Rural-Urban differences in severe Maternal Morbidity and Mortality in the US, 2007-2015
In the United States, severe maternal morbidity and mortality is climbing—a reality that is especially challenging for rural communities, which face declining access to obstetric services. This study found that severe maternal morbidity and mortality increased among both rural and urban residents in the study period, from 109 per 10,000 childbirth hospitalizations in 2007 to 152 per 10,000 in 2015. Rural residents had a 9 percent greater probability of severe maternal morbidity and mortality, compared with urban residents. Attention to the challenges (both clinical and social factors) faced by rural patients and health care facilities is crucial to the success of efforts to reduce maternal morbidity and mortality in rural areas.
Labour Room Emergencies - Shoulder Dystocia
Is the Birth Injury Early Notification Scheme achieving its aim?NHS Resolution launched the Early Notification Scheme, a national programme for the early reporting of infants born with a potential severe brain injury, on 1 April 2017... but is it achieving its aim?
Medicolegal issues in a second stage Caesarean Section
Second Stage Caesarean Section (CS) occurs in around 2% of all births and recent data suggests that it is on the rise(1). There is irrefutable evidence that CS carried out at or near full dilation of the cervix leads to higher complications for the mother and her baby(2). All these complications are due to various degrees of difficulty encountered in the delivery of the engaged fetal head.