|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Maternal mortality was shoulder dystociaFrom: RModugno@aol.com (dean@thehuffpeople.net)Thu Sep 23 15:29:18 2004
.. I once attended an excellent lecture by Norman Gant. His thesis, with which I agree, is that obstetric care in this country over the last 50 - 75 years has been so good that we are our own worst enemy. In other words, at the beginning of the century (the 20th century), obstetric outcomes were so poor that if a baby were lost, nobody would think anything of it, and if a mother were lost, then so be it. But nowdays, we almost never lose a mother and losses of babies are rare. So, even if the loss is not the fault of the OB, he/she gets blamed for it, especially in court. Our success is our own worst enemy. - - - - At 04:42 PM 9/22/2004 -0500, you wrote: 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.
--
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Fri May 2 04:38:52 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.