In 2022, the Dot-Mom column published several pieces from expert guest authors from the greater maternal and reproductive health community. In our top read guest contributor piece of the year, Susie Jolly examined the role of colonialism in sexuality education globally. Jolly highlighted examples where sexual health knowledge is built on unethical medical research carried out on racialized people, such as the study of untreated syphilis among Black men in the United States. Sexuality educators, especially those placed in the Global North, have a responsibility to work to decolonize their work. Jolly suggests supporting resources led by marginalized people, critically examining colonialism’s influence in the understanding of sexuality, and shifting the dynamics of who decides on content to lend more weight to non-Western expertise and young people learning from their own experiences.

More than 60 percent of preventable maternal deaths and 45 percent of newborn deaths take place in countries affected by recent conflict, natural disaster, or both. Yet as Sarah B. Barnes, Project Director of the Maternal Health Initiative, observed at a recent event hosted by the Wilson Center and UNFPA, in collaboration with the Inter-agency Working Group on Reproductive Health in Crisis (IAWG) and White Ribbon Alliance, “the leading causes of both maternal and newborn death occurring in humanitarian settings are considered to be preventable if managed by skilled providers and adequate resources.”

Reducing maternal mortality is key to promoting population health. It is also a main priority of the UN General Assembly’s Sustainable Development Goals. And the reasons for concern are clear. Globally, 800 women and 6,500 infants die during pregnancy and birth every day. More than 94 percent of these deaths occur in low-and-middle-income countries (LMICs).

“When women can decide on the timing and spacing of their births, are treated with respect, and offered quality of care across the life course—they are not only able to survive, they, their families, and their communities are able to thrive and flourish. By directly and indirectly contributing to women’s empowerment, midwives are contributing to strengthen economic and productive and equitable societies,” said Dr. Julitta Onabanjo, Director of the Technical Division at the United Nations Population Fund (UNFPA), New York, at a recent event hosted by UNFPA as part of the 66^th Session of the Commission on the Status of Women. Midwives and midwifery experts convened to discuss the important role that midwives play in the improvement of gender equality, women’s economic empowerment, and climate justice.

“Regardless of income level, regardless of education level, Black women, Native women, women who live in rural areas are more likely to die or be left scared or scarred from an experience that should be safe and should be a joyful one; and we know a primary reason why this is true – systemic inequities,” said Vice President Kamala Harris during her opening remarks at the first-ever White House Maternal Health Call to Action Summit on December 7, 2021. Members of Congress and maternal health advocates gathered to discuss the importance of addressing racial disparities and systemic challenges in maternal health through national policy.

Globally, 15 to 20 percent of women experience a perinatal mental health condition, said Sarah Barnes, Project Director of the Maternal Health Initiative at a recent event, held in partnership with the United Nations Population Fund (UNFPA), on mental health support for mothers in the perinatal period. Women are more likely to develop anxiety or depression in the year after giving birth than in any other time in their lives, with suicide and overdose the leading causes of death in the first year postpartum. “And yet, the prevention, early recognition, and treatment of perinatal mental health conditions is a challenge for many, if not most, healthcare systems across the world,” said Barnes.

“Every day in every part of the world, midwives save the lives of women and babies and promote the health and well-being of entire communities,” writes UNFPA Executive Director Dr. Natalia Kanem in honor of International Day of the Midwife. “They deserve our respect and gratitude, but that is not enough. Midwives deserve greater investment in their capabilities, and workplaces that empower them and fully acknowledge their skills and contributions.” Investment in midwifery could save millions of lives per year – an estimated 4.3 million annually by 2035.