Collaboration Is Essential to Improving Maternal and Newborn Health in Indonesia

September 14, 2018It'll  take a nation to change the numbers for Indonesia's  moms and babies.As Indonesia celebrates its 73rd year of independence, most people are aware of the country ’s impressive economic development over the past few years. But perhaps fewer are aware that, every hour, across this massive archipelago, two mothers and eight newborns die.The country still faces unacceptably high levels of maternal and newborn mortality. This is a multi-faceted and complex issue, which requires collaboration between all elements of society to ensure effective measures are taken to improve maternal and newborn wellbeing.The Intercensal Survey of 2015 estimated that the maternal mortality is 305 per 100,000 live births. The Indonesia Demographic and Health Survey 2017 data suggests newborn deaths are 15 per 1,000 live births.The country aims to reduce the maternal mortality ratio to less than 70 per 100,000 live births.Despite less maternal and newborn mortality between 1990 and 2015, Indonesia fell short of the Millennium Development Goals that require countries to reduce mortality rates by three quarters. In Asia, Indonesia ranks behind Bangladesh, Cambodia, and Myanmar on this front.Reducing maternal and newborn deaths is part of the Sustainable Development Goals (SDGs), a United Nations-led agenda guiding countries worldwide to work together to tackle global challenges over the next 15 years. Under Goal 3, countries agree to ensure healthy lives and promot...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Source Type: news

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Marjon E. Feenstra1†, Mirthe H. Schoots2†, Torsten Plösch1, Jelmer R. Prins1, Sicco A. Scherjon1, Albertus Timmer2, Harry van Goor2 and Sanne J. Gordijn1* 1Department of Obstetrics and Gynecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands 2Department of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands Objective: Management of late fetal growth restriction (FGR) is limited to adequate fetal monitoring and optimal timing of delivery. The Disproportionate Intrauterine Growth Intervention ...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
Conclusions Altogether, this review summarized the current knowledge of the polarization of macrophages and their regulatory mechanisms at different stages of pregnancy, as well as the roles of these cells in pathological processes. Although current evidence provides a compelling argument that macrophages are important in pregnancy, our understanding of the roles and mechanisms of macrophages in pregnancy is still rudimentary. Since macrophages exhibit functional plasticity, they may be ideal targets for therapeutic manipulation during pathological pregnancy. Additional studies are needed to better define the functions an...
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
CONCLUSIONS: HIE is correlated with maternal factors, fetal growth, uterine environment and labor process, and the rs2067853 polymorphism in AGT gene is associated with HIE. PMID: 30915766 [PubMed - in process]
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
The objective of the study was to explore trial of labor and its failure in pregnancies with medical risk conditions, in a population with a high trial of labor rate.Material and methodsIn a cohort study (n=57  109), using data from the Medical Birth Registry of Norway 1989‐2014, women with a second delivery after a first pregnancy cesarean section were included. Preterm, multiple, and non‐cephalic deliveries were excluded. The outcomes were trial of labor and failed trial of labor, assessed as rates and relative risk, using deliveries without risk conditions as reference. Temporal trends were assessed by three‐...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
CONCLUSIONS: Currently there is insufficient high-quality evidence about the effects on health outcomes of relevance for women with GDM and their babies for many of the comparisons in this overview comparing treatment interventions for women with GDM. Lifestyle changes (including as a minimum healthy eating, physical activity and self-monitoring of blood sugar levels) was the only intervention that showed possible health improvements for women and their babies. Lifestyle interventions may result in fewer babies being large. Conversely, in terms of harms, lifestyle interventions may also increase the number of inductions. T...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
Beyonce revealed that she experienced toxemia, also known as preeclampsia, while she was pregnant with her twins, Sir and Rumi. The condition left her swollen and put her on bed rest for more than a month. In an interview in the September issue of Vogue, the entertainer said that the condition led to an emergency Cesarean section, which required the twins to spend weeks in the neonatal intensive care unit (NICU). Here’s what you should know about toxemia, aka preeclampsia. What is preeclampsia, and why is it also called toxemia? About 5% of pregnant women will get preeclampsia while expecting — usually toward t...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime Reproductive Health Source Type: news
CONCLUSION: Our findings suggest that in women with isolated chronic hypertension, induction of labor at 38 or 39 weeks of gestation may prevent severe hypertensive complications without increasing the risk of cesarean delivery. PMID: 30095783 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
BackgroundThe adoption of the International Association of Diabetes Study Groups (IADPSG) criteria for gestational diabetes mellitus (GDM) in Australia has been controversial. Obesity in pregnancy is also a growing concern. AimsTo assess the impact of IADPSG criteria on the incidence of GDM and pregnancy outcomes, and to compare this to the effect of obesity, particularly among women who would not have GDM by the Australasian Diabetes in Pregnancy Society 1998 criteria (ADIPS1998). Material and MethodsA retrospective observational cohort study linking results of 75 g glucose tolerance tests with demographic and pregna...
Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Tags: Original Article Source Type: research
CONCLUSIONS: Evidence from 11 RCTs assessing different methods or settings for glucose monitoring for GDM suggests no clear differences for the primary outcomes or other secondary outcomes assessed in this review.However, current evidence is limited by the small number of RCTs for the comparisons assessed, small sample sizes, and the variable methodological quality of the RCTs. More evidence is needed to assess the effects of different methods and settings for glucose monitoring for GDM on outcomes for mothers and their children, including use and costs of health care. Future RCTs may consider collecting and reporting on t...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: There are insufficient RCT data to evaluate the use of oral anti-diabetic agents in women with established diabetes, impaired glucose tolerance or previous gestational diabetes who are planning a pregnancy, or in pregnant women with pre-existing diabetes. Low to very low-quality evidence suggests possible reductions in pregnancy-induced hypertension, caesarean section birth and neonatal hypoglycaemia with metformin compared with insulin for women with type 2 diabetes diagnosed before or during their pregnancy, and no clear differences in pre-eclampsia, induction of labour and babies that are large-for-gestatio...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
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