Re: Maternal mortality was shoulder dystocia

From: Don Miller (DrMiller@eNATAL.com)
Thu Sep 23 07:18:13 2004


>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.

You might also want to check a book by Sherwin Nuland titled "The Doctors' Plague: Germs, Childbed Fever, and the Strange Story of Ignac Semmelweis" who describes that story again and how Semmelweiss literally went crazy unsuccessfully trying to get colleagues to listen to him about washing their hands (and saving lives).

--
Donald W. Miller, Jr., MD, FACOG
eNATAL, LLC
http://www.eNATAL.com




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