Advances in reducing maternal mortality were seen all over the world in recent decades. Unfortunately, that progress now has stagnated, and immediate and decisive action is necessary to change the current trajectory.

A window into what we are reading at the Wilson Center’s Environmental Change and Security Program

Extreme Heat’s Toll on Pregnancy and Reproductive Health

Preliminary data collected by the World Meteorological Organization (WMO) shows that the first week of July 2023 was the hottest week on record. Recent global heatwaves also prompted a public health alert from the WMO concerning rising health risks.

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.

Scientists from the National Oceanic and Atmospheric Administration (NOAA) have predicted an El Niño event between late 2023 and early 2024. El Niño is a complex climate phenomenon characterized by unusually warm sea surface temperatures in the central and eastern Pacific Ocean near the equator that typically happens every two to seven years. This phenomenon amplifies the likelihood of severe weather events in specific regions due to changes it creates in atmospheric circulation patterns, which escalate and initiate consequences for the environment, economy, and human health.

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.