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In 1990 the federal government unveiled Healthy People Year 2000, a program to improve health by 2000. Part of those objectives include a Safe Motherhood campaign. Here’s how we stand. (“Status” figures indicate the most recent data.)
Pregnancy Morbidity and Mortality
Goal: Reduce the maternal mortality rate to no more than 3.3 per 100,000 live births.
Status: 7.5 per 100,000 in 1993.
Goal: Reduce severe complications of pregnancy prior to delivery to no more than 15 per 100 deliveries.
Status: 15 per 100 in 1994. (This is the only goal here that has been met.)
Healthy Lifestyles
Goal: Increase number of women who don’t smoke during pregnancy to 95%.
Status: 80% in 1993.
Goal: Increase abstinence from alcohol to 95% of pregnant population, abstinence from cocaine to 100%, and abstinence from marijuana to 100%.
Status: 81% abstinence from alcohol, 99% from cocaine and 97% from marijuana in 1993.
Goal: Reduce the incidence of fetal alcohol syndrome to no more than 0.12 per 1,000 live births.
Status: .67 per 1,000 in 1993.
Intended Pregnancies
Goal: Reduce to no more than 30% the proportion of all pregnancies that are unintended.
Status: 60% in 1995.
Goal: Reduce pregnancies among girls age 17 and younger to no more than 50 per 1,000 adolescents.
Status: 74.6 per 1,000 in 1991.
Preconception Care
Goal: Increase to at least 60% the proportion of primary care providers who provide age-appropriate preconception care and counseling.
Status: 36% of pediatricians and family physicians and 65% of obstetrician-gynecologists in 1992.
Early and Appropriate Pregnancy Care
Goal: Increase to at least 90% the proportion of all pregnant women who receive prenatal care in the first trimester of pregnancy.
Status: 78.9% in 1993.
Caesarean Deliveries
Goal: Reduce the Caesarean delivery rate to no more than 15%.
Status: 22% in 1994.
Breast-Feeding
Goal: Increase to at least 75% the proportion of mothers who breast-feed their babies in the early postpartum period.
Status: 60% in 1995.
Sources: American Assn. for World Health and U.S. Department of Health and Human Services
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