Maternal deaths are being prevented, but not quickly enough
Preventing maternal deaths is not difficult, says Hannah Saidu, who manages a maternity unit in Sierra Leone, so long as “you have skilled midwives, and you know what to do”. If that is obvious, it still bears repeating. About 200,000 women in sub-Saharan Africa die in childbirth every year, largely from bleeding, hypertensive disorders and infection.
By noting how much blood has collected, health workers can quickly assess danger. A recent trial in Kenya, Nigeria, Tanzania and South Africa combined the use of a calibrated drape with a bundle of treatments, such as oxytocic drugs and uterine massage. Severe bleeding was 60% lower in trial hospitals. Innovation only works when there are robust health systems to support it. One reason that Nigeria fares so badly is that only half of births there are attended by skilled staff.
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