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Re: where the continued pregnancy endangers the life of the woman concerned From: Joanne Bulley, MD (islesannie@yahoo.com) Mon Mar 13 11:40:06 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: where the continued pregnancy endangers the life of the woman concerned" Previous message: Jamie: "Re: where the continued pregnancy endangers the life of the woman concerned" In reply to: doctorjoe@aol.com: "Re: where the continued pregnancy endangers the life of the woman concerned" Next in thread: Henry Gregor: "midwife chip" Joe, Thanks for saying this well and succinctly (but then you have doen the JD training in addition to the MD and should be able to do that). I will only make one post on this subject (and there will still be too many posts on this subject by the time it cools down) Gail -- just because pregnancy is a condition that is normal to the procreation of the species does not mean that it does not cause health consequences. And yes - women with NO pre-existing medical factors get severe health consequences. The main goal of caring for pregnant women is to identify the potential problems and at that point do the appropriate interventions to avoid maternal and fetal harm. If there was never any bad outcomes then there would be no reason for midwives or obstetricians. As far as morbidity and mortality -- the numbers are as low as they are now because of good midwives and MDs caring for these women. Not because preganancy is particularly healthy of and by itself. Yes - a have a good friend whose sister in law died from the virulent Strep postpartum. A colleague whose sister died from overwhelming sepsis while trying to get twins with PPROM to a gestatinal age consistent with life outside the womb. Colleague with aptient who died of amniotic fluid embolism. I have had 3 near maternal deaths. BAD stuff DOES happen BECAUSE of pregnancy. That is why we have jobs. Pregnancy does create health risk independant of pre-existing medical conditions. Joanne At Mon, 13 Mar 2006, doctorjoe@aol.com wrote: > >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. -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: GA12L@aol.com: "Re: where the continued pregnancy endangers the life of the woman concerned" Previous message: Jamie: "Re: where the continued pregnancy endangers the life of the woman concerned" In reply to: doctorjoe@aol.com: "Re: where the continued pregnancy endangers the life of the woman concerned" Next in thread: Henry Gregor: "midwife chip"

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