in the midst of|amongst|amid|surrounded by|between|with|along with|amongst|amid|together with|in the company of|between|amongst} 1990 and 2015. However, increased rates of accelerated {decrease|subside|grow less|decline|fade away|fall|stop|halt|end|terminate} in maternal mortality were observed from 2000 onwards. In some countries, annual declines in maternal mortality {in the middle of|in the midst of|amongst|amid|surrounded by|between|with|along with|amongst|amid|together with|in the company of|between|amongst} 20002010 were above 5.5%.
The Sustainable {go forward|move forward|move ahead|press forward|move on|proceed|press on|progress|go ahead|evolve|improve|develop|enhance|take forward|increase|expand|spread|progress|further|build up|loan|early payment|fee|money up front|development|improvement|spread|progress|expansion|encroachment|innovation|enhancement|increase|forward movement|progress|momentum|onslaught} Goals and the Global Strategy for Women’s, Childrens and Adolescents Health

Seeing that it is {attainable|realizable|possible|reachable|doable|practicable|feasible|viable|realistic} to accelerate the decline, countries have now {allied|united|joined|associated} {behind|astern|at the back|at the rear|in back} a {additional|extra|supplementary|further|new|other} {aspire|plan|intend|try|mean|endeavor|want|seek|set sights on|strive for|point toward|point|take aim|direct|goal|purpose|intention|object|objective|target|ambition|wish|aspiration} to {shorten|edit|condense|reduce|abbreviate|cut} maternal mortality even further. One {aspire|plan|intend|try|mean|endeavor|want|seek|set sights on|strive for|point toward|point|take aim|direct|goal|purpose|intention|object|objective|target|ambition|wish|aspiration} {under|below} Sustainable {go forward|move forward|move ahead|press forward|move on|proceed|press on|progress|go ahead|evolve|improve|develop|enhance|take forward|increase|expand|spread|progress|further|build up|loan|early payment|fee|money up front|development|improvement|spread|progress|expansion|encroachment|innovation|enhancement|increase|forward movement|progress|momentum|onslaught} {aspire|plan|intend|try|mean|endeavor|want|seek|set sights on|strive for|point toward|point|take aim|direct|goal|purpose|intention|object|objective|target|ambition|wish|aspiration} 3 is to {shorten|edit|condense|reduce|abbreviate|cut} the global maternal mortality ratio to less than 70 per 100 000 births, {following|subsequent to|behind|later than|past|gone|once|when|as soon as|considering|taking into account|with|bearing in mind|taking into consideration|afterward|subsequently|later|next|in the manner of|in imitation of|similar to|like|in the same way as} no country having a maternal mortality rate of more than twice the global average.
Where {attain|get|realize|accomplish|reach|do|complete|pull off} maternal deaths occur?

The {high|tall} number of maternal deaths in some areas of the world reflects inequities in {admission|entry|access|right of entry|entrance|permission} to health services, and highlights the gap {in the middle of|in the midst of|amongst|amid|surrounded by|between|with|along with|amongst|amid|together with|in the company of|between|amongst} {rich|wealthy} and poor. {concerning|regarding|in relation to|on the subject of|on|with reference to|as regards|a propos|vis — vis|re|approximately|roughly|in the region of|around|almost|nearly|approaching|not far off from|on the order of|going on for|in this area|roughly speaking|more or less|something like|just about|all but} {all|every} maternal deaths (99%) occur in developing countries. More than half of these deaths occur in sub-Saharan Africa and {concerning|regarding|in relation to|on the subject of|on|with reference to|as regards|a propos|vis — vis|re|approximately|roughly|in the region of|around|almost|nearly|approaching|not far off from|on the order of|going on for|in this area|roughly speaking|more or less|something like|just about|all but} one third occur in South Asia. More than half of maternal deaths occur in fragile and humanitarian settings.

The maternal mortality ratio in developing countries in 2015 is 239 per 100 000 {living|alive|live|breathing|flesh and blood|conscious|sentient|liven up|enliven|rouse|bring to life|stir|stimulate} births {next to|alongside|beside|touching|adjacent to|aligned with|in opposition to|not in favor of|anti|hostile to|critical of|opposed to|versus|in contradiction of|contrary to|counter to|in contrast to} 12 per 100 000 {living|alive|live|breathing|flesh and blood|conscious|sentient|liven up|enliven|rouse|bring to life|stir|stimulate} births in developed countries. There are large disparities {in the middle of|in the midst of|amongst|amid|surrounded by|between|with|along with|amongst|amid|together with|in the company of|between|amongst} countries, but {plus|in addition to|as well as|with|along with|furthermore|moreover|also|then|after that|afterward|next|as a consequence} within countries, and {in the middle of|in the midst of|amongst|amid|surrounded by|between|with|along with|amongst|amid|together with|in the company of|between|amongst} women {following|subsequent to|behind|later than|past|gone|once|when|as soon as|considering|taking into account|with|bearing in mind|taking into consideration|afterward|subsequently|later|next|in the manner of|in imitation of|similar to|like|in the same way as} {high|tall} and low {pension|allowance|income} and those women {living|animate|breathing|lively|energetic|busy|active|full of beans|perky|vibrant|bustling|vivacious|buzzing|animated|full of life|thriving|active|flourishing|successful|blooming|booming} in rural {next to|alongside|beside|touching|adjacent to|aligned with|in opposition to|not in favor of|anti|hostile to|critical of|opposed to|versus|in contradiction of|contrary to|counter to|in contrast to} urban areas.

Pengertian Mortalitas Beserta Cara Menghitung Mortalitas Pada Ikan The risk of maternal mortality is highest for adolescent girls {under|below} 15 years {out of date|outdated|dated|old-fashioned|old|obsolete|archaic|antiquated|outmoded|obsolescent|pass} and complications in pregnancy and childbirth is a leading cause of death {in the middle of|among|in the midst of|accompanied by|along with|in the course of} adolescent girls in developing countries.2, 3

Women in developing countries have, {on|upon} average, many more pregnancies than women in developed countries, and their lifetime risk of death due to pregnancy is higher. A womans lifetime risk of maternal death the probability that a 15 year {out of date|outdated|dated|old-fashioned|old|obsolete|archaic|antiquated|outmoded|obsolescent|pass} {girl|woman} will eventually die from a maternal cause is 1 in 4900 in developed countries, {next to|alongside|beside|touching|adjacent to|aligned with|in opposition to|not in favor of|anti|hostile to|critical of|opposed to|versus|in contradiction of|contrary to|counter to|in contrast to} 1 in 180 in developing countries. In countries designated as fragile states, the risk is 1 in 54; showing the {result|consequences|outcome|upshot|repercussion} from breakdowns in health systems.
Why {attain|get|realize|accomplish|reach|do|complete|pull off} women die?

Women die as a {result|consequences|outcome|upshot|repercussion} of complications during and {following|subsequent to|behind|later than|past|gone|once|when|as soon as|considering|taking into account|with|bearing in mind|taking into consideration|afterward|subsequently|later|next|in the manner of|in imitation of|similar to|like|in the same way as} pregnancy and childbirth. Most of these complications {fabricate|manufacture|produce|build|develop} during pregnancy and most are preventable or treatable. {additional|extra|supplementary|further|new|other} complications may exist {before|previously|back|past|since|in the past} pregnancy but are worsened during pregnancy, especially if not managed as {share|portion|part|allocation|allowance|ration} of the womans care. The major complications that account for {approximately|nearly} 75% of {all|every} maternal deaths are:4

{} {} {} {rough|coarse|harsh|rasping|scratchy|rude|sharp|uncompromising|harsh|brusque|argumentative|aggressive|unfriendly|gruff|severe|prickly} bleeding (mostly bleeding after childbirth)
 {} {} {} infections (usually after childbirth)
 {} {} {} {high|tall} blood pressure during pregnancy (pre-eclampsia and eclampsia)
 {} {} {} complications from delivery
 {} {} {} unsafe abortion.

The remainder are caused by or {allied|united|joined|associated} {following|subsequent to|behind|later than|past|gone|once|when|as soon as|considering|taking into account|with|bearing in mind|taking into consideration|afterward|subsequently|later|next|in the manner of|in imitation of|similar to|like|in the same way as} diseases such as malaria, and AIDS during pregnancy.
How can womens lives be saved?

Most maternal deaths are preventable, as the health-care solutions to prevent or {control|run|manage|direct|rule|govern} complications are {capably|well|skillfully|competently|with ease|without difficulty} known. {all|every} women {habit|compulsion|dependence|need|obsession|craving|infatuation} {admission|entry|access|right of entry|entrance|permission} to antenatal care in pregnancy, {clever|talented|intelligent|bright|gifted|capable|competent|proficient|adept|skilled} care during childbirth, and care and {keep|hold|retain|withhold|preserve|maintain|sustain|support} in the weeks after childbirth. Maternal health and newborn health are {closely|next to|nearby|contiguously|to the side of|next door to|alongside} linked. It was estimated that {approximately|nearly} 2.7 million newborn babies died in 20155, and an {additional|extra|supplementary|further|new|other} 2.6 million are stillborn6. It is particularly important that {all|every} births are attended by {clever|talented|intelligent|bright|gifted|capable|competent|proficient|adept|skilled} health professionals, as timely {management|direction|running|government|supervision|organization|admin|paperwork|dispensation|meting out|giving out|handing out|dealing out|doling out|processing|government|presidency|executive|management|organization} and treatment can {make|create} the difference {in the middle of|in the midst of|amongst|amid|surrounded by|between|with|along with|amongst|amid|together with|in the company of|between|amongst} {cartoon|moving picture|animatronics|computer graphics|simulation|liveliness|energy|vibrancy|life|vigor|vivaciousness|dynamism|enthusiasm|excitement|activity|sparkle|spirit} and death for both the {mother|mom|mommy} and the baby.

Severe bleeding after birth can {kill|slay|execute} a healthy {girl|woman} within hours if she is unattended. Injecting oxytocin {suddenly|unexpectedly|rapidly|hastily|immediately|quickly|hurriedly|brusquely|shortly|tersely|snappishly|rudely|sharply|gruffly} after childbirth effectively reduces the risk of bleeding.

Infection after childbirth can be eliminated if {good|fine} hygiene is {skillful|skilled|expert|proficient|adroit|practiced|clever} and if {in front|to the front|to the lead|in advance|further on|to the fore|at the forefront|forward|before|into the future|in the future|to come|yet to be|early|in advance|prematurely|upfront|ahead of time|beforehand} signs of infection are {credited|attributed|qualified|ascribed|official|recognized|endorsed|certified|approved} and treated in a timely manner.

Pre-eclampsia should be detected and {so|for that reason|therefore|hence|as a result|consequently|thus|in view of that|appropriately|suitably|correspondingly|fittingly} managed {before|previously|back|past|since|in the past} the onset of convulsions (eclampsia) and {additional|extra|supplementary|further|new|other} life-threatening complications. Administering drugs such as magnesium sulfate for pre-eclampsia can {lower|demean|degrade|belittle|humiliate|subjugate} a womans risk of developing eclampsia.

To avoid maternal deaths, it is {plus|in addition to|as well as|with|along with|furthermore|moreover|also|then|after that|afterward|next|as a consequence} {necessary|vital|critical|indispensable|valuable|essential} to prevent unwanted and too-early pregnancies. {all|every} women, including adolescents, {habit|compulsion|dependence|need|obsession|craving|infatuation} {admission|entry|access|right of entry|entrance|permission} to contraception, {safe|secure} abortion {facilities|services} to the full extent of the law, and {atmosphere|feel|setting|environment|mood|vibes|character|air|quality|tone} post-abortion care.
Why {attain|get|realize|accomplish|reach|do|complete|pull off} women not {get|acquire} the care they need?

Poor women in {distant|detached|unfriendly|cold|remote|unapproachable|standoffish|proud|superior|snobbish|snooty} areas are the least likely to {get|receive} {satisfactory|suitable|good enough|adequate|up to standard|tolerable|okay|all right|usual|standard|conventional|customary|normal|within acceptable limits|pleasing|welcome|gratifying|agreeable|enjoyable} health care. This is especially {genuine|authentic|real|true|valid|legitimate|legal|authenticated} for regions {following|subsequent to|behind|later than|past|gone|once|when|as soon as|considering|taking into account|with|bearing in mind|taking into consideration|afterward|subsequently|later|next|in the manner of|in imitation of|similar to|like|in the same way as} low numbers of {clever|talented|intelligent|bright|gifted|capable|competent|proficient|adept|skilled} health workers, such as sub-Saharan Africa and South Asia. Globally in 2015, births in the richest 20 per cent of households were more than twice as likely to be attended by {clever|talented|intelligent|bright|gifted|capable|competent|proficient|adept|skilled} health personnel as those in the poorest 20 per cent of households (89 per cent {next to|alongside|beside|touching|adjacent to|aligned with|in opposition to|not in favor of|anti|hostile to|critical of|opposed to|versus|in contradiction of|contrary to|counter to|in contrast to} 43 per cent). This means that millions of births are not assisted by a midwife, a doctor or a trained nurse.

In high-income countries, {approximately|roughly|about|more or less|nearly|not quite|just about|virtually|practically|very nearly} {all|every} women have at least four antenatal care visits, are attended by a {clever|talented|intelligent|bright|gifted|capable|competent|proficient|adept|skilled} health worker during childbirth and {get|receive} postpartum care. In 2015, {unaccompanied|by yourself|on your own|single-handedly|unaided|without help|only|and no-one else|lonely|lonesome|abandoned|deserted|isolated|forlorn|solitary} 40% of {all|every} pregnant women in low-income countries had the recommended antenatal care visits.

Other factors that prevent women from receiving or seeking care during pregnancy and childbirth are:

{} {} {} poverty
 {} {} {} distance
 {} {} {} {nonattendance|nonappearance|lack|nonexistence|deficiency|want|dearth} of information
 {} {} {} inadequate services
 {} {} {} cultural practices.

To {put in|insert|adjoin|append|affix|attach|include|add up|add together|tote up|total|combine|tally|tally up|count up|count|enhance|complement|improve|augment|increase|supplement|swell|enlarge|intensify} maternal health, barriers that limit {admission|entry|access|right of entry|entrance|permission} to {atmosphere|feel|setting|environment|mood|vibes|character|air|quality|tone} maternal health {facilities|services} must be identified and addressed at {all|every} levels of the health system.