Maternal Health Time to Deliver 英文参考文献.docVIP

Editorial MaternalHealth:TimetoDeliver ThePLoSMedicineEditors* Ashockingnumberofwomendieorare disabled each year trying to give birth— morethan10millionwomen,accordingto theWHO,99%ofwhomareindeveloping countries[1].ThematernalhealthMillen- and rates are consistently higher among uneducated and rural women, and in areas of conflict. As others have stated, the most important hazards to maternal health, including unsafe abortion, are preventable with access to proven health care[1]. results of a priority setting analysis using theLivesSavedTool(LiST).Estimatesof mortality reduction for 42 sub-Saharan African countries shows that nearly 4 million deaths among women, newborns, and children would be averted if already well known interventions such as emer- gency obstetric care, breastfeeding coun- seling, and treatment for diarrhea and pneumoniaweretoreach90%offamilies. A detailed analysis of nine diverse coun- tries estimated mortality reductions and additional cost for feasible increases in coverage (to 20%) of high-impact inter- ventions. Among those findings directly related to maternal health, Black and colleagues report that even in areas with nium Development Goals (MDGs)— to reduce maternal mortality by three- quartersandtoprovideuniversalaccessto reproductive health by 2015—are long consideredthemostunderachievingofthe MDGsand have been chronically lowon politicalprioritylists.Recentinternational attention to maternal health, including its TheanalysisbyLawnandcolleaguesof access to interventions that are known to improvematernalhealthrevealsgoodand bad news. Across the region 71% of pregnant women receive at least one antenatalcarevisitwithaskilledattendant such as a doctor, nurse, or midwife. But lessthanhalfofallbirthsareattendedby skilledpersonnel,althoughsomecountries likeBenin,BurkinaFaso,andGhanahave made important progress that others can model. Inequity is stark: there is a 5-fold higher rate of skilled attendance at birth amongtheleastpoorversust