752 utenti della rete avevano questa curiosità: Spiegami: What has caused maternal mortality to rise so dramatically in the US since 2000?
Most poorer countries have seen major drops in maternal mortality since 2000. While wealthy countries are generally seeing a flatlining or slight increasing trend, the rate has nearly doubled in the US. Acutely, (ie the medical issue not social causes) what is causing this to happen? What illnesses are pregnant women now getting more frequently? Why were we able to avoid these in a time (2000) where information sharing and technological capabilities were much worse? Don't we have a good grasp on the general process of pregnancy and childbirth and the usual issues that emerge?
It seems as if the rise of technology in medicine, increasing volume of research on the matter, and the general treatment level of US hospitals would decrease or at the very least keep the rate the same. How is it that the medical knowledge and treatment regimens have deteriorated to such an extent? Are the complications linked to obesity?
Ed ecco le risposte:
I did a quick bit of research on this a few years ago and found little to know actual increase, but a standardization of how to measure and report it. Several states were tracking it differently. Some states included deaths of pregnant mothers, some didn’t. Some included deaths up to six months postpartum. Some were up to 24 months. When these metrics were normalized across several states, it looked as though it was an increase but it was the change in how it was measured.
[deleted]
I had what I think was a mini stroke while pregnant, I was told my insurance didn’t cover anything that didn’t have to do with the pregnancy so they wouldn’t even examine me or discuss what happened… modern healthcare man, it is great if you can afford it, for the rest of us, our health issues will compile until they become an emergency
[removed]
One factor is the downstream effect of a high c-section rate – placental problems. Each c-section increases the risk of placenta issues in the NEXT pregnancy including the risk of placenta acretta where the placenta grows THROUGH the uterus and can even attach onto other organs. This is extremely dangerous.
Maternal age also increases some maternal morbidity and mortality risks, and due to economic reasons many are putting off pregnancy until later.
Finally, hospitals are staffed so that women are rushed through, and nurses have more patients than they really should care for at one time. We have some of the most advanced training in the world, but if you have too many patients that doesn’t really matter.