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Date: | Wed, 4 Apr 2007 16:11:52 -0400 |
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http://www.medscape.com/viewarticle/554147?src=mp
Born in the USA: How a Broken Maternity System Must be Fixed to Put Women
and Children First
Med Scape Nurses Book review posted 3/28/2007
I found the information and premise refreshing and hopeful.
"The last 2 chapters are well worth the read because if one gets beyond
Wagner's negativity toward the US healthcare system, the presentation of
guiding principles, practical changes, and intended outcomes from the
reforms that he proposes is masterfully done. The vision presented is one
that is rooted in the value of a national health system that would
universally provide care to all pregnant women, not just those with some
sort of public or private healthcare coverage. Other aspects to the vision
include:
1. Promotion of at-home deliveries, especially for low-risk births
2. Increased use of midwives for low-risk births
3. Access to obstetricians for high-risk maternity care with a shared
responsibility with midwives for the routine aspects of the care, even for
the high-risk maternity patient
4. Increased scrutiny, transparency, and accountability of the
healthcare delivery system
5. Continued education of maternity care providers
6. A focus on public education on maternity care." As reviewed by
Angelo P. Giardino, MD, PhD, MPH
Ann G. Cagigas, RN, MA, IBCLC
GSA Health Unit, Room 1010
1800 F St., NW
Washington, DC 20405
202-219-1228
202-501-0028 (Fax)
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