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Re: Perinatal morbity: was: List From: Kathi Wilson (wilsonk@gtn.on.ca) Mon Oct 30 17:24:59 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: Update on 2 cases" Previous message: Deborah Wage, FNP,CNM: "Re: Perinatal morbity: was: List" Maybe in reply to: Richard Chudacoff, MD: "Perinatal morbity: was: List" Next in thread: Dr Eberhard W Lisse: "Re: Perinatal morbity: was: List" Reply: Dr Eberhard W Lisse: "Re: Perinatal morbity: was: List" Betsy Hyde wrote: > At 8:40 AM 10/30/00, Richard Chudacoff, MD wrote: > >So I guess the question is, if we are the richest country in the world, and > >prematurity is directly related to prenatal care (or lack of it) why are so > >many women without prenatal care in the USA? Is it the size, the homogeneity > >or the national health system that allows the Scandinavian countries such a > >low prenatal delivery rate? > > Richard- > > is it true that prematurity is *directly related to prenatal care (or lack > of it) * as you state? I'm not sure that's been proven. > > my gut feeling is that racial and socioeconomic status probably have more > to do with prematurity rates than prenatal care, per se. One of the fascinating things that I learned in my population health/health promotion classes a few years ago was that the general health of a country's population is associated with the disparity (or lack thereof) between the richest and poorest in the nation. Those nations with the least disparity tend to have the best overall health. Now, obviously, this is a marker for other things happening in that society, but it gives another perspective as to why Scandanavian countries (or Japan, for that matter) tend to do so well. It does go back to the whole concept that morbidity and mortality have less to do with medical intervention and more to do with the well-being of society in general. In Canada, in general, we tend to do better, but with one notable (and despicable) exception -- our first Nations people (what you'd call native Americans) have very high rates of morbidity and mortality. Certainly, that has less to do with available resources and more to do with their socioeconomic conditions (i.e. poverty), and the kinds of morbidity that are secondary to systemic racism (including the efforts of the government in the past to strip them of their culture, de-Indianize them, and assimilate them). -- Kathi Wilson, RM Ilderton, Ontario, Canada mailto:wilsonk@gtn.on.ca ********************** Thames Valley Midwives 346 Platts Lane, London, Ontario, Canada http://tvm.on.ca mailto:info@tvm.on.ca Next message: Paul Prior MD: "Re: Update on 2 cases" Previous message: Deborah Wage, FNP,CNM: "Re: Perinatal morbity: was: List" Maybe in reply to: Richard Chudacoff, MD: "Perinatal morbity: was: List" Next in thread: Dr Eberhard W Lisse: "Re: Perinatal morbity: was: List" Reply: Dr Eberhard W Lisse: "Re: Perinatal morbity: was: List"

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