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Major ethical problems confronting perinatal care around the world
1Department of Perinatal Medicine and Child Health, University of Bristol, UK.
Summary
Preventable perinatal deaths, primarily in developing nations, demand global attention. Solutions include empowering women, enhancing family planning, and strengthening primary healthcare for maternal and newborn survival.
Area of Science:
- Global Health
- Maternal and Child Health
- Public Health Policy
Background:
- Approximately 7 million annual perinatal deaths occur globally, with 98% concentrated in developing countries.
- The majority of these deaths are preventable, highlighting significant global health disparities.
Purpose of the Study:
- To review the socio-economic, ethical, and medical factors contributing to perinatal mortality.
- To identify strategies for prevention and optimize resource allocation in resource-scarce settings.
Main Methods:
- Review of socio-economic, ethical, and medical literature on perinatal mortality.
- Analysis of prevention strategies and resource utilization.
Main Results:
- Urgent need for population growth control through improved women's status and accessible family planning.
- Emphasis on developing primary healthcare systems and community-based maternal and newborn care.
- Recognition of trained traditional birth attendants and referral facilities as crucial components of care.
Conclusions:
- Breastfeeding is paramount for newborn care.
- Parental and child education are key to long-term progress in reducing perinatal mortality.
- Integrated approaches addressing social, economic, and medical factors are essential for improving perinatal outcomes.
Keywords:
Health Care and Public Health