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Global Health Program - Global Health Weekly

 MNCH Newsletter 49th Issue

January 2018
In this issue:
Other Resources
Professional Development
Monthly Quote
Building Capacity for Local Research
2017 Maternal Neonatal and Child Health Highlights
2017 Clinical Guidelines and Resources
Global Call for Proposals-- DUE SOON!
Usefulness of Continuous Fetal Monitoring During Labour
Taking Folic Acid in Late Pregnancy May Increase Childhood Allergy Risk
Some Newborns with Chronic Illness Show Signs of Serious Sleep Problems at Birth
Diabetes in Pregnancy Affects Baby's Heart
Research and Reports
University of Alberta

St. Paul's Hospital
Ethiopian Midwives Association
Mount Royal University
MNCH Newsletter Archives
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MNCH Newsletter Archives

Please send interesting articles via email, Facebook or Twitter to our editor,
Meseret Desta Haileyesus
Email - Mesi
Twitter - @mesidesta
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Other Resources
Stay connected to the international birth community! 
Follow the Ethiopia MNCH & Midwives Initiative on Facebook to connect with others interested in birth in Ethiopia and around the world.
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Midwifery Lancet Series
Did you know the Lancet Series on Midwifery identified 56 outcomes improved by midwifery care?  These outcomes include: fewer preterm births, reduced interventions in labor, increased birth­ spacing, increased contraceptive use, increased breastfeeding initiation and duration and shorter hospital stays.
Lancet Series on Midwifery
Professional Development
Global Research and Evidence
A free course featuring maternal health experts and evidence across disciplines including epidemiology, health systems, economics, advocacy, programming, obstetrics and midwifery. It's designed for those considering or taking postgraduate study in maternal health or a related topic such as public health, global health or medicine and covers content from high-, middle- and low-income settings. It's offered by the Lancet Maternal Health Series.  
Course Start Dates
February 12, 2018
Register Here
32nd Annual International Confederation of Midwives Triennial Congress
June 21-25, 2020
Bali, Indonesia
Registration Now Open
Monthly Quote
"A successful midwife has learned to listen with both her mind and her heart and has mastered the ability to blend with her client's environment."
Valerie El Halta

Welcome From Our Editor
Welcome to the 49th Edition of our Mother and Child Health Newsletter.
Happy Ethiopian Christmas! We wish you a joyful holiday season along with peace, love and light in 2018. 
As we embark on a new year, we look forward to working with our partners to improve the lives of the world’s most vulnerable women and children. Our newsletters are an easy way to stay up-to-date with our new developments and interesting research on maternal, neonatal and child health.

If you have comments or questions about this newsletter or our program, contact the ET-MNCH Program or our editor, Meseret Desta Haileyesus
Remember to follow us on Twitter and Facebook too!
Building Capacity for Local Research
MR Graduate with Program FacultyThe Ethiopia-Canada Maternal Neonatal and Child Project (MNCH) offered Micro-Research training to four interdisciplinary groups of health professionals in Addis Ababa this past November.  The Micro-Research course, based on a curriculum developed by Dalhousie University, trains health professionals to ask questions needed to improve local health care, expands research capacity and drives the desire to continuously improve healthcare service delivery. 
The four groups of students developed proposals to study maternal death at St. Paul’s Hospital Memorial Medical College (SPHMMC), maternal age and birth outcomes, post-operative acute pain management and hearing loss among cereal millworkers in Ethiopia.   Because the students are submitting their projects to the Research Directorate at SPHMMC for funding consideration through the ET-MNCH program, the students have an opportunity to gain practical experience in research and bring about lasting change in service delivery. 
Dr. Roger Turnell, Ethiopia-Canada Maternal Neonatal Child Health Project (ET-MNCH) Director said, “The projects have the potential to bring about institutional change at SPHMMC and beneficial change on a national level.”    The groups are currently editing their proposals for submission to the Research Directorate at SPHMMC.  Good luck to everyone involved!
2017 Maternal Neonatal and Child Health Highlights
2017 was an exciting year for the midwives and maternal health community. In reflecting on this past year, I have compiled 2017’s top three stories:
31st ICM Triennial Congress

31st ICM Triennial CongressMore than 130 delegates participated in the ICM Triennial Congress in Toronto, Canada, with over half of attendees participating for the first time. The congress was a lightning rod for education, information sharing, networking and stratification of the role midwives will play over the coming years in the sexual, reproductive, maternal and newborn health for over 4000 attendees.
Delegates identified the ICM's strategic direction for the 2017-2020 triennium and adopted several new position statements, including a comprehensive definition of midwifery. They also received updates on various ICM projects, including the Midwifery Services Framework, Midwifery Education Accreditation Programme, ICM Young Midwifery Leaders Program and ICM/Direct Relief Mapping project, as well as updates on essential competencies, global standards for midwifery education and ICM’s history project.
International Day of the Midwife 2017
International Day of the Midwife 2017May 5th is the internationally recognized day to celebrate the achievements of midwives. The International Confederation of Midwives (ICM) established the idea of the 'International Day of the Midwife' following discussions among midwifery associations in the late 1980s, then launched the initiative formally in 1992. 
The theme for IDM 2017 was "Midwives, Mothers and Families: Partners for Life!". Midwives everywhere understand that by working in partnership with women and their families they can support them to make better decisions about what they need to have a safe and fulfilling birth.
Improved Attention to Maternal Health in Humanitarian Settings
An estimated 65.6 million people worldwide were considered forcibly displaced as a result of conflict and persecution by the end of 2016--the highest number on record. Women and girls comprise half of this population. In 2017, various organizations, including the Maternal Task Force, co-hosted a panel discussion as part of the Advancing Dialogue on Maternal Health Series to draw attention to maternal health in urban humanitarian settings around the world.

Additional Reading: 
Health in Humanitarian Settings: Learning Through Case Studies to Inform Programs and Policies
Adolescent Girls in Disaster & Conflict: Interventions for Improving Access to Sexual and Reproductive Health Services
Adolescent Girls in Emergencies: A Neglected Priority
2017 Clinical Guidelines and Resources
Several new guidelines were released in 2017 to support maternal, newborn, child and adolescent health in easy-to-access documents for policy-makers, program managers, and health professionals.
Other Resources
Global Call for Proposals-- DUE SOON!
Global Call for Proposals (PMNCH and Every Woman Every Child)The Partnership for Maternal, Newborn and Child Health and Every Woman, Every Child (EWEC) have issued a Call for Proposals for inspiring examples of collaborations across sectors designed to improve women’s, children’s and adolescents’ health, with particular emphasis on the EWEC priority themes:
  1. Early Childhood Development
  2. Adolescent Health and Well-Being
  3. Quality, Equity and Dignity in Services
  4. Sexual and Reproductive Health and Rights
  5. Empowerment of Women, Girls and Communities 
  6. Humanitarian and Fragile Settings
Twelve proposals will be selected for development as case studies that provide insight about what has worked and why in collaborating across sectors.   Deadline: January 21, 2018.
Usefulness of Continuous Fetal Monitoring During Labour
Usefulness of Continuous Fetal Monitoring During LabourElectronic fetal monitoring is often used during labour to detect unborn babies at risk of brain damage (neonatal encephalopathy) from a lack of oxygen (hypoxia). In the UK, continuous monitoring is used only for women in high risk labour, but should it be used for all women in labour? Experts debate the issue in The BMJ. 
Obstetrics specialists, Edward Mullins and Christoph Lees, at Imperial College London say failure to use continuous electronic fetal monitoring “amounts to a misguided blinding of the clinician to the clinical state of the fetus.”
They argue fetal monitoring trials have focused on uncommon outcomes, such as cerebral palsy, which is rarely linked to hypoxia during labour, and say “we should be focusing on other forms of evidence relating to the more common outcome with serious long term implications – namely, neonatal encephalopathy.    Additional Reading
Taking Folic Acid in Late Pregnancy May Increase Childhood Allergy Risk
Taking Folic Acid in Late Pregnancy May Increase Childhood Allergy RiskTaking folic acid in late pregnancy may increase the risk of allergies in offspring affected by intrauterine growth restriction (IUGR) according to a study published in the American Journal of Physiology -- Regulatory, Integrative and Comparative Physiology.
Folic acid has been shown to prevent defects in the neural tube, the precursor to the central nervous system, in a developing fetus. The neural tube develops in the first month of pregnancy.  Medical professionals typically recommend women take a folic acid supplement during the first trimester of pregnancy. Continued supplementation, however, may not be needed in the late stages of pregnancy and may actually increase the risk of allergies in offspring.   Additional Reading
Some Newborns with Chronic Illness Show Signs of Serious Sleep Problems at Birth
Some Newborns with Chronic Illness Show Signs of Serious Sleep Problems at BirthA research team at the University of Michigan C.S. Mott Children's Hospital and Michigan Medicine is studying infants at the highest risk of sleep disorders, including those with chronic illnesses. The team's latest research focuses on newborns with spina bifida, which is the most common permanently disabling birth defect in the U.S.
All 20 babies in the study had myelomeningocele, the most serious form of spina bifida, and each was diagnosed with sleep-disordered breathing (SDB) right after birth.  According to the team's findings published in the Journal of Pediatrics. SDB, which includes conditions like sleep apnea, can prevent children from having healthy sleep critical to their growth, learning and behavior.   Additional Reading
Diabetes in Pregnancy Affects Baby's Heart
Diabetes in Pregnancy Affects Baby's HeartDiabetes can cause problems during pregnancy for women and their developing babies. Diabetes during pregnancy will occur when the body cannot fully cope with the additional insulin demands of both the mother and baby. Researchers have discovered how high glucose levels-- whether caused by diabetes or other factors, keep heart cells from maturing normally. Their findings help explain why babies born to women with diabetes are more likely to develop congenital heart disease.     Additional Reading
Research and Reports

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