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Opinions

DATE: May 8, 2005

Letters to the Editor
Durham-Herald Sun
[email protected]

Dear Editor:

Sunday, Mothers Day, marked the beginning of National Women's Health Week. While the day itself presented an opportunity to recognize the significant and influential women in our lives, this week provides a platform from which to address the much greater issue of women's health and specifically its effect on infant mortality in our community and across the state.

Women are the heart and soul of our society. They lead, prepare, provide, guide and nurture. Women are pillars of the workforce, leaders in the community and, most often, they are mothers - fostering the development of a child physically, emotionally and spiritually.

Uniquely, a woman's health is paramount to not only her survival, but to that of her children. Oftentimes this critical relationship - between a mother's health and the survival of her baby - is overlooked. But without a healthy mother, an infant's development can be jeopardized, as well as his or her life. With our state's infant mortality rate consistently ranking near the bottom nationally, it is essential that this relationship not be taken for granted. After all, every nine hours a baby dies in North Carolina.

The leading causes of infant death are prematurity, low birthweight births and birth defects. Many of the risk factors that contribute to these causes directly relate to women's health. Lack of health care, chronic disease, poor nutrition, stress, tobacco use, and alcohol or drug abuse are all factors which dramatically affect the likelihood of a successful birth. So are properly spacing the time between the birth of one child and conception of the next and taking a daily multivitamin containing folic acid to combat potential some birth defects.

Infant deaths, however, are just part of the problem. Often times, babies born premature or low birthweight do manage to survive, but in many cases suffer from mild to severe health complications. This is often referred to as infant morbidity and it has a tremendous affect on families and communities. Parents and families struggle to cope with potential lifelong physical, emotional and learning disabilities. In addition, expenses associated with specialized services for low birthweight or premature babies, including hospital care, physical therapy and medical equipment can cost up to half a million dollars for a baby's first year of life.

Emphasizing a woman's overall health is an essential next step in the reduction of infant mortality and morbidity. By proactively living a healthier lifestyle, women increase their own life expectancy and reduce the chance of one day experiencing an infant death. Expanding beyond prenatal care, it is necessary to promote healthy living for all woman of childbearing age. This is particularly relevant given that half of all pregnancies are unintended.

Sample data compiled by the State Center for Health Statistics revealed the following information about health status of women in Durham County, which is consistent with statewide figures.

  • 51% are overweight or obese
  • 22% have not exercised within the last year
  • 15% rate their health as poor or fair
  • 15% smoke
  • 17% under age 65 are currently without health coverage
  • 42% of women ages 18-44 do not take a multivitamin containing folic acid

*Source: NC State Center for Health Statistics: Behavioral Risk Factor Surveillance System (BRFSS)

It appears evident that the overall health of women in Durham County, and across the state, could be improved. Ultimately the decision to lead a healthier life is a very personal one. And in a country where emphasis is placed more on convenience than personal well-being, it is often times a difficult decision to make. However, others - family members, friends and community groups - are influential and can support a woman's decision to make deliberate and responsible lifestyle and behavior changes.

As citizens, we must commit to improve the health and well-being of our state's female population. We must strive to draw attention to the importance that healthy decisions make in a woman's life, as well as in that of her family and the community in which she lives. By increasing access to healthcare services, endorsing programs fostering improved women's health and promoting the benefits of a healthy lifestyle, we help ensure the promise of healthier women and positively impact the lives of the next generation of North Carolina children.

Charles A. Sanders, M.D.
Immediate Past Chairman
North Carolina Healthy Start Foundation

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Last updated:August 2005

 
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