Mortality : The Invisible Loss Essay

“Tuesdays with Morrie” and “The Death of Ivan Ilych” both portray a character who is dealing with a serious terminal illness and advance knowledge of their deaths. One story is based on the realistic life of an American professor with the story’s characteristics tone from the 1990’s while the other is set during nineteenth century Russia. Even though Morrie Schwartz and Ivan Ilych both suffered from the illness, their dissimilar lifestyles and beliefs led to different perspective on facing death. One views the knowledge as a blessing and an opportunity to share his life experiences before making his final good-byes, the other agonizes in pain and begs for an

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

Infant deaths in the neonatal period are caused by complications arising from preterm births, birth defects, maternal health conditions, complications of labor and delivery, and lack of access to appropriate care at the time of delivery. Infant deaths in the post-neonatal period are driven by sudden unexpected infant death (SUID) (including sudden infant death syndrome [SIDS]), injury, and infection (MMRW, 2013). An increasing proportion of post-neonatal infant deaths occur among infants who were born preterm but survived the neonatal period (Callaghan, 2006). On the other hand there is lesser knowledge of the incidence and etilogy of fetal mortality which according to MacDorman et al, makes fetal mortality an overlooked public health issue. Lee et al, echoed the same idea when they said infant mortality has been the main focus of public health programming while fetal deaths have gone untargeted. However, with the decrease in infant mortality rates there have been recent approaches such as perinatal period of risk analysis framework (PPOR) that highlight the need to include fetal

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).

Keeping a person alive by excessive treatment might devastate the family and make the dying suffer tremendously in the end. “Advance medical technology that seems to one person a godsend, extending life, may seem to another a curse that only prolong dying. Dignity can be devalued amid technology focused solely on the biological organism.”

Herein I briefly overview the Infant Mortality Rate (IMR) within the United States. Initially, I discuss specific causes of infant death and then, contributing factors which put babies at risk. Next, the distribution of various IMR is surveyed on a state to state basis. States possessing the ten highest infant mortality rates are discussed, including possible reasons for higher IMR. In addition, those states with the ten lowest IMR are mentioned. In conclusion, I consider preventative measures for minimizing the number of babies that die each year.

Economic growth has much improved the infant mortality rate though better healthcare facilities and living conditions. Japan has fallen to one of the world’s lowest infant mortality levels at 3.6 per 1,000 live births in 2006 (Saigusa, 2006). Infant mortality is largely affected by the health of the mother, which makes pre-natal health imperative in keeping infant mortality rates low. Since Japan offers health care to all, access to prenatal care is easier to get therefore making mothers healthier and help in finding complications earlier in the pregnancy.

According to the World Health Organisation [WHO] (2014) pre-term babies are at increased risk of illness, disability and death. It also states that globally 15 million babies are born pre-term and the figures are rising. In England and Wales during 2012 7.3% of live births were pre-term under 37 weeks nearly 85% of all babies born prematurely will have a very low birth weight (Office for National Statistics, 2012). Pre-term birth is associated with respiratory complications and lung disease, long-tern neurological damage and problems with bowel function (Henderson & Macdonald, 2011). Neonatal services provide care to babies who are born prematurely or are ill and require specialist care. It is seen that sixty per cent of infant deaths occur in the neonatal period (DH,

Centre for Maternal and Child Enquiries (CMACE) (2011) Saving mothers’ lives; reviewing maternal deaths to make motherhood safer: 2006-2008. BJOG 18(1): 1-203. London. Blackwell Synergy.

Stated on nichd.nih.gov, “There are many different causes of infant mortality, from infection to birth defects or accidents. The main causes of infant mortality in the United States are different than the main causes of infant death around the world”. Most common causes of infant mortality rate in the U.S include birth defects, SIDS, and pregnancy complications. On the contrary causes of infant mortality rate worldwide include neonatal encephalopathy, blood infections, and diarrheal diseases. Maternal health is a risk factor for newborn health.In order to decrease infant mortality rates, developing countries have to start postnatal care programs or should have been initiated earlier as stated on

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.

On Death and Dying By Elisabeth Kubler-Ross For my book review, I read On Death and Dying, by Elisabeth Kubler-Ross. Dr. Kubler-Ross was the first person in her field to discuss the topic of death. Before 1969, death was considered a taboo. On Death and Dying is one of the most important psychological studies of the late twentieth century. The work grew out of her famous interdisciplinary seminar on death, life, and transition. In this paper, I give a comprehensive book review as well as integrate topics learned in class with Dr. Kubler-Ross' work. Like Piaget's look at developmental stages in children, there are also stages a person experiences on the journey toward death. These five stages are denial/isolation, anger, bargaining,

1.)     Explain how the answers to the self-inventories in the text concerning facts, attitudes, beliefs and feelings about death reflect our societal understanding or lack of understanding of death. I think that the self- inventory question reflected on both our understanding and lack of understanding about death related topics. Some of the answers to the questions on the inventory I knew without look at the answers, but some of the answers actually surprised me. The question about the death certificate was one of the questions that actually surprised me. I assumed before I did the inventory that every death certificate had a specific cause of death that was given on the certificate. Another answer that

Of particular concern is women and maternal health in Ethiopia. According to the millennium goal developments, the fifth goal is to reduce maternal mortality rate by 75% by 2015. One reason that maternal health needs to be increased in Ethiopia is because of the large amount of women who die each year. According to Skolnik (2012), the highest maternal mortality ratios are in sub-Saharan Africa, where there are 940 maternal deaths per 100,000 live births. This means that a woman in some countries of sub-Saharan countries of Africa such as Ethiopia face 250 times the risk of dying a maternal death as does a woman in the high-income countries. (Skolnik, 2012) There are many factors that come into play when looking at maternal health. Among the first are the nutritional status and general health status of the mothers, in addition there is a link between maternal death and the level of education and income of the mother (Skolnik, 2012, p. 191). In order to help reduce the high incidence of maternal mortality rate focus should be turned to wards identifying ways to improve the access to care for women who are pregnant. I believe this issue is the important to tackle because it can improve the prenatal care that women in Ethiopia receive resulting

In this essay I will outline the main theoretical models relating to loss and grief.