Yale Public Health Students this one’s for you: let’s go to Laos and collect some data that will lower the IMR and MMR. Read on for my summary of the article. Full article here.
As we know, pregnancy related infections are a leading cause of maternal and infant death in the developing world. New research by Michael Gravett and a team from the University of Washington, PATH (Program for Appropriate Technology in Health), and GAPPS (Global Alliance to Prevent Prematurity and Stillbirth, Seattle Children’s) reveals that 4 conditions are the main cause of infection. Oh yeah and these causes are treatable and preventable.
We pay particular attention to Africa and Asia, two regions that together account for 80% of global maternal mortality and where puerperal sepsis accounts for 10%–12% of all maternal deaths
The authors reviewed previously published studies on pregnancy-related infections, focused in particular on Africa and Asia to learn ways to identify and treat infections before they can cause death.
So here’s the big four deadly birth-related infections:
(1) puerperal sepsis (chorioamnionitis and PPE),(2) pyelonephritis/urosepsis [UTI], (3) septic abortion, and (4) skin and soft tissue infections (SSTIs)
What should be done?
1. Build infection protection into prenatal care (focus on first visit and start of labor)
2. Cheap diagnosis and medicines available at first visit and labor
3. “Improved data collection on the types of organisms causing pregnancy-related infections.”
“Each of these [infections] occurs at a distinct time during pregnancy, providing opportunities for screening and prevention.”
“There is a great need for comprehensive studies in low-and-middle-income countries exploring the epidemiology, risk factors, and microbiology of life-threatening maternal infections.”
“Without such data, women will continue to be treated inappropriately and experience potentially preventable mortality and morbidity.”