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More women risk dying in pregnancy and childbirth because of aid cuts by wealthy countries, which could have “pandemic-like effects”, UN agencies have warned.

Pregnant women in conflict zones are the most vulnerable, and face an “alarmingly high” risk that is already five times greater than elsewhere, according to a new UN report on trends in maternal mortality.

Deaths due to complications in pregnancy and childbirth declined 40% globally between 2000 and 2023, but progress is “fragile” and has slowed since 2016, the authors said. An estimated 260,000 women died in 2023 from pregnancy-related causes.

There is a “threat of major backsliding” amid “increasing headwinds”, the authors said. US funding cuts this year have meant clinics closing and health workers losing their jobs, and disrupted the supply chains that deliver life-saving medicines to treat leading causes of maternal death such as haemorrhage, pre-eclampsia and malaria, World Health Organization experts warned.

The report – itself part-funded by the US – revealed that maternal deaths rose by 40,000 in 2021 due to the Covid pandemic, probably driven by complications from the virus itself and by the disruptions to healthcare.

Dr Bruce Aylward, an assistant director general at the WHO, said that rise could offer insights into the possible impact of current aid cuts.

“With Covid, we saw an acute shock to the system, and what’s happening with financing is an acute shock,” he said.

“Countries have not had time to put in place and plan for what other financing they’re going to use, what other workers they’re going to use, [and] what are the trade-offs they’re going to make in their systems to try to make sure the most essential services can continue.”

The shock to services, he said, would lead to “pandemic-like effects”, adding that funding cuts risked not only progress, “but you could have a shift backwards”.

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Source: The Guardian, 6 April 2025

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