In this edition of Wilson Center NOW, Update on Russia’s Invasion of Ukraine: The View From Parliament, John Milewski, Moderator of the Wilson Center NOW series, interviews Kira Rudik, Member of Parliament of Ukraine, First Deputy Chairwoman of the Parliament Committee on Digital Transformation, Leader of the Golos Liberal Political Party, and Vice-President of the Alliance of Liberals and Democrats for Europe (ALDE). Rudik has spoken with the Wilson Center twice before, as the onset of the war and at its one-year anniversary. This NOW interview centers on updates on the war, the role of government and allies, and the continued resolve of the Ukrainian people.

Imagine trying to perform a C-section, or conduct a delivery, in a hospital with no light.

For hundreds of thousands of health workers, this is the reality they face each night. Close to 300,000 women and one million newborns (primarily in sub-Saharan Africa and Southeast Asia) die from complications of pregnancy and childbirth each year. Hemorrhage, infection, eclampsia, obstructed labor, and unsafe abortion cause the majority of obstetric deaths— many of which could be prevented with access to timely emergency obstetric care.

The United States is in the midst of a maternal mental health crisis. Not only are mental health conditions the most common complication of pregnancy and childbirth, but they are also the leading cause of maternal mortality. Each year, 800,000 families in the United States will be impacted by maternal mental health (MMH) conditions—and 225 new mothers will die by suicide or overdose. 

One in every 23 people is expected to need humanitarian assistance in 2023. That is a record 339 million this year alone. During such humanitarian crises, the needs of women, newborns and adolescents are often unmet, with devastating consequences. In fact, in 2023, 58 percent of global maternal deaths, 50 percent of newborn deaths, and 51 percent of stillbirths worldwide occur in the 29 countries with a UN humanitarian response plan or regional response plan.

Four months ago, the resident medical officer at the HIV and AIDS clinic in Kampala, Uganda reported that the clinic treated up to 50 patients a day. Now, the clinic is relatively empty, and supplies of antiretroviral therapy (ART) pile up, unused.

It is a sign of enormous progress that vaccines are currently available to prevent more than 20 life-threatening diseases. And health and economic data supports the widespread benefits of regular access to vaccination in public health. Yet it is estimated that 20 million infants or so each year do not have access to vaccination for a number of diseases, including varicella (also known as “chickenpox”).

In 2021, 1.9 million stillbirths occurred globally. A baby who dies at or after 28 weeks of pregnancy,* and is born with no sign of life is classified as a stillbirth. Stillbirths can be caused by pregnancy and childbirth-related complications, like hemorrhage, placental abruption, and pre-eclampsia; maternal infections during pregnancy, including malaria and sexually transmitted infections; prolonged pregnancy to 42 weeks or more; and pre-existing health conditions. Other risk factors include maternal age and smoking during pregnancy.

Midwives play a central role in maternal and newborn health. So, it is fitting that their efforts took the spotlight at a two-day event – The 5^th Global Midwifery Symposium – held during the first ever International Maternal and Newborn Health Conference (IMNHC) in May 2023 in Cape Town, South Africa.