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Re: Maternal Mortality Rate In U.S. Highest In Decades [long]From: Ina May Gaskin (midwifeim@earthlink.net)Thu Sep 6 09:56:01 2007
The latest death I've been notified of is that of a NY mother of 5, who had a c-section. She went to her doctor several times after discharge from hospital, saying that something didn't feel right, but each time he reassured her that everything was fine. After her death (August 26), the autopsy found that her uterus was gangrenous in the places where some parts of the placenta hadn't been removed. This would be the second death I have of incomplete removal of placenta in NY state in recent years (the other one was termed a "placenta increta", which made me wonder why the mother had been released from the hospital. The description of the woman's death in the newspaper sounded like a late postpartum hemorrhage. Because she was a single mother with no family nor friends nearby (albeit fully insured, since she was in the Army at the time), it was days before her body and that of her baby were found— on Christmas day. Which brings up another category of deaths that rarely get mentioned: those which happen because of inadequate postpartum follow-up care. The people who most need it have the most difficulty in getting to a doctor's office or ER. How many practices include home visits during the first 10 days following birth? I notice that most European countries seem to not to have dispensed with home visits for new mothers. Why don't US new mothers rate this kind of necessary support? Is it because we have the stingiest insurance companies? Couldn't ACOG make a statement about the necessity of home visits as part of the maternity care package for every woman? Ina May
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