-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Maternal Mortality Rate In U.S. Highest In Decades [long] From: ainsron (ainsron@sbcglobal.net) Thu Sep 6 11:59:15 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: westsidebirthservice@juno.com: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Previous message: Bernard Cristalli: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" In reply to: Bernard Cristalli: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" I send placentas for the same reasons following C/S as I do for vaginal birth - low Apgar, etc. We also hold all placentas for 7 days, in case a reason turns up in the neonatal period for sending one. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Bernard Cristalli Sent: Thursday, September 06, 2007 8:13 AM To: Multiple recipients of list OB-GYN-L Subject: 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: westsidebirthservice@juno.com: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" Previous message: Bernard Cristalli: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]" In reply to: Bernard Cristalli: "Re: Maternal Mortality Rate In U.S. Highest In Decades [long]"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:47:34 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.