Re: Peripartum cardiomyopathy
From: Atkinson, Samuel M, Jr (ATKINSONS@ecu.edu)
Thu Feb 26 09:15:52 2009
Yes. Maternal deaths from perinatal causes have decreased by 99% in the US in the 20th century(CDC).
Deaths from perinatal causes now less than auto deaths in pregnant women or death by homicide from abusing males.
We ( The US) are still 30th in the world..so could we do better..YES!
sAm
________________________________________
From: ob-gyn-l@obgyn.net [ob-gyn-l@obgyn.net] On Behalf Of Ina May Gaskin [midwifeim@earthlink.net]
--
________________________________________
Sent: Monday, February 23, 2009 8:55 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Peripartum cardiomyopathy
Sam, you don't mean that maternal deaths have decreased in the U.S.,
do you? Did I misunderstand you? Did you mean in NC?
Ina May
On 21 Feb 2009, at 14:45, Atkinson, Samuel M, Jr wrote:
> I was a co author of an article in Obstetrics and Gynecology in Dec
> 2005 on Maternal mortality. Of interest, cardiomyopathy was the
> leading cause of pregnancy related deaths (21%). Of interest, our
> committee considered only 22% preventable. While the numbers were
> not high enough for ststistical evaluation of specific
> etiologies of cardiomyopathy, obesity was freq present & a slight
> prevalence to winter deaths as well as poverty suggest carbon
> monoxide and CO2 from open heaters and poor perfusion of lungs.
> While happily maternal deaths have decreased Cardiomyopathy caused
> 21% of 108 deaths in NC from 1995-1999.
> sAm
>
> ________________________________________
> From: ob-gyn-l@obgyn.net [ob-gyn-l@obgyn.net] On Behalf Of Dr. John
> ________________________________________
> Provatopoulos B.Sc. M.D.C.M. F.R.S.C. [johnprov@sympatico.ca]
> Sent: Thursday, February 19, 2009 5:04 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Peripartum cardiomyopathy
>
> At Tue, 17 Feb 2009, Efrain Ramirez wrote:
>>
>> Discharged 3 days ago - almost 4 weeks in ICU.. doing "fine" .. 2
>> episodes of cardiac arrests -
>> unfortunately baby did not make it .. had to do a C/S 35
>> weeks .. sad..
>> !!
>> anyone with a similar case recently? Uf .. !
>>
>> --
>> "Life is what happens to you while you're busy making other
>> plans."- John Lennon
>>
>
> I have actually had 3 cases, since about 2000, they all did well
> and had
> Left ventiricular function back almost to normal in 6-8 weeks, only
> one
> was pre- delievery and she was the sickest. All babies and mom's did
> well, and did a repeat c-section on one 2 years after the first
> uneventfull section and no recurrence. Eccochocardiograms are the
> reason probably I am seeing more cases and they are mild.
>
> --
> Take care, John
