Five ways cities can reduce infant mortality: Saving the Smallest

Expecting mothers, especially young ones, can often feel scared and unprepared about the pregnancy process. Maternity meeting groups help them gain more support and knowledge about their future pregnancies.

Child mortality rates are decreasing in Afghanistan due to more readily available basic health care, more effective vaccinations, and locally-trained volunteer health workers.

A unique program at Los Angeles County-USC Medical Center is combining prenatal care with psychiatric treatment for low-income women who might otherwise not seek help for mental health issues during pregnancy.

Science suggests that having a secure relationship with a caregiver can help protect a child’s brain and body from the effects of adversity. A Connecticut program for young children who have experienced trauma or other challenges has gotten results by focusing on that relationship – and the things that can interfere, including depression, family violence, and a parent’s own history of trauma.

At St. John Hospital in Detroit, the principles of cultural sensitivity and collaboration—as well as lots of fundraising—have boosted previously low breastfeeding rates by black mothers.

To educate and prepare new mothers, Centering Pregnancy and Centering Parenting sites in the United States offer community-based patient-centered care in low-income areas. Centering offers interactive learning, check-ups, and social support, so that women can take charge of their health.

Latin American women in San Francisco have suffered from post-partum depression, social isolation, and chronic stress at the time of their pregnancies. Run by midwives, the Centering Pregnancy program at the San Francisco General Hospital provides patient-centered care, an environment to speak in Spanish, and a nurturing community for women’s group appointments. The results boast fewer c-sections and pre-term births, and an improvement in emotional support and overall prenatal health.

The rate of Cesarean sections is on the rise in the United States, despite the higher risks of hysterectomy, hemorrhage, and infection, as well as the elevated expense. San Francisco General’s maternity ward, however, stands as an outlier by following evidence-based medicine that suggests decreasing C-sections and has also shifted from a pay-per-service incentive for the doctors to a salary or shift position.

Many African American women are reluctant to breastfeed their babies. The Mother Nuture Project at Detroit’s St. John Hospital and Medical Center offers peer counseling to educate women (mostly African American) and encourage breastfeeding. Mother Nurture’s program has helped boost breastfeeding rates from 46 percent to 64 percent.

A Buffalo, New York clinic provides a space for both abortions and natural births. In looking at the experiences as a continuum, rather than as juxtiposing sides, the hope is to change how people think about the birth experiences.