Safer motherhood begins before pregnancy, Pg12

Key Highlights:

• India's maternal mortality ratio has significantly decreased from 384 deaths per 100,000 live births in 2000 to 88 in 2023.
• Anaemia affects 57% of women aged 15-49 in India, according to NFHS-V data, increasing risks during pregnancy.
• Iron and folic acid supplementation programs need to reach women early in life to address iron deficiency.
• Postpartum haemorrhage is a leading cause of maternal deaths, but interventions like the E-MOTIVE bundle have shown promise.

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Detailed Insights:

• Delaying pregnancies among urban women and limited access to antenatal care in rural areas highlight the need for comprehensive maternal care.
• Anaemia increases the risk of haemorrhage and infection, potentially leading to maternal deaths and pre-term labor.
• Oral iron is a standard treatment for mild to moderate anaemia, but adherence can be challenging, and absorption is unpredictable.
• Intravenous iron, particularly Ferric Carboxymaltose (IV-FCM), is a crucial option for women with severe anaemia or those who cannot tolerate oral iron.
• The E-MOTIVE bundle has reduced severe bleeding outcomes by 60% in resource-limited settings, demonstrating the effectiveness of proven interventions.
• The ADHUNA initiative strengthens provider awareness and shares practical tools, showcasing the potential of collaborative platforms in improving maternal care.
• Safer motherhood requires better nutrition, earlier testing, timely treatment, and a supportive healthcare system for women at every stage of life.

Key Concepts Involved:

• Maternal Mortality Ratio (MMR): The number of maternal deaths per 100,000 live births.
• Anaemia: A condition characterized by a deficiency of red blood cells or haemoglobin in the blood.
• Postpartum Haemorrhage: Excessive bleeding after childbirth, a leading cause of maternal deaths.