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UNIVERSITY OF
ALBERTA
OFFICE OF
GLOBAL HEALTH
DIVISION OF
COMMUNITY
ENGAGEMENT
FACULTY OF
MEDICINE &
DENTISTRY
2-115 ECHA
11405-87 AVENUE
EDMONTON, AB
T6G 1C9
AND
ST PAUL’S HOSPITAL
MILLENNIUM
MEDICAL COLLEGE
ADDIS ABABA
September1,2014 Volume 1, Issue 3
Ye-Enat & Lij Tena
Mother and Child Health
Newsletter
Inside This Issue
Smoking during pregnancy
may affect grandchildren
2
Link between prenatal anti-
depressant exposure and
autisim
2
Mobile Midwifery Delivers
Health to Ghanaian Moms
2
Growth of newborn babies'
brains tracked
3
The 5 things we can do to
save newborns
3
Low birth weight linked to
higher incidence of diabetes
3
What strategies are cost-
effective in improving health
care for women and their
newborns?
4
How the lives of mothers
can be saved by stepping up
4
Why a UNFPA team
member traveled to Ethio-
pia to get birth ontrol
4
New resources and links 5
August 18th, marked the 500-day count-
down to the target deadline to achieve the
Millennium Development Goals (MDGs),
eight goals established by the United Nations
and governments around the world to tackle
some of the world’s biggest problems.
Ethiopia reduced its under-five mortality by
two thirds between 1990 and 2012- the re-
quired reduction for meeting the target
of Millennium Development Goal 4 (MDG
4) on child survival, success achieved
through 38,000 Health Extension Workers
and community volunteers reaching mothers
and children at their homes. Read more and
watch a video about Ethiopia’s progress:
http://www.healthynewbornnetwork.org/
press-release/500-days-left-millennium-
development-goals-deadline
Welcome to the 3rd issue of our newsletter
Less than 500 Days Left to Millennium Development Goals Deadline
In this issue we include updates and some
recent publications and news. Our goal is to
keep you informed on Maternal, Neonatal,
and Child Health Care in Ethiopia, in Africa
and beyond.
Enjoy reading!
Smoking during pregnancy may affect grandchildren's growth
Link between prenatal antidepressant exposure Autism
Previous studies that suggested an increased risk of
autism among children of women who took antide-
pressants during pregnancy may actually reflect the
known increased risk associated with severe maternal
depression. Now researchers have called that into
question with further studies and complex answers.
To read more: http://www.sciencedaily.com/
releases/2014/08/140826100853.htm
Page 2 Volume 1, Issue 3
Mobile midwifery delivers health to Ghanaian moms
Mobile technology can really improve knowledge
and health education for health workers and preg-
nant women. The Mobile Midwife program, pro-
vides two mobile phone apps: one app delivers
text messages or voicemails to pregnant women
and new mothers, reminding them about upcom-
ing appointments, and information on symptoms
and self-care tips on nutrition and hygiene. The
other app, allows nurses to upload patient records
into a centralized database to track client care.
Many illiterate mothers appreciate the program
because they have no access to calendars or com-
puters, and voicemails translated into their lan-
guage, keep them informed. Read more: http://
womensenews.org/story/reproductive-health/140814/mobile-
midwifery-delivers-health-ghanaian-moms#.U_-Cd8U7tcb
More articles….
If you want to read more articles, you can access them from our MNCH Dropbox. The articles cover a wide range of MNCH topics from a variety of sources.
For more information on how to access the approximately 200 articles in Dropbox, email us at: [email protected]
Smoking during pregnancy has discernible effects
on the growth of a woman's future grandkids, a
new study shows. The "likely trans-generational
effects from the grandmothers' smoking in preg-
nancy need to be taken into account in future
studies of the effects of maternal smoking on child
growth and development. If replicated, such stud-
ies could be a useful model for the molecular anal-
ysis of human trans-generational responses," said
the senior author. Read more: http://www.science daily.com/releases/2014/08/140818113221.htm?
utm_source=feedburner&utm_medium=feed&utm_campaign
=Feed%3A+sciencedaily%2Ftop_news%2Ftop_science+%
28ScienceDaily%3A+Top+Science+News%
29&utm_content=FaceBook
Growth of newborn babies' brains tracked
Low birth weight linked to higher incidence of Type 2 diabetes in African American women
The WHO estimates that one million babies die
each year from birth asphyxia (the inability to
breathe immediately after delivery) and the first 24
hours are critical to a baby’s survival. It is really
five simple life saving steps to saving babies lives at
birth.
1.Wrap the baby up.
2. Give the baby air.
3.Clean the cord.
4. Breast feed.
5. Hold the baby close.
To learn more: http://www.huffingtonpost.com/caryl-m-
stern/save-newborns_b_5636152.html?
ncid=fcbklnkushpmg00000054
Page 3 Ye-Enat & Lij Tena
The 5 things we can do to save newborns
The BBC reported on a study recently that showed
that the speed of growth in a baby’s brain was great-
est just after birth. This research reminds us of the
importance of breastfeeding as the best nutrition for
babies from immediately after birth. Exclusive breast-
feeding for 6 months is the best food for brain devel-
opment and allows babies to reach their highest po-
tential (IQ) as adults. So remember that baby's rapid
brain growth in the first few months needs the best
food nature has to offer breast milk. Read the full
article here: http://www.ncbi.nlm.nih.gov/pubmedhealth/
behindtheheadlines/news/2014-08-12-growth-of-newborn-babies
-brains-tracked/
African American women born at a low or very low
birth weight may be at a higher risk for developing type 2
diabetes. The study results indicate that women with low
birth weight had a 13 percent higher chance of develop-
ing type 2 diabetes than those with normal birth weight,
and those with very low birth weight had a 40 percent
higher chance of developing the disease. Body size did
not appear to play a role as there was a clear association
between birth weight and diabetes even for women who
were not obese. To read more: http://www.sciencedaily.com/releases/2014/08/140822084051.htm?
utm_source=feedburner&utm_medium=email&utm_campaign=Feed%
3A+sciencedaily%2Ftop_news%2Ftop_health+%28ScienceDaily%
3A+Top+Health+News%29
What strategies are cost-effective in improving health care for women and their newborns?
How the lives of mothers can be saved by stepping up MDG momentum
Page 4 Volume 1, Issue 3
Why One UNFPA team member traveled to Ethiopia to get her Birth Control
Mothers in developing regions are fifteen times
more likely to die during childbirth than their
developed region counterparts. Since the start of
the MDGs movement, the rural-urban gap in
skilled care during pregnancy has narrowed, but
there are still 50 million babies being delivered
worldwide without skilled care. Find out how the
lives of mothers can be saved by stepping up
MDG momentum. Click here to read more: http://www.un.org/millenniumgoals/maternal.shtml
A UNFPA mission media mission team member was
surprised to find out that contraceptives are provided
free of charge for women who need the services in
Ethiopia. She took advantage of this and shares her ex-
perience. Prevention of unwanted pregnancies is key to
improving the life and potential of young women. By
receiving effective family planning counseling and having
access to quality contraceptives, young people are better
suited to fully participate in the development of their
communities. Read the full story http://www.huffingtonpost.com/joan-erakit/
why-i-traveled-to-ethiopi_b_5652801.html
There is considerable diversity in the strategies used to
improve MNCH care. However, it is possible to identify
some common themes among the strategies, and these
are presented in relation to the continuum of care and
the level of the health system. This research summariz-
es the cost-effectiveness literature available and high-
lights the extent to which the evidence focuses on com-
munity-based strategies and care for MNCH interven-
tion. To read click here: http://
www.healthynewbornnetwork.org/sites/default/files/
resources/
Do you want to be a mem-
ber of Ethiopian Midwives
Association? Contact:
ethiopianmidwivesassocia-
Delayed clamping of the umbilical cord to reduce infant anaemia This important resource
describes the benefits of delayed clamping, such the reduction of anamia in children, so that
delayed cord clamping can be enthusiastically supported and promoted as a best practice by
maternal health, newborn health professionals. http://apps.who.int/iris/bitstream/10665/120074/1/
WHO_RHR_14.19_eng.pdf?ua=1&ua=1
WHO Recommendations for Augmentation of Labour The goal of this guideline is to
consolidate the guidance for effective interventions that are needed to reduce the global burden
of prolonged labour and its consequences. Guidelines can be found here: http://apps.who.int/iris/
bitstream/10665/112825/1/9789241507363_eng.pdf?ua=1
Active management of the third stage of labour These recommendations clarify the most
important components of Active Management of the Third Stage of Labour (AMTSL) and suggest
that there should be an expanded emphasis on ensuring that every woman, regardless of where
she delivers, is offered a high-quality uterotonic at the time of birth. http://apps.who.int/iris/
bitstream/10665/119831/1/WHO_RHR_14.18_eng.pdf?ua=1&ua=1
www. midwivesonline.com website has over 700 questions that women (and in many
cases, men) frequently ask when they are thinking about starting a family, or are already
on the pregnancy journey. There is a special section on the site just for Midwives. Click
here to create your account. Do you have an idea or a success story to share? Maybe you’ve heard of an event that
we should all support. Did you just find a solution you’d like to suggest to others? Please send us your news, events and postings for future editions. There are so many
interesting experiences to share and opportunities to learn in our newsletter.
“Uplifting the Whole People” — University of Alberta
Important resources
QUOTE OF THE WEEK
About this Newsletter
MNCH Bi-weekly Editor: Dr. David Zakus, Director
Production Manager: Meseret Desta Haileyesus
Production Assistant: Janet Summerhayes
This Newsletter is produced in collaboration with
University of Alberta Global Health Office –DFATD-MNCH Ethiopia Project, a project under-
taken with the financial support of the Government of Canada provided through the Department
of Foreign Affairs, Trade and Development.
Senior Midwife Tutor Story Corner—Tell us what's in
yours!
Important link