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Re: Maternal Mortality Rate In U.S. Highest In Decades [long] From: Bernard Cristalli (bcrist@club-internet.fr) Thu Sep 6 10:11:45 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Previous message: Ina May Gaskin: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" In reply to: Ina May Gaskin: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Next in thread: ainsron: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Reply: ainsron: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Beside that, do you always send the palcenta to pathology after a C/S (and why not after a VD)? Bernard PS: my answer = only in C/S in suspected fetal hypoxia. Ina May Gaskin a écrit : > 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 Next message: ainsron: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Previous message: Ina May Gaskin: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" In reply to: Ina May Gaskin: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Next in thread: ainsron: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Reply: ainsron: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]"

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