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Title: Women's health. Journal: Afr Health; 1994 May; 16(4):3. PubMed ID: 12287670. Abstract: This discussion encompassed WHO's Safe Motherhood initiatives and consequences, maternal mortality increases, the 1st International Congress of the Medical Women's International Association in 1993, and the need for postpartum care. There is more concern that the effort to train traditional birth attendants has not decreased maternal mortality rates in Africa. Even though the WHO Safe Motherhood Initiative was launched in 1987 in Africa, there have been increases in the number of women dying of pregnancy-related causes. The recent WHO report, Coverage of Maternity Care, revealed that in Africa 42% of all births were attended in 1993, which constituted a 4% increase over the past 6 years. There were still high rates of maternal mortality in East, West, and Central Africa: over 700 deaths per 100,000 live births. Southern African maternal mortality is under 300. The International Planned Parenthood Federation has promoted the position that adolescents should be given access to contraceptive services regardless of their marital status or financial situation. The implication is that prevention of unplanned pregnancies among the young will impact favorably on maternal mortality rates. Further recommendations were that adolescent services refrain from the traditional practice of pelvic examinations, which may be a disincentive to request contraceptives. Information from the Safe Motherhood Newsletter emphasized the importance of postpartum care for mothers after delivery, because a mother's needs are frequently neglected. Postpartum visits should include at least one visit within 3 days of delivery.[Abstract] [Full Text] [Related] [New Search]