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I love being an American mom, but guess what, being a mom is even better for women in several other countries around the world. In the world's best place to be a mother, I could expect an extra year of life and I would have enjoyed a year of paid maternity leave after the birth of each of my children. Plus, my own daughter would be expected to complete an extra year of school -- for a total of 18.

What is this top-ranked country I'm talking about, where 40 percent of national elected officials are women (as compared to 17 percent here) and maternal and child mortality rates are among the very lowest in the world?

If you guessed it's somewhere in Scandinavia, you'd be right. According to the State of the World's Mothers 2011 report, released today by Save the Children, Norway ranks as the world's best place to be a mother.

On the other hand, in the world's toughest place to be a mother, I am far better off than the typical mother there. Frankly, there's a good chance I'd be dead; I've already outlived this particular country's female life expectancy of 45. And as the mother of four, it's very likely that one of my kids would have died from a preventable cause, like pneumonia or diarrhea. One in five children there dies before turning five.

In this bottom-ranked country, girls only complete an average of five years of school, and access to the most basic health care is extremely limited. Imagine giving birth alone or with only a neighbor or relative at your side. In the country I'm talking about, 86 percent of mothers deliver this way. As a result, pregnancy complications kill one of every 11 women.

Any guesses where this country might be? Eight of the 10 worst places to be a mother in the rankings are in Africa, but not this one. It's a country that's been at war for almost a decade, and civilian casualties are rising. Even so, women in this country -- Afghanistan -- are 200 times more likely to die during childbirth than from bombs or bullets.

Here's a snapshot of the 2011 rankings of 164 countries analyzed in the Mother's Index:

The United States not only didn't make it into the top 10 -- again -- it actually dropped three spots from last year. We come in at 31st place, a rather embarrassing finish for the wealthiest nation in the world. Although American women face significantly lower health risks than their counterparts in developing nations, the U.S. maternal mortality rate is the highest of any industrialized nation. Indeed, one in 2,100 women die from pregnancy-related causes here. One reason for this is that many American women don't get proper care for pre-existing conditions like diabetes and high blood pressure that increase the risk of complications.

(You can find the full rankings, the complete State of the World's Mothers report, and a ViewChange.org TV special about the report here.)

While the situation for moms in the bottom-ranked countries is quite dismal, there is good news to report. Death rates from preventable causes are dropping. The United States has been both a scientific and financial leader in the global movement to improve maternal and child health, playing a major role in reducing global child deaths from more than 12 million to 8 million a year in the last two decades. Around the world, maternal deaths have also dropped by more than a third since 1990 -- to about 350,000 a year.

Having visited both the best and worst countries on the list, I'm among those asking Congress not to slash the measly 0.5 percent of the soon-to-be debated 2012 federal budget that goes to poverty-focused development and humanitarian assistance. The rewards are enormous in terms of lives saved and benefits to the United States itself.

But don't take my word for it, check the economic case for investing in moms and kids as made by in the State of the World's Mother's report by former Xerox CEO Anne Mulcahy. Or read the national security case as laid out by a U.S. military leader who until recently directed counterinsurgency training in Afghanistan. Best-selling authors Rick and Kay Warren, famed bioethicist Peter Singer, actress Jennifer Garner, political leaders, public health experts and a Texas mom with an inspiring personal story are also among those speaking up for mothers around the world.

Let's hope next year's Mother's Index reflects a continuing improvement in conditions for motherhood at home and abroad. It's no time to give up on mothers and their children!

Check out this public service ad Save the Children created in partnership with the Ad Council:


 
 
 
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Dale Andersen
I use my real name...and you don't...
11:56 PM on 05/03/2011
Every year we get these reports that say the Nordics are the best countries, the most caring, the most compassionate, the most corruption-free, the happiest, the freest, bla-bla-ba. And now there's a poll that says they're the best at mothering.

They're the mother of all mothers.
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Katherine Schock
Over the hill,liberal,organic gardener
07:07 PM on 05/03/2011
Thanks for this eye-opener of a post, Ms Powers! It sure puts the lie to exceptionalism on the part of the U.S.! I was stunned to read that maternal mortality here in America is 1 in 2,100 births, the HIGHEST in any industrialized country! Kind of pathetic to be first in maternal deaths, don't you think? Also under 5 child mortality is 8 per 1000 births, on a par with Latvia. These statistics were found on the link posted.

It's pretty obvious that women and children have been badly neglected as priorities in our country, especially with all the politicians yelling about "family values" and how lucky we are to be Americans.

With the right wingers wanting to cut any and all programs that do anything to help anybody, we need to stand together as women and mothers and let them know we will NOT stand for it! If we as a country can't do better with this than we have, then something is seriously wrong with the people who get elected to serve! It seems to me that if all the politicians would work on bringing more good paying jobs to OUR country, instead of overseas, that would be a good first step. This is unacceptable!
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04:07 PM on 05/03/2011
Not surprised that America isn't the best place or among the top 10. With the GOP governors around the country taking food from the mouths of children by cutting programs that feed them in schools, and other independent agencies and by denying them adequate health care and cutting education programs how can this country expect moms to be the best? They are too stressed and worried about their kids survival and the kids suffer in the end. For a wealthy country like this to have Governors that make kids catch hell on earth is a shame. No child in America should go hungry.
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zogimperator
is this microbiology?
03:47 PM on 05/03/2011
These are countries that have invested in health and well-being instead of military machinery and prisons. The difference in quality of life that comes with such investment is clear.
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chompchomp
mooo.
03:15 PM on 05/03/2011
Excellent article. Yet another example of how the US quality of life is worse than in the Nordic countries, in no small part due to US societal values and the budgets that nation passes because of these values.
02:13 PM on 05/03/2011
I believe the tax rate in Norway and much of Scandinavia is over 40% so the government actually has the money to invest in its people. It would never fly in America of course, far too socialist.

Depressing really ...
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02:11 PM on 05/03/2011
Making abortion a development aid will save millions more women's lives, as well as being a vital method of birth control too. In the last 30 years of legal abortion, the US and other abortion-legal countries (almost all those high-ranking countries) have resulted in tens of millions of averted births. Add to that the legal birth control methods with hundreds of millions of averted conceptions and we can see an important demographic device. If free, easy and safe abortion - as well as contraception devices - can be available in high-risk countries, their women would benefit tremendously.
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thecreeksedge
01:12 PM on 05/03/2011
So the U. S. is the 31st best nation in which to be a mother. We might ask what the Radical Republican Right's policies will contribute to change this? It seems likely that cutting funding for Planned Parenthood and repealing the Health Care Reform Act will only serve to lower America's ranking.

But, don't bother us with facts like this say Republicans like Mitt Romney. We certainly don't want to become "more like Europe" because they.... He doesn't really explain why; we are just to assume that "everything's better in America" because they say so. It must be forbidden for us to even consider that we might learn something from other countries, such as those that rank higher in this study.

We must certainly rank higher than 31st in curiosity and closed mindedness.
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HeadAches
I'm here, getting into your head giving you...
12:54 PM on 05/03/2011
When I first started working in the US, a woman at the office was ready to give birth. After a week or so away, she came back and I asked her if she was here to show off the kid but she said no, she was back to work at which point my reaction was "What???????? But you gave birth last weekend!"

My then ex-wife and I had a daughter born several years earlier and my then wife was home for almost a year with full pay and I took a few weeks with full pay off. When the year was over, our daughter got into a public day care center which is more like a school for toddlers and kids and it's quite cheap too. To be able to work at one of these centers, you need a 3.5 year post high school special education in child care and child education/development and there are strict ratios of kids per teacher.

Of course, I was also born under UHC back in the 1950s and I had never heard of a profession called "medical billing", a profession only found in the US.
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sallythewerewolf
01:13 AM on 05/03/2011
I'm the American mother of three who lives in Norway. Two of my children are autistic. The help and care they--and we as a family have gotten, has been phenomenal. I am so glad to be here!
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Daniela Perdomo
Director of Growth, Dashlane
11:49 AM on 05/03/2011
Sally, this is fascinating. Could you share the kind of assistance (social, financial, medical, etc.) that you and your family has received in Norway?
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sallythewerewolf
03:33 PM on 05/03/2011
My pleasure, Daniela!:) They're mainstreamed but receive help in school and assistance from an Autism Team which tracks their progress. We get regular assistance from the health service and we all work together to determine where they need most work and how they're doing otherwise. They get respite care a few times a month. When they get to be a certain age they can live in a lovely group home with round-the-lock assistance and depending on their level of disability can find employment--here on our island we have a lumberyard that employs mostly disabled people and a lot of restaurants and kitchens welcome their employment as well. The people who've worked with them are real angels--and I don't use the term loosely! For the most part, disabled people here are seen as having just as important a place in society as anyone else...and I do think that makes all the difference!:)
Peace!:)
Sal
(fanned and faved)
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juicybrisket
true emancipation is a fantasy...
02:50 PM on 05/03/2011
Amazing. Now if only America could catch up...
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sallythewerewolf
04:19 PM on 05/03/2011
Juicybrisket, I hear so many heartbreaking stories from parents there who are in my situation! It is so---well, I can't say how I feel about it here--but since I'm still an American citizen I vote for the ones who most support help and dignity for the disabled and keep trying to get the word out that it can be so much better!!!
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insidious
Socialist Progressive Liberal Independent Feminist
10:23 PM on 05/02/2011
Great article and an excellent piece on a Call for Action! Thank you for the links too:)