Childbirth: A Global Perspective

Welcome to Module 1! This course will discuss the global health implications of pregnancy and childbirth in the developing world, where far too many women and babies die from complications during pregnancy, childbirth, and soon after childbirth. Themes covered in this module include an introduction to maternal care, an in-depth look at the numbers, and a look at maternal mortality and morbidity in a global context.

In this module you’ll visit the United States where, believe it or not, maternal mortality rate is actually on the rise! In fact, maternal mortality has doubled in the U.S. during the last two decades. Why is that? And what can be done to reverse this trend? Along the way you’ll meet a physician and her patient who will help us answer some of these questions.

In this module we’ll be discussing the critical importance of having an adequate and well-trained health workforce for reducing maternal and newborn morbidity and mortality. We’ll be discussing the problems of shortage and maldistribution, as well as some important strategies for addressing these problems such as task shifting and task sharing.

In this module, we will learn about a globally recognized package of such interventions called emergency obstetric care, or EmOC. We will spend some time learning about how emergency obstetric care is assessed and monitored at the national and sub-national levels, including quality improvement measures. Lastly, we will consider some key challenges and potential solutions in developing country contexts.