Re: Peripartum cardiomyopathy
From: Ina May Gaskin (midwifeim@earthlink.net)
Thu Feb 26 11:21:37 2009
Pregnancy-related maternal deaths in all industrialized countries
decreased dramatically during the 20th century, but the US has the
distinction of being the only one (to my knowledge) that has been
rising in recent decades (since 1982, to be exact). The U. S. rate
was 7.5/100,000 live births in 1981. In 2005, it was 15.1/100,000. It
seems to me that the CDC should be making this info more available,
as it could lead to a false sense of security, particularly with the
huge underreporting factor that the CDC has mentioned in recent
publications.
According to Reuter's (October 2007), the WHO reported that the US
ranked 40th in the world in maternal death.
It's true that many pregnant women die by homicide, but those deaths
aren't classified as "pregnancy-related."
Ina May
On 26 Feb 2009, at 08:10, Atkinson, Samuel M, Jr wrote:
> Yes. Maternal deaths from Perinatal causes in the US decreased by
> 99% in the 20th century according to CDC. Enough? No. We are
> still 30th in the world. We also lose more pregnant women by
> homicide at the hand of a significant other.
> sAm
>
> ________________________________________
> From: ob-gyn-l@obgyn.net [ob-gyn-l@obgyn.net] On Behalf Of Ina May
> ________________________________________
> Gaskin [midwifeim@earthlink.net]
> Sent: Monday, February 23, 2009 8:55 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Peripartum cardiomyopathy
>
> Sam, you don't mean that maternal deaths have decreased in the U.S.,
> do you? Did I misunderstand you? Did you mean in NC?
>
> Ina May
>
> On 21 Feb 2009, at 14:45, Atkinson, Samuel M, Jr wrote:
>
>> I was a co author of an article in Obstetrics and Gynecology in Dec
>> 2005 on Maternal mortality. Of interest, cardiomyopathy was the
>> leading cause of pregnancy related deaths (21%). Of interest, our
>> committee considered only 22% preventable. While the numbers were
>> not high enough for ststistical evaluation of specific
>> etiologies of cardiomyopathy, obesity was freq present & a slight
>> prevalence to winter deaths as well as poverty suggest carbon
>> monoxide and CO2 from open heaters and poor perfusion of lungs.
>> While happily maternal deaths have decreased Cardiomyopathy caused
>> 21% of 108 deaths in NC from 1995-1999.
>> sAm
>>
>> ________________________________________
>> From: ob-gyn-l@obgyn.net [ob-gyn-l@obgyn.net] On Behalf Of Dr. John
>> ________________________________________
>> Provatopoulos B.Sc. M.D.C.M. F.R.S.C. [johnprov@sympatico.ca]
>> Sent: Thursday, February 19, 2009 5:04 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: Peripartum cardiomyopathy
>>
>> At Tue, 17 Feb 2009, Efrain Ramirez wrote:
>>>
>>> Discharged 3 days ago - almost 4 weeks in ICU.. doing "fine" .. 2
>>> episodes of cardiac arrests -
>>> unfortunately baby did not make it .. had to do a C/S 35
>>> weeks .. sad..
>>> !!
>>> anyone with a similar case recently? Uf .. !
>>>
>>> --
>>> "Life is what happens to you while you're busy making other
>>> plans."- John Lennon
>>>
>>
>> I have actually had 3 cases, since about 2000, they all did well
>> and had
>> Left ventiricular function back almost to normal in 6-8 weeks, only
>> one
>> was pre- delievery and she was the sickest. All babies and mom's did
>> well, and did a repeat c-section on one 2 years after the first
>> uneventfull section and no recurrence. Eccochocardiograms are the
>> reason probably I am seeing more cases and they are mild.
>>
>> --
>> Take care, John
|
|
