Natasha Hezelgrave from Kings College London reviews ?Maternal and Perinatal Health in Developing Countries? Maternal mortality represents one of the starkest disparities in health outcomes between developing and developed countries. An estimated 358,000 maternal deaths occur annually and over eight million women suffer from illness, infection or injury as a consequence of pregnancy or childbirth.? Perinatal mortality, intrinsically linked to survival of the mother, is equally shocking; six million babies are estimated to die each year, the majority of these in the developing world. Since the 1980s, the international recognition that reducing maternal mortality rates in the developing world should be a commitment and a priority has strengthened.? Yet this process has been far from perfect. Maternal Child Health (MCH) policy tended to address maternal health as a by-product of interventions to improve child health, leading Rosenfeld and Maine in 1985 to ask ?where is the M in MCH??? There was a failure not only to recognise that the causes and solutions to child and maternal morbidity and mortality were different, but also that whilst the causes of maternal mortality cannot always be predicted or prevented, death can be averted if complications are treated. With maternal mortality rhetoric evolving considerably, the millennium development goals (MDGs) established by the United Nations in 2000 placed maternal mortality as a core development indicator, and the last two years have seen an unprecedented level of support and activity to accelerate progress towards MDGs 4 and 5, as well as a recognition that reduction in maternal mortality will facilitate enormous gains in the other development targets, particularly child health, poverty reduction and gender equality
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Book Review: A maternal and perinatal health ?how-to manual? with a?
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