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Re: Choices From: ainsron (ainsron@sbcglobal.net) Fri Mar 19 10:57:17 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Karen Lee: "Re: Hot flushes...maybe" Previous message: Heidi: "Re: choices" In reply to: Heidi: "Re: Choices" Next in thread: Dr Eberhard W Lisse: "Re: Choices" 21st ed. However, the statistics haven't changed for 15 years. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Heidi Sent: Friday, March 19, 2004 9:19 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Choices > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of ainsron > If you have access to Williams Obstetrics, look at p.4, infant mortality Is that the latest edition? My edition is old, I'll drag it out. ;) > (first year of life) rates from 1915 to 1995 dropped from 100/1000 live > births to less than 10. Maternal mortality in 1900 was 850/100,000 live > births, from 1980 to 1997 it dropped to 8.4/100,000 live births. Those > improvements are not because of midwifery care. They are because of > movement of birth into the hospital setting and availability of blood, > anesthesia, antibiotics and self-serving as it might seem to say, good > medical care. I agree with you that it is access to antibiotics and blood, and even anesthesia for surgery, and even good medical care. I don't agree (nor is there any evidence) that this is only avilable (or that it SHOULD only be available) to women who choose to labor and deliver routinely in a hospital setting. My clients have access to all of these things because of excellent partnerships. Just as you likely refer your cancer patients to a specialist in gynecological oncology, we refer our PIH patients or placenta previa patients, or diabetic patients to the experts in high-risk obstetrical care- sometimes MFM, not just OB-GYN. Also, "first year of life" has very little at all to do with birth practices. Is there anyone who has stats showing 30-50% of perinatal (under 30 days) mortality decrease? Maternal mortality had actually reached very high levels in 1900 as far as I have read- in fact due to some obstetric practices instituted at the time that dramatically increased puerperium infection and hemorrhage. ;) Thanks for the refs, I pull out my Williams and see if the same info is in there, although I trust your quoting of the information. Heidi Next message: Karen Lee: "Re: Hot flushes...maybe" Previous message: Heidi: "Re: choices" In reply to: Heidi: "Re: Choices" Next in thread: Dr Eberhard W Lisse: "Re: Choices"

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