Reduction in mortality needs a bit more than the science of perinatology
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S.S. Sheth
Abstract
The absence or non-availability of medical centers with inaccessible distance and delay in providing treatment is an insurmountable problem in backward regions. A pregnant mother from a developing country is 30 times more likely to die than a mother from a developed country and her newborn faces the same risk of mortality. The involvement of government is a vital part of the attempt to achieve improvements. Government has the power and obstetricians have the information to lead the way. No doubt even when the two cooperate there is still room for inadequacy, but perhaps partners like the WHO, UNFPA, UNICEF, IPPF, FIGO, World Bank, World Association of Perinatal Medicine, World Pediatric Association, International Midwives Confederation, etc. can help to achieve targets. There is urgent need for the twinning of the perinatal departments of developing countries with the perinatal departments of advanced countries and/or the twinning of countries or geographical areas, or of NGOs with government and change in mindsets where required. To obtain the maximum benefits from such an approach, it would be necessary to go a little beyond perinatal science.
Copyright © 2003 by Walter de Gruyter GmbH & Co. KG
Articles in the same Issue
- Message from the President of the WCPM
- Message from the President of the WAPM
- Antalya Consensus on Perinatal Care:The Report of the 2nd World Congress of Perinatal Medicine for Developing Countries, 1–5 October 2002, Antalya, Turkey
- Reduction in mortality needs a bit more than the science of perinatology
- Global, regional and national perinatal and neonatal mortality
- Maternal mortality in Turkey
- Maternal mortality in developing countries
- Organization of neonatal care services and its importance
- The Misgav Ladach method – a step forward in operative technique in obstetrics
- Monitoring the IUGR fetus
- Massive obstetric hemorrhage
- Breech deliveries and cesarean section
- Iron supplementation in pregnancy
- Antenatal diagnosis and prognosis of conjoined twins – a case report
- Preliminary report on a new and noninvasive method for the assessment of fetal lung maturity
- Perinatal mortality rate – hospital based study during 1998–2001 at Hacettepe University
- The effect of glucocorticoid therapy on prevention of early neonatal complications in preterm delivery
- Congress Calendar
Articles in the same Issue
- Message from the President of the WCPM
- Message from the President of the WAPM
- Antalya Consensus on Perinatal Care:The Report of the 2nd World Congress of Perinatal Medicine for Developing Countries, 1–5 October 2002, Antalya, Turkey
- Reduction in mortality needs a bit more than the science of perinatology
- Global, regional and national perinatal and neonatal mortality
- Maternal mortality in Turkey
- Maternal mortality in developing countries
- Organization of neonatal care services and its importance
- The Misgav Ladach method – a step forward in operative technique in obstetrics
- Monitoring the IUGR fetus
- Massive obstetric hemorrhage
- Breech deliveries and cesarean section
- Iron supplementation in pregnancy
- Antenatal diagnosis and prognosis of conjoined twins – a case report
- Preliminary report on a new and noninvasive method for the assessment of fetal lung maturity
- Perinatal mortality rate – hospital based study during 1998–2001 at Hacettepe University
- The effect of glucocorticoid therapy on prevention of early neonatal complications in preterm delivery
- Congress Calendar
