Model Christy Turlington Burns Says Childbirth Deaths Are Avoidable

Christy Turlington BurnsShe’s on the cover of the June/July 2013 issue of Harper’s Bazaar. She’s one of Fast Company’s most creative people of 2013. And she’s determined to stop women from dying in childbirth.

Every day, roughly one thousand women die from the complications of pregnancy or childbirth, yet most of these deaths are preventable. That’s the message of model and activist Christy Turlington Burns’ documentary “No Woman, No Cry.”

The first-time filmmaker’s own experience with post-partum hemorrhaging after the birth of her daughter, Grace, and a 2005 visit to El Salvador, her mother’s homeland, inspired Turlington Burns to document maternal mortality worldwide.

“It’s a global tragedy,” she said at a screening of the film in New York City, so she decided to tell the stories of women in four different countries.

Turlington Burns first takes us to Tanzania, where a very pregnant Janet must walk five miles to reach a small clinic. She has no food with her, and the clinic provides none. Because her labor has not progressed enough, the health care worker sends her home. When Janet returns to the clinic, she’s so weak that she’s told she must now get to a hospital, a one-hour drive away. The van to take her costs $30, more than one month’s income for Janet’s family. Turlington Burns provides the money, and Janet gives birth to a healthy boy.

Tanzania lacks adequate health care facilities and medical personnel, as do most developing nations, with only one obstetrician for every 2.5 million people. With more and better facilities, women like Janet don’t need to die, as she surely would have if the film crew had not been there.

In Bangladesh, the issues are different. Health care facilities are often close by, yet most women will not use them because of the social stigma attached: it’s considered shameful to give birth outside the home. With proper education, however, attitudes can change. When a health care worker counsels Monica, who is ashamed to seek medical help, she finally agrees to have her baby in a hospital, leading to a happy outcome – the birth of a son.

In Guatemala, Turlington Burns encounters yet another issue. Abortion is illegal, even in cases of rape and incest. So when a young woman becomes pregnant as a result of rape, her illegal abortion almost kills her; it takes nearly six weeks of hospitalization for her to recover. Changing religiously based norms is probably the toughest challenge regarding maternal health, but it can happen, Turlington Burns argues.

Although 99 percent of childbirth-related deaths occur in the developing world, the United States has vast room for improvement, ranking 50th in maternal mortality. Women of color are especially vulnerable, as are those who have no health insurance.

“Being uninsured and pregnant is a disaster,” said Jennie Joseph, a Florida midwife featured in the film.

Ironically, the only woman who dies of childbirth-related complications in the documentary is an American woman who succumbs to an amniotic fluid aneurism. Turlington Burns shows the toll her death takes on her family with sensitivity and compassion.

Two years in the making, “” can be purchased on iTunes and Amazon.

This Year: Meditations on Aging

Last year we met for lunch. One of the people there, who had just turned 70, was described as “a curmudgeon with a dry sense of humor” but someone who was generous to all and was the life of the party. Two weeks before our get together this year, I received a call from his former girlfriend, saying he had died unexpectedly from a heart aneurism. The memorial service was the day before our reunion. The next day an acquaintance in southern California called to say that his wife’s cancer, which had been in remission, suddenly returned and she had just died.

One of our friends was hiking in the Sierras last year so he couldn’t make it. In response to my e-mail this year, he wrote that he had a slight pain in the chest while in the Sierras followed by massive pain when he returned. He didn’t want to go to the hospital but his wife forced him. He ended up with quadruple heart bypass surgery. He nearly died but is now recovering.

Our reunion this year had considerably fewer people at it. Of the four men present, all in their sixties, two were now sporting canes, one was battling severe diabetes and overweight, and the last, a tennis player with newly reported osteoporosis on his hip was told by his doctor, “Just don’t fall.” The four women on the other hand seemed fine.

In the space of a year we men had gone from looking forward to the future to not having one or just trying to survive into it. What had happened to turn us from active guys into doddering old men, and how could only one year have done this?

Posted in Health, Philosophy | Tagged aging, heart aneurism, heart bypass surgery, osteoporosis, Sierras | 1 Reply