A girl's lifetime risk of dying in pregnancy or childbirth depends hugely on where she lives

the gist

Researchers ask how likely it is that a 15-year-old girl will eventually die from a pregnancy-related cause, and the answer varies enormously between countries. For some girls the lifetime risk is tiny, while in some countries it is many times higher. The gap reflects differences in access to skilled birth attendants, emergency obstetric care, blood transfusions and contraception, as well as the general health of women before pregnancy. Maternal mortality has fallen sharply worldwide over recent decades, but the remaining deaths are concentrated in a small number of places. The map of risk is effectively a map of health systems.

so what

It makes clear that maternal death is largely preventable with the right care, and that location is one of the strongest predictors of survival in pregnancy.

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background

Maternal death or maternal mortality is defined in slightly different ways by several different health organizations. The World Health Organization (WHO) defines maternal death as the death of a pregnant mother due to complications related to pregnancy, underlying conditions worsened by the pregnancy or management of these conditions. This can occur either while she is pregnant or within six weeks of resolution of the pregnancy. The CDC definition of pregnancy-related deaths extends the period of consideration to include one year from the resolution of the pregnancy. Pregnancy associated death, as defined by the American College of Obstetricians and Gynecologists (ACOG), are all deaths occurring within one year of a pregnancy resolution. Identification of pregnancy associated deaths is important for deciding whether or not the pregnancy was a direct or indirect contributing cause of the death.

From Wikipedia: Maternal death (CC BY-SA 4.0) ↗ · text CC BY-SA 4.0

see

Max Roser and Hannah Ritchie, CC BY 4.0, via Wikimedia Commons

Maternal Mortality Ratio, CC BY 4.0, via Wikimedia Commons

World Bank – World Development Indicators, CC BY 4.0, via Wikimedia Commons

Our World in Data · CC BY 4.0

Image: Our World in Data

source: Our World in Data ↗

politics

Trump and Netanyahu reportedly clash over whether to resume military action against Iran

the gist

Israeli reports also say the cabinet directed the military to prepare for a possible new attack on Iran.

so what

The United States and Israel have been closely aligned on Iran's nuclear programme and regional threats, so open disagreement between their leaders over military strategy is unusual and closely watched. Whether to resume strikes is a decision with consequences for shipping, oil markets and the wider Middle East.

fun fact

Benjamin Netanyahu has served as Prime Minister of Israel for more years in total than any other person.

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Data: GDELT Project

Illustrative photo · Israel Belkind and Fanny Abramovitch (original) “The Provis…, Public domain, via Wikimedia Commons

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supplementary video · Epimetheus on YouTube ↗

world cultures & travelWikivoyageclassic9th–15th century · Siem Reap, Cambodia

Angkor was the largest pre-industrial city on Earth, covering about 3,000 square kilometres

the gist

Angkor, near Siem Reap in northern Cambodia, was the capital of the Khmer Empire, which ruled much of mainland Southeast Asia between roughly the 9th and 15th centuries. At its height the city spread across about 3,000 square kilometres, making it the largest pre-industrial city on Earth by area. Its growth depended on water: huge reservoirs called barays, along with canals and embankments, stored monsoon rain and carried it to rice fields. That system let farmers harvest more than once a year and fed a very large population through the dry season. The temple complex of Angkor Wat, built in the early 12th century, is the best-known monument and still stands at the heart of the park.

how it works

The Khmer kings built enormous rectangular reservoirs that caught monsoon rain during the wet season. Earthen dykes and canals moved that water into rice paddies, so farmers could grow crops across much of the year. The surplus food supported craftsmen, builders and the workforce that raised the temples.

so what

Angkor shows how a society without industrial machinery could build a city on a scale that rivals modern metropolises, using engineering and water management instead. Some historians link its decline to drought, flooding and shifts in its water systems, which makes it a long-running case study in how cities depend on managing water. The site is a UNESCO World Heritage Site and one of the most important archaeological landscapes in Southeast Asia.

fun fact

The outline of Angkor Wat appears on the national flag of Cambodia.