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Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Says



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No. 20
from CLC172
Old Nov 07, 2009, 09:06 AM

Default Re: Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Say
Originally Posted by Elvish View Post
I think this is a state-by-state thing, but in my state, regardless of gestation, if the baby shows signs of life, it is counted as a live birth. Medically for the mother it is counted as a miscarriage but for statistical purposes if there is any movement at all, or a definite pulse, it is counted as a live birth and must have a birth and death certificate. So technically, I guess we have some 15 and 16 weekers figuring into our mortality stats as well. At least in my state.

But without knowing exactly how other countries define this same thing, it's hard to tell whether it actually confounds our statistics or not. I've heard some of the same things already posted in this thread but it would be interesting to find out at what gestation countries like the UK, the Netherlands, Sweden, or heck, even Argentina (just to name a few) resuscitate aggresively or count as a 'live birth.' Interesting topic.
Very interesting. It's almost pointless to compare without an overall standard of what constitutes a "live birth!"
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No. 21
from Lovelee82
Old Nov 07, 2009, 01:20 PM

Default Re: Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Say
This article is not stating any new. I am focusing on this issue for my master's work and have found so much information. Its been amazing seeing how this translates to the real world nursing I have experienced on my L&D unit.
Due to my previous experience (although I didnt have complications) I will be using a midwife for my next child. ( no offense to any MD's just personal preference)
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No. 22
from BabyCatchr
Old Nov 07, 2009, 08:04 PM

Default Re: Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Say
I used CNMs for both of my children's deliveries (11 1/2 & nearly 14 years ago). My first was in a hospital birthing suite, and the 2nd was at home. The homebirth CNMs carried emergency equipment such as pitocin, IV, ultrasound, and lidocaine. I also started a support group in cooperation with the local midwives for women who planned hombirths.
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No. 23
from deenasao
Old Nov 07, 2009, 10:35 PM

Default Re: Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Say
My last birth was at a birth center with a midwife and my next will probably be an unassisted home birth. Hospitals and Doctors are nothing but trouble for laboring women!!!!
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No. 24
Old Nov 08, 2009, 04:30 PM

Default Re: Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Say
Originally Posted by CLC172 View Post
I know, it drives me crazy and that's the reason I want to become a midwife. I believe that the reason I ended up with a C-section, due to my daughter being in fetal distress, was because of the medical interventions like breaking my water and use of pitocin. I'll obviously never know for sure, but it is something that's always bothered me. I'm thinking of getting pregnant again but the statistics of our country worries me!
Before you end your productive years, look more closely at income levels, drug use, genetic red flags, pre-pregnancy illnesses, and compliance with medical plans of care when you evaluate the liklihood of a safe conclusion of another pregnancy for yourself.....
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No. 25
from Sweden
Old Nov 09, 2009, 02:29 PM

Default Re: Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Say
Originally Posted by Elvish View Post

But without knowing exactly how other countries define this same thing, it's hard to tell whether it actually confounds our statistics or not. I've heard some of the same things already posted in this thread but it would be interesting to find out at what gestation countries like the UK, the Netherlands, Sweden, or heck, even Argentina (just to name a few) resuscitate aggresively or count as a 'live birth.' Interesting topic.
Sweden routinely resuscitate at the same gestation age as most of the industrial countries (22-24 weeks). There are only seven neonatal units handling babies at this gestation age (regional hospitalīs) and unfortunately everyone is not convinced about the 22-23 weeker. But all above 24 weeks are resuscitated! My unit (and one more) are very active and always have a few 22 weekers in the unit. We have some of the best result in Sweden (and in the world).

The cut off for what counts as a live birth (28 weeks like the article said) has been heavily debated and is now changed.

Anna
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No. 26
from Elvish
Old Nov 09, 2009, 02:46 PM

Default Re: Premature Births Are Fueling Higher Rates of Infant Mortality in U.S., Report Say
Thank you, Anna/Sweden. I've suspected for a while that most industrialized countries resuscitate at about the same gestational age/weight that the US does....then our infant mortality stats are about as bad as they seem to be.
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