Re: US neonatal mortality and morbidilty, was Homebirth, was VBAC, ect

From: Seele, Mona (Mseele@tmh.tmc.edu)
Fri Apr 28 10:06:25 2006


And the State of Texas changed their laws to 350 grams...don't know who pushed this bill through vital statistics.

Mona Seele, RN, MSN, CNS

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Thursday, April 27, 2006 7:32 PM To: Multiple recipients of list OB-GYN-L Subject: Re: US neonatal mortality and morbidilty, was Homebirth, was VBAC, ect

Actually, when it comes to "neonatal death" and what goes into the numerator and denominator ... that is up to the States. In NH the legislature defined a "live birth" as > or = 500 grams - and most of those were < 26 weeks and previable. But they got reported as live births ot still borns and what were essentially 2nd trimester spontaneous abortions were part of the dismal statistics. I am not sure if it is still the NH definition, but this type of state by state decision on "what counts" makes it tough to compare "statistics" of one country to another. It makes us "look" worse regardless of how well we care for the 26 week infant and older.

Joanne

At Thu, 27 Apr 2006, Laure wrote: >
>In order to consider a neonatal death, I supossed all of us use FIGO
>definitions.
>
>L. Folgar
>
>OBGYN County Hospital Melilla
>
>Spain
>

--
Joanne Bulley, MD
Keene, NH, USA

----------------------------------------- Methodist. Leading Medicine. ----------------------------------------- ----------------------------------------- Named by FORTUNE magazine’s “100 Best Companies to Work For” in 2006 Named by U.S.News & World Report as one of “America’s Best Hospitals”

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