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Motherhood: Norway Tops List of the Best Places to Be a Mother;  
Afghanistan Rates Worst

By DONALD G. McNEIL Jr.

May 17, 2010

http://www.nytimes.com/2010/05/18/health/18glob.html?ref=health

Norway is the best country in the world in which to be a new mother,  
followed by Australia, according to Save the Children’s annual State  
of the World’s Mothers report, issued this month.

Afghanistan was at the bottom of the 160 countries listed.

The United States did not fare well; it was 28th, below Greece,  
Portugal and virtually all of Western Europe. It ranked just above  
Poland and most of the former Soviet bloc.

The chief reason for the low American ranking, the authors said, was  
that despite advanced medical technology, more young mothers die,  
either in childbirth or in the years after, than in most rich  
countries. The United States also lost points because American  
working mothers get less maternity leave and lower benefits.

Among middle-income countries, Cuba ranked highest, outdoing many  
wealthier countries. Despite its poverty, Cuba trains many doctors.

The most important factor in how mothers and babies fared in very  
poor countries was whether or not a female health worker helped at  
the birth. Since many men refuse to let their wives be seen by male  
doctors and many grandmothers give dangerous traditional advice,  
trained midwives can save lives, the authors said. After Afghanistan,  
the worst countries were Niger, Chad, Guinea-Bissau, Yemen, the  
Democratic Republic of Congo, Mali and Sudan; many are conservative  
Muslim countries where education for girls is discouraged.

After Norway and Australia, the top-rated countries were Iceland,  
Sweden, Denmark, New Zealand, Finland and the Netherlands.

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