Skip to main content

Why are moms in America lagging?

By Carolyn Miles, Special to CNN
updated 5:21 PM EDT, Sat May 11, 2013
In Save the Children's annual index on the State of the World's Mothers, the U.S. fell from 25 to 30 this year, says Carolyn Miles
In Save the Children's annual index on the State of the World's Mothers, the U.S. fell from 25 to 30 this year, says Carolyn Miles
STORY HIGHLIGHTS
  • Carolyn Miles: State of world's mothers best in places like Scandinavia, Singapore
  • She says U.S. is 30th in Save the Children's annual index, below Canada, Belarus, Poland
  • Factors causing rating: death in childbirth, infant mortality, lagging political power, she says
  • Miles: Congress, create National Commission on Children to address poverty for moms, kids

Editor's note: Carolyn Miles is President and CEO of Save the Children

(CNN) -- The State of the World's Mothers is ... strong. In Finland, that is. Or anywhere in Scandinavia. And most of Western Europe, Australia, New Zealand and Singapore. They all place in the top 20 of Save the Children's annual Mothers' Index.

But motherhood in sub-Saharan Africa is a very tough proposition. The region has all 10 of the most difficult places for mothers in this year's ranking, with conflict-plagued Democratic Republic of the Congo last on the list. Among the bottom 20, only Haiti, Papua New Guinea and Yemen are in other regions of the world.

And the United States? We come in 30th on the Mothers' Index. We may be 10th in per capita income and the number of years a mom can expect her child to attend school. But the good news ends there. We are just above Japan and South Korea overall, but below Belarus, Canada, Israel and Poland.

Carolyn Miles
Carolyn Miles

This year's report on the State of the World's Mothers shows that we need to do better by moms in many parts of the world, including right here at home.

Two factors holding the United States back are indicators we've found to best represent the health and well-being of mothers and children -- their chances for survival.

When it comes to a woman's lifetime risk of dying in pregnancy or childbirth, we do better than only five other developed countries: Albania, Latvia, Moldova, Russia and Ukraine. American women are 10 times more likely to die eventually from pregnancy-related causes than women in Estonia, Greece or Singapore.

Opinion: Men, step up on family planning

Our child mortality rate, meanwhile, is on par with those in Qatar and Slovakia. Moms here are also three times as likely to lose a child by age 5 as moms in Iceland.

After 14 years of assessing the state of the world's mothers, Save the Children finds child mortality an indicator not only of children's health and nutrition, but of the quality of care that mothers receive before, during and after pregnancy.

This year's report delved deeper into the dangers posed to children on what turns out to be the riskiest day of life -- the first. In the United States, 11,300 babies a year die on the day they are born. That's more than in the rest of the industrialized world combined.

What can be done to save babies here is not as clear as in many parts of the world. Globally, more than 1 million babies die the day they are born. But we also know that up to 75 percent of the 3 million newborns who die in the first month of life could be saved if trained health workers -- not necessarily doctors -- could deliver very basic interventions.

Midwife stands up for African mothers
The solar suitcase
Obama: Good job, Joe

An antiseptic costing 25 cents could prevent deadly infections starting in the umbilical cord. Basic resuscitation devices costing $6 and less could save 229,000 babies a year. "Kangaroo Mother Care" could save nearly a half-million premature babies through the warmth of their own mothers' skin, no incubators necessary.

Opinion: On Mother's Day, let's talk diapers

But in the United States, every baby can easily have access to far more sophisticated care at birth. So why are babies still dying and what can we do for them and their moms? Some of the reasons are congenital and difficult to address anywhere. Another reason is our high rates of premature birth. One in eight babies is born too soon here.

We can't fully explain this, although we know that the age of the mother and health issues like obesity play a role, as do high rates of elective cesarean sections. What we do know is that poor women are more likely to lose their babies, and that African-Americans suffer the highest rates of loss.

We need more research in this area and more action for America's poorest children in general. Save the Children is calling on Congress to create a National Commission on Children to address the critical issues facing the 22 percent of American children born into poverty. Those issues include boosting their chances of surviving the very first day. American mothers deserve this action.

There's one other important indicator on our Mother's Index: political status. Countries that outperform their economic peers on maternal and child health tend to do very well on the political status of women. If we look back to 2000, the year of our first Mothers' Index, Rwanda had a very high rate of female representation in government.

Since then it has made some of the greatest regional gains in helping its mothers and children survive. The Scandinavian countries also have long had high proportions of women in parliament, and they have some of the world's most supportive policies around motherhood, and some of the best outcomes for mothers and their children.

It makes sense that when women are in political power, children in that country do better. They know firsthand what mothers and children need to succeed. Today, women hold 19 percent of seats in the U.S. Congress -- the highest percentage in our nation's history. But still, about half the countries in the world do better than that.

The United States remains the only developed country with no guarantee of paid maternity leave and is lagging behind on how much women earn compared with men. We need more women -- and men -- in leadership positions to focus on what will make a difference for American mothers and children to get our country out of 30th place.

Follow us on Twitter @CNNOpinion.

Join us on Facebook/CNNOpinion.

The opinions expressed in this commentary are solely those of Carolyn Miles.

ADVERTISEMENT
Part of complete coverage on
updated 8:21 AM EDT, Mon September 1, 2014
Carlos Moreno says atheists, a sizable fraction of Americans, deserve representation in Congress.
updated 12:25 PM EDT, Sun August 31, 2014
Julian Zelizer says Democrats and unions have a long history of mutual support that's on the decline. But in a time of income inequality they need each other more than ever
updated 12:23 AM EDT, Sun August 31, 2014
William McRaven
Peter Bergen says Admiral William McRaven leaves the military with a legacy of strategic thinking about special operations
updated 12:11 PM EDT, Fri August 29, 2014
Leon Aron says the U.S. and Europe can help get Russia out of Ukraine by helping Ukraine win its just war, sharing defense technologies and intelligence
updated 1:24 PM EDT, Fri August 29, 2014
Timothy Stanley the report on widespread child abuse in a British town reveals an institutional betrayal by police, social services and politicians. Negligent officials must face justice
updated 9:06 PM EDT, Fri August 29, 2014
Peter Bergen and David Sterman say a new video of an American suicide bomber shows how Turkey's militant networks are key to jihadists' movement into Syria and Iraq. Turkey must stem the flow
updated 11:16 AM EDT, Thu August 28, 2014
Whitney Barkley says many for-profit colleges deceive students, charge exorbitant tuitions and make false promises
updated 10:34 AM EDT, Fri August 29, 2014
Mark O'Mara says the time has come to decide whether we really want police empowered to shoot those they believe are 'fleeing felons'
updated 10:32 AM EDT, Thu August 28, 2014
Bill Frelick says a tool of rights workers is 'naming and shaming,' ensuring accountability for human rights crimes in conflicts. But what if wrongdoers know no shame?
updated 10:43 PM EDT, Thu August 28, 2014
Jay Parini says, no, a little girl shouldn't fire an Uzi, but none of should have easy access to guns: The Second Amendment was not written to give us such a 'right,' no matter what the NRA says
updated 1:22 PM EDT, Sat August 30, 2014
Terra Ziporyn Snider says many adolescents suffer chronic sleep deprivation, which can indeed lead to safety problems. Would starting school an hour later be so wrong?
updated 9:30 AM EDT, Fri August 29, 2014
Peggy Drexler says after all the celebrity divorces, it's tempting to ask the question. But there are still considerable benefits to getting hitched
updated 2:49 PM EDT, Fri August 29, 2014
The death of Douglas McAuthur McCain, the first American killed fighting for ISIS, highlights the pull of Syria's war for Western jihadists, writes Peter Bergen.
updated 6:42 PM EDT, Tue August 26, 2014
Former ambassador to Syria Robert Ford says the West should be helping moderates in the Syrian armed opposition end the al-Assad regime and form a government to focus on driving ISIS out
updated 9:21 AM EDT, Wed August 27, 2014
Ruben Navarrette says a great country does not deport thousands of vulnerable, unaccompanied minors who fled in fear for their lives
updated 9:19 AM EDT, Wed August 27, 2014
Robert McIntyre says Congress is the culprit for letting Burger King pay lower taxes after merging with Tim Hortons.
updated 7:35 PM EDT, Tue August 26, 2014
Wesley Clark says the U.S. can offer support to its Islamic friends in the region most threatened by ISIS, but it can't fight their war
updated 4:53 PM EDT, Tue August 26, 2014
America's painful struggle with racism has often brought great satisfaction to the country's rivals, critics, and foes. The killing of Michael Brown and its tumultuous aftermath has been a bonanza.
updated 3:19 PM EDT, Tue August 26, 2014
Rick Martin says the death of Robin Williams brought back memories of his own battle facing down depression as a young man
updated 11:58 AM EDT, Tue August 26, 2014
David Perry asks: What's the best way for police officers to handle people with psychiatric disabilities?
updated 3:50 PM EDT, Mon August 25, 2014
Julian Zelizer says it's not crazy to think Mitt Romney would be able to end up at the top of the GOP ticket in 2016
updated 4:52 PM EDT, Mon August 25, 2014
Roxanne Jones and her girlfriends would cheer from the sidelines for the boys playing Little League. But they really wanted to play. Now Mo'ne Davis shows the world that girls really can throw.
updated 5:04 PM EDT, Mon August 25, 2014
Kimberly Norwood is a black mom who lives in an affluent neighborhood not far from Ferguson, but she has the same fears for her children as people in that troubled town do
updated 5:45 PM EDT, Fri August 22, 2014
It apparently has worked for France, say Peter Bergen and Emily Schneider, but carries uncomfortable risks. When it comes to kidnappings, nations face grim options.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT