For most families, the arrival of a new child is a joyous and celebrated occasion. However, in many countries in the developing world, having a baby can be a dangerous undertaking: Approximately 800 women die during childbirth each day; 99% of all maternal deaths occur in the developing world. The loss of a mother is a tragedy for her family and her community.
Imagine you are a physician in rural Uganda: You know there is a high-risk patient who lives in a village several hours away from your regional hospital. She has no transportation, no running water, no electricity, and no cell phone access. Despite the fact that you have the skills to assist in a safe delivery, the barriers to access will likely prevent this woman from coming to the hospital, greatly increasing the chance she will die in childbirth.
Complications that cause most maternal deaths in the developing world are severe bleeding, high blood pressure, obstructed labor, and infections. Our challenge and our hope is this: We have proven life-saving interventions routinely used in the US and other industrialized nations to prevent these deaths. And while they have the potential to dramatically improve maternal outcomes, it has been very difficult to implement these interventions in low-resource settings.
We now have a wonderful window of opportunity with a groundswell of support to develop initiatives to improve maternal and infant health. The American College of Obstetricians and Gynecologists (The College) is playing an integral role in Saving Mothers, Giving Life (SMGL), an innovative public-private partnership that aims to reduce maternal mortality in the developing world. As a founding member of SMGL, The College has joined with the governments of US and Norway, Merck for Mothers, and Every Mother Counts to dramatically accelerate progress in preventing maternal death. Work has already begun in Uganda and Zambia with a goal to reduce the number of maternal deaths by up to 50% in a year, and plans are under way to expand our reach into other developing nations disproportionately affected by maternal mortality.
I’m both honored and excited to represent The College and be a part of SMGL. This coalition has a unique opportunity to make a difference. I firmly believe we can and we will. Watch for updates and opportunities on The College website to get involved in these important initiatives.