The biggest changes I've seen in terms of my career as a maternal health advocate, the rolling back of reproductive rates, in my country but also in a number of other countries around the world.

作为一位孕产妇健康倡导者，我在我职业生涯的最大的变化就是，近年来生育率的不断下降，不仅是在美国，全世界都是如此。

This increases the risk of severe maternal complications.

这增加了严重产妇并发症的风险。

You know the statistics, when you have a baby over 40.

高龄产妇风险很大。

From the moment true contractions begin to the baby's delivery usually takes about 12 to 18 hours for a first-time pregnancy, and about half that time for subsequent pregnancies.

从真性宫缩开始到胎儿娩出，初产妇要花约12-18小时，而产妇要花大约6-9小时。

Kenya's government reckons that 35% of maternal deaths in 2020 were linked to blood shortages.

肯尼亚政府估计，2020年35%的产妇因血液短缺而死亡。

Living conditions inside Venezuela have deteriorated to such a point that maternal mortality has risen by 65 percent, 94 percent of households are living in poverty, and 90 percent of hospitals are reporting shortages of medicine.

委内瑞拉国内的生活条件已恶化，产妇死亡率上升了65%，94%的家庭生活在贫困之，90%的医院报告药品短缺。

Melusine's tale is a combination of these stories as well as the lying-in taboo.

梅鲁辛的故事是这些故事和产妇禁忌的结合。

Maternal mortality and infant death is not just a mom's issue, it's a humanitarian issue.

产妇死亡率和婴儿死亡不仅是母亲的问题，也是人道主义问题。

The maternal mortality rate has dropped to 18 per 100-thousand live births last year.

全国孕产妇死亡率下降到18.3／10万。”

In 2013, abortion became possible in cases where the mother's life is in immediate danger.

2013年，产妇生命岌岌可危的一些案例，堕胎逐渐成为了可能。

The program called Mama sends maternal advice to expectant and new mothers through text messages.

该项目名叫Mama，向孕妇和初为人母者发送短信提供孕产妇信息。

Others may result from health problems with the mother, including diabetes or hypertension.

有的是因为孕产妇的健康问题引起的，包括糖尿病或高血压。

The US already had the highest maternal death rate of any developed nation.

美国孕产妇死亡率已居于所有发达国家榜首。

For many years, and, historically, we have had really high infant and maternal mortality rates.

纵观历史，我们的婴儿和产妇死亡率这么多年来一直很高。

There are cases where an early Caesarian saved the mother after pre-eclampsia.

有过这样的病例，产妇出现子痫先兆后，提早采取剖腹产挽救了母亲生命。

There was story after story of how Lin Qiaozhi, tired after a day's work, went late at night to deliver a baby for a poor family who could not pay her.

数不胜数的故事讲述着林巧稚如何在劳累的一天之后，又在深夜去为贫苦家庭的产妇接生，而这些家庭是不可能给她报酬的。

By 2035, family doctors are expected to serve about 85 percent of priority patients, including elderly people, pregnant women, children, people with disabilities, people with chronic diseases, and people with mental illnesses, the policy document said.

到 2035 年，老年人、孕产妇、儿童、残疾人、慢性病患者以及精神病患者等重点人群签约服务覆盖率达到 85% 以上。

I have found in my two and a half Decades of work on maternal Health that there's sometimes a lot of talk around saving a mother's life.

在我二十五年的孕产妇健康工作，我发现有时有很多关于拯救母亲生命的讨论。

The rules oblige hospitals to inform women about the risks and to sign a consent form before opting for cesarean. Doctors will also have to justify why cesarean birth was necessary.

该规定要求医院要将风险告知给产妇们，在做剖腹产手术之前签署协议，医生们还必须给出理由说明做剖腹产的必要性。

I started out that spring, shiny as a new crab pot all set to capture the world. I became a nurse-midwife, the person who helps deliver babies.

我从那年春天开始，闪亮的像个崭新的蟹笼，想将一切收入囊。我成为了一名帮助产妇分娩的助产士。