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Maternal mortality was shoulder dystociaFrom: Freda Seddon (fredalss@ca.inter.net)Wed Sep 22 16:40:40 2004
At 2:34 PM -0500 9/22/04, ob-gyn-l@obgyn.net wrote: >So what we learn from the complete text is - when you deliver with a >midwife, you don't survive. But you get a nice monument. > >But then, that WAS thousands of years ago, right? > >Joe P. A reality check here: The realities of childbearing in the years before modern medicine such as antisepsis, antibiotics, and blood transfusions were high maternal mortality and morbidity rates. The maternal mortality rate was 400-500/100,000 in England in the 1930's. This did not start to drop until the late 1930's when Sulfonomide antibiotics and then penicillin were introduced. Current maternal mortality in the UK is about 10/100,000. From the late 1930s, maternal deaths fell dramatically. Quite interesting and of note is that the maternal mortality rates were higher in the higher income/classes. 444/100,000 vs 339/100,000. This has been attributed to unnecessary interference by doctors (both GP's and Obstetricians) using instruments such as forceps without proper hygiene or technique causing infection, trauma and bleeding. The lower classes were almost all cared for by midwives in their own homes and had markedly lower rates of death from childbirth. A very well written article is available on-line at http://www.ajcn.org/cgi/content/full/72/1/241S that covers the dramatic change in maternal outcomes. -- Freda Seddon, Community Midwife, Ontario
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