Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-31T13:03:14.847Z Has data issue: false hasContentIssue false

Chapter 2 - Training in Contraception and Abortion to Reduce Maternal Mortality

from Section I - Abortion Training: Workforce, Leadership, Social & Political Impact

Published online by Cambridge University Press:  30 July 2021

Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
Get access

Summary

Only a few kinds of interventions account for most of the reductions in maternal mortality rates over the past 20 years.These are directed at the most important causes of maternal deaths worldwide.Unsafe abortion remains among the three leading causes in countries where access to safe abortion is restricted by law or tradition, notably in Africa and Latin America.Reduction of maternal deaths from unsafe abortion depends on adequate training of doctors and nurses to provide it.Several chapters in this book describe national programs to reduce maternal mortality that incorporated abortion training into both basic and post graduate education of health care providers.This chapter provides the rationale for training in safe abortion to reduce maternal mortality and the key components of successful efforts.

Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
, pp. 21 - 31
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

The Millennium Development Goals Report 2015. New York: United Nations; 2015:75. http://mdgs.un.org/unsd/mdg/Resources/Static/Products/Progress2015/English2015.pdf.Google Scholar
Arulkumaran, S, Hediger, V, Manor, A, May, J. Saving Mothers’ Lives: Transforming Strategy into Action.  Imperial College, London: Global Health Policy Summit, Report of the Maternal Health Working Group; 2012:19.Google Scholar
Rodriguez, MI, Chang, R, Thiel de Bocanegra, H. The impact of postpartum contraception on reducing preterm birth: findings from California. Am J Obstet Gynecol. 2015;213(5):703.e1–6.Google Scholar
White, K, Teal, SB, Potter, JE. Contraception after delivery and short interpregnancy intervals among women in the United States. Obstet Gynecol. 2015;125(6):14711477.Google Scholar
McDorman, M, Declercq, E, Cabral, H, Morton, C. Recent Increases in the US maternal mortality rate: disentangling trends from measurement issues. Obstet Gynecol. 2016;128:447553.Google Scholar
Moaddab, A, Dildy, G, Brown, H, et al. Racial differences in maternal mortality in the USA. Obstet Gynecol. 2018;131(4):707712.Google Scholar
Joseph, K, Lisonkova, M, Giulia, M, et al. Factors underlying the temporal increase in maternal mortality in the United States. Obstet Gynecol. 2017;129(1):91100.Google Scholar
Knight, M, Bunch, K, Tuffnell, D, et al. (Eds.), on behalf of MBRRACE-UK. Saving Lives, Improving Mothers’ Care: Lessons Learned to Inform Maternity Care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2014–16. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2018. www.npeu.ox.ac.uk/mbrrace-ukGoogle Scholar
Womersley, K. Why giving birth is safer in Britain than in the U.S. ProPublica; August 31, 2017.Google Scholar
Terplan, M. Women and the opioid crisis: historical context and public health solutions. Fertil Steril. 2017;108:195–196.Google Scholar
Petersen, EE, Davis, NL, Goodman, D, et al. Vital signs: pregnancy-related deaths, United States, 2011–2015, and strategies for prevention, 13 states, 2013–2017. MMWR Morb Mortal Wkly Rep. 2019;68:423429. doi:http://dx.doi.org/10.15585/mmwr.mm6818e1Google Scholar
Chescheir, N. Drilling down on maternal mortality. Obstet Gynecol. 2016;128:427428.Google Scholar
Addante, A, Eisenberg, D, Leonard, J, Hoofnagle, M. The association of restricted abortion access and increasing rates of maternal mortality in the United States. Contraception. 2019;100:306.Google Scholar
Yifru, B. National Maternal Death Surveillance and Response (MDSR) Annual Report, 2010 EFY. Ethiopian Public Health Institute, Public Health Emergency Management System (PHEMS); 2011.Google Scholar
Yifru, B. Abortion-related mortality in EthiopiaEthiop J Health Sci2014;24(Suppl 0):1528.Google Scholar
Pathak, LR, Malla, DS, Pradhan, A. Maternal Mortality and Morbidity Study. Kathmandu: Ministry of Health; 1998.Google Scholar
Samandari, G, Wolf, M, Basnett, I, Hyman, A, Anderson, C. Implementation of legal abortion in Nepal: a model for rapid scale up of high-quality care. Reprod Health. 2012;9:7.CrossRefGoogle Scholar
Abortion Task Force. Workshop Report – National Implementation Plan for Abortion Services. Kathmandu: Ministry of Health, Department of Health Services, Family Health Division; November 18–19, 2002.Google Scholar
Henderson, JT, Puri, M, Blum, M, et al. Effects of abortion legalization in Nepal, 2001–2010. PLoS One. 2013;8(5):e64775.CrossRefGoogle ScholarPubMed
Tamang, A, Puri, M, Lama, K, Shrestha, P. Pharmacy workers in Nepal can provide the correct information about using mifepristone and misoprostol to women seeking medication to induce abortion. Reprod Health Matters. 2015;(Suppl 44):104–105.Google Scholar
Rocca, CH, Puri, M. Shrestha, P, et al. Effectiveness and safety of early medication abortion provided in pharmacies by auxiliary nurse-midwives: a non-inferiority study in Nepal. PLoS One. 2018;13(1):e0191174. doi:10.1371/journal.pone.0191174CrossRefGoogle ScholarPubMed
Darney, P, Nakamura, C, Regan, L, Surur, F, Thapa, K. Maternal mortality in the USA compared to Ethiopia, Nepal, Brazil and UK: contrasts in reproductive health policies. Obstet Gynecol. 2020;135:16.Google Scholar
Martin, N, Montagne, R. The last person you’d expect to die in childbirth. ProPublica; May 12, 2017. www.propublica.org/article/die-in-childbirth-maternal-death-rate-health-care-systemGoogle Scholar
Veklerov, K. How California learned to keep pregnant women, new moms from dying. San Francisco Chronicle; September 4, 2018. www.sfchronicle.com/news/article/How-California-learned-to-keep-pregnant-women-and-13204352.phpGoogle Scholar
Moaddab, A, Dildy, GA, Brown, HL, et al. Health care disparity and pregnancy-related mortality in the United States, 2005–2014. Obstet Gynecol. 2018;131(4):707712.CrossRefGoogle ScholarPubMed
Henderson, JT, Puri, M, Blum, M, et al. Effects of abortion legalization in Nepal, 2001–2010. PLoS One. 2013;8(5):e64775.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×