The New Nation - Internet Edition

BSS, Dhaka

A new report on maternal mortality, released by UNICEF on Sunday, highlights the risks faced during pregnancy and childbirth by women in developing countries.

Progress for Children: A Report Card on Maternal Mortality states that, according to the latest data, more than 99 per cent of all maternal deaths occur in developing countries, with some 84 per cent concentrated in sub-Saharan Africa and South Asia.

"The tragic fact is that every year more than half a million women lose their lives as a result of complications due to pregnancy or childbirth," said Peter Salama, UNICEF's Chief of Health. "The causes of maternal mortality are clear-as are the means to combat them. Yet women continue to die unnecessarily."

It added that haemorrhage is the most common cause of death, particularly in Africa and Asia. A woman's overall health-including her nutritional level and HIV status - also influences the chances of a positive outcome to her pregnancy and childbirth.

In the developing world, the risk of death from complications relating to pregnancy and childbirth over the course of a woman's lifetime is one in 76, compared with one in 8,000 in the industrialised world. The riskiest place to give birth is Niger, where that risk is estimated to be one in seven.

Most maternal deaths are avoidable. A key to avoiding them is better health care- particularly during pregnancy, delivery and in the post-partum period.

The report noted that there have been some promising areas of improvement in maternal health interventions in recent years. Coverage of antenatal care throughout the developing world has increased by 15 percentage points in the past decade, with 75 per cent of expectant mothers now receiving some antenatal care. At the same time, many countries have boosted coverage of skilled delivery attendance. In parts of Asia, for example, the proportion of women who have a skilled attendant present during delivery jumped from 31 to 40 per cent between 1995 and 2005. Increases have also been seen in many African countries.

However the pace of progress towards reaching the Millennium Development Goal on maternal health, which calls for a 75 per cent reduction in the maternal mortality ratio between 1990 and 2015, has been too slow throughout the developing world and must now be accelerated if the goal is to be reached, the report said.

"Saving mothers' lives is not only a moral imperative, but a sound investment that benefits their children, their families, their communities and their countries," said Tessa Wardlaw, UNICEF's Chief of Statistics and Monitoring.