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Re: where the continued pregnancy endangers the life of the woman concernedFrom: doctorjoe@aol.comMon Mar 13 10:26:32 2006
Okay, I'll say this once and then I'm off the subject: Gail <shaking her by the shoulders>, you're MISSING THE POINT! The point is, pregnancy by itself induces risk in women. If they were not pregnant, they would suffer no pregnancy risk. Nonpregnant women do not die in childbirth, ever. Nonpregnant women do not get preeclampsia, ever. The aim of prenatal care is to deal with the risk and minimize bad outcome. We can argue how to do that (midwifery, obstetrics, etc.), but we're supposedly all on the same team with that. HOWEVER, no matter how "safe" you try to make it, for the woman, PREGNANCY is still more risky, all things being equal, than NONPREGNANCY. You keep arguing with the list, trying to make this fact go away. It hints to me there's that midwife chip on your shoulder that is keeping you from understanding what WE'RE saying, and how bad you look fighting a senseless battle. FOCUS!!!! Joe P. -----Original Message----- From: GA12L@aol.com To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Mon, 13 Mar 2006 11:13:03 -0600 Subject: Re: where the continued pregnancy endangers the life of the woman concerned In a message dated 13/03/2006 16:43:49 GMT Standard Time, doctorjoe@aol.com writes: I sincerely HOPE that it's not midwifery training itself that's "teaching" this (erroneous) concept to you, but simply that you're missing the point somewhere. In the developed world better antenatal care, intraprtum care and postnatal care means that we achieve good outcomes. Hanks original email spoke of 'throught history'. If we had never evolved in our care of pregnant women then yes, it would be risky business. But we HAVE moved on, we have better care; we are more well informed; we are better equiped to detect deviations from the norm therefore the outcomes are better than they were say 50 years ago. In 2002 the most common cause of direct deaths was again thromboembolism and the most common cause of Indirect deaths, and the largest cause of maternal deaths overall, was psychiatric illness, suicide. If we know what causes maternal death we can then do our best to prevent it thus making it safer. How many women in your care have died? Gail
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