I write about maternal health a lot on Social Good Moms and sometimes I don’t write enough about newborn health. I saw some interesting information this month about the best and worst states to have a baby and thought the data was interesting to share. The data was compiled by Wallet Hub.
They compared the 50 states and the District of Columbia across four key dimensions:
Additionally, across these four dimensions, they evaluated 30 additional metrics including infant mortality rate, maternal mortality rate, Cesarean deliveries, preterm birth and low-birth weight infants.
The best and worst states are listed in the table below. One of the most important things for all parents to check for is their newborn health screenings. You can find yours based on your state at Baby’s First Test. And in North Carolina, mothers can sign up for an additional two free tests ( fragile X syndrome and spinal muscular atrophy (SMA))at EarlyCheck.org. The tests are led by RTI International.
Best vs. Worst
Mississippi has the lowest average annual cost for early child care, $3,192, which is 4.9 times lower than in the District of Columbia, the highest at $15,515.
Alaska has the lowest share of childbirths with low birth weight, 6.19 percent, which is 1.9 times lower than in Mississippi, the highest at 11.60 percent.
The District of Columbia has the most obstetricians and gynecologists (per 100,000 residents), 25, which is 25 times more than in Oklahoma, the fewest at 1.
Massachusetts has the highest parental leave policy score, 160, while 9 states, such as Alabama, Michigan and South Dakota, tie for the lowest at 0.
The best time to plant a tree was 20 years ago. The second best time is now.
One of my favorite countries in the world is Ethiopia. I have had the pleasure of visiting four times traversing the north and south and find it gorgeous in so many regions. I cannot wait to go back one day to see all of its rapid changes.
Yesterday, civil servants, volunteers, and everyday people worked together in the Prime Minister’s Green Legacy effort to plant over 350 million diverse, indigenous trees in all regions across the country. The original goal was to plant 200 million trees. That was quickly exceeded by over 150 million more trees planted in 12 hours eclipsing India’s previous tree-planting record. Officials were charged with counting all planted seedlings throughout the country according to the BBC.
Having seen firsthand how Ethiopia has massively scaled their maternal healthcare across the country with frontline health workers it is no surprise this tree-planting effort was a record-setting success. The reforestation initiative was devised to tackle the increasing degradation and deforestation across Ethiopia. The overall goal is to plant two billion plants and is a countrywide effort to help reach Sustainable Development Goal 13 of taking urgent action against climate change.
In 1994, governments, advocates, health organizations, women’s and youth activists gathered in Cairo for the International Conference on Population and Development (ICPD). There, women’s reproductive health and rights took center stage in national and global development efforts. This year marks the 25th anniversary of the ICPD and a renewed emphasis on reproductive health, women’s empowerment and equality will be discussed later this year in Nairobi as it pertains to the 2030 Agenda for Sustainable Development.
At the recent High-level Political Forum on Sustainable Development Secretary General António Guterres said that there needs to be a ratcheting up of empowerment and gender equality in order to reach the 17 sustainable development goals. And, UN Deputy Secretary-General Amina Mohamed said, ” A recent report found that no country is on track to fully achieve Goal 5 of the Sustainable Development Goals on gender equality by 2030. And despite some important progress, we are far short of attaining the elusive “gender balance” goal in leadership established in the 1995 Beijing Platform for Action.
When I was in Zambia I saw ways in which nurses treat cervical cancer in low resource settings. Women who do not benefit from the HPV vaccine and still develop cervical cancer are often subject to visual inspection of the cancer typically with a digital camera followed by cryotherapy to freeze the diseased part of the cervix. Some researchers question whether this approach to cervical cancer treatment is effective in low-and-middle income countries. Globally, the cervical cancer burden falls disproportionately upon women in low and middle-income countries. In fact, approximately 90% of deaths from cervical cancer occur in these countries like Bolivia, Guinea, and Swaziland. Rates are highest in Central America, sub-Saharan Africa, and Melanesia.
As I have written many times before postpartum hemorrhage (PPH) or excessive uterine bleeding after childbirth is the leading cause of maternal mortality in low-and-middle income countries. The recommended drug to prevent PPH according to the World Health Organization (WHO) is oxytocin. When administered in its recommended dose it causes little to no side effects. Oxytocin, the WHO’s current gold standard therapy, however, must be refrigerated and administered by skilled health workers posing two obstacles to its wider use in low resource, tropical settings.
Some countries have approved misoprostol, an oral drug, to prevent PPH, but there are several concerns that its use can be misappropriated for abortions instead of used solely for PPH. The World Health Organization has listed misoprostol as an alternative to oxytocin if it is not available.
Now, another PPH preventative drug, carbetocin, has been added to the latest updated 2019 WHO Essential Medicines List. The announcement was made last week. Unlike oxytocin, even at high temperatures carbetocin remains effective. The recommendation is that carbetocin can be used when oxytocin is not available or if its quality is uncertain. Additionally, the cost must be comparable to oxytocin.