"American Way of Birth, Costliest in the World" - page 2

by ScientistSalarian | 2,473 Views | 14 Comments

"American Way of Birth, Costliest in the World" (NY Times) Wow, according to this article giving birth in the U.S. is 2-3x more expensive than in other countries (2012 average of ~$10,000 for conventional delivery and ~$15,000... Read More


  1. 0
    Quote from Not_A_Hat_Person
    One big factor in medicalizing childbirth is lawsuits. There's a reason many OBs say "You get sued for the Cesarean you didn't do."
    Am wondering if UK, France or other places that use midwives for a majority of normal births have higher rates of "adverse" outcomes than say the USA with all it's defensive practice.
  2. 1
    Quote from malamud69
    It is great that somebody brought up EMTALA...I wonder-just some extrapolation here. The "nuts" in state congress around the country that are trying to prevent women from access to health care if they need it in relation to an abortion (and multiple other services)-I believe Ohio has created a "non-transfer" statute....do they not realize that EMTALA exists?
    How exactly does EMTALA have anything to do with an abortion?
    Not_A_Hat_Person likes this.
  3. 2
    Quote from malamud69
    It is great that somebody brought up EMTALA...I wonder-just some extrapolation here. The "nuts" in state congress around the country that are trying to prevent women from access to health care if they need it in relation to an abortion (and multiple other services)-I believe Ohio has created a "non-transfer" statute....do they not realize that EMTALA exists?
    EMTALA has little to do with routine abortions, as very few abortions at this time are immediate life threatening issues.

    There are people that believe that you can go to the ER for an abortion, and that is incorrect. And unless the pt is in immediate danger of dying from their pregnancy, that is false.

    Now, as abortion services become less available, more women are likely to attempt to self abort or go to unsafe practitioners, and we can expectant to see the number of abortion complications/incomplete abortions rise and more emergency care for sepsis, perforation and hemmorhage. And in those cases, depending severity, EMTALA becomes an issue.

    One of the incredible ironies, the abortion rate in most places stays essentially the same, whether it is illegal or legal. The big difference, is that the ones with money can find the loopholes, go on a "vacation" out of the country, the MDs that will say that their life is endangered, etc. the poor end up going the more dangerous routes to abort.
    DoGoodThenGo and chare like this.
  4. 1
    Quote from DoGoodThenGo
    Am wondering if UK, France or other places that use midwives for a majority of normal births have higher rates of "adverse" outcomes than say the USA with all it's defensive practice.
    No, their mortality rates tend to be lower than the US. Fetal monitoring and medicalization of birth have NOT improved outcomes, just increased the rate of cesareans.
    ratlady likes this.
  5. 0
    Quote from monkeybug
    No, their mortality rates tend to be lower than the US. Fetal monitoring and medicalization of birth have NOT improved outcomes, just increased the rate of cesareans.
    Not only that, but the United States has one of the highest maternal death rates for developed countries.


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