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Richard Chudacoff, MD
Chudacoff Obstetrics & Gynecology, PLLC
15200 Southwest Freeway, #270
Sugar Land, TX 77478
Tel: 281-277-3900
Fax: 281-277-3901
rchudacoff@mylinuxisp.com
Richard.Chudacoff@obgyn.net
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-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Braun, R.
Daniel
Sent: Friday, October 27, 2000 7:04 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: List
Joe,
You are right. If one looks at all babaies weighing between 500 and 750 gms,
the perinatal mortality rate in the US is the lowest in the world. The same
if you look at all babies weighing 750-1000, and right on up the line.
Birthweight specific perinatal mortality rates show the US to be the best at
each birth weight. But overall we are worse because of the fact that we have
twice as many premature babies as most of the Scandanavian countries.
Dan
R. Daniel Braun, MD FACOG
Clinical Professor
Department of Obstetrics and Gynecology
Indiana U. School of Medicine
Indianapolis, IN 46202
OBGYN.net
International Representative for United States
Certified AllExperts Expert
Check out my bio/ratings page!
http://www.allexperts.com/displayExpert.asp?Expert=1236
-----Original Message-----
From: DoctorJoe@aol.com [mailto:DoctorJoe@aol.com]
Sent: Thursday, October 26, 2000 2:58 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: List
In a message dated 10/26/00 12:56:01 PM, el@ac.lisse.na writes:
<< >> If obstetricians and hospital birth were the determining factor,
>> then why does the USA, which spends more per capita on health care
>> than any other nation on the planet, *not* have the best perinatal
>> morbidity and mortality rates? Why, in fact, does it rank quite
>> far down, compared to other developed countries?
> Crack.
NONSENSE!!!!! (This is latin for, do you have figures for that?) >>
There is what has basically become an urban legend that babies are dying in
the USA while in European countries, e.g. Scandanavian countries, the
perinatal mortality rate is so low as to be negligeble. This (incorrect)
view
is generated by the RANKING of perinatal mortality among the countries,
which
puts the USA a little down the list behind said European countries. However,
the MAGNITUTE of the differences is so small, compared to the PNM in the
third world and indeed the PNM in the developed countries just 50 and 100
years ago, as to be negligeble.
While it is alway advisable to look at others for hints on how to do it
better, and that's what medical scientists do with the above data, it is NOT
legitimate to continue with the "US is so much worse than Denmark" type of
argument. It's simply not true.
Joe P.
P.S. And I believe the argument has been made that a blonde, homogeneous
Scandanavian patient population pales in comparison to our inner-city
charity
hospital type patients, no matter HOW much medicine you use on them.
