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

From: Seele, Mona (Mseele@tmh.tmc.edu)
Fri Apr 28 11:22:39 2006


That makes sense, but it sure drives up the neonatal mortality and stillbirth rates for the US. Mona Seele, RN, MSN, CNS ________________________________ From: ob-gyn-l@obgyn=2Enet [mailto:ob-gyn-l@obgyn=2Enet] On Behalf Of=0D=0Adoctorjoe@aol=2Ecom=

________________________________ From: ob-gyn-l@obgyn Sent: Friday, April 28, 2006 11:17 AM To: Multiple recipients of list OB-GYN-L Subject: Re: US neonatal mortality and morbidilty, was Homebirth, was VBAC, ect Louisiana's law has been 350 gm for a long time. I was told (but never researched it myself) that it was pushed through by the Undertaker's "union." If a 350 grammer is a "birth," it has to be BURIED. Hence, follow the money. Joe P. -----Original Message----- From: Seele, Mona <Mseele@tmh.tmc.edu> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Fri, 28 Apr 2006 10:07:24 -0500 Subject: RE: US neonatal mortality and morbidilty, was Homebirth, was VBAC, ect 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%40obgyn.net> [mailto:ob-gyn-l@obgyn.net <mailto:ob-gyn-l%40obgyn.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=2E Leading Medicine=2E =0D=0A=0D=0ANamed by FORTUNE magazine's "100 Best C= , USA ----------------------------------------- Methodistompanies to Work For" in 2006=0D=0ANamed by U=2ES=2ENews & World Report as = , USA ----------------------------------------- Methodistone of "America's Best Hospitals" ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or its relevant affiliates and may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you are not the intended recipient (or authorized to receive for the recipient), please contact the sender and delete all copies of the message. Thank you. ----------------------------RTUNE magazine=92s =93100 Best Companies to Work For=94 in 2006=0D=0ANamed = e. Thank you. ----------------------------by U=2ES=2ENews & World Report as one of =93America=92s Best Hospitals=94 = e. Thank you. ---------------------------- ***CONFIDENTIALITY NOTICE*** This e-mail is the property of The Methodist Hospital and/or its relevant affiliates and may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution or disclosure by others is strictly prohibited. If you are not the intended recipient (or authorized to receive for the recipient), please contact the sender and delete all copies of the message. Thank you.





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