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  1. 1

    Adolescent pregnancy -- unmet needs and undone deeds. A review of the literature and programmes.

    Neelofur-Khan D

    Geneva, Switzerland, World Health Organization [WHO], 2007. [109] p. (WHO Discussion Papers on Adolescence; Issues in Adolescent Health and Development)

    The World Health Organization (WHO) has been contributing to meeting the Millennium Development Goals (MDGs) by according priority attention to issues pertaining to the management of adolescent pregnancy. Three of the aims of the MDGs - empowerment of women, promotion of maternal health, and reduction of child mortality - embody WHO's key priorities and its policy framework for poverty reduction. The UN Special Session on Children has focused on some of the key issues affecting adolescents' rights, including early marriage, access to sexual and reproductive health services, and care for pregnant adolescents. This review of the literature was conducted to identify (1) the major factors affecting the pregnancy outcome among adolescents, related to their physical immaturity and inappropriate or inadequate healthcare-seeking behaviour, and (2) the socioeconomic and political barriers that influence their access to health-care services and information. The review also presents programmatic evidence of feasible measures that can be taken at the household, community and national levels to improve pregnancy outcomes among adolescents. (excerpt)
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  2. 2

    Why are mothers still dying?

    Serial Issue. Sanger File. 2001 Jul 19; (2):[3] p..

    The world's literature is filled with images of women dying in childbirth. Catherine in "Wuthering Heights." Lolita in the novel of the same name. And even the first feminist herself in real life, Mary Wollstonecraft, died in childbirth of septicemia. Women die in childbirth; "always have, always will" seems to be the world's attitude to this phenomenon. In a week when the world's attention was drawn to new U.N. resolutions to eliminate or reduce deaths from AIDS, I recall that, not so long ago, similar U.N. meetings in Cairo and Beijing resolved to eliminate or reduce maternal deaths. What progress have we made since then? The World Health Organization (WHO) recently provided the answer in a sobering report on maternal mortality worldwide. Their answer: not much. According to the WHO, more than 500,000 women die annually from pregnancy-related complications. This figure has remained stubbornly high throughout the 1990s and shows no signs of decreasing. The actual figure is probably much higher, according to the WHO, due to frequent official misclassifications of the causes of women's pregnancy-related deaths, including deaths from abortion, early pregnancy deaths (from ectopic pregnancies), and deaths from diseases that pregnancy aggravates, such as heart conditions, malaria or TB. Studies in Mexico and Argentina indicate that officially reported levels of maternal mortality may be underreported by as much as 50 percent. (excerpt)
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