Childbirth and Maternal Mortality in Morocco: The Role of Midwives

Author(s):  
Marie Hatem ◽  
Fatima Temmar ◽  
Bilkis Vissandjée
Keyword(s):  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Vedran Stefanovic

Abstract Despite substantial improvement in reducing maternal mortality during the recent decades, we constantly face tragic fact that maternal mortality (especially preventable deaths) is still unacceptably too high, particularly in the developing countries, where 99% of all maternal deaths worldwide occur. Poverty, lack of proper statistics, gender inequality, beliefs and corruption-associated poor governmental policies are just few of the reasons why decline in maternal mortality has not been as sharp as it was wished and expected. Education has not yet been fully recognized as the way out of poverty, improvement of women’s role in the society and consequent better perinatal care and consequent lower maternal mortality. Education should be improved on all levels including girls, women and their partners, medical providers, religious and governmental authorities. Teaching the teachers should be also an essential part of global strategy to lower maternal mortality. This paper is mostly a commentary, not a systematic review nor a meta-analysis with the aim to rise attention (again) to the role of different aspects of education in lowering maternal mortality. The International Academy of Perinatal Medicine should play a crucial role in pushing the efforts on this issue as the influential instance that promotes reflection and dialog in perinatal medicine, especially in aspects such as bioethics, the appropriate use of technological advances, and the sociological and humanistic dimensions of this specific problem of huge magnitude. The five concrete steps to achieve these goals are listed and discussed.


2020 ◽  
Vol 12 (13) ◽  
pp. 165
Author(s):  
Duke Emon Umoe ◽  
Lukpata Felicia ◽  
Agba Mathias ◽  
Nwakwue C. Ndukaku

Transportation is vital in accessing healthcare services as well as reducing maternal mortality. This study examined clients’ perception of the role of transportation to the hospital and level of hospital in reducing maternal mortality in Calabar. This study was a cross-section descriptive design. Four (4) research questions were developed for the study. A total of 220 participants were recruited by proportionate sampling technique. Respondents were selected from four clinic days Tuesdays, Wednesdays, Thursdays and Fridays in each visit for a period of two weeks were used for the study. A structured questionnaire was used to collect data. The data were analysed using frequencies and percentages. The finding of the study revealed that: 153 (68%) agreed that good transportation increases the number of times participants go for an antenatal visit. 159 (72%) of the respondents viewed that good roads and vehicles make a journey to the hospital quick and easy. 177 (62%) opined that the best way to visit the hospital is by one’ s car or a taxi drop. 203 (93%) agreed that hospital has skilled midwives and doctors; 153 (70%) agreed that level of the hospital is reflective of low maternal and infant deaths; 159 (72%) agreed that healthcare team are highly skilled in handling both complicated and uncomplicated deliveries. 181 (78%) supports the notion that transportation plays a huge role in the reduction of maternal mortality in Calabar; 148 (67%) agreed that good road network has an indirect role in reducing maternal mortality in Calabar; 146 (67%) opined that controlled traffic helps reduced maternal mortality in Calabar, and 159 (71%) agreed that lack of access to transport for women in labour can increase stillbirth and maternal death rates. The study concludes that a good road network should be provided to reduce maternal mortality in Calabar.


1987 ◽  
Vol 18 (3) ◽  
pp. 128 ◽  
Author(s):  
Beverly Winikoff ◽  
Maureen Sullivan

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