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...government doctors, only five of whom are gynecologists. Millions of families have never seen a doctor or nurse and give birth at home with traditional birthing helpers, while those who make it to a clinic--some being carried on bicycles or in hammocks--often find patchy electricity, dirty water and few drugs or nurses. Explaining the task of reducing maternal deaths, Sierra Leone's Minister of Health, Saccoh Alex Kabia, who returned home last year after decades of working as a surgeon in Atlanta, says, "The whole health sector is in a shambles...

Author: /time Magazine | Title: Death in Birth | 9/18/2008 | See Source »

...attempt to jolt officials into action, governments at the U.N. General Assembly in 2000 chose to make a drastic reduction in maternal mortality one of the eight Millennium Development Goals (MDGS)--a series of targets in a program that channels aid to key issues, including education and clean water--to be met by 2015. The MDGS hold people "to a golden standard for progress," says Jamie Drummond, executive director of the antipoverty organization DATA. When world leaders gather in New York City this month to take stock of the MDGS, their speeches are likely to tout the many achievements since...

Author: /time Magazine | Title: Death in Birth | 9/18/2008 | See Source »

Though many die in hospitals, researchers say the riskiest births are those without any nurse, midwife or doctor in attendance--about 35% of all the world's births. In addition to age-old problems like unclean instruments and poor-quality water--in Sierra Leone, I visited a traditional birth attendant who said she had delivered hundreds of babies in a windowless room in a slum of cramped shanties, with no indoor plumbing--there are new hazards. Afghanistan, for example, has seen growing sales of over-the-counter oxytocin, an injectable hormone that is used to stanch postpartum bleeding and speed...

Author: /time Magazine | Title: Death in Birth | 9/18/2008 | See Source »

...been pregnant, there is no way to avoid the risk altogether, Nygaard says. But there are few simple things women can do to lower risk, including changing two common habits. For one thing, Nygaard says, she sees too many of her patients lugging around one-liter bottles of water. This trend makes it more likely that women will drink too much water, leading to what doctors call urge incontinence, a condition that may exacerbate incontinence due to other causes. "If you are on the verge of having leakage and you are drinking three or four times more water than...

Author: /time Magazine | Title: Study: Incontinence a Big Problem Among Women | 9/17/2008 | See Source »

...widespread view. In America, Ayckbourn is still typecast, anachronistically, as a lightweight boulevard farceur (the "British Neil Simon"), or simply as a clever deviser of staging gimmicks: plays that squeeze the action in several rooms into one space, or move backward in time, or fill up the stage with water, or (in his insanely ambitious Intimate Exchanges) have no fewer than 16 dramatic permutations, depending on which alternative action the characters take in several key scenes...

Author: /time Magazine | Title: Alan Ayckbourn's Curtain Call | 9/17/2008 | See Source »

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