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Maternal Health Crisis in America (Funding/Education (Funding for Maternal…
Maternal Health Crisis in America
Safety of Childbirth
Childbirth in the US has a higher mortality rate (and rising) than other developed countries.
Black Women in NYC are 3x as likely to die than white women; They are 12x more likely to experience life-threatening complications than white women.
Safest Place for Birth?
ACOG: Hospitals or Birth Center
Business of Being Born: Homebirth
A majority of Childbirth related deaths are preventable
Complications can occur during pregnancy, all the way up to a year post-partum
More (medical) intervention leads to more complications
Midwife-led births produce better outcomes for mothers and babies
Common Interventions: Continuous Fetal Monitoring, augmentation, episiotomy, epidural, vaccum assist, and IV
Medical Interventions can be 'easier' for doctor's schedules
Access to Care/Quality of Care
Better prenatal care leads to better patient outcomes.
Rural Communities are in a maternal care desert (there may be hospitals, but lacking OBGYN/CNMs).
Women in rural communities lack choice in their method of delivery
If women lack access to care (proximity) they are more likely to have an elective cesarean (read: more risk from surgery)
Black and Latina Women receive different quality of care
There is a need for more equity in care.
Women face challenge finding a provider in their area, covered by insurance, and accepting new appointments
Mother's Experience
The way birth is portrayed in the media/on TV/Movies generally happens in the hospital, and cesarians are commonly displayed
The medical community is mainly concerned with patient outcomes and statistics versus the quality of the mother's experience.
The mother's experience will shape how she participates in her pregnancy, labor, and post-partum care
Some women experience major physical and mental trauma during birth.
Women who receive care from a midwife reported feeling ownership over their birth process
Women prefer minimal intervention, although seldom experience this.
Women see interventions as a way to manage perceived risk in childbirth
Funding/Education
Funding for Maternal Health care in health care deserts will improved outcomes/complications in those areas.
There is a shortage of OBGYN/Primary Care Providers/Certified Nurse Midwives in the country. This number is on the decline.
There needs to be more incentive for students to move into PCP careers to meet the current demand.
There needs to be more education pathways for students to move into PCP careers(read: make these careers more accessible—less cost or shorter time)
There should be more funding/education within the medical communities so there is understanding of the qualifications in various provider roles.
Include the public into this conversation/crisis so patients can be informed and empowered.
Hospitals, Organizations, and Governments should create certifications to verify the standard of care provided in various facilities.
Expand Insurance Coverage and Hospital reimbursement so facilities do not shut down
Tiered approach: Healthy birth supervised by midwives, and high risk births by doctors
Some states limit who can legally lead childbirth
Miscellany
What is the saftey of birth preferences like delayed cord clamping, epidurals, induction, skin-to-skin, etc?
Birth is a natural, physiological process that should not require medical intervention unless there are extenuating circumstances.
Medical interventions (like cesarian sections) were a savior for high-risk/complicated births, but do not need to be common practice.
This issue will impact nearly everyone in the country.
There are many factors that contribute to this health crisis.