We Have Work to Do! State of the World’s Mothers – #SOWM

During my flood relief trip in Pakistan a couple of years ago I witnessed severe malnutrition among babies and toddlers. Break your heart malnutrition and hunger. Shout for joy Plumpy’nut solution in some cases. Moms and babies have my heart – probably because I am one and I had five. Getting a good start in life changes a generation and with catastrophes like floods and earthquakes, the chances of having that good start decrease.

For the past 14 years Save the Children has published an annual report on the state of the world’s mothers. The report is long and detailed, providing key findings as well as giving recommendations. The data includes information from 176 countries on the health of children, health of mothers, and economic well-being. Finland came in first and Congo came in last.

This year’s report was released yesterday. Here are just a few of the findings:

The birth day is the most dangerous day for babies world-wide.

More than a million babies die on the first day of life, usually from preventable causes. While great progress has been made around maternal/child mortality, newborns continue to be the most vulnerable of all with little progress made around their health and survival.

Three primary causes of death were identified.

These include complications during birth, prematurity and infections. For all three of these there are interventions that work, that are effective, that can change these statistics. The number of newborn deaths could be reduced by 75% if these preventive measures were put into place. That’s a staggering success rate!

The interventions cost pennies to put into place – from 13 cents a day to $6 a day.*

  • steroid injections for women in preterm labor (to reduce deaths due to premature babies’ breathing problems);
  • resuscitation devices (to save babies who do not breathe at birth);
  • chlorhexidine cord cleansing (to prevent umbilical cord infections); and
  • injectable antibiotics (to treat newborn sepsis and pneumonia).

This is a big deal. Give a baby a healthy start and you change a generation, one baby at a time. Where it stands now is a public health crisis. 

So what do we do? How can we help? If you’re pregnant you help by taking care of yourself, of your baby; by eating right and getting prenatal care. Others of us can pass this information on – if we live in countries that fall at the bottom of the list find out what we can do in both big and small ways. If we live in the United Kingdom or the United States – take a look! The United States falls 30th despite spending approximately 18% of its GDP on health care. This is just sad.

  • 1 of 2,400 women in the United States will die from a maternal cause. This statistic is the same as Iran.
  • In the United States 60% of newborn deaths occur on that critical first day of life.
  • The United Kingdom fares better but not great at number 22 on the list. 

Take a look at the report linked below and the Save the Children website. Learning about this is the first step in making a difference! I’ve also included a link to a Huffington Post article that has a great infographic you can share. Huffington Post infographic.

What do you think of the statistics and the low cost interventions? Have you had maternal child health experience where you have seen these interventions work? Would love to hear from you in the comments! 

On Earthquakes and Babies

“My friend is having a ‘Reveal’ party” said my daughter.

“A what?”

“A reveal party – gender reveal – where you invite people over and you have cake and you ‘reveal’ the sex of your baby”.

I laughed. “Oh” Pause “Well – we had five of those!”

Five reveal parties. One took place in Illinois,one in Pakistan, one in Florida and two in Egypt. Five reveal parties on three continents! That has to be some kind of record. The difference was this – there weren’t a lot of people invited to our ‘parties’. Just my husband, a doctor or midwife, a nurse, a friend or mom, and me. And we didn’t call them “Reveal Parties” – we called them deliveries.

Newborn child, seconds after birth. The umbili...

But oh how we rejoiced when we heard those words “It’s a Girl!” and a lusty cry from a newborn infant. Or “It’s a Boy!” and in our situations, even lustier cries.

Call me old. Call me unable to keep up with the times. I don’t really care. I think reveal parties are ridiculous. I think they’re over the top, I think they’re not at all about the baby, and I think they’re about Big Business. Big Baby Business.

If you want to know the sex of your baby before birth – that’s great. Have at it. I won’t judge. But if you want to do little cake thingies and party favors and Big Reveals – I think it’s crazy.

Because there’s a natural reveal party waiting right around the corner. It comes after hard work and tears and real labor – but no reveal party is like the natural reveal.

No amount of work, fun, cake, and punch can ever top the Great Reveal

The Great Reveal – when you’re holding a six pound plus infant in your arms, your throat is catching as you say ‘hi baby!’ and you see the man in your life, who never cries, with tears coming down his cheeks looking down at your tiny daughter or son in complete awe.

As a wise friend once told us, there are only two real surprises left in life – And those are Earthquakes and Babies. 

City Life and “Being Birthed”

English: Moscow-city 2010,March

“Every time I get off a crowded metro I feel like I have just been birthed. When you live in a city where people do not have personal space and it is in everyone’s interest to help you out of the train, you literally get squeezed out the door.”

My cousin Judy lives in Moscow. She lived there previously and after a few years away has returned with her family. Judy is loving being back in an urban setting and I recently asked her to tell me more about her life moving back to this massive city.

She responded with the quote above.

….I feel like I have just been birthed….

I love her description!

And while she describes Moscow, it fits with other cities. Everyday as doors open on the subway, people are birthed; pushed into an unpredictable world, a world that pushes, jostles, shoves and makes its mark on us.

We are pushed into places and spaces that challenge and confound. Even if we try to hold back, the birthing process that the city works on us always wins.

Like newborn babies we open our mouths to scream, and our eyes wide, taking in all that surrounds us. We’re pushed from safe and predictable into uncertainty and constant change. It’s new everyday.

And everyday like a newborn babe, just birthed, I am in desperate need of Someone to hold me, Someone to walk me through this process, Someone to let me know I’m not alone.

This morning I’ve been birthed by the city and desperately need to be surrounded by God. For where my day is unpredictable and holds all those things that make a newborn cry when they leave the womb — cold, discomfort, pain, and strangers — my God is strong and trustworthy, invested in this birthing process.

What about you? Where have you been birthed this Monday morning? Is it a city or somewhere else? Is it a safe space or a place of unpredictability? Would love to hear from you through the comments. 

Seven Point Four Pounds of Perfect


She’s perfect. All seven point four pounds of her
.

Her soft baby skin swaddled up in a light baby blanket; her perfect face peeking out, a head of dark hair covering her soft spot. Her eyes, though closed, scrunch up as though she is trying to make sense of this world she has come into. Her tiny mouth purses then her lips curl up as if in a smile. Medical experts claim they don’t really smile at this age – and mothers nod, knowing the experts are a bit text-book and theory crazy.

She’s less than 24 hours old and has ten fingers, ten toes and a perfect suck reflex. She’s as perfect as the pink rosebuds on the coffee table just beginning to open, gifts from a family friend.

As I hold her I know that I am holding a miracle. A miracle; “God’s opinion the world should go on”.*

Outside the world is raging. During the hours since her birth Syria is ravaged by internal conflict, a bomb goes off in Afghanistan, people argue ‘personhood’, and humans that at one time were new-born infants bash each other with guns, swords and words.

But inside a new-born baby is held, perfectly formed and known by a God who still believes that this world is worthy of being redeemed. She is entrusted to, and loved by, an imperfect family and friends; people who will hold her and teach her, love her and cry with her.

And as I hold her I am in awe – in awe of baby soft skin and seven point four pounds of lovely, in awe of the strength and fragility of life, in awe of my friend who gave birth within five minutes of arriving at the hospital. Mostly in awe that somehow God believes that we in our human frailty, born as helpless babes are worth redeeming.

She’s perfect, seven point four pounds of perfect.

*Carl Sandburg

Sometimes You Can’t Keep Silent

Newborn child, seconds after birth. The umbili...
God saw all that he had made, and it was very good. Genesis 1:31a

52 years ago this year I was born. I was born into an already established family of three brothers and my parents. I was a girl. My status in the family was predetermined – I would be loved and enjoy princess privilege. But the big thing is this: I was born.

I was born and God called it good. Just like you who are reading this were born – and God called it Good. God called this little being knit together inside a safe womb, safe from all the outside factors that could cause danger to the life and development of this little being, God called this “Good”.  Just as someone who knits watches carefully for slipped stitches or a missed pattern, so does God knit us, form us, and watch us, all the time calling it good. The knitter will go back and find the missed stitch, even if it takes a lot of time, to form that perfect pattern that will be the mittens, or the socks; the scarf or the sweater.

And so I can’t keep silent.

The Huffington Post UK edition posted an article “Killing Newborn Babies No Different To Abortion Say Medical Ethicist” and I read on as if I was part of a futuristic psycho-thriller; The Hunger Games or Brave New World. The opening lines are chilling: “A medical journal has called for the acceptance of ‘after-birth abortion’ (killing a newborn baby), causing outrage among pro-life campaigners and raising an array of ethical questions.Writing in the Journal of Medical Ethics, Alberto Giubilini from the University of Milan and Francesca Minerva from Melbourne University argue that foetuses and newborns “do not have the same moral status as actual persons”. (Read the rest of the article here)

When I was pregnant with my third child I had a friend come up to me one day. She began telling me her story. Her story of an unexpected pregnancy in a developing country and a plane trip she will never forget to Europe to end the pregnancy. She wept. And she wept. And she wept more. And once we had cleaned up her tears from this story, she told her second story. There was another baby and another country. Another trip and another “safe” abortion. Safe to everything but her psyche.  Like scales falling from her eyes, she told of the realization that these were her babies and they didn’t have a chance to be born, to take that first breath. They didn’t have a chance to be called “Good”. She told me because she watched my growing baby in awe. She was zealous for my safety, my nutrition, my activity – this baby must LIVE. And the baby did live. And he was perfect, just like our first two babies. We called him Micah and my friend held him, and she wept.

Five I have. Five that were called “Good”. Five that came into our lives despite some circumstances that were less than good. Despite some times in our marriage that were less than lovely and far less than perfect. Five that came, not to a wealthy family, not to a family that had it all together, but they came, and God called each of their births good. Annie, Joel, Micah, Stefanie, Jonathan. Knit together by God. Called Good at conception. Called Good at birth.

And so I can’t keep silent when I see an article called “Abortion Safer Than Giving Birth: Study”  with the byline “Getting a legal abortion is much safer than giving birth, suggests a new U.S. study published in January” (Reuters Health). I can’t keep silent when I read the words “Women who are having abortions are having a safe, common surgical procedure or taking medication for the same reason,” she (Dr. Ann Davis) told Reuters Health.

I can’t keep silent because I’ve been told it’s not “common”. I have believed the rhetoric that says “We all agree that there should be fewer abortions”. But if we want fewer, if we strive for less, why are they, as the researchers point out, common?

“Abortion care and pregnancy care should not really be any different from consenting people for any other procedure.” Ah – but there you see is the problem. It is different. Because any other medical procedure doesn’t involve the health of two – it is about the health of one.

My heart breaks for those who feel they have no alternative but abortion. My heart cries out for them. I have wept with women post abortion, and I have wept with women pre-abortion who made a different choice. And I believe in a God who loves. Who forgives. Whose mercy and grace no one can fathom. But I can’t keep silent. This being, knit together in the womb, this is a baby, made in the image of God. This is Good.

I write this blog to communicate across boundaries, to have a voice in a public place, and I know there will be readers that disagree, that may see this as an insurmountable boundary. Those of you who read my blog know I am not a right-wing fanatic. No right-wing fanatic writes in defense of Muslims and Muslim opinion, of arranged marriage, of wanting health care for all. Right wing fanatics don’t do workshops on culture and healthcare for Planned Parenthood. And if you disagree with this post, I respect your opinion, I respect you as a person made in the image of God. But it would be a false pretense if I was not bold enough to write this, if I pretended that I thought this was ok. And so I can’t keep silent.

Personal choice has eclipsed the sacredness, or otherness, of life itself. It is profoundly disturbing, indeed shocking, to see the way in which opinion-formers within the medical profession have ditched the traditional belief of the healer to uphold the sanctity of human life for this impoverished and inhumane defence of child destruction.” Lord Alton, co-chairman of the All Party Parliamentary Pro-Life Group

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