This Week in Maternity... Maternal Morbidity & Mortality rates in US and Shoulder Dystocia explained
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.
Read more: www.healthaffairs.org/doi/abs/10.1377/hlthaff.2019.00805
Labour Room Emergencies - Shoulder Dystocia
Shoulder dystocia, an obstetrician’s nightmare, represents an important cause for increase in morbidity of the mother and fetus. it is documented as the most common litigated cause in obstetrics since shoulder dystocia is associated with permanent birth-related neonatal injuries and maternal complications in majority of the cases
Periodic “skill drills” should be there for all the birth attendants for increasing awareness and training about shoulder dystocia.
Read more on Shoulder Dystocia: link.springer.com/chapter/10.1007/978-981-10-4953-8_35
Read more of this book on 'Labour Room Emergencies', including, Induction, Fetal Surveillance, Instrumental delivery, Caesarean delivery, ruptured uterus, postpartum sepsis, and much more...