Maternal Health in Bolivia
Stephanie Spencer
Fall 2014
Health & Poverty in Latin America
Section 1E Globally, maternal health is an issue that has not been given adequate attention in many regions. Many women across the world are unable to avoid many preventable health consequences of pregnancy, which are usually extreme enough to result in death. In the Latin American region, Bolivia has some of the worst maternal health care systems, due to the underdevelopment of healthcare practices, insufficient political and social concern, and a lack of public awareness. Maternal deaths are attributable to risks caused by pregnancy and childbirth themselves, as well as from the lack of proper, good quality health services (Khan,
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Giving women control over their fertility could, alone, reduce maternal deaths by up to 20–35% by minimizing pregnancies to the number desired (Khan, K. et al., 2006).
Furthermore, educating the community about region-wide healthcare issues, i.e. facility hygiene methods and contraception practices, has not been a concern for the La Paz district, or for Bolivia in general. In a sense, the primary causes of maternal mortality from unsafe abortion are not only excessive bleeding or infection but, rather, a failure to recognize the severity of these circumstances and the necessity for reform (Grimes, D. et al. 2006). The public deserves a more direct access to healthcare facilities, principally in rural areas in which access to health care is remarkably limited. Most of the clinics and hospitals (responsible for performing these abortions) currently existing in Bolivia require additional financial support and substantial developments (“Child and Maternal..” 2014). The Bolivian government has neglected to fulfill its responsibility of recognizing the fundamental right of its people to receiving adequate healthcare, and has not made substantial improvements to instill safer abortion methods.
Hypertension
Besides abortion difficulties, there are a variety of medical complications that pregnant women are at risk of having. Some of the most prevalent illnesses affecting child-bearing
A woman will always have maternal risks during the process of the pregnancy, some might be minor and some might be extremely dangerous. Women decide to take the option of having a late term abortion due to the desperation of overthinking, and health issues that can affect the fetus. If this is the case, a mother and her family can decide who will live, the reason that has to be acknowledged and considered is because the mother’s life is threatened and it can then affect the baby and her equally which leads to a bigger consequence, in (Source A) it is implied that women get abortions due to health issues by stating,
Abortion really today has been a very controversial issue in today’s society. An interesting claim within it is that abortion can be done safely through the use of medical abortion and although medical abortions can be safe and trustworthy as experts might say, there still are risks that women will have to face and eventually take after abortion. Major types of risks can be pelvic infections, blood clots in the uterus or maybe a torn cervix. These are just few out of many health problems caused from abortion.
Abortion, for the vast majority of people is not a subject that is easy to talk about. According to the World Health Organization, out of the 211 million pregnancies, 46 million end up in abortion and 18 million of those abortions are done in what WHO considers unsafe conditions (World Health Report, 2007). Unsafe conditions are defined by WHO as, “ abortions performed by people lacking the necessary skills or in an environment lacking the minimal medical standards, or both” (World Health Report, 2007). The maternal death rate for women who have unsafe abortions is 350 out of 100,000, and there are other complications that are not fatal but can lead to disease or disability (World Health Report, 2007).
There are still possibilities of infertility in the mother caused by doctor error or genetic predispositions, psychological damage, an even smaller possibility of death that come from getting abortions.
Maternal mortality represents more than the loss of lives for individual women, as it also reflects the larger value and prioritization of women 's health and threatens the health and survival of families, young children, and even the communities in which they live (Royston and Armstrong, 1989). Maternal mortality is unacceptably high (WHO, 2015b). Globally, approximately 830 women die every day from pregnancy- or childbirth-related complications (ibid.). The causes of maternal mortality are predominately preventable and can be classified into three fundamental causes: (1) medical - consisting of direct medical problems and pre-existent/coexistent medical problems that are aggravated by pregnancy, (2) underlying - social and legal conditions, and (3) health systems laws and policies that address availability, accessibility, and quality of reproductive health services (PHP et al, 2011).
Woman’s rights in the U.S have been an ongoing problem since the beginning of time, having full control of their own bodies is a right that should not be taken away from them. Proponents of this, view that women deserve the rights to their bodies and fertility agree that no one has the right to force a woman to undergo pregnancy, with all the discomfort and health risks that come along with it. In today’s society, having the right to control your own fertility and reproduction is essential; some may use to reproduce while others use it to destroy. Nonetheless, the beauty of the situation is having their own option to do as they please.
Topic sentence: Throughout the United States, reproductive and sexual health needs for women have been overlooked and ignored especially for Latina women in Los Angeles, California. Hispanic women in the United States accounted for 25% of abortion. (Jones, Finer, & Singh, 2010)
While Latin America’s lack of reproductive rights would seem to be common knowledge, many are unaware of how exactly women in Latin American countries are affected. In a fairly large number of countries, abortion is illegal. In regards to this, “in 2008, 12 percent of maternal deaths in Latin America and the Caribbean were due to unsafe abortions.” (Mane, 2013) 95% of the abortions
Poverty is not a simple issue. There is no universal response to it. Latin America is among the poorest of the poor. Most of its population lives in absolute poverty. Poverty is a structural problem in Latin America. Over the past three decades, there have been multiple different options offered to the poor of Latin America to better their lives. To name a few, immigration, drug gangs, informal work, and conditional cash transfers have been presented to them. The last of those four, conditional cash transfers, is the one that gives poor Latin Americans the best hope for a better life.
Child poverty refers to the phenomenon of children living in poverty. This relates to children who come from poor families or orphans being raised with limited, or in some cases absent, state resources. Child poverty in Latin America and the Caribbean is exceptionally bad, 45% of children are affected by at least one moderate to severe deprivation. This is a total of almost 81 million people under 18 that suffer from child poverty. The situation of Uruguayan children is comparatively good. Uruguay is located among many Latin American nations. With this Uruguay has little be jealous of. Protection promised to the children is better than countries around them, but problems do still remain.
In 2013, 289 000 women died during pregnancy and childbirth and it was estimated that everyday 800 women all over the world died from childbirth or childbirth-related problems (World Health Organization, 2014). Often, maternal mortality is found to occur more often in developing countries than developed countries. Maternal mortality refers women who died from the situation like during pregnancy, termination of pregnancy within 42 days, regardless of duration and place of pregnancy, from aggravation caused by the pregnancy or pregnancy management (Nwagha et al, 2010). Maternal mortality may be resulted from direct or indirect cause. Direct causes are from obstetric complications of pregnancy, labour, and puerperium, and interventions whereas indirect causes are from the worsening of current conditions by pregnancy or delivery (Givewell, 2009). This paper aims to examine the causes for maternal mortality in both developed and developing countries and will end with a proposal for government to ensure women are given reproductive health rights.
Poverty, or the inability to afford basic human needs, is an issue that is spread worldwide. There are people everywhere who cannot afford shelter, food, healthcare, or education. It seems easy enough to ignore the bum asking for change on the street, but it becomes near impossible in regions where whole families are begging on the street. This rings true in Latin America and it is extremely frustrating to see social inequality this extreme. This essay will examine how much poverty exists in Latin America, why the amount of poverty is so disproportionate and what can possibly be done to alleviate the amount of poverty in these countries.
Around the world, 830 women die every day from preventable complications during pregnancy and delivery (“Maternal mortality” 1). A death during a pregnancy or within 42 days of delivery is referred to as a maternal death (Semba and Bloem 34). The issue of maternal death in developing countries is an often unaddressed and urgent need. Things like poverty, a lack of access to quality healthcare, and cultural practices are causing maternal mortality rates in developing countries to be unnecessarily high (“Leading and underlying causes of maternal mortality” 1). Mothers in developing countries are needlessly dying, but organizations like Delivering Hope International (DHI) have heard their cry and rushed to provide the tools and care these women so desperately need.
The medical considerations often rely on moral and ethical issues, but the health care problems that may occur with the woman or fetus should also be brought to discussion. For instance, some women may have mental problems that require administration of specific medications, which impair the fetus and jeopardize its future functioning and health. Another reason for induced abortions, even after the first trimester, may include fetal anomalies. As stated by Bryant, Grimes, Garrett, and
There are other complications that are not life threatening but are still dangerous to the mother’s health. One example is uterine perforation, occurring when the abortionist misses the child with his knife and cuts the mother’s uterus. This may cause hemorrhaging and complications in childbirth later on. The uterus now cannot hold a child and may rip; causing problems in birth that may lead to the death of the child. Prominent damage to the uterus may require a hysterectomy (“A List of Major Physical Sequelae Related to Abortion”). Another complication is cervical lacrations, which are the tearing of the cervix. These are prominent in childbirth also. These lacerations cause major hemorrhaging and may result in cervical incompetence, premature delivery, and complications of labor (“A List of Major Physical Sequelae Related to Abortion”). Cervical incompetence causes miscarriages. Another complication is placenta previa, which is the “abnormal development of the placenta due to uterine damage” (“A List of Major Physical Sequelae Related to Abortion”). This